Predictions and/or Recommendations for the Future of Evolutionary  Contributions to Medicine

David Houle and Michael Ruse organized a Fowler  Symposium on Evolutionary medicine at Florida State University February 25-26, 2011.   On the second day, a hour was open due to the unfortunate absence of Peter Gluckman who had to stay in New Zealand because of the earthquake there.  The meeting organizers asked Randolph Nesse to chair a discussion that invited all participants to make predictions and/or recommendations regarding the near future of Evolutionary approaches to medicine.  The below notes on the discussion were taken and edited by Brandon Hidaka and Hidemi DeHays

David Houle – recommendation for better tools for massive data analysis

Willaim Aird – transforming medical education through integration of evolution throughout the entire curriculum. The use the of terms like “comparative physiology.”
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Richard Nowakowski – There is a need for the development of generalized quanitative models with predictive value.

Fabio Zampieri – to implement evolutionary principles in an evidence-based manner

Paul Ewald – the incorporation of evolutionary principles will provide  a better  understanding of  causes and prevention of disease. Prediction for a greater acceptance for a infectious causes of cancer.

Michael Worobey – The possibility of being screened for every possible infectious agent. Acknowledgement of the evolutionary impact of medicine at the population level.

Jacob Koella – integration of evolution education as early  as possible. The use of evolutionary principles for the management of infectious disease.
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Randolph Nesse – One or a few medical schools will take the lead and reap the benefits. We need greater investigation of the practical distinction between defenses and pathology.

Kathleen Barnes – recommendation for the establishment of a national center for evolutionary medicine, possibly at the NIH.

Howard Kushner – Hopes for the improved diagnosis and treatment of Kawasaki disease.

Mark Schwartz – educational development of sharable resources and faculty development

Neil Greenspan – A need for a better system for understanding boundaries and categorization.

Joe Alcock – optimism for the field. A prediction for a better understanding and recognition of the importance of the microbiome.

Jose Gaudier – The use of a marketing strategy, including letter-writing to deans of medical schools. It may be necessary to settle for a couple of hours of lecture.

Kevin Boyd – A prediction for a greater effect on all health professionals.

Hidemi DeHays – Within 10 years there will be infiltration of evolutionary type thinking in the medical dogma. This will be achieved by a two-part fight: first through marketing and second through innovative media for educational curricula such as use of the internet and continuing medical education credit courses.
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Fritz Davis – How can we implement the use of evolutionary principles in policies of antibiotic resistance?

Ed LeGrand– An approach to education wherein we teach that asking “why” makes learning interesting.

Mark Carmichael – The use of evolutionary understanding to better understand problems in the most general sense.

Alvaro Daschner – “… from an evolutionary perspective” Clinical trials should explicitly describe the the evolutionary significance/relevance.

Carlos – We need a culture change in medical school.

Gordon Gowans – A prediction for the recognition of the importance of “junk DNA.”

Andrew Miller – The need for better science education in children, especially scientific theory.

Brandon Hidaka – A prediction that we will one day be able to recommend what commensals are best for our genotype. I look forward to an elimination of the false dichotomy between evolutionary medicine and medical practice.

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