Generative AI use disclosure
Disclosing AI use in research
The major medical journals all now require disclosure of generative AI tool use in manuscript preparation. Here's what's required, where, and how to phrase it.
The four foundational positions
ICMJE (medical journal editors' consensus)
The International Committee of Medical Journal Editors clarified in 2023 (reinforced through 2025) that generative AI tools cannot be authors — they cannot take accountability for the work. Any significant AI use in manuscript preparation (drafting, editing, translation, image generation, data analysis) must be disclosed, with a detailed explanation of the purpose and extent of use. Human authors remain responsible for all content.
COPE (Committee on Publication Ethics)
Authors must be transparent in the Materials and Methods section (or equivalent) about which AI tool was used and how. Listing AI as an author is prohibited.
Nature
AI tools cannot be authors. AI use is disclosed in the Methods section. AI-generated images are prohibited in Nature Portfolio journals (with narrow exceptions).
NEJM
AI disclosure required in both the cover letter and the manuscript body.
What counts as AI use that needs disclosing
- Drafting or rewriting manuscript text
- AI-assisted summarisation of the literature
- Translation between languages
- Generation of figures, illustrations, or visualisations
- AI-assisted code generation for analysis
- AI-assisted data analysis or hypothesis generation
- AI-assisted peer review (if applicable)
What's typically exempt
- Spell-checkers and grammar-checkers (Grammarly, MS Word)
- Reference managers
- Statistical software (R, SPSS, Stata) used in the conventional way
Sample disclosure statements
Minimum-acceptable form (writing assistance)
During the preparation of this work the authors used [name of AI tool] for language editing of the [section name(s)] in order to [purpose: improve readability, shorten paragraphs, etc.]. After using this tool, the authors reviewed and edited the content as needed and take full responsibility for the final published manuscript.
Substantive-use form (analysis or content generation)
The authors used [name of AI tool, version, vendor] for [specific task: drafting, data analysis, code generation, image generation]. Prompts and outputs are available in the supplementary materials [reference]. All AI-generated content was independently verified by [author initials]. The authors take full responsibility for the final manuscript.
Where to put the disclosure
- NEJM: cover letter AND manuscript body
- Nature Portfolio: Methods section
- Lancet, BMJ, JAMA: Methods section + Acknowledgements per ICMJE
- Elsevier, Wiley, Springer Nature, T&F: Methods or separate Disclosure section per ICMJE
Why CRediT roles don't apply to AI
CRediT is a vocabulary for contributors — agents that can be held accountable. AI tools are tools, not contributors. They cannot conceptualise, take responsibility, or be cited as authors. AI use is therefore disclosed as a separate statement, alongside (not instead of) the CRediT contributor statement.
Further reading
- ICMJE Recommendations
- COPE guidance
- Nature Portfolio authorship policy
- NEJM editorial policies
- CASRAI Dictionary: genai-disclosure domain — full vocabulary for AI-use terms








