Moltzau Anderson Jacqueline, Horn Florian
Department of Microbiology and Immunology University of Michigan Medical School Ann Arbor MI USA.
Kiel Germany.
Ecol Evol. 2020 Oct 1;10(20):10930-10936. doi: 10.1002/ece3.6825. eCollection 2020 Oct.
The applicability of evolutionary biology principles to diseases has been largely questioned by the medical field. While Evolutionary Medicine (EM) developed in part to lessen this gap, EM is an independent field from both evolution and medicine, whose continued narrowing of topics as a consequence of its reductionist approach, in addition to its focus to introduce itself at a late stage in medical education, has led to its continued resistance toward implementation. In turn, this has had a profound and lasting impact on the awareness of evolution in medicine among physicians. For both the evolutionary and medical communities to reach a common perspective and obtain a greater frame-work of medical thought, a comprehensive view of the evolution of the healthy human being needs to be introduced as a starting point during the premedical curriculum. Here, we present our views on the ongoing challenges that have caused the continued division between the evolutionary fields and medicine, and provide solutions to help bridge the gap for an interdisciplinary field of evolution in medicine.
进化生物学原理在疾病方面的适用性在很大程度上受到了医学领域的质疑。虽然进化医学(EM)的发展部分是为了缩小这一差距,但进化医学是一个独立于进化和医学的领域,由于其还原论方法导致其主题不断缩小,再加上它专注于在医学教育后期才引入自身,这导致它在实施方面持续受到抵制。反过来,这对医生群体中医学领域对进化的认知产生了深远而持久的影响。为了使进化和医学领域达成共同观点并获得更广泛的医学思想框架,需要在医学预科课程中将健康人类进化的全面观点作为起点引入。在此,我们阐述了对导致进化领域和医学持续分化的当前挑战的看法,并提供了解决方案,以帮助弥合医学中进化这一跨学科领域的差距。