旨在讲解临床医师如何从日常诊疗中发现问题并撰写临床研究论文。

本文立足于医护人员日常工作中的常见病多发病，从医护人员熟悉的领域出发，帮助其迅速找到临床问题，不要求快速掌握海量统计学方法，而是从要解决的问题出发，使其明白不同的临床问题该如何选择正确的临床研究方案，以"问病史""检查""结果""分析预后"的思路来探寻解决问题的途径。同样，撰写临床研究论文的"前言""资料与方法""结果""讨论"也如同给患者诊治疾病流程，使整个临床研究的实现过程"一目了然"。

医学期刊出版生态重塑，刊载方式不局限于传统形式的论文，而是将重点放在强调研究方法的透明度和可重复性上，更加重视研究质量和影响力。（1）结果报告标准化：为了提高研究结果的透明度和可比性，许多医学期刊开始采用统一的结果报告标准，例如CONSORT，STROBE等，这些标准规定了报告中必须包含哪些内容和如何呈现结果等；（2）科学写作工具：随着人工智能技术的进步，越来越多的科学写作工具被开发出来；（3）开放与共享：开放获取对于科学研究和知识传播的作用将会变得越来越重要，数据共享已经成为医学研究中的一个重要议题，这使得研究人员可以更好地验证和复制他人的研究结果，并且还可能促进更多的合作。

本文编辑从自身的医学教育及临床工作背景出发，立足于医学期刊的基本编辑工作，使医护人员明白不同的临床问题该如何选择正确的临床研究方案，从源头上提高医学代表作的质量。

To explain how clinical doctors discover problems from daily diagnosis and treatment and write clinical research papers.

This article is based on the common and frequently occurring diseases in the daily work of medical staff. Starting from the familiar fields of medical staff, it helps them quickly find clinical problems. It does not require quick mastery of massive statistical methods, but starts from the problem to be solved, so that they understand how to choose the correct clinical research plan for different clinical problems. With the ideas of "asking medical history", "examination", "results", and "analysis prognosis", the article explores ways to solve problems. Similarly, writing a clinical research paper, including the introduction, materials and methods, results, and discussion, is like giving patients the process of diagnosing and treating diseases, making the entire implementation process of clinical research clear.

The publishing ecology of medical journals has been reshaped, and the publication methods are not limited to traditional forms of papers, but focus on emphasizing the transparency and repeatability of research methods, and placing more emphasis on research quality and influence. Standardization of results reporting: in order to improve the transparency and comparability of research results, many medical journals have begun to adopt unified results reporting standards, such as CONSORT, STROBE, etc. These standards specify contents must be included in the report and how to present the results. Scientific writing tools: with the advancement of artificial intelligence technology, more and more scientific writing tools are being developed. Open and Shared: The role of open access in scientific research and knowledge dissemination will become increasingly important, and data sharing has become an important issue in medical research. This allows researchers to better validate and replicate the research results of others, and may also promote more collaboration.

Starting from their own medical education and clinical work background, this article focuses on the basic editing work of medical journals, enabling medical staff to understand how to choose the correct clinical research plan for different clinical problems and improve the quality of medical representative works from the source.