- Date:
- 2012-11-07
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- RN-MD collaboration in health care (or the lack thereof) is one of the more vexed issues facing our struggling health care system. Yet it rarely gets addressed in a substantive and purposeful way. The problem begins with the training of nurses and doctors. Nursing schools have seldom taught the nuts and bolts of working with physicians. Medical schools have taught future doctors almost nothing about working with nurses. Often the result in clinical practice is that each group finds the other difficult. Even so, nurse-physician collaboration is what makes health care possible, and good collaboration makes high quality care much more likely. In this Medical center hour, nurse and author Theresa Brown considers new, potentially revolutionary initiatives in health professional education, including at UVA, that bring nursing and medical students together as learners. Will interprofessional education lead to better RN-MD collaboration in practice and, as a result, to better patient care? The Zula Mae Baber Bice Memorial Lecture Co-presented with the School of Nursing
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- 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:
- 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:
- 2006
- Main contributors:
- Elwood, William A, Kulish, Mykola
- Summary:
- Drewary Brown talks about social and economic life in Charlottesville during the civil rights era and in 1987. Mr. Brown walks down the Mall in Charlottesville. At 12:37, interview with Florence Bryant in front of Jefferson School in Charlottesville. Ms. Bryant discusses the work of the NAACP on behalf of teachers. She mentions J. Rupert Picott, Aline Black, and Melvin Austin as instrumental in helping African American teachers get equal pay in Virginia in 1940. See also reports her involvement in desegregating schools in Charlottesville. She regards Charlottesville as a leader in desegregation.
- Date:
- 2006
- Main contributors:
- Elwood, William A, Kulish, Mykola
- Summary:
- Part one. Professor Jack Bass talks about Judge J. Waites Waring and his daring decisions. Mr. Bass also recalls the Fifth Circuit Court of Appeals applying a broad interpretation of Brown v. Board of Education to its decisions during the civil rights era. For example, in the Montgomery bus boycott case, the Fifth Circuit Court declared that Brown had overturned Plessy v. Ferguson. Mr. Bass offers remarks concerning Judge Richard Taylor Rives, Judge John R. Brown's dissent in Gomillion v. Lightfoot, and socioeconomic changes in the South. Part two. Mr. Bass describes the African American diaspora to the North. Mr. Bass talks about Judge Frank M. Johnson and his judicial decisions reshaping the structure of society in Alabama. Mr. Bass comments on the problems faced by judges, as well as white lawyers who represented African Americans, and their families when the the judges applied equal rights and protections to minorities. He also talks about Judge John R. Brown, pre-civil rights era voter registration for African Americans, absurd voter registration rules, and intimidation of African American plaintiffs. Part three. Mr. Bass quotes Judge John R. Brown's dissent in Gomillion v. Lightfoot. Bass says that Charles Houston thought that education reform was the key to promoting civil rights in all areas. Bass continues to talk about judges of the Fifth Circuit, including Elbert Tuttle and John Minor Wisdom. In 1963 in Birmingham, Bull Connor expelled a large group of African American students a few weeks before graduation, a decision that a local judge upheld, but Judge Tuttle took immediate action to open the school to all students the next day. Judge Wisdom was instrumental in calling an end to the deliberate speed clause of the Brown decision by ruling that the only constitutional desegregation plan is one that works quickly. Wisdom also put the onus of desegregation plans on school boards and administrations instead of politicians. Part four. Mr. Bass explains that the Fifth Circuit Court defined a new kind of federalism. They incorporated into the Constitution the concept of equality found in the Declaration of Independence. Mr. Bass declares that the great heroes of the civil rights movement are the African American plaintiffs in the lawsuits. He comments on the changes in the South after Congress validated the decisions of the courts with the Civil Rights Act of 1964 and the Voter Rights Act of 1965. Mr. Bass comments on the legal struggle in South Carolina, especially noting Judge Matthew Perry and Judge Skelly Wright.
- Date:
- 2006
- Main contributors:
- Elwood, William A
- Summary:
- Part one. Pictures inside and outside the Supreme Life Insurance Company in Chicago. At 11:26, Elwood interviews civil rights attorney Earl Dickerson in Dickerson's home in Chicago. Part two. Mr. Dickerson discusses his involvement with the National Lawyers Guild, the Smith Act and the Communist 11, and the Fair Employment Practices Committee. Part three. Mr. Dickerson recounts his association with the civil rights commission under President Truman. He also discusses being president of the National Bar Association. He talks about the Fair Employment Practices Committee during the early 1940s, his meetings with President Franklin Roosevelt concerning FEPC, not being invited back to serve on the FEPC, and his dealings in Birmingham as part of the FEPC. Part four. Mr. Dickerson talks more about the FEPC checking on Birmingham businesses. While president of the National Lawyers Guild during the 1950s, Mr. Dickerson had a run-in with Atty. Gen. Brownell. Mr. Dickerson also talks about knowing Charles Houston. Part five. Mr. Dickerson reminisces about Paul Robeson, W.E.B. DuBois, the March on Washington in 1963, entertaining Martin Luther King Jr. at his home when King came to Chicago, and his peacemaking lunch with Elijah Muhammed, Philip Randolph, and Malcolm X. Part six. Mr. Dickerson describes the use of covenants to restrict African Americans from moving into white neighborhoods. It was his part of the Hansberry v. Lee case to prove racially restrictive covenants were unconstitutional. He also talks about the Squib case, his ideological influences, and his favorite literature. Part seven. Mr. Dickerson recalls how he went from Mississippi to Chicago as a lawyer and his inspiration to cure the defects of society. At 10:15, photos from Dickerson's life with some commentary.
- Date:
- 2017-11-15
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- Our society is aging, and, thanks partly to the science and success of advanced health care, the journey into one’s last years is often long and richly rewarding. But our medicalization of aging also means that older adults are longtime patients entangled in complex, costly, fragmented, and sometimes ad-libbed “systems” of individualized care that are challenging for them and their caregivers to navigate. When elders’ health and functional status changes, ways of managing their care may come undone, just when robust attention is most needed to effect transitions in their care—and the goals of care. In this Medical Center Hour, distinguished gerontologist Mary Naylor offers her pioneering approach to the design, evaluation, and dissemination of health care innovations that has at once improved outcomes for chronically ill older adults and their caregivers and lowered health care costs. Her collaborative work with an interprofessional team has yielded the Transitional Care Model, a cost-effective model led by an advanced-practice nurse that improves the transitions of frail elders as they move through both their final years and our fractured health care system. The Zula Mae Baber Bice Memorial Lecture, School of Nursing The Koppaka Family Foundation Lecture in Medical Humanities, School of Medicine Co-presented with the School of Nursing and the Center for Biomedical Ethics and Humanities, School of Medicine
- 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:
- 2014-02-26
- Main contributors:
- University of Virginia. School of Medicine
- Summary:
- The Diagnostic and statistical manual of mental disorders (DSM) is perhaps the most contested document in American medicine, vital for the organization and funding of psychiatric research and mental health care, yet perennially criticized both from within and behond the mental health community. Heated debate accompanied the 2013 publication of the manual's fifth edition, DSM-5. Critics charged that the new edition masks political interests (e.g. interests of psychiatrists and pharmaceutical companies) under the guise of science at patients' expense. DSM-5 defenders championed the inclusiveness and transparency of the review process and evidence-base behind the manual's diagnostic decisions. In this Medical center hour, psychiatrist and theologian Warren Kinghorn argues for a mediating alternative: that the DSM may be best understood as neither an apolitical "encyclopedia" of psychopathology nor a political cloak for psychatric power, but rather as a working document of a living moral tradition. In this case the tradition-constituted discourse allows for appreciation of the DSM as a useful scientific document that reflects the moral assumptions and convictions of the communities that created and continue to sustain it. Co-presented with the History of the Health Sciences Lecture Series
- 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.