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If im writing a case report, does it look better to write it alone or is it just as good to be primary author with one or two people behind you? Thanks!
As a medical student, you should not write anything that will be published in a peer reviewed journal where you are sole author. First of all, it is unlikely any journal would take it. Second, there is high value in having your work reviewed by someone who is fully trained to make sure you are addressing the most relevant portions of the case and have done a complete literature review. Third, it would be politically foolish not to have the treating physician on the case report.
I'm a little confused how you accessed the medical records and are writing the case report without the involvement of an attending?
It's okay, you're new at this and better to learn here than offend someone in real life!
In medical journal articles, the author positions that matter are:
1st author - did most the work
2nd author - did the most work second only to the first author
Last author - this is the spot for the senior scientist/PI on the paper.
Any case report by a student should have 2 authors at a minimum - yours and the attending you are writing it with. It's understood by those reviewing your submissions that the senior physician on the paper has reviewed your work first and is placing their own reputation and integrity behind the paper as well.
As a rule, you should also involve the treating physician(s) and include them as authors if they wish to be involved. Not only is it the right thing to do, but it will make it a better paper. I find that reviewing the medical records invariably leaves me with questions I just can't get answered in the record, so being able to ask the person who was there making the decision is priceless.
As a student, there's also the ancillary benefit of having your name associated with the established physicians on the paper. Consider the difference in these two author lists:
JOHN A. SMITH, BS
or....
JOHN A. SMITH, BS; CHARLES MAYO, MD; GEORGE CRILE, MD; WILLIAM OSLER, MD.
This.
And also, you're unlikely to be involved in the actual submission to the journal. So write your case report, give it to the attending, and likely they'll take it from there. It would be highly unusual for a medical student to serve as corresponding author and handle revisions.