Transcript
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Welcome to the Clinician Researcher podcast, where academic clinicians learn the skills
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to build their own research program, whether or not they have a mentor.
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As clinicians, we spend a decade or more as trainees learning to take care of patients.
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When we finally start our careers, we want to build research programs, but then we find
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that our years of clinical training did not adequately prepare us to lead our research
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program.
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Through no fault of our own, we struggle to find mentors, and when we can't, we quit.
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However, clinicians hold the keys to the greatest research breakthroughs.
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For this reason, the Clinician Researcher podcast exists to give academic clinicians
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the tools to build their own research program, whether or not they have a mentor.
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Now introducing your host, Toyosi Onwuemene.
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Welcome to the Clinician Researcher podcast.
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I'm your host, Toyosi Onwuemene, and it is a pleasure to be speaking with you today.
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Today we are talking about tips for writing a great manuscript.
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Tips for writing a great manuscript.
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And I invite you, if you are looking for coaching, to join Academic Negotiation Academy, where
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we help clinician researchers negotiate their academic careers so that they can lead research
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programs that help them thrive and also create lasting impact.
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Our next cohort is enrolling soon.
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Sign up for the waitlist on our website, clinicianresearcherpodcast.com.
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All right, today we're talking about tips to write a great manuscript.
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And I will tell you that some of the tips I've learned in manuscript writing over the
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years has come from my accountability coaching peer group that I've had for the last few
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years.
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And we are a group of three to four faculty members.
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We meet every week and we meet for writing accountability.
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And so, you know, you have these grand ideas about writing every day and you have a group
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of faculty who hold you accountable and say, hey, this is what you said you were going
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to write last week.
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What did you do and what happened?
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And so in that group, in addition to the accountability, I've learned a lot about differences in scientific
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writing.
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For example, one of our faculty members is in the Department of Theater and in her field,
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writing is a solo activity.
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And so it's not common to have more than one author on a paper.
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The second piece of that is that their field is really a book field.
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And so books are more the focus rather than articles.
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But even when they write articles, articles are really the work of a solo author.
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And so when it comes to authorship disputes, it's not really something that she experiences
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much in her field because you're writing work by yourself anyway.
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One of our other faculty members is in education.
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And in this field, authorship order depends on how much work was done.
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So the first person did the most work.
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The second person, the next amount of work, third person and vice versa.
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And so when you get to the end of the authorship byline, that's just the person who did the
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least work.
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So there isn't necessarily like a senior person being stuck on the end as a person who's shepherding
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this work.
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If you are a senior person and you did a lot of the work, you will be author number one
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or two.
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And so that's interesting because in my field, the first author is a person who's done the
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bulk of the work of the writing and the senior person is a person who supported the first
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author in that writing and also is the person who's conceptually moving the work forward.
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So it tends to be a senior person.
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And if it's a research program, it tends to be the leader of the research program because
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theoretically they're doing the work, at least we hope that they are.
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So that's an interesting thing that I found about the differences between disciplines.
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And so now when I go to give people tips about writing manuscript, I want them to be clear
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on what their discipline specific instructions are, what are the norms within the discipline.
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And it's important to ask that question because these are some of the things that I think
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exist in what is called the hidden curriculum, the things that everybody knows, but the people
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who are new to the field have no idea about, and then they're blindsided.
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And this is important information to have.
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So if you are new to writing manuscripts or you've been writing manuscripts for a while
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and it's not something you've engaged, definitely talk with someone who is a little further
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ahead in the field to ask about what are the writing conventions in our field.
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And it'd be interesting what answer you get.
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So today we're talking about tips for writing a great manuscript.
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And I am excited to share with you some of the things that I've learned over the years
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of writing.
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I really enjoy writing manuscripts.
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They're my favorite thing to write and I love to tell a great story.
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And I think scientific manuscripts are an opportunity to tell a great story with data.
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Now I'll share some tips with you.
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I'm speaking as if you are the first author, as the person who's leading the writing of
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the manuscript.
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These are my tips for the first author.
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So number one, start with a title page.
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And the reason to start with a title page is because the title page has the title and
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it has the list of authors.
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And one of the biggest challenges, especially for first authors who are new and just launching
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their career, is authorship disputes.
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Authorship disputes are a big deal and they really can derail manuscript writing.
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And at the end of it, the person who suffers is usually the young person who started out,
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put a lot of effort into writing the manuscript and somebody showed up out of the blue and
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said, hey, I should be the first author.
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And one of the ways to circumvent that is just to start up front.
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Do not passcode, do not collect 200, do not do any work until you start with the title
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page.
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And the title page, you have your idea for what the title of the manuscript is going
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to be.
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You have the list of authors in order and you have their affiliations.
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Start with that.
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And then once you have outlined all of that, your next step is to send it to the senior
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author and say, hey, here's my idea for the title, here's the list of authors, here's
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the authorship order.
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And next you want to ask three questions of the senior author.
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Number one, who else should be on this list?
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Who are we missing?
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So you want to make sure that you ask them who is missing from this list?
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Who should I include?
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That is not already here.
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Question number two is how should the authorship order be adjusted?
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So you're asking now not just about the completeness of the list, but the order of the list.
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And number three, what edits do you have?
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Okay, three questions.
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Who needs to be on the list?
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Who are we missing?
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How should the order be adjusted?
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And what edits do you have?
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And that's between first author, senior author, figure all that out.
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It's on a piece of paper that is your title page.
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Okay, you figured out the title page.
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Number two is now to create the outline.
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Okay, I learned from one of my faculty colleagues in our weekly accountability coaching group
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that there are three strategies in writing.
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You outline and then you draft and then you edit.
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And that really helps me.
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It helped me because I was a person who just started off writing a draft right away and
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invariably I would be drafting and then thinking about edits at the same time.
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So I would start with a full page and I would turn around.
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I have to delete the page.
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And sometimes at the end of my writing, I would end up with less writing than I started
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with because I was always editing and deleting things.
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And so the moment she told me, well, first outline, then draft, then edit, it just helps
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me.
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It separated all three components.
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Outlining is easy.
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I'm not really thinking about sentence structure.
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I'm really thinking about content.
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And then drafting, it follows easily from a good outline.
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And then editing.
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Editing is easy once there's already a draft in place.
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So these are the three things that I recommend as well.
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But I'm talking right now about number two, creating the outline.
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And you create the outline so that you are able to order all your thoughts and write
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a compelling logic of how things should show up.
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And you get to the introduction, outline the introduction.
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Paragraph one, paragraph two, maybe paragraph three.
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You get to the methods, outline the methods.
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You get to the results, outline the results.
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You can get to the discussion, outline the discussion.
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And one of the real great things about outlining is that you're not really focused on sentence
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structure.
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You're not focused on whether the grammar, the style of writing is right.
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You're just really focused on content.
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And initially, your goal is really to make sure all the content is on the table.
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You want to make sure you have everything that needs to be there first.
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And outlining allows you to do that without getting caught in the web of details.
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But number three, as you're creating the outline, is really making sure you're developing a
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great story.
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Now the thing about data is that data is neutral.
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Data is just data.
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The meaning we bring to the data is our interpretation of the data.
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And that's why I think over the years the scientific reading public may not understand
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is that data is neutral, but the scientists who interpret the data are not neutral.
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They've got ideas, they've got thoughts, they've got biases that they bring to the table.
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And so when you go to write your manuscript, you're asking what story is this data telling?
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And ideally, this is a story that the data is telling in light of the literature, so
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other stories that are in the literature, and also the story that the data is telling
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in light of how your findings may be different from what the general story is.
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So you're telling a great story with your data.
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And that's why number three is develop your story.
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And every great story has a great cast of characters, there's a problem, there's a
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conflict, there's kind of the big reveal or the resolution of the conflict, and then there's
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post resolution of the conflict, the wrap up.
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So your introduction is you introducing the problem, and as you're introducing the problem,
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you're also invariably introducing the cast of characters.
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And you get to the end of your introduction, and in a sense, you've kind of demonstrated
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the problem and the climax.
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It's like, well, this is the problem, and this is what we want to do about it.
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And then when you get to the methods, it's just the methods are the methods.
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You can't get too exciting about that.
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Well, you lay out, this is how we went about trying to solve this big problem.
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And then your results are like the big reveal, and your discussion is the wrap up.
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It's a great story.
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And over time, the more manuscripts you write, the more you read, you learn that great storytellers
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write great scientific manuscripts, and they are fun to read, they are joy to read.
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And I hope you'll be one of those authors writing manuscripts that are a joy to read.
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So number three is to develop the story.
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Okay, you've just done the outline.
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You haven't done much else.
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You've just done the outline.
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Now you have title page and you have outline.
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It is time to circulate it to all the co-authors.
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So that's number four, circulate it to all the co-authors.
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You're only circulating the title page, and you're asking, hey, here's the title page.
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Can everybody check their affiliations and make sure their names are spelled correctly
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and the affiliations are correct?
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Okay, you're not necessarily asking, does anybody have a problem with the author order?
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Does anybody have a problem with the authors on the list?
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That is implied when you send it out to everybody.
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They see the paper, they see the title, they see their names, they see where the position
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of their names are, and they see their affiliation.
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So you don't have to get into the uncomfortable space of now trying to ask everybody, are
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you okay with your name?
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Are you okay with where things are?
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You're just saying, look at the paper, here it is.
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I'm sending you the outline.
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I want you to correct any misspellings of your name.
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Let me know your ORCID ID.
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Let me know if the affiliation is correct.
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That's all you're telling them.
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And they can decide if they have any questions about the authorship order, and they can reach
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out and say, hey, I thought I was going to be first author.
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What's going on?
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One of the things you've done for yourself too as a first author is that you've kind
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of established that, hey, I've outlined this paper.
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I've done work here.
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I'm the rightful person to be writing this manuscript because, hey, I'm the one writing
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it.
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But what's important is that you haven't done too much work.
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So if at this point in time somebody is like, no, no, no, hold your horses, everybody stop.
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You are not so invested that you can't say, okay, well, you take and run with it, if that's
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what you are so inclined to do.
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But it's not the thing where you finished everything and spent months and months and
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months of time writing only for someone to take over and say, no, I'm the rightful first
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author.
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So the outline with the title page does a couple of things for you.
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Number one, it just helps you announce the paper is about to be written.
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Everybody check out your authorship information.
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Let's just figure out what's going on with authorship.
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If you have any questions, ask right away.
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And it gives the co-authors a chance to have seen the paper the first time and to give
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feedback.
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Now, the outline I told you is really about content.
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And it's easy at the outline stage to make drastic revisions that don't hurt because
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you're just really just moving sentences around.
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That's all you're doing.
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You're not taking a lot of time to really craft a beautiful paper.
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You're just moving sentences around in an outline.
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So you're giving the authors a chance to bring up any disputes if needed.
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And you're also giving them a chance to see the paper for the first time and give their
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input as to the direction in which the paper is going because, again, it's not a final
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draft.
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And what you hate is to get to the end of the paper, you're almost ready to submit,
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and an author is like, wait, wait, wait, wait, wait.
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I think we should x, y, z.
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So the outline just allows everyone to give their two cents early.
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So you want to give your co-authors about two to three weeks.
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I hear people say, two to three weeks?
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I don't have that kind of time.
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And I would tell you that you do.
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Scientific writing takes time.
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And if you are in a hurry to get a manuscript out the door, you may be in too much of a
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hurry and you want to pause and make sure you have at least a six-week period to write
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a manuscript.
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And some of that time, you do need to dedicate to giving people time because you want people
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to actually do the review.
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You don't want anybody to feel rushed.
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You don't want anybody to get to the point of submission and then have a question or
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have a concern.
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That really should have come up very early on.
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So you circulated it to all the co-authors.
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And the next step, number five, is that you're going to give them two to three weeks.
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Give them time.
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I mean, it really is just the title page of the outline.
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But give them time.
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And definitely bug them after two weeks and say, hey, have you looked at the outline?
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All right, send it back to me.
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And hopefully by the end of those two or three weeks, every author has given you their feedback,
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has acknowledged that they've seen the authorship byline, have given you the affiliations.
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Everybody's name should be correct and the affiliations should be correct.
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All right, now you're ready for the next step.
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Number six, you're going to incorporate their edits because now they've told you how they
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want you to reshape the paper.
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And you're going to write the first draft.
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And it's going to be an easier first draft to write because in outlining, you've already
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given yourself a first draft of the paper.
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And so drafting the paper will be an easy thing to do because a lot of the work was
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done in creating the outline.
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You draft the paper.
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And this is going to be the paper that you're going to send out for the second and hopefully
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the last time.
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And so you draft the paper, work with your senior author to draft the paper.
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Or at least they can see the paper after the draft.
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For me, I don't necessarily need to see it.
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Once the draft is done, it can go back out to the co-authors.
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But perhaps you check in with your senior author again and say, here's the first manuscript
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draft.
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And if you've done the work in developing a good outline, incorporating feedback from
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all the co-authors, the draft actually should not need that much editing because it really
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is just refining the outline that was previously created.
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So hopefully that doesn't take as much time.
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And then you send it out to the co-authors.
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And now they've seen the manuscript for the second time.
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They've incorporated edits as far as content and structure.
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And now all they're doing, hopefully at this point, is really just saying, OK, well, I
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think this sentence should be here.
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Have you considered including this?
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And it's more kind of just refining a manuscript that they've already seen rather than them
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trying to seriously edit a manuscript and change things at the last minute.
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If you've written enough manuscripts, you know that there is the author that wakes up
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two days before the manuscript is supposed to be submitted and says, no, no, no, no,
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no, no, no, no, no, let's change everything.
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And so hopefully, because they've already seen the manuscript the first time, this doesn't
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happen at this point.
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So you sent out the draft.
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Everyone hopefully is now going to put in their final edits.
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And then number seven is that you're going to finalize the draft based on any final edits
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and you're going to work with a senior author to submit.
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So hopefully, in this strategy, you give the co-authors at least two opportunities to give
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feedback for the manuscript.
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And then you can refine and submit.
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So those are my tips for writing a great manuscript.
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And clearly, there's a lot more.
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This is just kind of like a general framework for how to think about manuscripts and avoid
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some of the pitfalls that come with authorship disputes very early on by clarifying how the
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title page should be with a senior author and then giving the co-authors a chance to
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take a look at that.
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So those are my tips for writing a manuscript.
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Everyone is in different phases of their career as far as how often they do this and how well
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they do this.
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And so I know somebody needs to hear about this episode, at least to stimulate thoughts,
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because we all do things differently.
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And no one's idea is better than the next person's idea.
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I'm just sharing with you what has worked for me in my research program.
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And I hope you'll find it interesting and helpful.
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And if you do, please share it with someone else, especially if you're a mentor and a
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mentee needs to hear this, or your mentee and your peer mentors need to hear this.
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Definitely share with your team of peer mentors.
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And if you don't have a team of peer mentors, well, you should.
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And we should talk about it.
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Yeah, send me a DM and say, hey, what are you talking about with this team of peer mentors?
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And another thing you can do is to leave a voicemail on our podcast website.
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So that's clinicianresearcherpodcast.com.
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Leave a voicemail and share your insight.
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And we'll play a voicemail if it's selected on a future episode and use it to create an
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episode.
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All right.
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It's been a pleasure talking with you today.
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Thank you for taking the time to listen.
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I look forward to talking with you again next time.
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Thanks for listening to this episode of the Clinician Researcher Podcast, where academic
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clinicians learn the skills to build their own research program, whether or not they
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have a mentor.
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If you found the information in this episode to be helpful, don't keep it all to yourself.
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Someone else needs to hear it.
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So take a minute right now and share it.
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As you share this episode, you become part of our mission to help launch a new generation
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of clinician researchers who make transformative discoveries that change the way we do health
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care.
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Bon tea.