Richard Smith CBE FMedSci is a British medical doctor, editor, and businessman.

He is the director of the UnitedHealth Chronic Disease Initiative at Emory University (which grew out of the UnitedHealth “Ovations initiative”),[1] which together with the US National Heart, Lung, and Blood Institute has created 11 centres in low and middle income countries that work on non-communicable disease.[2]

Smith also serves as chair of the Cochrane Library Oversight Committee and a member of the UK Panel on Research Integrity.[2] Additionally, he is currently chairman of the board of directors of Patients Know Best.

Previously he was chief executive of UnitedHealth Europe, a subsidiary of the UnitedHealth Group that works with public health systems in Europe. Before that, from 1991 to 2004, he served as both editor-in-Chief of the BMJ (previously the British Medical Journal), and chief executive of the BMJ Group. Smith worked for the BMJ for twenty-five years, from 1979 to 2004.[2]

Smith is a proponent of open access publishing. He was editor of the BMJ when the journal first moved to online publishing, and made the journal's archives freely available. He sits on the board of directors of the Public Library of Science,[3] an open access publisher of scientific and medical research. He was editor in chief of the open-access Cases Journal, which aimed to create a database of medical case reports.

He is an honorary professor at Imperial College London and the University of Warwick[2] and a member of the governing council of St George's, University of London.[4]

He is a founding Fellow of the Academy of Medical Sciences, elected in 1998.

Having qualified in medicine in the University of Edinburgh, he worked in hospitals in Scotland and New Zealand before joining the BMJ. He also has a degree in management science from the Stanford Graduate School of Business.

Smith worked for six years as a television doctor with the BBC and TV-AM.[5] He has published in dozens of medical journals, written widely in the lay press and currently blogs regularly for the BMJ. He has received three awards for journalism.[2]

Smith is the author of the book The Trouble with Medical Journals (2006, ISBN 1-85315-673-6), in which he contends that medical journals have become "creatures of the drug industry", rife with fraudulent research and packed with articles ghost written by pharmaceutical companies.[6] He has also written about the limitations and problems of the peer review process.[7][8] In 2014, in an interview with New Scientist, he argued for criminalisation of research fraud.[9]

His brother is comedian Arthur Smith.

Views on cancer

In December 2014, Smith wrote on the BMJ blog that trying to find a cure for cancer was a waste of money, claiming that, "with love, morphine, and whisky", the disease is the best way to die.[10] His remarks provoked outrage.[11][12] The British Medical Journal said:

Smith’s New Year’s Eve blog on thebmj.com about cancer offering the best death garnered global media coverage and triggered a social media storm from thousands of bereaved relatives and the parents of children with cancer. He was accused of “glibly glossing over the pain” of cancer, to quote Michael Broderick, one of the 173 respondents on thebmj.com.[13]

Smith responded and tried to clarify some of his points in a follow-up blog post on 5 January.[14]

References

  1. "Ovations, a UnitedHealth Group Company, announces global partnership to stem the growth of chronic disease", May 2007. Retrieved 13 February 2009.
  2. 1 2 3 4 5 "Emory University Public Health and Leadership Academy".
  3. Plos board of directors
  4. "Patients Know Best". Retrieved 16 January 2012.
  5. The Trouble with Medical Journals, page 4, (2006, ISBN 1-85315-673-6)
  6. Smith R (March 2006). "The trouble with medical journals". J R Soc Med. 99 (3): 115–9. doi:10.1177/014107680609900311. PMC 1383755. PMID 16508048. Free full text Archived 2 September 2009 at the Wayback Machine.
  7. Smith, Richard (April 2006). "Peer review: a flawed process at the heart of science and journals". Journal of the Royal Society of Medicine. 99 (4): 178–182. doi:10.1258/jrsm.99.4.178. PMC 1420798. PMID 16574968.
  8. Smith R (October 2009). "In Search of an Optimal Peer Review System". J Participat Med (Launch).
  9. Nuwer R., "It's time to criminalise serious scientific misconduct", New Scientist, 2986: 27 (15 September 2014).
  10. Smith, Richard (31 December 2014). "Dying of cancer is the best death". BMJ.
  11. Schattner, Elaine (5 January 2015). "Why Yes, We Should Treat Cancer". Forbes.
  12. Rees, Larry (21 January 2015). "Cancer is not a merciful killer – the research billions are well spent". The Guardian.
  13. Brendel, Kelly; Payne, David (23 January 2015). "Going gently into that good night: what is the best death?". BMJ. 350: h393. doi:10.1136/bmj.h393. PMID 25616275. S2CID 31905394.
  14. Smith, Richard (5 January 2015). "The death debate: a response from Richard Smith". BMJ.
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