Abstract Authorship attribution stands as one of the most critical issues in academic publishing ethics. Proper authorship practices not only reflect research integrity but also embody the academic credibility of scholarly journals. Currently, misconduct in medical paper authorship remains prevalent, which may be attributed to insufficient author awareness, inadequate journal scrutiny, and emerging challenges brought by artificial intelligence (AI). This article systematically examines authorship-related problems in medical research. Based on standards established by the International Committee of Medical Journal Editors (ICMJE) and Committee on Publication Ethics (COPE), we analyze key issues including authorship qualification criteria and responsibility allocation. Through representative case studies, we reveal the root causes of authorship misconduct. Furthermore, we propose comprehensive solutions: requiring authors to strictly adhere to authorship standards, strengthening journals' authorship verification mechanisms, implementing Contributor Roles Taxonomy (CRediT), and enhancing research integrity education within academic institutions. This study concludes that standardized authorship practices in medical publications can only be achieved through collaborative efforts among authors, editorial departments, and research institutions. |