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Medical ghostwriters are employed by pharmaceutical companies and medical-device manufacturers to produce apparently independent manuscripts for peer-reviewed journals, conference presentations and other communications. Physicians and other scientists are paid to attach their names to the manuscripts as though they had authored them. The named authors may have had little or no involvement in the research or writing process. The American Medical Writers Association speaks to the topic as follows: .
Doctors treat diseases, advise patients and explore new prevention and treatment methods. However, the way to achieving this is rocky, because medical studies present the students many challenges in the form of written and oral examinations. In German universities, medical studies are completed with the state examination.