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Core principles of evolutionary medicine: A Delphi study.

Daniel Z Grunspan1,2, Randolph M Nesse1,2, M Elizabeth Barnes2

  • 1Center for Evolution and Medicine, Arizona State University, Tempe, AZ 85287, USA.

Evolution, Medicine, and Public Health
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This study identified 14 core principles of evolutionary medicine through expert consensus. These principles can guide the integration of evolutionary thinking into medical education and research.

Keywords:
Delphi studycore conceptscore principleseducationevolutionary medicine

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Area of Science:

  • Evolutionary medicine integrates evolutionary biology and medicine.
  • It aims to improve disease understanding, prevention, and treatment.

Background:

  • Evolutionary medicine principles are crucial for modern healthcare.
  • Previous work outlined general principles, but a systematic expert consensus was lacking.

Purpose of the Study:

  • To systematically elicit and validate core principles of evolutionary medicine.
  • To provide a foundational list for advancing the field and pre-medical education.

Main Methods:

  • The Delphi method was employed, involving four sequential surveys.
  • Fifty-six expert panelists participated in the principle elicitation and validation process.

Main Results:

  • Fourteen core principles achieved at least 80% agreement among panelists.
  • These principles align with existing concepts in evolutionary medicine literature.

Conclusions:

  • The identified core principles offer a valuable resource for evolutionary medicine researchers and educators.
  • These principles can inform curriculum development for pre-medical education, promoting evolutionary thinking.
  • The principles may evolve as the field of evolutionary medicine continues to develop.