Evolution is a fundamental principle in biology; however, it has been neglected in medical education. We argue that an evolutionary perspective is especially important for women's health care providers, as selection will act strongly on reproductive parameters, and the biological costs of female reproduction are generally more resource expensive than for men (e.g. due to gestation and lactation) with greater effects on health and wellbeing. An evolutionary perspective is needed to understand antibiotic resistance, disease and health risks associated with mismatches between our evolved adaptations and current conditions, the importance of the microbiome and the maternal role in how infants acquire and develop their early-life microbiome (vaginal birth, lactation), and the importance of breastmilk as a biochemical signal from mothers to their babies. We present data that obstetrician-gynecologists' views regarding the inclusion of evolution within their training is generally positive, but many barriers are perceived. Requiring coursework in evolutionary biology with an emphasis on evolutionary medicine prior to enrollment in medical school may be a solution.

中文翻译：

---

将进化论纳入女性保健从业人员的医学教育中。

进化是生物学的基本原理。然而，它在医学教育中却被忽视了。我们认为，进化的观点对于女性医疗保健提供者尤其重要，因为选择将对生殖参数产生强烈影响，并且女性生殖的生物成本通常比男性更昂贵（例如由于妊娠和哺乳），且影响更大关于健康和福祉。需要从进化的角度来理解抗生素耐药性、与我们的进化适应和当前条件不匹配相关的疾病和健康风险、微生物组的重要性以及母亲在婴儿如何获得和发展其早期微生物组（阴道分娩、哺乳期）中的作用。 ），以及母乳作为母亲向婴儿发出的生化信号的重要性。我们提供的数据表明，妇产科医生对于将进化纳入其培训中的看法总体上是积极的，但也存在许多障碍。在进入医学院之前要求学习进化生物学课程，重点是进化医学可能是一个解决方案。