It’s also MDs who avoid the “E” word. A survey of the literature found an interesting shift in usage:
The results of our survey showed a huge disparity in word use between the evolutionary biology and biomedical research literature. In research reports in journals with primarily evolutionary or genetic content, the word “evolution” was used 65.8% of the time to describe evolutionary processes (range 10%–94%, mode 50%–60%, from a total of 632 phrases referring to evolution). However, in research reports in the biomedical literature, the word “evolution” was used only 2.7% of the time (range 0%–75%, mode 0%–10%, from a total of 292 phrases referring to evolution), a highly significant difference (chi-square, p < 0.001). Indeed, whereas all the articles in the evolutionary genetics journals used the word “evolution,” ten out of 15 of the articles in the biomedical literature failed to do so completely. Instead, 60.0% of the time antimicrobial resistance was described as “emerging,” “spreading,” or “increasing” (range 0%–86%, mode 30%–40%); in contrast, these words were used only 7.5% of the time in the evolutionary literature (range 0%–25%, mode 0%–10%). Other nontechnical words describing the evolutionary process included “develop,” “acquire,” “appear,” “trend,” “become common,” “improve,” and “arise.” Inclusion of technical words relating to evolution (e.g., “selection,” “differential fitness,” “genetic change,” or “adaptation”) did not substantially alter the picture: in evolutionary journals, evolution-related words were used 79.1% of the time that there was an opportunity to use them (range 26%–98%, mode 50%–60%), whereas in biomedical journals they were used only 17.8% of the time (range 0%–92%, mode 0%–10%).

