- Date:
- 2006
- Main contributors:
- Elwood, William A, Kulish, Mykola
- Summary:
- Part one. After serving in World War II, Wiley Branton returned to discriminatory voter registration laws in his home state of Arkansas. He participated in voter education and was arrested and convicted (wrongfully) of rigging an election. This incident inspired him to go to law school. He participated in forcing the integration of University of Arkansas Law School in 1947. He describes Jim Crow professional schools in the South. Part two. Mr. Branton recalls the Moore v. Dempsey case from his childhood. Mr. Branton goes over a case he tried in eastern Arkansas called State of Arkansas v. Paul Lewis Beckwith. Mr. Branton discusses his childhood. He talks about desegregation in Arkansas and the education situation for African Americans at the time of the Brown v. Board of Education decision. Interestingly, some eastern Arkansas school districts integrated immediately after Brown. Mr. Branton talks about his many legal actions to get Little Rock schools integrated. Part three. Mr. Branton describes the Little Rock Crisis and its legal aftermath. He remembers the Arkansas governor closing public schools after the Army left, an action that damaged the Arkansas economy. Mr. Branton discusses Charles Houston. Branton returns to his own experiences during the Little Rock Crisis: His family lived under armed guard for two years and crosses were burned at his family cemetery. Mr. Branton talks about his legal representation of Freedom Riders in Jackson, Mississippi. Part five. Mr. Branton discusses how bail was raised for Freedom Riders in Mississippi and Arkansas. Mr. Branton discusses the Voter Education Project, which he directed from 1962 to 1965. He tells about the project's programs to support small, local voter registration groups with money and advice on handling obstacles. He recalls registrars blocking African Americans from registering by administering outrageous tests. Mr. Branton reveals that he would let white sheriffs think he was white, too, when talking to them on the phone in order to get people out of jail.
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- Date:
- 2006
- Main contributors:
- Elwood, William A, Kulish, Mykola
- Summary:
- Part one. Footage of Monticello exterior. At 6:18, interview with history professor William H. Harbaugh at Monticello. Mr. Harbaugh talks about John W. Davis as the greatest appellate attorney and outlines Davis's career. Harbaugh discusses Davis's most famous cases, including his unsuccessful defense of the separate but equal doctrine in the Brown v. Board of Education cases. Part one. Harbaugh describes the irony of John W. Davis defending the separate but equal doctrine in Brown and explains why Davis took the case as its appellate lawyer. Harbaugh also comments on Thurgood Marshall's opinion of Davis. At 9:20 interview with engineer and business professor Louis T. Rader begins. Mr. Rader talks about his life and career, as well as his support of public education in the promotion of a successful business climate. During Massive Resistance, he protested closing Virginia public schools using the argument that businesses don't want to operate in a community with poor schooling.
- Date:
- 2006
- Main contributors:
- Elwood, William A, Kulish, Mykola
- Summary:
- Part one. Attorney and former Secretary of Transportation William Coleman reveals the story behind his clerkship appointment to Justice Frankfurter, what Frankfurter was like as a justice, and his experiences being a clerk at the Supreme Court. He discusses other justices, like Black, and their relationships with Frankfurter. Mr. Coleman declares it a tragedy that the 13th, 14th, and 15th amendments did not protect African Americans. He says that Charles Houston, William Hastie, and Thurgood Marshall were the ones who plotted civil rights cases' winning strategy. Part two. Mr. Coleman regrets that the Houston, Hastie, Marshall strategy was not being taught in law schools in the 1980s. He proposes it's because most people still don't see African Americans as being intelligent, well-educated strategists. Mr. Coleman describes dealing with racism throughout his life and in the '80s. He talks about South Africa, the Bob Jones University case, and the counsel fee case. Part three. Mr. Coleman discusses the importance of Brown v. Board of Education, how law reflects changes in society, and the Constitution and the right to privacy. He says the Constitution was always supposed to grow, and not stay static. At 8:25 still of photos in Coleman's office.
- Date:
- 2006
- Main contributors:
- Elwood, William A, Kulish, Mykola, Freeman, Anne Hobson, 1934-
- Summary:
- Part one. Civil rights attorneys Oliver Hill and S.W. Tucker discuss the 1954 Brown v. Board of Education decision, including the meaning of "with all deliberate speed." They remark upon how long it took to desegregate schools. They comment on the policies of Senator Harry Byrd and President Dwight Eisenhower. Mr. Hill talks about his service in the military during World War II. Mr. Tucker also served, and he relates stories about how Jim Crow worked in the military. Discs two to five. Mr. Tucker and Mr. Hill recount stories of life under Jim Crow, including experiences with seating on trains and other forms of transportation, service at restaurants, taking the bar exam, race riots, and trying to reserve a bridal suite on a honeymoon. They also tell the story of Dr. Charles Drew. Part six. Mr. Hill reviews Virginia's policy of Massive Resistance, the General Assembly's Boatwright committee and Thompson committee, Virginia courts and judges, and the people placement board. At 11:20, Anne Hobson Freeman talks about her new book on the law firm of Hunton and Williams in Richmond. The firm represented the school board of Prince Edward County in 1951 when students there sued the district for integration.
- Date:
- 2006
- Main contributors:
- Elwood, William A, Kulish, Mykola, Hill, Oliver W., 1907-2007
- Summary:
- Part one. Civil rights attorney Oliver Hill and law professor A.E. Dick Howard discuss the Constitutional Revision Commission of Virginia in 1968 in front of the Capitol in Richmond. They go over Virginia Constitution history, including how the 1902 Constitution was written with the intent to discriminate against African Americans. Mr. Hill speaks about Massive Resistance, and Mr. Howard comments on awkward interpretations of the Virginia Constitution that let public schools close to avoid integration in the 1950s. The 1968 Virginia Constitution finally included an antidiscrimination clause. Mr. Hill and Mr. Howard relate the reasons why they went into constitutional law. Part two. Continuation of discussion about the 1968 Constitutional Revision Commission of Virginia.
- Date:
- 2006
- Main contributors:
- Elwood, William A, Morgan, Charles, 1930-2009, Kulish, Mykola
- Summary:
- Part one. Attorney Charles Morgan and US Congressman John Lewis discuss many topics, including: Alabama legally disenfranchising African Americans with voting registration requirements like the poll tax and literacy tests; Reynolds v. Sims, the one-man, one-vote case; Bull Connor; Lewis being jailed because he was with an interracial group using public transportation; Lewis being beaten in Montgomery; Freedom Rides; the voter registration drive; Brown v. Board of Education; the importance of the Christian Church, the one place where African Americans could have control; Lewis meeting Dr. King and Rev. Abernathy. Part two. Morgan and Lewis continue their conversation, agreeing that in spite of symbols like the Confederate Flag flying over the Alabama Capitol, things are better because African Americans are allowed into positions of power. They discuss the racism deeply embedded in American society, as well as the most important aspect of the civil rights movement, its law-based nonviolence. Lewis recalls his involvement in the Student Nonviolent Coordinating Committee and the difficulties he had meeting with white activists like Morgan because it was against the law. Part three. Morgan and Lewis describe the 1960s civil rights movement as a family, especially on the inside, and its informal, organic progress. They say that historians ignore Charles Hamilton Houston because they are ignorant of much of history. They review Sweatt v. Painter. Part four. Morgan and Lewis remark upon Charles Houston and suggest that integration is still, in the 1980s, in the embryonic stage. Lewis reminisces about the Sears and Roebuck catalog being his wish book as a child; he wanted to buy incubator to have chickens because he used to preach to the family's chickens. The two men talk about the Voter Education Project and the vote as a tool of liberation. They say that voter registration really did work because white politicians started speaking to African Americans and, at low levels of government, African Americans were starting to get elected. Part five. The relationship between Lewis and Morgan is discussed. Footage of Lewis walking to Capitol building to cast vote, then exiting the Capitol building after vote. Footage of Congressional office building.h
- Date:
- 2006
- Main contributors:
- Elwood, William A, Norton, James A. (James Adolphus)
- Summary:
- Part one. Dr. Stephen Wright, former president of Fisk University and prominent educator, is presented by James "Dolph" Norton for the Center for Public Service at the University of Virginia. Dr. Wright delivers remarks concerning historically African American colleges and universities. He covers the emergence and growth of these schools. Part two. Dr. Wright says that the development of African American colleges in America has been influenced by seven events: publication of two Department of the Interior studies, "Negro Education" by Dr. Thomas Jesse Jones in 1917 and "Survey of Negro Colleges and Universities" by Arthur Klein in 1928; accrediting African American institutions in the South in 1930, which enabled African American collegians to enter graduate school programs; the US Supreme Court's Gaines decision of 1938; the Brown v. Board of Education decision of 1954; the Civil Rights Act of 1964; and the Adams v. Richardson case filed in 1970. Part three. Dr. Wright talks about public policy, student enrollment trends, and educational needs. He relates stories of African American educators' struggles for equal salaries in the 1930s in the South. The African American teachers made 50% of what white teachers did, with the same teaching certificate. Part four. Dr. Wright explains the effects of desegregation, especially concerning its impact on the fulfillment of the educational needs of African American students at traditionally African American schools. He addresses the special case of Berea College, which was integrated before Plessy v. Ferguson, and therefore had to be segregated after that court decision. It was reintegrated immediately after the Brown v. Board of Education decision. He talks about the influence of Myles Horton. Dr. Wright also discusses student financial aid programs and Rosenwald schools. Part five. Dr. Wright describes being an expert witness in desegregation cases in the South, especially Bulah v. Gebhart in Delaware, one of the cases combined to become Brown v. Board of Education. He evaluated the schools involved in the case and documented their differences. He also assisted NAACP Legal Defense Fund lawyers during cross examinations, as in the Durham, N.C., city schools case. At 12:45, footage of different camera angles of Dr. Wright with no sound. At 15:33, interview resumes with discussion of higher education. Part six. Dr. Wright advocates for strong general education curricula, especially at the college level. He also describes the functions of boards of education, student assessments, and testing.
- Date:
- 2024-03-13
- Main contributors:
- Faulk, Cordel
- Summary:
- Oral history interview with Cordel Faulk, class of 2001, via Zoom, on March 13, 2024. Faulk discussed his education, his time at UVA as a law student, and his activities to recruit more LGBT+ students to UVA Law while working in admissions.
- Date:
- 2024-03-04
- Main contributors:
- Fife, Chloe
- Summary:
- Oral history interview with Chloe Fife, class of 2022, via Zoom, on March 4, 2024. Fife discussed her time as a member and president of UVA Law’s chapter of Lambda Law Alliance, highlighting the group’s events and activities, including a successful campaign for the installation of gender-neutral restrooms in the Law School.
- Date:
- 1999/2001
- Main contributors:
- Gilliam, George H. (producer, host)
- Summary:
- A documentary film series and website about Virginia's history since the Civil War. Episode 1– New Deal Virginia explores two significant changes in Virginia history: the creation of Shenandoah National Park and the electrification of rural Virginia. Both stories trace the effects of the federal government on the lives of everyday rural Virginians in the 1930s. Letters, maps, newspaper stories and teaching resources accompany this exploration and film (30 minutes). Episode 3 – Massive Resistance became Virginia's policy to prevent school desegregation in the wake of the Brown v. Board of Education Supreme Court decision in 1954. Many of Virginia's white leaders resisted integration with all of their considerable political and legal means. The story of massive resistance and of black Virginians' protests against segregation began in the early 1950s and continues today. This two-part film (one hour) traces the history of massive resistance in Virginia and considers some of its legacies. "Massive Resistance" was an Emmy Nominee in 2000 of the Washington, D.C. Chapter of the National Academy of Television Arts and Sciences and will be shown nationally on PBS in February 2002 for Black History Month. Episode 4 – Virginia Fights World War II explores the transformative changes that Virginia experienced in World War II. Virginia mobilized hundreds of thousands of citizens during World War II and became the home base for a host of navy, army munitions, and defense industries. Virginia's soldiers fought in the Pacific and landed at Omaha Beach on D-Day. This two-part film (one hour) follows the stories of everyday Virginians, those who fought at D-Day and those who patrolled Virginia beaches, worked in the munition plants, flew missions in Europe, and fell in love during the war. This site contains the image archive for the film--over 1,600 images of Virginia or Virginians in World War II.
- Date:
- 2022-05-25
- Main contributors:
- Hope Fitzgerald, Bethany Mickel, Judy Thomas
- Summary:
- H5P is a digital toolset for authoring content online. Content creators can design interactive videos, presentations, quizzes, and much more. H5P is used for interactive content creation in OER, and this workshop will introduce instructors to H5P and provide examples of how it is being used to engage students. This session serves as an excellent starting point for those new to the technology and those who need a refresher on some of the key functionalities.
- Date:
- 2022-06-07
- Main contributors:
- Jack Kelly
- Summary:
- Creation of accessible materials is essential to compliance with UVA's standards and guidelines; moreover, it is critical to creating an inclusive and engaged learning environment for all students. Join us for this workshop, led by UVA Library's Accessibility Designer, Jack Kelly. He'll discuss guidelines and best practices for multimedia accessibility that will guide your OER project development. This session is recommended for those embarking on the creation of open instructional resources.
- Date:
- 2022-07-20
- Main contributors:
- Jessica Weaver-Kenney, Judy Thomas, Bethany Mickel
- Summary:
- Video integration is an effective way to take OER creation to the next level. Creating videos in a manner that allows for reuse and remixing requires a mindful approach to planning, recording, and distribution. In this session, Learning Design & Technology’s Jessica Weaver-Kenney will discuss actionable steps to create reusable and adaptable video. This session is recommended for individuals interested in creating open video content.
- Date:
- 2024-02-11
- Main contributors:
- Judith Thomas
- Summary:
- Information session for the Course Enrichment Grants 2024-25 program
- Date:
- 2023-03-04
- Main contributors:
- Katrina Spencer
- Summary:
- As part of the annual Southeast Regional Seminar in African Studies (SERSAS) at the University of Virginia, Librarian for African American & African Studies Katrina Spencer gathered three panelists who represent diverse stakeholding positions in the publication of African writers, particularly within “Western” markets. While Chinua Achebe's Things Fall Apart has received countless, deserved accolades and Chimamanda Ngozi Adichie’s profile continues to rise, what other names should we know and what trends should we be looking out for in terms of African writing? Nigerian writer Kenechi Uzor has established Iskanchi Press & Magazine to recruit quality works from African creators. Nigerian author Ukamaka Olisakwe’s success has led her to become a screenwriter. And Northwestern University’s Herskovits Library worker Gene Kanneberg, Jr. is keeping his finger on the pulse of pop culture with his writing, “Wakanda as the Window to the Study of Africa,” in the collection Integrating Pop Culture into the Academic Library (Melissa Edmiston Johnson, editor). Each of these players is creating a pathway for the representation of Africa and Africans, and together the four discuss the points at which their missions converge and diverge. The recorded session is sourced from the original virtual Zoom meeting. The panelists made reference to a variety of opportunities, publishers, and publications in this recording. Below we provide a list of references for viewers’ convenience: Melville J. Herskovits Library of African Studies Research Grant (https://www.library.northwestern.edu/libraries-collections/herskovits-library/herskovits-travel-grant.html) Iskanchi Press & Magazine (https://www.iskanchi.com/) Isele Magazine (https://iselemagazine.com/) Olongo Africa (https://olongoafrica.com/) The Enkare Review Pidgin English The Middle Daughter by Chika Unigwe In Such Tremendous Heat by Kehinde Fadipe An African Abroad by Olabisi Ajala After God is Dibia by John Anenechukwu Umeh Nsibidi (a writing system) africanpoetics.unl.edu Nnadozie Onyekuru Ajami manuscripts Chris Abani Bakassi Boys “Nigerian police detain goat over armed robbery” (https://www.reuters.com/article/oukoe-uk-nigeria-robbery-goat/nigerian-police-detain-goat-over-armed-robbery-idUKTRE50M4BM20090123)
- Date:
- 2022-08-10
- Main contributors:
- Kong-Chow, Janet, Kuhn, Mary, O'Neill, Moira, Puri, Michael, Rogers, Dylan, Sewell, Jessica, Sheehy, Michael, Small, Ben, Coleman, Rebecca, Thomas, Judith
- Summary:
- Participants in the 2022 Research Sprints program report on their ongoing research.
- Date:
- 2021-02-10
- Main contributors:
- Nimura, Janice P., University of Virginia. School of Medicine
- Summary:
- The world recoiled at the idea of a woman doctor, yet Elizabeth Blackwell persisted, and in 1849 became the first woman in the U.S. to receive an MD. Her achievement made her an icon. Her younger sister Emily followed her, eternally eclipsed despite being the more brilliant physician of the pair. Together, they founded the first hospital staffed entirely by women, in New York City. While the Doctors Blackwell were visionary and tenacious—they prevailed against a resistant male medical establishment—they weren't always aligned with women's movements, or even with each other. In this Medical Center Hour, biographer Janice Nimura celebrates the Blackwells as pioneers, change agents, and, for women in medicine today, compelling yet somewhat equivocal role models. Co-presented with Historical Collections, Claude Moore Health Sciences Library
- Date:
- 2024-03-07
- Main contributors:
- Taylor, Hillary
- Summary:
- Oral history interview with Hillary Taylor, class of 2016, via Zoom, on March 7, 2024. Taylor discussed her time as a member and president of UVA Law’s chapter of Lambda Law Alliance, highlighting the group’s activities and events.
- Date:
- 2021-11-15
- Main contributors:
- Thompson, Linda R.
- Summary:
- An oral history interview with Dr. Linda R. Thompson, conducted via Zoom by the Claude Moore Health Sciences Library on November 15, 2021. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation. Linda Ruth Thompson was born in 1941 in Bristol, Tennessee. She attended King College (now King University) in Bristol, TN, and graduated Magna cum Laude in 1962. Thompson attended the University of Virginia School of Medicine and graduated from medical school in 1966; she was one of three women who graduated in the Class of 1966. After graduation, Thompson completed a rotating internship at the State University of Iowa Hospital in 1967, and then returned to UVA for a residency in psychiatry (1967-1971). She served as the Chief Resident during her final year of residency and also as an Instructor in Psychiatry (1970-1971). Following her residency, she worked as a staff psychiatrist at the Northern Virginia Mental Health Institute in Fairfax, VA, before going into private practice in the Washington, DC, area. Dr. Thompson pursued psychoanalytic training at the Washington Psychoanalytic Institute, and graduated from the psychoanalysis program in 1983. In 1984, she moved to the Tri-Cities area of northeastern Tennessee and southwestern Virginia, where she has maintained a general psychiatric practice since 1984. Thompson also worked as a consultant until 2014, primarily with regional mental health centers, and she attended psychiatric patients at local community hospitals. In 2016, Thompson published a book about her experiences with breast cancer, which she was diagnosed with and treated for in 2007 and 2008. She continues to practice medicine part-time in Bristol, TN, and writes about issues in modern healthcare. In addition to her book Surviving Breast Cancer, Thompson is the author of two additional books: Return to Asylums: A Prescription for the American Mental Health System, published in 2016, and Old School Medicine: Lower Tech Care to Improve the High Tech Future of Healthcare, published in 2018. This is a shortened version of the oral history interview conducted with Dr. Thompson in November 2021. The full length interview remains restricted until 2047.
- Date:
- 2021-11-19
- Main contributors:
- Tompkins, Dorothy G.
- Summary:
- An oral history interview with Dr. Dorothy G. Tompkins, conducted at the Claude Moore Health Sciences Library on November 19, 2021. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation. Dorothy Ellen Guild Tompkins was born in 1941 and grew up in Louisa County, VA. She majored in biology at the College of William and Mary (graduating in 1962) before matriculating at the University of Virginia School of Medicine. She graduated from medical school in 1966, one of three women in her class. In 1972, Tompkins returned to UVA as a Fellow in Pediatric Cardiology. She went on to be appointed Assistant Professor of Pediatrics in 1973 and Associate Professor of Pediatrics in 1979. Later she worked in the area of addiction treatment, and from 2003-2006 Tompkins served as a pediatrician in the UVA Department of Psychiatric Medicine. A passionate and dedicated teacher, Tompkins received the Dean's Award for Excellence in Teaching and was elected to the School of Medicine's Academy of Distinguished Educators during her time at UVA. In recent years, Tompkins has been active in local non-profit work, including master gardener, naturalist, and tree steward programs, and extensive work with women recovering from substance abuse and trauma. She helped found an organization called Georgia's Friends, which operates Georgia's Healing House, a supportive residential home for women in recovery. Tompkins is married to Dr. William Fraser Tompkins III (also a member of the UVA SOM Class of 1966). They live in Central Virginia.
- Date:
- 2016-11-28
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Health information technology (health IT), including electronic health records (but much, much more), enables health care providers--from individual clinicians to widely networked health care organizations--to better manage patient care through streamlined sharing of health information. Since 2004, the Office of the National Coordinator for Health Information Technology has led U.S. efforts to deploy advanced health IT in order to improve clinical service delivery and support patient engagement. As a result, nearly every hospitalization and most doctor visits now have a digital footprint, and an extraordinary amount of health data exists that simply didn't a decade ago. The health IT goal now is to foster seamless and secure data sharing to improve the health and care of individuals and populations alike. In this special Medical Center Hour, Dr. Vindell Washington, National Coordinator for Health Information Technology, introduces this key national initiative and cites the promise and chief challenges for this increasingly central component of our nation's health care system. A John F. Anderson Memorial Lecture
- Date:
- 2015-09-23
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Southern Appalachia often provides a folksy backstory to our national mythology—a tale of coal miners, moonshining, bluegrass, and ballads. But Appalachia is a real place that figures fundamentally in this country's heritage and destiny. Its rugged mountains are rich in natural resources while its remote communities are home to some of the nation's most fiercely proud people and most persistent poverty. This region has endowed American culture—and the University of Virginia—with a wealth of gifts and innovations but itself faces staggering difficulties. Embracing Appalachia is challenging, especially now, as the coal industry disappears and crises of poor health, environmental degradation, and poverty deepen. This Medical Center Hour with West Virginia coalfields native David Gordon probes our particular connections to Appalachia and how the enduring tragedy of this place is a “canary in the coalmine” for the rest of our nation. Is "healthy Appalachia" possible? What will it take? What must we do? Co-presented with the Center for Global Health, Institute for the Humanities and Global Cultures (Global South Initiative), Department of Public Health Sciences, and Healthy Appalachia Institute
- Date:
- 2021-03-31
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- "Give a [wo]man a mask and [s]he will tell you the truth." –Oscar Wilde Since 2010, Walter Reed National Military Medical Center's therapeutic arts program has engaged brain-injured and traumatized military veterans in hands-on mask making. Even as they conceal the face, these soldiers' masks vividly reveal secret suffering, declare deeply felt identity and patriotism, signal spiritual wounds and moral strengths, externalize guilt or grief. Making a mask can help its creator to (re)claim identity, and to heal. In this AOA Lecture, physician-educator Mark Stephens and art therapist Melissa Walker discuss the construction of masks as an artful means of recognizing oneself and reflecting on identity, not just for wounded warriors but also for healthcare professionals. Co-presented with Alpha Omega Alpha national medical honor society, UVA Chapter
- Date:
- 2016-09-14
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- What happens when an extroverted six-year-old dog and her introverted human partner enter the local public nursing home as a therapy dog team? This was the question writer Sue Halpern (nervously) asked herself when she and her dog Pransky began their work at the Helen Porter Nursing and Rehabilitation Center in Middlebury VT. In this Medical Center Hour, Halpern revisits the remarkable experiences she and Pransky had over six years with the nursing home residents, experiences that continued even after Pransky's health declined. She also speaks to the increasingly recognized value of introducing therapy animals into medical settings and the significant physical and emotional benefits that follow—for patients, staff, and therapy teams. A John F. Anderson Memorial Lecture
- Date:
- 2016-10-05
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Thirty-five years after the discovery of AIDS, the story of this disease and the momentous scientific, medical, political, and social changes it occasioned is rich and complicated, even sensational. In 1981, Dr. Michael Gottlieb, a young UCLA immunologist, saw--and published a New England Journal of Medicine article about--a cluster of five cases of immune dysfunction and unusual opportunistic infections in gay men. Not long after, as personal physician to Hollywood actor and AIDS patient Rock Hudson, Dr. Gottlieb became the medical face of this terrifying epidemic. In this Medical Grand Rounds/Medical Center Hour, Dr. Bruce Hillman, a medical school classmate of Michael Gottlieb, probes the war of egos, money, academic power, and Hollywood clout that advanced AIDS research in its first decade even as it compromised the medical scientist who discovered the disease. Dr. Hillman draws on interviews with Dr. Gottlieb and others to chronicle one of the most important and contentious medical discoveries of our time. Medical Grand Rounds/History of the Health Sciences Lecture Co-presented with the Department of Medicine and the History of the Health Sciences Lecture Series of Historical Collections, Claude Moore Health Sciences Library
- Date:
- 2013-01-30
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Deborah Salem Smith's acclaimed play Love alone is the story of what happens after a routine medical procedure goes tragically wrong. A medical malpractice lawsuit ensues, and the lives of both the patient's family and the doctor charged with her care are transformed. The play tracks the fallout in both homes. It is a portrait of how each family grieves and heals. These questions were central in the construction of the plot: Is forgiveness a single act or a daily act? Is it unconditional? Who has the right to forgive? Does forgiveness require remorse or an apology by the offender? Do lawsuits empower victims and thus aid the grieving process, or do they disrupt grieving? Does proving negligence make a victim more prepared to forgive? What does a lawsuit mean for the doctor sued, and for his or her personal journey of recovering from the unexpected death of a patient? George Bernard Shaw famously quipped, "We have not lost faith, but we have transferred it from God to the medical profession." What are the implications and burdens of such faith? This Medical Center Hour explores Love Alone with the playwright and local actors but also with a physician who has written on doctors' efforts to deal with their own mistakes. A John F. Anderson Memorial Lecture
- Date:
- 2015-09-30
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In this Medical Center Hour, award-winning journalist Meera Subramanian explores the human and global health implications of India’s ravaged environmental landscape. Her new book, A River Runs Again: India's Natural World in Crisis, investigates five environmental crises by profiling ordinary people and micro-enterprises determined to guide India and its burgeoning population into a healthier future. An organic farmer revives dead land; villagers resuscitate a river run dry; cook-stove designers seek a smokeless fire; biologists bring vultures back from the brink of extinction; and, in one of India’s poorest states, a bold young woman teaches adolescent girls the fundamentals of sexual health. In these individual stories resides hope for a nation and its people and the potential for a sustainable and more prosperous world. A John F. Anderson Memorial Lecture/Exploring the Global South Co-presented with the Center for Global Health, Institute for the Humanities and Global Cultures (Global South Initiative), Department of Public Health Sciences, and Virginia Quarterly Review
- Date:
- 2017-03-01
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Where you live in a particular U.S. city determines your predicted life expectancy. Neighborhood is destiny, in a way. For example, in New Orleans, there is a twenty-five-year difference in life expectancy from one parish to another only three miles away. This pattern of great gaps in health status, even over short distances, repeats itself in New York, Chicago, the Bay Area, and many other American cities, with harsh consequences. In 2005, Tulsa, Oklahoma was one of the first cities to recognize such dramatic neighborhood variations in life expectancy, with a fourteen-year difference in life expectancy between north Tulsa and midtown—and to take action. In this presentation, Dr. Gerard Clancy describes specific initiatives and lessons learned on the ten-year journey, from 2005 to 2015, to reverse these health disparities and improve the health of the people in north Tulsa. The successes of the past decade have inspired a new ten-year initiative in Tulsa focused on mental health system improvements. Co-presented with the Brodie Medical Education Award Committee, the Academy of Distinguished Educators, and the Department of Medicine
- Date:
- 2018-10-10
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Many personal, social, organizational, and regulatory factors in health care today contribute to clinicians experiencing burnout, a chronic stress syndrome characterized by exhaustion, depersonalization, and feelings of inadequacy. When severe, these symptoms are often accompanied and exacerbated by depression—and sometimes lead to suicide. In this combined Medical Center Hour and Medical Grand Rounds, Dean Gianakos MD FACP will not teach techniques to fortify personal resilience in the face of incipient burnout or offer strategies to reduce the inefficiencies of practice. Rather, using poems and stories, he will open a dialogue on how health professionals can emotionally support one another, initiate crucial conversations, and reduce the isolation that too often characterizes medical practice. Co-presented with the Department of Medicine, UVA
- Date:
- 2018-01-31
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In the spotlight for years now, health care that is truly equitable and patient-centered and delivered by a diverse, well-integrated team remains a goal—in most sites, it's not yet everyday reality. Individuals and institutions—including health professional schools as well as centers of clinical practice—continue to work toward this goal. But this effort cannot depend just on recruiting more diverse learners, reorganizing clinical environments, or deploying didactics aimed at eliminating biased attitudes and behaviors. Rather, it’s a matter of redesigning health professional education—curriculum, assessment strategies, learning environments—to prepare a thoroughly diverse workforce ready to counter health disparities. To actually realize diversity’s benefits, we must eschew a colorblind philosophy and embrace principles of equity pedagogy. In this Medical Center Hour, Dr. Catherine Lucey explores equity pedagogy and how it may help to counter the structural racism and inequitable learning environments of traditional medical school. Such a fundamental change in our pedagogy may be necessary to improve health outcomes for patients of all cultures, colors, creeds, and means and, along the way, establish work environments where clinicians, teachers, and scientists of many backgrounds and professional preparations can all flourish. A John F. Anderson Memorial Lecture / Medical Education Grand Rounds Co-presented with the Office of Medical Education
- Date:
- 2018-11-12
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Lucy Kalanithi is many things. Physician. Professor. Writer, and speaker. Mother. Widow. She was married for nine years to Dr. Paul Kalanithi, a young neurosurgeon diagnosed with advanced lung cancer, the illness that claimed his life in 2015 at age thirty-seven. As he struggled, suffered, and worried, Paul wrote. His memoir—When Breath Becomes Air, for which Lucy wrote the epilogue—became a bestseller after it was published in 2016. In this Medical Center Hour, which is also the School of Nursing's annual Bice Memorial Lecture, Dr. Lucy Kalanithi talks with UVA Nursing Professor Ken White about the Kalanithis' challenging journey to the end of Paul's life and how Paul and Lucy did not avoid suffering but, rather, leaned into it and created meaning from it. The Zula Mae Baber Bice Memorial Lecture Co-presented with the School of Nursing
- Date:
- 2016-09-21
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Nalini Nadkarni is known as "The Queen of the Rainforest Canopy," being a pioneer in the field of forest canopy research and in public engagement about the plants and animals that live in the treetops. Her interest in rainforest dynamics and in the response of rainforests to disturbances such as harvesting, fire, and climate change has led her to invite input from experts in diverse other fields that also study disruption and recovery--economics, neuroscience, refugee studies, human development, and traffic engineering, to name a few. Exchanges with these experts have given Professor Nadkarni novel insights into theory and models that foster better understanding of disturbance, recovery, and resilience. Unexpectedly, in 2015, this work also proved personally useful as Professor Nadkarni recovered from extensive trauma sustained when she fell 50 feet from the top of a tree while doing forest canopy fieldwork. In this Medical Center Hour/Medical Grand Rounds, she shares her insights and offers applications for medicine--especially, to the specifics of critical care, and, more generally, to healing. Medical Grand Rounds / A John F. Anderson Memorial Lecture Co-presented with the Department of Medicine
- Date:
- 2021-03-10
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In this Bice Memorial Lecture, Rebecca Rimel looks back on a life in leadership—in her case, serving 26 years as president and CEO of The Pew Charitable Trusts, an innovative and influential public charity involved in health and human services, the arts, public opinion research, and environmental, public health, and national economic policy. Ms. Rimel's service at Pew was anchored in nursing, built upon an exemplary career in healthcare and on what she learned and practiced as a nurse at UVA—management under pressure, clear communication, purpose and motivation, empathy and caring. Zula Mae Baber Bice Memorial Lecture co-presented with the School of Nursing
- Date:
- 2014-03-26
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- How should we imagine the history of distraction? Is it true that the internet has made us distracted in a way that we never have been before? And, if it has, is that necessarily bad? What is distraction, anyway? In this Medical center hour, East Asian cultural historian Shigehisa Kuriyama suggests that comparative reflection on images of skulls and skeletons can offer us illuminating insight into these questions, and into the entwining of distraction with art, anatomy, curiosity, and early modern global trade. Co-presented with the History of the Health Sciences Lecture Series, Claude Moore Health Sciences Library
- Date:
- 2017-09-13
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- On 13 September 2017, the University of Virginia proudly dedicates as Pinn Hall the medical education and research building formerly known as Jordan Hall. The building’s new name recognizes UVA medical graduate Vivian W. Pinn MD, Class of 1967, founding director of the Office of Research on Women’s Health at the National Institutes of Health. Dr. Pinn was the second African American woman to graduate from the School of Medicine and went on to a distinguished career in pathology and in medical leadership. One of the medical school’s four colleges bears Dr. Pinn’s name, and she is an active presence in Pinn College student life. This Medical Center Hour celebrates Dr. Pinn and her accomplishments and calls attention to critical current issues of fair and full access for underrepresented minorities, especially African American women, as students, practitioners, and leaders in medicine but also as beneficiaries of health care. Individually and institutionally, what can we learn from Dr. Pinn to ensure that her legacy matters? Co-presented with the Department of Medicine and the Generalist Scholars Program, in conjunction with UVA's dedication of Pinn Hall and the UVA medical students' celebration of Primary Care Week
- Date:
- 2019-02-06
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- We've long known about books' ability to comfort, but can they have the power to heal? At a time when burnout is rife among practicing physicians and other clinicians, health care organizations are introducing systemic changes, including wellness programs. Beyond this, though, what might individual clinicians do to stave off burnout and fuel emotional resilience? New research suggests burnout relief may be as close at hand as a good novel. Reading for pleasure--especially, reading literary fiction--seems to enhance empathy and combat emotional exhaustion and depersonalization, thereby improving doctors' abilities to connect with the persons who are their patients and find joy in their work. Indeed, if reading for relaxation makes such a difference, should reading literature be a prescribed part of physician education and training? In this Medical Center Hour, Drs. Daniel Marchalik and Hunter Groninger examine emerging research on books' benefits for doctors and trace their own experience with the Literature and Medicine track at the Georgetown University School of Medicine.
- Date:
- 2016-04-01
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- How might the creative arts, as a symbolic and emotional language, help improve well-being in late life? Anne Basting is an acclaimed practitioner and advocate of using the arts to address issues in aging. In this Medical Center Hour, she explores her own creative research and the most promising new practices for improving the lives of elders and caregivers alike. The Koppaka Family Foundation Lecture in the Medical Humanities Co-presented with the Southern Gerontological Society Annual Meeting
- Date:
- 2017-10-25
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- A diverse population of caregivers working in clients' homes constitutes a vital link in our health care “system,” their services filling a gap between institutional care and what families are able to manage on their own. Who are these caregivers, what is their work, and what does their work mean—to them, to the clients and families they serve, to our larger society? Prompted by the recent documentary film, CARE, by Deirdre Fishel, which profiles five caregivers and their elderly clients, this Medical Center Hour inquires into the nature and lived experience of home-based caregiving for elders. What role will such home care play as our society ages and people seek to stay at home with complex, care-intensive medical conditions? How can we better value and compensate care workers and better support families who need their services? What about the sustainability of the home health caregiving economy and its workforce? A John F. Anderson Memorial Lecture Co-presented with the Department of Chaplaincy Services, UVA Health System
- Date:
- 2018-01-24
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Neurologist Oliver Sacks (1933-2016) was a legend in his own time—as a physician but also as a writer whose work probed medicine, science, and the arts and as a tireless explorer of both the natural world and the human condition. His clinical tales, published in the medical literature and mass media alike, found a wide audience across medicine and society. Behind these tales, which stretched the case history to illuminate and celebrate the person who was marked, and often rendered remarkable, by neuropsychological illness, flared Sacks's own curiosity, an insatiable urge to question and a generous capacity for paying meticulous attention. In this inaugural Hook Lecture in Medicine and the Arts, writer and photographer Bill Hayes, who was Sacks's late-life partner, offers insights into Oliver Sacks as a person and a physician whose creative nature and prodigious output enriched medicine and culture across a long and productive life. A writer and photographic artist in his own right, Hayes addresses the place of curiosity and creativity in Sacks's practice and his own, especially how, for both, interest in and radical openness to a fellow human being are paramount. The Edward W. Hook Lecture in Medicine and the Arts / Medical Grand Rounds Co-presented with the Department of Medicine, with which the Medical Center Hour shares a fund established by the late Edward W. Hook MD MACP whereby the arts can generously enrich medical education and training.
- Date:
- 2015-01-21
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Andreas Vesalius, long hailed as "the father of modern anatomy," is slipping into oblivion. The likes of Gray's Anatomy (the book), Netter's Atlas, plasticized dissected bodies, and online visible human specimens having eclipsed his splendidly illustrated book, On the Fabric of the Human Body (1543), as our definitive anatomy text. Vesalius's recent 500th birthday anniversary gives us a chance not only to celebrate this Renaissance genius, but also to consider how his accomplishments in the study of human anatomy helped medicine to become "modern." Co-presented with the History of the Health Sciences Lecture Series
- Date:
- 2016-01-20
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Chocolate has been special to human beings for millennia. In our time and culture as in earlier centuries and other cultures, claims abound regarding chocolate's health effects, positive and otherwise. What is it about chocolate—chemically and culturally—that makes it so distinctive in our diets, our emotional lives, our celebrations? Why do we love it so, and what does it do to/for us? In this Medical Center Hour, local chocolatier Tim Gearhart offers insights into chocolate's appeal and effects and gives a glimpse of the craft of artisan chocolate-making. A John F. Anderson Memorial Lecture
- Date:
- 2017-01-25
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- The stethoscope, an extension of the clinician's ear, is perhaps modern medicine's most characteristic symbol. Through it, doctors listen for the body to disclose its secrets. Doctors must also listen to their patients' stories. In fact, as Oliver Sacks said, "The first act of medicine is listening to a personal story." But hasn't the clinician's ear lost much of its importance now that procedures and machines can give us more direct access to pathology? In this Richardson Lecture, physician and poet John Coulehan affirms the importance of the clinician's aural attention in the clinical encounter and considers three aspects of the metaphorical clinical ear. First, listening to patients, an active process with vertical (deep listening) and horizontal (narrative) dimensions. Second, listening to the heart, the reflective core of clinical practice. And, finally, hearing the resonance of our own healing words. In medicine, the word can be an instrument of healing. Co-presented with the Office of Quality and Performance Improvement, UVA Health System
- Date:
- 2014-11-05
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- During the enlightenment, from 1765, the Habsburg Empire capital of Vienna underwent massive transformations in urban design and appearance, from the introduction of sewer systems and streetlights to urbanization of suburbs and construction of public facilities, including parks, all guided by principles we now consider fundamental to creating healthy, green, livable cities. Habsburg Emperor Joseph II (1780-1790), a reformer with almost utopian (and quite Jeffersonian) ideas about architecture and health, extended these massive changes by contructing Vienna's medical district, including the general hospital, the military hospital, an institute for the mentally ill, and the medical-surgical military academy Josephinum. What does it mean to "construct for health" in designing cities and landscapes, public and private spaces, and health care facilities? This Medical center hour examines the Vienna Project as an important design-and-health precedent. How might we in the twenty-first century enlist design professionals and health professionals together in more deliberate, collaborative efforts to improve public and personal health and well being? Co-presented with the History of the Health Sciences Lecture Series, the Center for Design + Health (School of Architecture), the Eleanor Crowder Bjoring Center for Nursing Historical Inquiry (School of Nursing), and the Department of Public Health Sciences and the Center for Biomedical Ethics and Humanities (School of Medicine), as part of the interprofessional symposium “Constructing for Health: A Global Nod to Nightingale,” funded by the Buckner W. Clay Endowment for the Humanities (College and Graduate School of Arts and Sciences)
- Date:
- 2015-10-21
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- When academic medicine in the U.S. begins to reflect the remarkable diversity of the population it serves, we can potentially start narrowing critical gaps in cultural knowledge, the provision of health care, and the education and advancement of future physicians. Invoking the time-honored art of quilt-making as a metaphor, Dr. Wendi Wills El-Amin will engage the audience at this Medical Center Hour in exploring the urgent issue of minority diversity in academic medicine, including the opportunities that currently exist to craft new patterns and other opportunities we need to create in order to increase minority presence and engagement throughout academic medicine. UVA School of Medicine Associate Dean for Diversity Dr. Greg Townsend will offer a response. Co-presented with the Office for Diversity, School of Medicine A John F. Anderson Memorial Lecture
- Date:
- 2015-11-18
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Early in her own training in psychology a decade ago, Casey Schwartz discovered that contemporary neuroscience and psychoanalysis are entangled in a conflict almost as old as the disciplines themselves. Many neuroscientists, if they think about psychoanalysis at all, view it as outdated, arbitrary, and subjective, while many psychoanalysts decry neuroscience as lacking the true texture of human experience. Yet some are now fighting passionately to bring the two fields together, including Mark Solms, a South African psychoanalyst, neuropsychologist, dream researcher, and towering presence in the effort to grow the hybrid discipline that he himself calls neuropsychoanalysis. Ms. Schwartz has written this story in her new book, In the Mind Fields: Exploring the New Science of Neuropsychoanalysis. In this Medical Center Hour, she tracks and interprets the ongoing struggle to define what we mean by the mind, the brain, and everything in between. History of the Health Sciences Lecture Co-presented with History of the Health Sciences Lecture Series and the Department of Psychiatry and Neurobehavioral Sciences
- Date:
- 2013-09-11
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Dr. Romero shares insights regarding the increasingly important partnership of public health and primary care and the critical need for a strong, patient-centered primary care framework to improve health outcomes. Co-presented with the Generalist Scholars Program and the Department of Public Health Sciences, UVA, in observance at UVA of Primary Care Week
- Date:
- 2013-02-13
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- With availability of medical interventions like cochlear implants to treat deafness, health professionals caring for deaf persons or helping families make reproductive choices about deafness (as in prenatal genetic screening) tend to work from biomedical rather than cultural understandings of deafness. Deaf Americans have produced a fascinating literary corpus over the last 200 years, both writing in English and creating stories and poems in American Sign Language. Similarly, the work of deaf visual artists illustrates powerfully how deafness may be construed as visual and conceptual gain rather than as hearing loss. These expressions of deaf culture also respond to the pathologization and medicalization of deafness in our society, resist the majority's assumptions and norms, and argue for the value of the deaf community and sign. This Medical center hour explores deaf literature and visual art to suggest that a deeper understanding of deaf culture can help health professionals to provide better care and counsel, medically and ethically speaking, to deaf patients and their families. Co-presented with the Department of English and the History of the Health Sciences Lecture Series, UVA
- Date:
- 2019-03-20
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- One of medicine’s open secrets is that some patients request reassignment, or degrade, belittle, or harass health care professionals based on those professionals' race or ethnicity. Such patient conduct can raise thorny ethical, legal, and clinical challenges, and can be painful, confusing, and scarring for the physicians and other clinicians involved. This widely practiced, yet scarcely acknowledged, phenomenon poses a fundamental dilemma for law, medicine, and ethics. It also raises hard questions about how we should think about identity, health, and individual autonomy in the healthcare context and how we manage communication around representations of racial and ethnic bias. In this Koppaka Lecture, Drs. Lo and Paul-Emile will discuss their framework for considering and addressing this phenomenon. The Koppaka Family Foundation Lecture in Medical Humanities
- Date:
- 2014-01-29
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In 1858, young English surgeons Henry Gray and Henry VanDyke Carter published an illustrated anatomy textbook for medical students. Gray's Anatomy has never since been out of print, but little was known about its author and illustrator until acclaimed science writer Bill Hayes—inspired by a photograph of Henry Gray—pieced together their story in The Anatomist. This Medical Center Hour explores the medical, historical, and artistic significance of Gray's Anatomy and also Hayes's unforgettable year alongside medical students in the anatomy lab. Co-presented with the History of the Health Sciences Lecture Series, Historical Collections, Claude Moore Health Sciences Library
- Date:
- 2015-10-14
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Danny Quirk is a young artist specializing in photorealistic watercolors, painting what the camera cannot capture. Much of his work illustrates the intricacies of human anatomy. On canvas, he paints figures in classic poses (sometimes á la Renaissance anatomist Andreas Vesalius) in striking chiaroscuro lighting. But, more dramatically, he also paints on living subjects, representing on the body's surface the anatomical structures that lie beneath. In this Medical Center Hour, Danny Quirk talks about "dissecting" with a paintbrush—and while he's talking, he'll complete an anatomical drawing on a student volunteer. Co-presented with the History of the Health Sciences Lecture Series
- Date:
- 2018-02-07
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In recent years in the US, increasing workforce diversity has become a priority in health care and other industries. Many companies, including Fortune 500s, now recognize that having a diverse workforce improves both business and the bottom line—indeed, diversity is key to organizational excellence. In this Medical Center Hour, a panel of physicians explores whether UVA Health System's growing diversity can add value in a very different way: can our organization's greater diversity be a lever to mitigate bias in these increasingly fraught times? A John F. Anderson Memorial Lecture
- Date:
- 2017-02-01
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Understanding and responding to patients' complex health needs and challenges requires physicians--and all healthcare providers--to think creatively. Knowledge and information are not enough. We must prepare future physicians to think differently and to be mindful of how they think. But future physicians must also possess the skills of a creative artist, because, for many doctors on the clinical frontlines, medicine is a science-using creative art. In this Medical Center Hour, emergency medicine physician, medical educator, and fiction writer Jay Baruch argues that necessary transformations in medicine and medical education will demand new interdisciplinary skills and methods--and essential contributions from artists, writers, designers, and humanities scholars. The Moore Lecture of the School of Medicine
- Date:
- 2015-02-04
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Dying in America is very different now from half a century ago. Before World War II, death usually occurred at home, often with no medical intervention. But with the bioscientific and medical advances that began in the 1950's, death became medicalized. In hospitals, it became possible to extend life. Often, patients were cured who would otherwise have died, but many endured protracted deaths in which suffering from treatment was worse than suffering from their fatal illness. Through the last decades of the 20th century, the medical and legal professions, medical ethicists, and the public began to consider ways to limit treatment, even to hasten death. It became generally accepted that all patients have the right to refuse life-sustaining treatment. Now, five U.S. states recognize physician-assisted suicide. In this Medical center hour, physician and former New England Journal of Medicine editor-in-chief Marcia Angell traces the history of these changes, then inquires into where we stand now on dying--and where we go from here. Co-presented with the History of the Health Sciences Lecture Series
- Date:
- 2018-02-21
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Tuberculosis continues to be one of the world's most deadly infectious diseases, killing almost two million people each year. In this Medical Center Hour, historian Christian McMillen explores TB's stubborn staying power by examining key aspects of the disease—including the rise of drug resistance and TB's resurgence with the HIV/AIDS epidemic—and detailing global efforts to control it since 1900. Co-presented with the History of the Health Sciences Lecture Series, Historical Collections, Claude Moore Health Sciences Library
- Date:
- 2013-02-06
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- There's much mythology surrounding eating disorders. Myth: these are time-imited illnesses that resolve when a woman leaves adolescence. Myth: only women experience eating disorders. In a society that reveres bodily thinness and now also celebrates the extremely "fit" body, at once lean and overtly muscular, an estimated 25 to 30 million Americans currently suffer from an eating disorder. Most eating disorders look nothing like the stereotypes suggested by sensational media coverage. The afflicted include men and women of all ages and all ethnicities. And so alongside this country's well-publicized obesity epidemic rages another, quite invisible epidemic of eating disorders. This Medical Center Hour addresses eating disorders and related questions from three perspectives. Speakers include a UVA student in recovery, a parent and national advocate, and the coordinator of the prevention program at UVA's Women's Center. What role does family play in eating disorders? How as health professionals do we ensure that patients get the best treatment? What treatments are most effective? How can we, health professionals and laypersons alike, best support someone who is suffering? What resources are available at UVA and how do we get involved? A John F. Anderson Memorial Lecture Co-presented with the Women's Center, UVA
- Date:
- 2014-10-15
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- "Germs have always traveled. the problem now is they can travel with the speed of a jet plane." So said physician and medical historian Howard Markel in recent days, commenting on the spread of Ebola outside West Africa. This Medical center hour takes stock of the rapidly evolving Ebola epidemic and the concomitant rise in global health security concerns. What is known of this unusual virus and the life-threatening hemorrhagic fever it triggers? How are sociopolitical and cultural conditions and healthcare infrastructural inadequacies in West Africia and elsewhere hindering medical and public health response? How are governmental and health care institutions in the U.S. responding as cases erupt outside West Africia? And, looking ahead, what are the prospects for vaccine development and fast-track clinical trials? A John F. Anderson Memorial Lecture Co-presented with the Department of Public Health Sciences and the Center for Global Health
157. Echoes of the heart, a cardiologist discovers his patients through poetry and photography (1:01:48)
- Date:
- 2012-10-03
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Patients sometimes complain that they are neither heard by nor really known to their doctors especially, perhaps, subspecialists to whom they've been referred for particular procedures and fear that, as a result, they may receive substandard care. Similarly, in fast paced practice, some physicians, including said subspecialists, may find it difficult to know their patients as persons. Cardiologist Joseph Gascho M.D. met these challenges for himself and his patients by devising ways he could hear and know the persons in his care through the media of photography and poetry. This Medical Center Hour examines doctors' use of the arts to improve the care that patients receive. Dr. Gascho describes three projects that have helped him to bridge the patienthood personhood gulf, enabling him to better understand his patients as individuals and to give them whole person care. He is joined by physician Julia Connelly M.D. for whom photography has become a way to bring care and connection with nature to elderly persons, including nursing home residents.
- Date:
- 2019-03-13
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Anthropologist, activist, and priest Roshi Joan Halifax is the founder and head teacher of the Buddhist monastery, Upaya Zen Center. Seventeen years ago at Upaya, she pioneered a new form of bedside contemplative care known as "Being with Dying," which has since helped to illuminate and change the psychosocial, ethical, and spiritual care of the dying. Halifax's newest work probes what she calls five "edge states" of how we become involved with our fellow beings: altruism, empathy, integrity, respect, and engagement. In this Bice Memorial Lecture, she explores the risks and the opportunities for courage and compassion that persons in the helping professions encounter "at the edge." Bice Lecture, Co-presented with the School of Nursing, UVA
- Date:
- 2014-02-05
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In this Medical Center Hour, Ellen Ficklen, the former editor of "Narrative Matters," takes us behind the scenes at Health Affairs to probe the close working relationship between authors and editors as manuscripts are sculpted and polished into essays that surgeon/author Atul Gawande describes as "some of health care's most stunning writing." A John F. Anderson Memorial Lecture
- Date:
- 2021-03-03
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Among the COVID-19 pandemic's lessons is an increased awareness of the hazards of old age. But only a fraction of that risk is biological. At a moment in history when most of us will live into old age, we've created a world that's almost entirely focused on childhood and adulthood. It's time now to define, design, and empower this new, nearly universal elderhood. In this Medical Center Hour, geriatrician and writer Louise Aronson draws on her clinical experience and creative abilities to reimagine and advocate for old age not as a disease but as a vital phase of being human, with implications for social and community life, technology, geroscience, and healthcare. How shall we now approach elderhood? Koppaka Family Foundation Lecture in Health Humanities
- Date:
- 2014-10-08
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In this Medical center hour, prize-winning writer Leslie Jamison inquires into the phenomenon of empathy. It may be something more fraught then we often imagine it to be. Empathy isn't just an instinctive reaction but a more complicated blend of intuition and decision. And it's not neccessarily an unequivocal good. It can mislead. It can exhaust. Ms. Jamison draws on her experiences as a standardized patient, working with and observing student doctors getting "trained" in the practice of empathy, as well as her experiences as a journalist, inhabiting a vexed state of empathy for her subjects, to consider a variety of perspectives on what makes for good empathy and what good it can do. A John F. Anderson Memorial Lecture
- Date:
- 2017-03-15
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- The caregiver—whether a family member pressed into service or an underpaid home-care aide—is a representative figure of our time. This status is paradoxical because actual caregivers (so often female) do their work largely out of sight and almost in secret. It is an uncanny representative figure whom we do not see. Writer and scholar David Morris spent over a decade as caregiver for his late wife, Ruth, a medical librarian who in her mid-fifties began to show signs of dementia, most likely earlier-onset Alzheimer’s disease. In this Medical Center, Morris describes his experience but also uses his personal caregiving as a fulcrum for opening up larger questions about what biomedicine often overlooks in its molecular vision of illness. Desire is the neglected force that Morris sees as basic to illness, and it is the role of desire in illness that he seeks to clarify. Desire, it turns out, also offers an unanticipated common ground where health-care professionals—caregivers too in their medical role—may meet with patients and families in mutual, richer understanding. A John F. Anderson Memorial Lecture
- Date:
- 2012-09-12
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In 1990, University of Pittsburgh Public Health Professor John C. Cutler delivered to the university's archives thousands of pages of documents and photographs about an unpublished research project that he ran in Guatemala for the U.S. and Guatemalan governments between 1946 and 1948. Duly cataloged, the files then sat in the library until the mid 2000s, when historian Susan Reverby began to read them as part of her book project on the Tuskegee syphilis studies. Who knew that the infamous U.S. Public Health Service Study of Untreated Syphilis in Tuskegee, Alabama, had an off shore successor? Unlike Tuskegee, the Guatemala studies led by Dr. Cutler involved actual inoculation of sexually transmitted diseases and the paying of sex workers to transmit disease. Unsuspecting and unconsenting prisoners, soldiers, mental patients, and sex workers participated; only some were treated if and when they became infected. In 2009, Professor Reverby returned to the Pittsburgh archive, and in 2010 she wrote up her findings on the Guatemala project. She shared her unpublished article with the late David Sencer, former director of the Centers for Disease Conrol (CDC), who gave the article to the current CDC leadership. The CDC prepared its own report and sent it, along with the Reverby article, up the chain of command to the White House. On Oct. 1, 2010, Health and Human Services Secretary Kathleen Sebelius and Secretary of State Hilary Rodham Clinton apologized to the Guatemalan government and President Obama telephoned then President Colom in Guatemala to explain. In the spotlight of worldwide media attention, presidential commissions in both countries undertook investigations, and survivors of the study filed suit against the U.S. government. The Guatemala study and its aftermath have urgently renewed debate about the ethics of clinical research involving human participants, especially research carried out with vulnerable populations and in the global arena. In this Medical Center Hour, Susan Reverby discusses how her discovery of the Guatemala study files set in motion international investigative and diplomatic processes and what we can learn from this ethically immoral use of medical science. Bioethicist John Arras, a member of the Presidential Commission for the Study of Bioethical Issues, will comment on the commission's investigation and its 2011 report, Ethically impossible: STD research in Guatemala from 1946 to 1948.
- Date:
- 2013-10-02
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Physician-author Lisa Sanders, who writes the popular "Diagnosis" column in The New York Times Magazine and "Think Like a Doctor" blog for the New York Times, probes the crucial exchanges between doctor and patient that are at the heart of every medical mystery and its solution. The Koppaka Family Foundation Lecture in Medical Humanities
- Date:
- 2016-02-24
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In 1943, Albert Schatz, a young PhD student at New Jersey's Rutgers Agricultural College, was working on a wartime project testing bacteria from farmyard soil when he discovered streptomycin, a new antibiotic that was the first effective drug against the global killer tuberculosis. Schatz’s professor, Selman Waksman, claimed all credit for the discovery, calling Schatz a mere bench worker, and secretly enriched himself with royalties once the drug was patented by pharmaceutical manufacturer Merck. Schatz fought back in what was one of the most vicious battles ever for credit of a major scientific discovery. Schatz won the title of "co- discoverer" and a share of the royalties, but, in 1952, Waksman alone was awarded a Nobel Prize. Schatz disappeared into academic obscurity. This Medical Center Hour features journalist Peter Pringle, whose recent book Experiment Eleven probes this gripping, scandalous story and its diverse global repercussions— for scientific inquiry and mentoring, for research ethics, and for the evolution of Big Pharma. Co-presented with the History of the Health Sciences Lecture Series, Claude Moore Health Sciences Library
- Date:
- 2019-01-23
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- January 23, 2019 Joe Richman Since 1996, the Radio Diaries project has been giving people audio recorders and working with them to report on their own lives and histories. Collaborating with teens and octogenarians, persons with chronic and terminal illness, prisoners and prison guards, gospel preachers and bra saleswomen, the famous and the unknown, the project tells extraordinary stories of ordinary life. With stories aired on NPR, BBC, This American Life, and its own podcast, Radio Diaries has pioneered a new form of citizen journalism and, along the way, garnered every major award in broadcast journalism. This Medical Center Hour welcomes Radio Diaries’ founding director, Joe Richman, to share stories and draw parallels with health care practice, where, daily, clinicians traffic in the “extraordinary stories of ordinary life.” The Edward W. Hook Lecture in Medicine and the Arts / Medical Grand Rounds Co-presented with the Department of Medicine, UVA
- Date:
- 2017-09-27
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- When the First Nations of Big River and Ahtahkakoop in Canada's Saskatchewan province realized they had an HIV epidemic within their rural communities, their leadership and health centers rallied community members to determine the social and structural issues behind the epidemic. One of the driving factors proved to be injection drug use. Big River and Ahtahkakoop then developed culturally competent, community-based care to address the intertwined issues of HIV, hepatitis C, and substance use. In this presentation, spokespersons from these two communities describe how they took on these epidemics and discuss the solutions that have worked for them. What can other communities struggling similarly with substance abuse and related infectious disease outbreaks learn from these First Nations' grassroots responses? Are there lessons here for communities in Virginia, where, on average, three people die each day from opioid overdose? Co-presented with the Department of Medicine and the Center for Global Health, in conjunction with the conference, "Best Practices in Community Mobilization in Response to Substance Use and Related Epidemics"
- Date:
- 2013-10-09
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Emily Levine does for science what Jon Stewart does for news: she critiques it, she makes it relevant, she makes it funny. She brings her experiences as a patient in search of a diagnosis and a curative path to physical health and notes that in order to regain metaphysical health, she had to enter a universe of randomness, uncertainty, and turbulence. She reasons that only quantum physics and chaos theory can make sense of this new universe, and possibly of medicine today. A John F. Anderson Memorial Lecture
- Date:
- 2013-11-06
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- On 13 June 2013, the U.S. Supreme Court struck down patents on the hereditary breast and ovarian cancer (BRCA) genes. One company, Utah-based Myriad Genetics, claimed ownership of those genes and both marketed and processed the test for them. Myriad now controls the genetic data of all the persons tested for BRCA. In the wake of the 9-0 ruling against Myriad, there's considerable debate about who owns this genetic information and who should control it. Should it be held by a private company or in a commons? Should control rest with the BRCA+ community? "Free the Data," a new grass-roots campaign, brings voices of BRCA+ individuals and biomedical investigators alike into this debate. In this Medical Center Hour, documentary filmmaker Joanna Rudnick, together with law and medical experts from UVA, discuss what's at stake in freeing the data. Co-presented with the Institute for Practical Ethics and Public Life, the Department of Public Health Sciences, and the Cancer Center's Breast Care Program, UVA The Hollingsworth Lecture in Practical Ethics
- Date:
- 2016-03-23
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Alice Dreger’s newest book, Galileo’s Middle Finger: Heretics, Activists, and the Search for Justice in Science, had its origins in social and scientific controversies having to do with the politics of sex, especially social and medical treatment of so-called intersex individuals. Ms. Dreger’s investigations into this aspect of human identity and intersex rights engaged her with both sides of a heated debate and also with issues of freedom and justice in science. As she says, “Science and social justice require each other to be healthy, and both are critically important to human freedom. . . . [P]ursuit of evidence is probably the most pressing moral imperative of our time. All of our work as scholars, activities, and citizens of democracy depends on it. Yet it seems that, especially when questions of human identity are concerned, we’ve built up a system in which scientists and social justice advocates are fighting in ways that poison the soil on which both depend. It’s high time we think about this mess we’ve created, about what we’re doing to each other and to democracy itself.” In this Medical Center Hour, Ms. Dreger addresses these concerns—for science, justice, and academic freedom—at a time when pursuit of knowledge can clash with established interests, worldviews, and ideas about social progress. Co-presented with the History of the Health Sciences Lecture Series
- Date:
- 2015-10-07
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Columbine. Virginia Tech. Ft. Hood. Huntsville. Tucson. Aurora. Newtown. The Navy Yard. Charleston. Roseburg. Gun violence, including a relentless raft of mass shootings, is epidemic today in the U.S., threatening individual safety and public health and wellbeing. The grim tally for 2015, says the Washington Post, is 294 mass shootings in 274 days. Many shooters are said to have undiagnosed or undertreated mental illness in their background. How does psychopathology contribute to violent behavior, particularly involving firearms, over a person's life course and in the social environment? How accurate and useful are clinicians’ predictions of violence in their patients? What is an appropriate role for clinicians as “gun gatekeepers” and for mental health services generally, as part of a public-health solution to gun violence? This Medical Center Hour reviews research related to these urgent questions and explores implications for clinicians and other mental-health stakeholders. Co-presented with the Institute for Law, Psychiatry, and Public Policy and the School of Law, UVA A John F. Anderson Memorial Lecture
- Date:
- 2014-09-10
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- At a time of sweeping transitions in health care, medical students and young physicians are eager for guidance as to how best to apply their knowledge and skills in caring for patients. In clinical settings, and especially in primary care, who might be the best role models for young trainees to emulate? What skills and traits do the best clinicians use to create healing relationships with patients? How do clinicians become "healers" -that is, practitioners effective in making the patient-professional relationship itself have active therapeutic potential? Professor Larry Churchill and colleagues at Vanderbilt University School of Medicine have examined these matters, interviewing both clinicians and patients on the vital question of what actually makes for a therapeutic encounter, even in the context of a stressed and changing health care system. In this Medical Center Hour, Professor Churchill will present his studies' findings as a prelude to disscussion of the implications for medical ethics and medical education and for establishing truly "patient-centered" practices.
- Date:
- 2012-10-24
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- The design of sustainable, just, and economically feasible environments for human health and well-being is one of the most urgent needs of the 21st century on a global scale. Aging populations, environmental pollution, rapid urbanization, increased poverty, rising health care costs, the need for preventive medicine, and new developments in social and medical science have created a host of design challenges and opportunities. In this Medical Center Hour, Tim Beatley and Reuben Rainey, co-directors of the UVA School of Architecture's new Center for Design and Health, explore ways designers and planners are meeting these challenges at a variety of scales, ranging from patient-centered health care facilities to healthy neighborhoods and cities.
- Date:
- 2015-02-18
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- When documentary filmmaker Kathy Leichter moved back into her childhood home after her mother's suicide, she discovered a hidden box of audiotapes. Sixteen years passed before she had the courage to delve into this trove, but there she unearthed what her mother had recorded about every aspect of her life--from the joys and challenges of her marriage to a state senator to her son's estrangement , as well as the highs and lows of living with bipolar disorder. Here one day is Ms. Leichter's emotionally candid film about a woman coping with mental illness, her family relationships, and the ripple effects of her suicide on those she loved. In this Medical center hour, Ms. Leichter offers her extraordinary award-winning film, speaks about the transformative nature of story, and shows how Here one day is helping to dissolve mental health stigma and to educate and support persons and families in communities and educational institutions across the country.
- Date:
- 2017-11-08
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- We live in times when empathy—the ability to imagine how it feels to be inside the skin of another—seems to be in short supply. As a writer of poetry and memoir, Mark Doty believes that literature is one of the most powerful tools we have to come close to the subjectivity of another person. The practice of medicine, too, is a work of knowing—of learning who someone is, what they need, and how they might be healed. In this Medical Center Hour, Mr. Doty explores these ideas through writings that grew out of the crisis years of the AIDS epidemic in this country and in recent work concerned with love, time, and citizenship in the human community. A John F. Anderson Memorial Lecture Co-presented with the Creative Writing Program, Department of English
- Date:
- 2012-10-17
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Physician Orders for Scope of Treatment (POST) is an initiative gaining acceptance across the country as a way for patients and families to ensure that care at the end of life is not only consistent with a patient's preferences, as expressed in a treating physician's orders, but also is consistent throughout the health care system, including across institutional boundaries. A completed POST form is an instrument that travels with the patient from one health care setting to another, as, for instance, from a nursing home to a hospital, and should be honored in all venues. Unlike traditional advance directives, POST is a physician's order, and is to be followed as such. Implementing POST is a process being handled state by state, with Oregon in the lead. In Virginia, pilot studies are underway in different regions of the Commonwealth and different hospital systems, with different forms and protocols. What's happening with POST in Central Virginia and at UVA? Are all of us-patients, physicians and other clinicians, and administrators alike-ready for POST? A John F. Anderson Memorial Lecture Co-presented with the UVA Medical Center's Office of Patient/Family Education and Communication and the Compassionate Care Initiative, School of Nursing
- Date:
- 2013-10-16
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- What would it mean to name pain not as alien to human existence but as one of the defining conditions of being human? In this presentation, three experts--in disability studies, bioethics, and the cultural study of pain and pain medicine--consider our complicated attitudes toward pain, especially as we regard it in others. A John F. Anderson Memorial Lecture
- Date:
- 2017-02-22
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Does some aspect of our personality survive bodily death? Long a philosophical and theological question, in the 20th century this became the subject of scientific research. Fifty years ago, in 1967, Ian Stevenson, then chair of UVA's Department of Psychiatry, created a research unit—now named the Division of Perceptual Studies—to study what, if anything, of the human personality survives after death. Dr. Stevenson's own research investigated hundreds of accounts of young children who claimed to recall past lives. In this Medical Center Hour, faculty from the Division of Perceptual Studies highlight the unit's work since its founding, including studies of purported past lives, near-death experiences, and mind-brain interactions in phenomena such as deep meditation, veridical out-of-body experiences, deathbed visions, apparent communication from deceased persons, altered states of consciousness, and terminal lucidity in persons with irreversible brain damage. As the division enters its second half-century, what are its research priorities and partnerships? History of the Health Sciences Lecture Co-presented with Historical Collections, Claude Moore Health Sciences Library and the Department of Psychiatry and Neurobehavioral Sciences, UVA
- Date:
- 2014-10-01
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In summer 2013, UVA landscape architecture graduate students Harriett Jameson and Asa Eslocker travelled to Sardinia, Okinawa, and Loma Linda, California, three landscapes with the highest life expectancy in the world, to explore these places' physical, spatial, and material qualities-topography, plant communitites,urban form-and also the personal attachments that seniors in these sites have to their cultural landscapes. The people in these locales have long been studied for their genetics, diets, and recreation habits. But until Ms. Jameson and Mr. Eslocker arrived, no one had inquired into or demonstrated in these settings the critical role of place in healthy longevity. Through study of these distinctive landscapes and the personal stories of elderly residents, the pair arrived at insights that may help communities rethink and redesign public landscapes to cultivate a culture of health and well being that spans infancy through old age. In this Medical center hour, Ms. Jameson and Mr. Eslocker focus on how place contributes to healthy aging and preview parts of their full-length documentary film, Landscapes of longevity, which will premiere in Charlottesville in November. A John F. Anderson Memorial Lecture Co-presented with the Center for Design + Health, School of Architecture, UVA
- Date:
- 2015-02-11
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Fifty years ago President Lyndon B. Johnson envisioned a Great Society, an America free from poverty and racial injustice and full of equality of opportunity and social mobility for all. Many legislative planks of his Great society platform--civil and voting rights, educational opportunity, fair housing practices, urban planning, mass transit, and health care --represent what we today consider "social determinants of health." This Medical center hour with bioethicist Erika Blacksher reviews how Americans are faring today in relation to key aspirations of LBJ's Great Society, especially those that bear on health. Americans generally live shorter, less healthy lives than their counterparts in peer nations, and within the U.S. health varies dramatically among social and economic groups and from region to region. What ethical concerns are raised by significant health disparities? Are such disparities unjust, as many in public health assume? If so, what are our responsibilites, and what ethical limits might constrain our pursuit of a more equitable distribution of health? Co-presented with the History of the Health Sciences Lecture Series and the Institute for Practical Ethics and Public Life
- Date:
- 2019-03-27
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Even as the University of Virginia and other medical schools across the U.S. prepare to graduate a new wave of physicians, what will be these doctors' roles and responsibilities in a health care system increasingly stressed by social and political pressures, cultural challenges, and financial shortfalls? And what will be—what should be—expected of physicians and the medical profession in years to come, in their practice, in communities, in policy circles, in the public square? In this Medical Center Hour, Dr. Christine Cassel, a longtime leader in medicine and medical education, offers her perspectives on what should be expected of physicians and other health professionals in coming years--in their practice, in their communities, in government and policy circles, and in the public square.
182. Learning from the suffering of patients: the empirical challenge of 21st century medicine (59:18)
- Date:
- 2019-02-27
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Twenty-first century physicians and other clinicians who are caring for patients in an era of unlimited knowledge, rapid knowledge turnover, and ever-more-sophisticated artificial intelligence (Watson!) increasingly need new skills and strategies. Such practitioners need too a renewed capacity for compassion. In this Medical Center Hour, eminent physician leader Dr. Steven Wartman, 2019 recipient of UVA's Brodie Medical Education Award, maps this critical juncture and challenges educators and other health professional leaders to reimagine and reengineer how we prepare doctors and other health care practitioners. The Brodie Medical Education Award Lecture
- Date:
- 2014-10-22
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Adverse events and poor patient outcomes occur for all doctors, regardless of subspecialty, regardless of educational and training pedigree, and despite best intentions. Such occurrences often exact a significant and sometimes lasting emotional toll on doctors, even apart from any culpability or potential medicolegal ramifications. In this Medical center hour Dr. Farnaz Gazoni demonstrates that adverse events in clinical care and their impact on physicians have substantial, widespread repercussions affecting quality of care and patient safety. But her research and experience show too that, by simply cultivating awareness of this issue, health care institutions and individual practitioners are taking important first steps toward culture change. The Jessie Stewart Richardson Memorial Lecture, School of Medicine In observance of National Quality Week (19-25 October), and co-presented with the Patient Safety Committee, UVA Health System
- Date:
- 2018-10-24
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- This Richardson Memorial Lecture's origins are the hospital death of infant Lola Jayden Fitch and her family's journey to evoke change. The hour is anchored in the stories of Lola's parents--her mother, who questioned her intuition, and her father, who chose to continue working in the hospital where Lola's death occurred--and in a review of medical staff communication errors that tragically affected Lola's care. How can we prevent communication breakdowns, improve teamwork, and foster greater transparency and true partnership with families to make health care better and safer, especially for the most vulnerable patients? How can Lola's Song and similar stories--those of patients, families, health professionals, and others--help us to accomplish this important work? www.lolassong.com The Jessie Stewart Richardson Memorial Lecture of the School of Medicine Co-presented with the Office of Quality and Performance Improvement, UVA Health System
- Date:
- 2016-01-27
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In the making of a doctor, the residency is the principal formative experience. Its three to nine years of supervised practical learning are the crucible in which medical graduates acquire specialty knowledge and skills, forge a professional identity, and develop the values, attitudes, and behaviors for a lifetime of practice. While there have long been tensions within and around residency, physician-historian Kenneth Ludmerer's new book, Let Me Heal, a history of residency in the U.S. since its 19th century origins, comes at a time when training programs are pressured as never before by government regulation, workforce changes, shifts in disease patterns and sites of care, and highly commercialized health care. In this Medical Center Hour, Dr. Ludmerer mines the history of residency for lessons to address current concerns about medical education and to assure we can make the best doctors for the 21st century. The Joan Echtenkamp Klein Memorial Lecture in the History of the Health Sciences Co-presented with the History of the Health Sciences Lecture Series
- Date:
- 2018-02-14
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In the summer of 1816, an eighteen-year-old English girl on a lark in Switzerland with a married man and her stepsister began writing a story that would outlive her by centuries. Mary Shelley's novel, Frankenstein, published in 1818, still fascinates and confounds us today, told and retold in so many genres that even those who have never read the original know the story. This Medical Center Hour marks Frankenstein's 200th anniversary by exploring two of the many reasons for its apparent immortality. First, this novel probes the central quest of medicine and biology: What is life? Second, it asks—but leaves for us to answer—the essential ethical question: Should we as human beings manipulate the spark of life? Co-presented with the History of the Health Sciences Lecture Series, Historical Collections, Claude Moore Health Sciences Library
- Date:
- 2018-09-26
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In June 2018, Gov. Ralph Northam signed a budget bill that gives 400,000 low-income Virginians access to government health insurance through Medicaid. This action marked an upbeat, bipartisan close to a bitter, four-year battle in the General Assembly. An Affordable Care Act option, Medicaid expansion makes additional low-income persons in participating states eligible for care that is funded chiefly with federal dollars. Virginia’s decision to join 32 other participating states hinged on a legislative compromise with Republicans that imposes work requirements on Medicaid recipients. While a few other states have taken similar positions, debate about work requirements continues in government, policy circles, and the courts. This Medical Center Hour looks at Medicaid expansion in Virginia—to be implemented in January 2019—from policy, political, and health care perspectives, with a focus on what it means locally, in Charlottesville and Central Virginia. A John F. Anderson Memorial Lecture
- Date:
- 2014-03-05
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- American medical education can be proud of its accomplishments. Its graduates populate a sophisticated medical system that often sets global standards in teaching and self-regulation. doctors the world over compete to train and practice in the U.S. There are nearly three applicants for every one place in U.S. medical schools. Things are good. But are they? The U.S. medical system is now by far the world's most expensive, a drag on the economy and a major contributor to accumulating national debt. Physician-writer Atul Gawande notes that the doctor's most expensive instrument is the pen, ordering costly, and sometimes unnecessary, diagnostics and therapeutics. We import a quarter of our doctors, yet major portions of the country are short of physicians. All is not well in medical education. In this Brodie Medical Education Lecture, distinguished physician and health policy expert Dr. Fitzhugh Mullan addresses the technical, cultural, and moral challenges facing American medical education today, and how they go straight to the soul of medicine. Co-presented with the Brodie Medical Education Committee, the Department of Medicine, and the Academy of Distinguished Educators, as part of UVA's Medical Education Week
- Date:
- 2018-10-03
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Thirty years ago, the medical school at East Carolina University created a readers' theater program in which short stories about medicine were adapted as theatrical scripts. Medical students performed a story by reading it aloud, then actors and audience--often a community group--together discussed the drama and the ethical and social issues it raised. These plays and post-performance discussions enlivened and changed how future physicians and audiences--prospective patients all--approached and learned from one another. The best way to learn about medical readers' theater? Just do it. In this Medical Center Hour, UVA medical student actors present a dramatic reading of physician-poet William Carlos Williams's 1938 short story, "A Face of Stone." Following the performance, the audience joins in, as everyone responds to and discusses the play and the ethical, social, and cultural concerns it explores. A John F. Anderson Memorial Lecture Co-presented with the Sloane Society for Medical Humanities, UVA
- Date:
- 2012-10-10
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- As a UVA undergraduate (Class of 2010), Pennsylvania native Matthew Miller had a catastrophic, near fatal cycling accident on the Blue Ridge Parkway while training for an Ironman triathlon. He lost control of his bike as a caravan of classic cars passed by in the opposite lane; Miller plowed into an oncoming Porsche, breaking every bone in his face. Pulitzer Prize winning journalist Michael Vitez's articles about Miller for The Philadephia Inquirer (reprinted in the Charlottesville Daily Progress) led to his book, The road back: a story of grit and grace (2012). This compelling narrative of Miller's remarkable survival and recovery. He is now a third year medical student at the University of Pennsylvania not only celebrates the strength and resiliency of the human spirit but also vividly attests to the power of medicine at its best. This Medical center hour, with Michael Vitez and UVA surgeon J. Forrest Calland, one of Miller's doctors, suggests that the best way to explore and explain what's happening in medicine may be to tell stories of ordinary people, patients and professionals meeting extraordinary challenges. A John F. Anderson Memorial Lecture
- Date:
- 2014-03-25
- Main contributors:
- University of Virginia. School of Medicine
- Date:
- 2016-11-09
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- In 1984, Ronald Reagan’s reelection campaign introduced the theme “Morning in America," promoting an image of the U.S. as a hopeful nation moving toward a better future. As one campaign advertisement asserted, “It’s morning again in America, and under the leadership of President Reagan, our country is prouder and stronger and better.” Fast forward to 2016. “Hopeful” or making the country “prouder" aren't descriptors most Americans would apply to either this presidential campaign or the contenders. One day post-election, what do experts think will be the “better future” under our new President and Congress? And how might the new President’s health care agenda be felt in the Commonwealth of Virginia? A John F. Anderson Memorial Lecture
- Date:
- 2013-09-25
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Musicologist April Greenan outlines use of music in western medicine as an agent of both healing and prevention, reviewing data documenting music's beneficial effects on patients, and suggests ways that health professionals might purposefully employ music in patient care. How might doctors guide patients to use music on their own in managing pain, anxiety, depression, the side-effects of chemotherapy? Given the ubiquity and affordability of recorded music today, might it represent a cost-effective way to help improve health care and health? A John F. Anderson Memorial Lecture
- Date:
- 2013-09-04
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Dr. Aaron Vinik recounts his journey through the golden years of biomedical and clinical research as he has studied and tested regeneration of pancreatic islet cells and nerve fibers. There are lessons here for coming generations of physician-scientists--about discovery, about collaboration, about being mentored, about, as Ralph Waldo Emerson suggests, venturing where there is no path and leaving a trail. The Alpha Omega Alpha Lecture of the School of Medicine
- Date:
- 2018-10-31
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- The year 2018 marks the centennial of the "Spanish" influenza pandemic, the world's deadliest event, killing at least 50 million persons worldwide. This pandemic's sudden emergence and high fatality are stark reminders of the threat influenza has posed to human health and society for more than a millennium. Unusual features of the 1918-1919 outbreak, such as the age-specific mortality pattern and unexpectedly high frequency of severe and fatal pneumonias, are still not fully understood. But the recent sequencing and reconstruction of the 1918 virus—work accomplished by NIH scientist Jeffery Taubenberger and colleagues—have yielded answers to crucial questions about the virus's origin and pathogenicity. In this Hayden-Farr Lecture at Medical Center Hour, Dr. Taubenberger summarizes key findings, considers yet-to-be answered questions about the 1918 influenza, and looks ahead to 21st century public health preparedness and the need to optimize preventive vaccines and vaccination strategies. The Hayden-Farr Lecture in Epidemiology and Virology/Medical Grand Rounds/History of the Health Sciences Lecture Co-presented with the Department of Medicine, Historical Collections in the Health Sciences Library, and Influenza! 1918-2018
- Date:
- 2014-09-24
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Growing enthusiasm in medicine and in the population at large for early diagnosis has engaged many doctors in a systematic search for abnormalitites in persons who are well. While physicians, patients, and the press tend to focus on the potential benefits, Dr. H. Gilbert Welch in his work has exposed the often-ignored harm associated with this practice: overdiagnosis. Diagnoses of a great many conditions, including high blood pressure, osteoporosis, diabetes (and prediabetes), and even cancer, have skyrocketed in recent years, yet many individuals so labeled are destined never to develop symptoms, much less die, from their conditions. They are overdiagnosed. And overdiagnosed patients as Dr. Welch points out in the Medical Center Hour, cannot benefit from treatment since there is nothing to fix. But they can be harmed. Understanding the trade-offs involved is critical, Dr. Welch argues, so that health care systems don't further narrow the definition of "normal" and, ironically, turn more and more well persons into patients. Co-presented with the Department of Public Health Sciences, School of Medicine; the Sadie Lewis Webb Program in Health Law, School of Law; and the Institute for Practical Ethics and Public Life, UVA
- Date:
- 2015-11-11
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Over the last half-century, pain medicine has been defined by controversy: when is pain real? Does too-liberal, overly compassionate relief create addiction? Is chronic pain a legitimate basis for disability claims and long-term benefits? What should we do when end-of-life pain care resembles physician-assisted suicide or euthanasia? Professor Keith Wailoo explores the political and cultural history of these complex medical and social debates, examining how pain medicine emerged as a legitimate yet controversial field; how physicians, patients, politicians, and the courts have shaped ideas about pain and its relief; and how the question “who is in pain and how much relief do they deserve?” has become a microcosm of broader debates over disability, citizenship, liberalism, and conservatism in American society. Co-presented with History of the Health Sciences Lecture Series and the Institute for Practical Ethics and Public Life, UVA History of the Health Sciences Lecture
- Date:
- 2014-03-12
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Primum non nocere--"first, do no harm"--is a fundamental principle of medical practice, expressing both the hope and humility of physicians. It cautions doctors that even with the best intentions may come unwarranted consequences. One present-day application of this principle has to do with efforts to eliminate hospital-acquired infections. When we define such infections as inevitable if regrettable collateral damage wherever complex care is provided to very sick patients, we create a rationale for paying for them and institutionalize their harm. And we may lose sight of their tragic human and economic costs, and of clinicians' own involvement. The annual Richardson memorial lecture addresses the human toll of medical error and calls for improved patient safety. In this Richardson lecture, Dr. Richard Shannon challenges the academic medical center not only to create safer systems that prevent bloodstream infections but also to invest every frontline worker with the capability and responsibility to see and solve problems before they propagate into error. Importantly, this is about more than safety. It is about culture change, creating a culture of habitual excellence in everything we do. Safety is simply the unassailable starting point. Another foundational medical principle applies: Cura te ipsum--"physician, heal thyself." Co-presented with the Patient Safety Committee, UVA Health System
- Date:
- 2016-09-28
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Hospitals and clinics and safety-net organizations across the U.S. are increasingly challenged to provide medically appropriate care to undocumented and uninsured immigrants. These "patients without passports" do not qualify for public benefits that finance health care for low income persons and often lack other means to secure care for themselves and their families. In this Medical Center Hour, Nancy Berlinger, co-director of The Hastings Center’s Undocumented Patients project, explores the ethical and practical dimensions of health care access for this cohort of immigrants, drawing on data from Virginia and other states and on her work with New York City policymakers to improve health care access for vulnerable populations. UVA emergency medicine physician David Burt offers a local perspective. A John F. Anderson Memorial Lecture Co-presented with Institute for Practical Ethics and Public Life
- Date:
- 2017-03-22
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Have you ever received an unsolicited email from a publisher you’ve never heard of inviting you to submit a paper to a journal with a generic-but-believable-sounding name or a conference abroad or at an airport hotel? These publishers may advertise their journals as “open access” and promise to make your work visible to well-known indices; they may claim “impact factors” and editorial board members who are leaders in their field. All that’s required of you is a modest fee—an "author’s processing charge"—and these publishers can deliver the lifeblood of any academic career: a peer-reviewed publication. There’s just one catch: the journals are fake. These journals are labeled "predatory," and they are sometimes associated with the broader open-access movement. This Medical Center Hour tours the strange world of predatory publishing and describes some of its more outrageous excesses. But, as Brandon Butler will argue, the fake journals are just a distraction. The academy today faces more serious challenges as it wrestles with how best to share research and knowledge. How should academia confront the predatory moves of its most well-established publishing partners and take better advantage of open access? A John F. Anderson Memorial Lecture
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