Essentials of Medical Writing: Drug Discovery and Clinical Research
Essentials of Medical Writing: Drug Discovery and Clinical Research
Drug Discovery
and Clinical
Research
SK Gupta
Essentials Of Medical
CHAPTER 15
Writing
CHAPTER
TOC 1: New Drug Development
Index
CHAPTER 2: Drug Discovery And Developmen
Of Biologics
CHAPTER 3: Clinical Development Of New
Drugs
CHAPTER 4: Phase 0 Trials In Cancer Drug
Development
INTRODUCTION
CHAPTER 5: Bioethics In Clinical Research
CHAPTER 6: Medical Devices—Regulations
And Research The health sector has gone through an enormous change during the last
CHAPTER 7: Clinical Development Of Vaccines decade with people getting more aware and conscious about their health. The
CHAPTER 8: Clinical Development Of online searches have contributed tremendously towards the health awareness.
Anticancer Molecules
The patient started exploring about the information related to different diseases
CHAPTER 9: Role Of Pharmacovigilance In
Clinical Research and their treatment through the internet and became well versed with the
CHAPTER 10: Data Management In indications and contraindications of the drugs compelling the pharma
companies to search for new molecules. Growing demands of the people for
different healthcare products such as pharmaceuticals, alternate medicines,
neutraceuticals, special nutritional supplements, cosmetics, and herbal
products have intensi ed the competition between various national and
multinational companies who boast about their health care products through
massive campaigns. A sudden boom in advertisements, promotional materials
for marketing, and materials for creating awareness amongst the health care
professionals as well as the patients using print or other media has occurred.
All these have resulted in the need of well structured documents that spread the
information clearly and concisely to the targeted audience by the
pharmaceutical industry. This eventually has led in the growing demand of
specialized writers who can very well collaborate with pharma companies,
patients, health professionals and others involved in this business. These
specialized writers are the medical writers who are not necessarily a doctor or
writer by quali cations. The growing need of various pharmaceutical products
has accentuated the role of medical writers. Amalgamation of science
knowledge, research skills, air for writing with the understanding of the
audience makes one a successful medical writer.
GOAL
OPPORTUNITIES
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CHARACTERISTICS
The medical writer's role is important in the sense that he has to plan and
produce scienti c/medical quality content in a speci c discipline or various
therapeutic areas. To accomplish this, interaction with the clients and the staff
he is working with, is needed. He should be very good in communicating with
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It is very important to know who are the readers; unless it is assessed, a good
CHAPTER
TOC 1: New Drug Development
Index presentation of the writing cannot be made. The writer should rst assess the
CHAPTER 2: Drug Discovery And Developmen
Of Biologics level of experience or knowledge of the audience, writing for general public will
CHAPTER 3: Clinical Development Of New be de nitely different from the writing meant for highly professional audience.
Drugs
The terminologies used in the write-up vary accordingly. Selecting highly
CHAPTER 4: Phase 0 Trials In Cancer Drug
Development technical terms is not appropriate for general audience; the terms used should
CHAPTER 5: Bioethics In Clinical Research be simple or may be elaborated or explained. The background information
CHAPTER 6: Medical Devices—Regulations should be included according to the level of the audience; it should be very clear
And Research
to the author who is the audience and what is the purpose of the audience to go
CHAPTER 7: Clinical Development Of Vaccines
through the document. One should also keep in mind that whether the
CHAPTER 8: Clinical Development Of
Anticancer Molecules document prepared is informative and meant for the general public or for
CHAPTER 9: Role Of Pharmacovigilance In convincing a more professional audience. The writer should also consider that
Clinical Research
whether the audience would read the document as narrative or read it in
CHAPTER 10: Data Management In
sections. 404
TAKE HOME POINTS
The document prepared should have a clear take home message. The article
can be summed up giving a brief description of the research and its results, the
controversies arising from it or the lacuna in the research, and nally, what the
author expects from the reader to do with this new piece of information.
The writer should choose the eld he wants to write for. Medical writing can be
scienti c or promotional marketing writing. The scienti c medical writing for
the pharmaceutical industry can further be categorized as follows.
Various rules and regulations have been imposed for drug development and its
marketing for the bene t of people. Need for well written documents for
regulatory submission becomes essential for the pharmaceutical companies or
clinical research organizations so that they can pass through the scrutinizing
eyes of the reviewers without being rejected. Since the approval process is quite
cumbersome and time consuming, the companies are compeled to hire trained
persons for preparing the documents that comply with regulatory, journal, or
other guidelines in terms of content, format and structure to avoid unnecessary
delay. The regulatory writing also known as clinical research writing includes
the preparation of documents required by the regulatory agencies for the
approval process for drugs, devices and biologics. Clinical trial protocols,
informed consent forms, patient information sheets, investigator's brochure,
interim/study completion reports, new drug applications (NDA) are examples of
such documents and their preparation requires a sound knowledge of current
and emerging regulatory requirements or guidelines.
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CHAPTER
TOC 1: New Drug Development
Index Original research articles, reviews, letters to the editors, short
CHAPTER 2: Drug Discovery And Developmen 405
communications, editorials, poster or powerpoint presentations for the
Of Biologics
CHAPTER 3: Clinical Development Of New
conferences or the meetings, study modules for the various courses or
Drugs continuing medical education fall in this category. The audience for scienti c
CHAPTER 4: Phase 0 Trials In Cancer Drug writing is highly specialized.
Development
CHAPTER 5: Bioethics In Clinical Research
CHAPTER 6: Medical Devices—Regulations
And Research CONSUMER HEALTH WRITING
CHAPTER 7: Clinical Development Of Vaccines
CHAPTER 8: Clinical Development Of People are becoming aware about their health and are eager to get information
Anticancer Molecules
related to various types of diseases, how they are caused, what are the risk
CHAPTER 9: Role Of Pharmacovigilance In
Clinical Research
factors, latest treatment available, is there any side effect of the prescribed
CHAPTER 10: Data Management In drug, or is there any alternate medicine. All these information is gathered either
from the books, magazines or Web. Reviews of clinical trials or research studies
help in disseminating information to the patients or general public. Feature
articles on a new disease, new treatment or device interests the readers. All
information related to health improvement whether it is a medicine, device,
lifestyle modi cations reach to the consumers through health magazines,
dictionaries, encyclopedias, newspapers, advertisements, blogs and websites.
MEDICOMARKETING WRITING
ORIGINAL ARTICLES
REVIEW ARTICLES
Reviews are not original publications instead they are a coherent narrative of
the information gathered from a collection of articles on a single topic. They
give comprehensive information about the work conducted in the particular
eld and also provide journal references to the original research. These are
published in many journals or books. 406
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SHORT PAPERS
Drug Discovery These are original research articles meant for publishing in journals,
and Clinical proceedings, etc. The length of these articles is comparative less than the full
Research length paper.
SK Gupta
CASE REPORTS
SPECIAL PUBLICATIONS
TITLE
The preferred title of the paper should be short and informative. It should also
clearly identify the general eld as well as the speci c branch under
consideration. 407
TITLE PAGE
The title page generally contains the title of the paper, name of the contributors
and their a liations, name, address, phone numbers, email address of the
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RESULTS
The ndings of the study are described with the help of tables, line diagrams,
gures and images. The results should be clearly explained in a simple manner.
The data should be well explained neither too condensed nor elaborate. 408
The data given in the table should not be repeated. Like materials and
method results should also be written in past perfect tense.
DISCUSSION
The results of the study are discussed in this section of the article. Most
important ndings are summarized in the discussion. The conclusions that can
be drawn from the results are given here. Does the ndings support the
hypothesis or not, or the ndings are in accordance with the previously
published articles on the similar problem or there are contradictions, the
plausible explanation should be given for this.
CONCLUSION
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This section should indicate major contributions of the paper and what are the
related untouched areas on which researches can be conducted.
Drug Discovery
and Clinical ACKNOWLEDGMENT
Research
SK Gupta The author(s) can add a line of acknowledgment for any nancial assistance or
assistance in preparing the manuscript or using any facility, etc.
REFERENCES
CHAPTER 1: New Drug Development
TOC Index
CHAPTER 2: Drug Discovery And Developmen
Of Biologics
References to support the research study are cited in the text and are enlisted
CHAPTER 3: Clinical Development Of New at the end of the paper. The references are written in Harvard or Vancouver style
Drugs depending upon the style of the selected journal. There are different ways of
CHAPTER 4: Phase 0 Trials In Cancer Drug writing the reference of journals, books or websites. Each journal or book has
Development
their own guidelines. The instruction to authors should be read carefully prior to
CHAPTER 5: Bioethics In Clinical Research
CHAPTER 6: Medical Devices—Regulations writing the research article.
And Research
CHAPTER 7: Clinical Development Of Vaccines
CHAPTER 8: Clinical Development Of CAREER OPPORTUNITIES
Anticancer Molecules
CHAPTER 9: Role Of Pharmacovigilance In
Clinical Research A person gets many opportunities as a medical writer. A writer with the
CHAPTER 10: Data Management In managerial skills can be involved in the management of team of writers
assigning or undertaking job responsibilities at local or international level or be
engaged in the marketing of the pharmaceutical products. To satiate his
interest he can choose from various categories of medical writing. He can
become a part of pharmaceutical company, clinical research organizations,
hospitals or health care agencies. If the person has imaginative powers or
creativity he can also be involved in the medical advertising agencies or can be
involved in designing web contents. A person with a strong observation skill can
be a good proofreader and become a part of some publishing house. Editing
and reviewing articles can also be a good option for some. Persons not able to
carry out a full time job due to other responsibilities can be freelance writers
with exible timings and can work from anywhere. They can enjoy variety in
writing while serving for varied clients (Fig. 15.1). 409
The term medical writer does not mean that the writer is from medical
background. No particular technical training is required to become a medical
writer. A graduate degree in science, medicine, pharmacy, journalism, mass
communication, English or allied elds would su ce. However, the person
should be conversant with the medical terminologies used in preparing varied
type of documents. The most important thing needed is the inclination and air
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for writing. The person should possess a good communication skill so that he
can interact with people of different background and expertise, interview them
and gather information related with their eld or expertise. The person should
Drug Discovery be able to interact with people other than his close associates. The person
and Clinical should possess good writing skills, editing and proof reading skills (common
Research
symbols used for proof reading and editing are given at the end of the chapter),
SK Gupta
knowledge of grammar, know how to search information quickly and above all
he should be able to stick to timelines. The person should be able to meet the
deadlines xed for the article.
CHAPTER
TOC 1: New Drug Development
Index
CHAPTER 2: Drug Discovery And Developmen INITIATING THE WRITING CARRIER
Of Biologics
CHAPTER 3: Clinical Development Of New Starting a carrier in medical writing does not primarily involve a degree in
Drugs
medicine or mass communication. However some training whether informal or
CHAPTER 4: Phase 0 Trials In Cancer Drug
Development formal helps in moving forward in the eld. 410
CHAPTER 5: Bioethics In Clinical Research
CHAPTER 6: Medical Devices—Regulations
And Research INFORMAL TRAINING
CHAPTER 7: Clinical Development Of Vaccines
CHAPTER 8: Clinical Development Of
Anticancer Molecules
There are number of ways to get the informal training to be a medical or
CHAPTER 9: Role Of Pharmacovigilance In scienti c writer through books, journals, internet, etc. To start with, a medical
Clinical Research writer can take help of many online and o ine resources.
CHAPTER 10: Data Management In
ONLINE RESOURCES
1. Several online medical dictionaries available such as Dorland's online
medical dictionary or Stedman's online medical dictionary are wonderful aid
in getting the information related to various diseases or getting familiar with
medical terminologies.
2. Assistance of software can be taken for learning medical terminologies and
spell check. A variety of them are available online for free.
3. A range of online medical and pharmaceutical journals are available for free.
These journals can provide information related to a particular disease, its
pathology, treatment modalities, and recent advances in therapeutics. They
are a very good source for preparing background information for
investigator's brochure or materials for health care professionals or
marketing, etc.
4. Besides, there are lots of free online books available that can assist in
gathering information regarding the subject or the disease selected.
5. The author may need information about the latest drugs used for the medical
therapy of diseases and regulations for the drug trials and marketing. He
should be well acquainted with such regulations. Country wise regulatory
guidelines are available at the site of most of the regulatory authorities.
Some of the regulatory authorities are CDSCO (India), FDA (US), ANVISA
(Brazil), MHRA (UK), WHO, EU (Europe) whose websites are given below.
6. A medical writer also gets aware of the latest happenings in the world of
health care, be it developments in pharmaceutical industry, health care
centers, new regulations imposed on medicines, devices, research, etc. using
online internet services. The writer becomes informed about the new drug
molecules in the pipeline in pharma industry.
International
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(Http://Www.Afssaps.Fr/)
India
UK
USA
OFFLINE RESOURCES
It is always good to read and grasp the information from different sources. The
more a person reads the better he can reproduce. Books, medical or scienti c
journals/magazines can also be purchased or issued from a public library at a
nominal fee or through membership. Some basic knowledge of the statistics is
also bene cial.
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TECHNICAL SKILL
Drug Discovery In addition to the above mentioned resources that contribute in gaining the
and Clinical knowledge about the topic to be taken up for writing, few technical skills are
Research also needed.
SK Gupta
Language: The command over the language in which the documents are being
written is of utmost importance. Since English is the universally accepted
language most of the scienti c literature is written in English. Therefore, writers
having control over English language, grammar and a air for writing have
CHAPTER 1: New Drug Development
added advantage. A well written document, grammatically correct with
CHAPTER 2: Drug Discovery And Developmen
Of Biologics appropriate punctuations can clearly communicate the message to the readers
CHAPTER 3: Clinical Development Of New creating an interest in them to indulge further in reading. 412
Drugs
CHAPTER 4: Phase 0 Trials In Cancer Drug Computer knowledge: One of the most important requirements for preparing
Development
different types of documents is to improve one's computer skill. A computer
CHAPTER 5: Bioethics In Clinical Research
savvy writer has added bene ts. He will be more e cient in gathering
CHAPTER 6: Medical Devices—Regulations
And Research information, preparing computer generated documents, graphics or
CHAPTER 7: Clinical Development Of Vaccines illustrations. Preparing presentations, posters, materials for market promotion
CHAPTER 8: Clinical Development Of or for the physicians or even publishing a book becomes easy, dependency on
Anticancer Molecules
others is reduced and lot of time and money is saved.
CHAPTER 9: Role Of Pharmacovigilance In
Clinical Research
CHAPTER 10: Data Management In
FORMAL TRAINING
Unlike these informal trainings a person can also get formally trained in medical
writing. He can choose appropriate courses and get formally trained in medical
writing. Some of the courses are given below which can be of assistance:
1. Http://Www.Emwa.Org/Training.Html
2. Http://Iocbindia.Org/Medicalwriting.Htm
3. Http://Www.Infocusrx.Com/Icme/About.Html
4. Http://Www.Infocusrx.Com/Icme/About.Html?Tcsrc=Www.Training-
Classes.Com
5. Http://Www.Emagister.Co.Uk/Medical_writer_courses-
Ec170147415.Htm
6. Http://Www.Aagmedicalwriting.Co.Uk/Medical_writing_training_cour
se.Html
7. Http://Www.Sfep.Org.Uk/Pub/Train/Training.Asp
8. Http://Medicalwritingtraininguk.Co.Uk/
9. Http://Www.Medicalwritingtraining.Com/
10. Http://Www.Cfpie.Com/Showitem.Aspx?Productid=CMWP
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REMUNERATION
Drug Discovery The salary of the medical writer depends upon the quali cations and
and Clinical experience. A medical writer having regular employment can earn between $
Research 65000–85000 annually in USA depending upon the nature of the job, company's
SK Gupta
pro le, etc. Some extraordinary writers can have six digit salaries. On the
contrary, the earning of a freelance writer relies on the number of pages of the
document produced or hours devoted for the writing. 413
Many tools like RoboHelp, Flare, Doc To Help are used for producing printable
user manuals and online help les in .htm, .rtf, .chm formats, each having its
own merits and demerits.
Some other help tools include Paper Killer, HelpStudio, Fast-Help, AuthorIt,
Digipedia, Help-Producer, O ceHelp, HTMLHelp Workshop,
WEB TOOLS
Designing a web site or a web page requires e cient web tools. Several web
tools are available such as WebTools Pro, Google Web Toolkit (GWT), HTML
editors, search engine tools, GOOGLE tools, YAHOO tools, MSN tools and many
more. Most of the tools can be downloaded for free or trial versions with limited
features.
SOFTWARE NEEDED
Point.
A programme to view, create, edit or mange les in portable document
format (PDF) such as Adobe Acrobat Professional.
Drug Discovery
Spellchecker, software to check the spelling errors in the printable document
and Clinical
or web pages. 414
Research
SK Gupta An online Dictionary and Thesaurus to search for any de nition or meaning
instantaneously.
Antivirus software for complete protection from the computer virus, worms
or any other malware.
13. (Http://Www.Sciencewriters.Ca)
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416
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Drug Discovery
and Clinical
Research
SK Gupta
1The last three symbols are unlikely to be needed in marking proofs of photocomposed
matter. Source: Http://Www.Merriam-Webster.Com/Mw/Table/Proofrea.Htm
417
BIBLIOGRAPHY
1. AMA Manual of Style: A Guide for Authors and Editors (Hardcover) JAMA and Archives
3. Http://Ezinearticles.Com
4. Http://Www.Espressographics.Com/Files/Proofread.Pdf
5. Http://Www.Medicalwritingtraining.Com
6. Http://Www.Merriam-Webster.Com
7. Http://Www.Pharmweb.Net/Pwmirror/Pwk/Pharmwebk.Html
8. Http://Www.Spd.Dcu.Ie/MAIN/Administration/Careers/Documents/EMWACareersLea etmedi
calwriting.Pdf
9. Http://Www.Writersandeditors.Com/Science_and_medical_writing_30796.Htm#Bookmark1
10. Http://Www.Writerswrite.Com
11. Medical Writing 101: A Primer for Health Professionals, Arnold Melnick, AuthorHouse™,
12. Ng K H, Peh W C G. E ective Medical Writing. Pointers to getting your article published.
14. The Complete Guide to Medical Writing by Mark C. Stuart, Pharmaceutical Press, London
2007.
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15. Tool kit for New Medical Writers by the Delaware Valley Chapter of the American Medical
Drug Discovery
and Clinical
Research
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