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Rae Blumberg, professor of sociology at the University of Virginia, discusses policy implications on economic development research carried out in 31 different countries in all continents.
Doctor Eugene A. Foster discusses his role as the organizer of the chromosomal research on Thomas Jefferson and Sally Hemmings to determine the paternity of her children.
Elisabeth Ladenson, professor of French and comparative literature at Columbia University, discusses her book Proust's Lesbianism that focuses on the metaphors and symbols in Marcel Proust's novels.
John Hong, AIA LEED AP, introduces the recent work of his firm SsD through the rubric of ‘Psychedelic Architecture.’ By reflecting on the radical social shifts of the 1960's and early 1970's he draws uncanny parallels with the environmental and cultural changes taking place today. Where Metabolist and Situationist architecture of the '60's offered alternative forms of practice and discourse however, Hong calls for a current and more deeply engaged look at form and allegory (as opposed to form and function), that meets the global challenges of today.
Karen Holt, director of the Equal Opportunity Office at the University of Virginia, discusses the new Diversity Initiative and how the hopes to bring change to admissions and hiring practices at the University.
"In this talk I will examine the idea of historical practices such as reconstruction, archiving, reenactment, and counter factual history (among others) within the context of architecture and landscape. Rather than simply forms of historical realism, I see these practices as possible techniques of agitation, speculation, and provocation in contemporary architectural practice. I'll briefly examine these practices in a few iconic examples from the history of architecture. Following this, I’ll discuss ideas of historical practices through a series of my own projects. My own work tends to further entangle the above forms of historical practice with socio-natural themes, the history of degraded environments, the history of urban radicalism, and the concerns of a future, liberatory mode of subjectivity."
Dean's Forum Lecture, Campbell Hall
Kyra Gaunt, doctorate from the University of Michigan, discusses her dissertation "The Games Black Girls Play" that focuses on how young black girls in urban settings learned social identities through music and play.
Doctor Bernice Sandler discusses her the issues underscored in her literature: The Chilly Classroom Climate: A Guide to Improve the Education of Women, with others and Sexual Harassment on Campus: A Guide for Administrators, Faculty, and Students. She focuses on the improvements made on overt practices of sex discrimination on campuses, and the subtle behaviors of the treatment of students.
Dr. Stephen Kellert spoke to participants at the Biophilic Cities Launch about the ethical and value changes that need to occur to achieve biophilic design in cities. He argued for a theory of cities (using his own city of New Haven as an example) that explains location, livability and future thriving based on natural features and conditions.
Dr. Jennifer Wolch, Dean of the College of Environmental Design at the University of California, Berkeley speaks about the tensions of implementing urban nature projects. Wolch challenges us to think carefully about the many different and often marginalized interests (people and animals) that must be taken into account, and the potential “collisions” she sees in the movement.
Johanna Drucker, the first Robertson Professor of the Media Studies Program at the University of Virginia, discusses how the new program will focus on history, criticisms and the deconstruction of media.
Stephen Margulies, curator of works on paper at the Bayly Art Museum, discusses his inspiration for the latest exhibit: Universes in Coalition- Men and Women in 19th Century Japanese Prints.
Special Agent Candice DeLong, profiling coordinator at the San Francisco division of the FBI, discusses criminal profiling for investigations of violent and sex crimes.
Franny Nudelman, professor at the department of English at the University of Virginia, discusses her book John Brown's Body focusing on masculinity and the representation of martyrdom during the Civil War.
Mary Rorty, professor of philosophy and bioethics at the University of Virginia, discusses bio-medical ethics as a movement that began in the 1960s and its recent institutionalization.
Erin Davis discusses her dissertation focusing on the lives of people living in a different a gender from the one assigned to them at birth, and further explains the newer term of transsexuality.
Bella DePaulo, professor of social psychology, has focused on the field of study of day to day lies. In this episode she discusses Bill Clinton scandal and lying.
The mission of the Philadelphia City Planning Commission is to guide the orderly growth and development of the City through the preparation and maintenance of a Comprehensive Plan; preparation of the City’s annual Capital Program and Budget based on this comprehensive plan; and recommending action on zoning legislation, code amendments, and regulations concerning the subdivision of land.
Beginning in 2008, the Commission began work on its “Integrated Planning and Zoning Process.” It is composed of three interrelated components: zoning code reform, the preparation of a new citywide comprehensive plan, and the creation of the Citizens Planning Institute. In April 2013, the City Planning Commission was awarded the American Planning Association’s National Planning Excellence Award for a Best Practice for this work.
This lecture will describe Philadelphia’s Integrated Planning and Zoning Process, including lessons learned.
Kim Roberts, founder of Young Women Leaders Program, discusses the purpose and logistics of the program and how it is being received by both the Charlottesville community as well as the students at the University who are involved.
Footage of cocktail conversations during reception for Old Dominion Bar Association convention. Participants unknown. Footage of drive through Chicago to the Supreme Life Building, footage inside the building.
Helena Lewis is a cultural historian of 20th Century France discusses the life of Jewish Russo-French "committed" writer Elsa Triolet. Her focus has been on surrealism and intellectuals from World War II.
One of several films produced about prominent University of Virginia faculty, written and directed by James S. Helms. This film summarizes the career of Augusta County-born artist Charles W. Smith, covering his early print-making career as well as his stylistic shift to non-representational art. Smith is depicted working in his studio, showing his unique methodology of "block painting".
Invited speaker, John Hessler of the Library of Congress, discusses the use of artificial intelligence for the reconstruction of ceramics and inscriptions in archaeology for the Scholars' Lab speaker series, University of Virginia, Spring 2021. Recorded via Zoom web video communications interface in the presence of a live audience of 60+ attendees.
UVA Architectural History ARH 5600 - 3D Cultural Heritage Informatics (Spring 2021) invited class speakers, Bryan Clark Green and Patrick Thompson, discuss the process of using 3D laser scan data collected by ARH 5600 students in the Fall 2020 semester to create a historcically accurate 3D architectural model of the Barboursville Plantation House ca. 1820s in Barboursville, VA. Recorded via Zoom web video communications interface in the presence of a live audience of 60+ attendees.
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
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
Part one. Civil rights attorney Oliver Hill recounts his childhood in Roanoke. High schools for African Americans there were at least 100 miles away, so he moved to Washington DC to go to Dunbar High School. He recalls knowing Charles Houston in the early 1930s while at Howard Law School. Hill discusses the difference between desegregation and integration. Part two. Mr. Hill examines his first civil rights cases, the most important being Alston v. School Board of the City of Norfolk. He discusses the differences between trying a case in front of Virginia federal court and Virginia state court. Part three. Mr. Hill explains the civil rights court case strategy to force the “separate but equal” doctrine to be observed, which would be expensive and difficult, so the only reasonable alternative would be to integrate. Mr. Hill observes that it was essential to eliminate the disparity between African American and white teacher salaries because the South needed to retain good teachers. He won the Alston case then went off to World War II. He describes what segregation in the Army was like. He also discusses taking the Morgan v. Virginia case, which was based on federal interstate transportation law, to the US Supreme Court. Part four. Mr. Hill thinks that the war retarded the growth of the civil rights movement. He recalls the Tunstall case concerning traditional African American railway jobs as firemen. He was also involved in one of the five court cases that led to Brown v. Board of Education, the Prince Edward County case, chiefly concerning equal education facilities. He talks about the judges involved in Prince Edward case. Part five. Mr. Hill continues to discuss the judges involved in the Prince Edward case, including Judge Sterling Hutcheson. Mr. Hill explains that 10 years after the Brown decision there was no integration in Prince Edward County because the Supreme Court didn't order desegregation. Hill points to Harry Byrd as the chief antagonizer in Massive Resistance; Hill says that if Harry Byrd hadn't opposed the Brown decision, integration would have happened much sooner in Virginia. Part six. A message to young people from Oliver Hill: we have to stop thinking of ourselves as colors or ethnicities or nationalities and start thinking of ourselves and each other as humans. Interview ends at seven minutes. Footage of Old Dominion Bar Association convention begins at 7:10, conversations among bar members and William Elwood, chiefly concerning Samuel Tucker.
Part one. Shots of Beulah Johnson's Tuskegee house and neighborhood. At 3:40 change to William Elwood interviewing Mayor Johnny Ford outside Tuskegee municipal building about the impact of the Voting Rights Act, Gomillion v. Lightfoot case, Fred Gray, and being mayor for 15 years. At 12:05 change to Elwood interviewing civil rights attorney Solomon S. Seay, Jr., in Montgomery about Seay's background and education, his military service experience, and watching the top Brown v. Board of Education lawyers practice the case at Howard Law School. Part two. Seay recounts why he became a lawyer, his reaction to the Brown v. Board of Education ruling, what white leaders did in Montgomery to circumvent the Brown decision and keep schools segregated, and how both sides used the law to get what they want. Part three. Seay tells the history of the neighborhood of Madison Park in Montgomery and goes over cases he’s tried. Part four. Mr. Seay compares working on criminal cases to trying civil rights cases. He discusses Drake v. Covington County Board of Education, the Montgomery march, and voting rights. Disc 121. Footage of Seay's office, Montgomery outdoor scenes.
Part one. Law professor Jack Greenberg's class discusses executive governmental determination of states of emergencies, such as in South Africa during Apartheid and in the United States during Japanese-American internment in World War II. In 1987 states of emergency are called regularly in South Africa to detain people without reason in the name of public safety, to maintain the status quo, and to suppress the majority. Part two. What happens to democracy when the government alone has the power to declare a state of emergency? The class discusses the use of states of emergency as a way to suppress people and deny rights, preventative detention as an abuse of human rights, and using the courts in South Africa to fight the injustices of the states of emergency. Part three. How much does a democratically elected government insure adherence to human rights? The class also talks about the rights of the white minority in a future democratic South Africa. Part four. Examples of transitions to democracy.
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
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.
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
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
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
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
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.
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.
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.
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
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
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
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.
Part one. Civil rights activist and professor Charles Gomillion attended and then taught at the Tuskegee Institute from 1928 to 1971. He talks about his year at Fisk University doing field research with Dr. Charles S. Johnson concerning Southern farmers and New Deal programs. He mentions Dr. Albion W. Small, Franklin Frazier, and Bertrand Doyle. Mr. Gomillion recounts his childhood and education in South Carolina. Part two. Mr. Gomillion discusses why he dropped out of Paine College and then why he went back. Through the Tuskegee Men's Club/Tuskegee Civic Association for community service, he became interested in voting rights. In order to register to vote, African Americans had to get white people to vouch for them in person at the courthouse, and then they had to pay back poll taxes for any years in which they didn't vote. Part three. Mr. Gomillion discusses voter registration in Macon County, Alabama and Alabama Gov. James Fulsom. He talks about the legal action regarding election practices and voter registration there, as well as the lawsuit that went to the US Supreme Court in 1960. Part four. Mr. Gomillion praises Tuskegee Veterans Hospital employees for funding the gerrymandering lawsuits of Macon County. Mr. Gomillion mentions attorney Fred Gray. Mr. Gomillion talks more about his year of field research in Mississippi for Fisk University and how dangerous it was. Part five. Mr. Gomillion talks about his interactions with white people. He believes his major contribution in life was in the enlightenment of his students.
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
Part one. Attorney Oliver 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. Part two. Freeman relates the history of the Hunton and Williams Law firm in Richmond, Virginia, especially pertaining to the 1951 Prince Edward County integration case and Richmond integration cases. She states that the firm employed lawyers whose opinions fell on both sides of the integration issue. She also discusses several of the firm's lawyers individually.
At a time when lesbian, gay, bisexual, and transgender (LGBT) individuals enjoy ever greater social acceptance and legal protection, transgender teens and young adults still face challenges on many fronts. Simply negotiating adolescence isn't easy, and gender identity issues can complicate matters. Health care for transgender youth is in transition, as the population becomes better understood. In this Medical Center Hour, a panel of pediatricians makes the case for increased cultural competency in medicine and society alike to help give transgender teens a safe medical home and help them to lead satisfying, successful lives.
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
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.
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.
Despite their reliance on technical knowledge that requires mastery, medicine, law, and business are all deeply human professions. Medicine is more than body repair, law more than legal systems, business more than the physics of money. While professional education necessarily must be at the cutting edge of technical expertise, it must remember too the human nature—including the values, emotions, and richly complicated lives—of professionals and professional organizations. In this Medical Center Hour, Professor Ed Freeman from UVA's Darden School of Business demonstrates how the creative arts and humanities can be embedded in professional education to address and actively teach ethical conduct in professional life and leadership of complex professional organizations. What lessons in course design, student engagement, and classroom outcomes might medical educators draw from Professor Freeman's courses, "Business Ethics through Literature" and "Leadership, Ethics, and Theater"?
A John F. Anderson Memorial Lecture
Co-presented with the Institute for Practical Ethics and Public Life, UVA
With the aging of our nation's practicing physicians and the recent, steep decline in medical graduates choosing careers in primary care for adults, U.S. patients today are hard pressed to find a primary care doctor. And the already impressive gap between supply and demand of primary care physicians will likely widen once more than 30 million people gain access to health insurance under the Affordable Care Act. The urgent shortage of primary care physicians compounds this country's already significant health care challenges regarding access, delivery, and cost of care. In an era when all of health care is undergoing potentially transformative change, what will be the role of primary care doctors? For patients, what will be the "value added" of having a primary care M.D.? What roles will other primary providers (physician assistants, nurse practitioners) play? Is the primary care physician an endangered species, or a key participant in a newly configured primary care team? How can we devise, model, deploy, and teach new ways of delivering primary care that are team based, interprofessionally collaborative, effective, and satisfying to patients and practitioners alike? In this Medical Center Hour, family doctor and medical journalist Susan Okie draws on her recent Perspective article in the New England Journal of Medicine to explore the prospects ahead for the primary care physician. Two of UVA's primary care physicians: one a mid career family medicine physician and teacher, the other a medical student planning a primary care career offer their perspectives as well.
Co-presented with the Generalist Scholars Program in observance at UVA of Primary Care Week
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
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
Whether we are students, educators, or clinicians (learners all!), our stated assumptions and principles are sometimes at odds with our actual practices. In this Brodie Medical Education Award Lecture, learners of all stripes will practice foundational skills such as cultivating beginner’s eyes and more accurate data collection in order to uncover and examine habits and thought patterns that may no longer serve us. Understanding our own assumptions and the values they reflect will allow us to be more intentional in designing educational programs and clinical learning/practice environments that are principle-driven and meet the needs of patients, learners, and caregivers.
The Brodie Medical Education Award Lecture/Medicine Grand Rounds
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
The Affordable Care Act (ACA) has brought transformational changes to the healthcare system, including, in some ACA programs, movement away from a pay-for-volume system to pay-for-performance or outcome. Three programs exemplify this approach: readmission penalties, no payment for selected hospital-acquired conditions (HACs), and value-based purchasing. To date, the HAC nonpayment program has targeted prevention of central-line-associated bloodstream infections, catheter-associated urinary tract infections, selected surgical site infections, and methicillin-resistant Staphylococcus aureus (MRSA) or Clostridium difficile infections. With better understanding, improved procedural practices, and closer monitoring, more of these infections are proving preventable; infection rates, including for MRSA, have dramatically decreased. In this Medical Center Hour, distinguished medical epidemiologist Dr. William Jarvis discusses these successes, including their financial implications, and how further collaboration between clinicians and infection control programs can prevent even more hospital-acquired conditions.
The Hayden-Farr Lecture in Epidemiology and Virology/Medical Grand Rounds
Co-presented with the Department of Medicine, UVA
Part one. Civil rights attorney Robert Carter recalls his childhood, his education, Howard Law School, and Charles Hamilton Houston. He says that he wasn't seriously confronted by racial discrimination until he went into the Army. Part two. Mr. Carter names three of his most important cases before the US Supreme Court: McLaurin v. Oklahoma State Regents, Brown v. Board of Education, and NAACP v. Alabama. He says that Brown is important because it implied that African Americans were equal to whites in all walks of life, and it gave African Americans a feeling of freedom like they never had before. NAACP v. Alabama is important because it made use of the First Amendment in a civil rights argument. Gomillion v. Lightfoot led to Baker v. Carr. He recalls it was his idea to use psychologists to show that segregated education was detrimental to African Americans, and the Prince Edward County case was the first time a state tried to counter this argument. Part three. Mr. Carter discusses the Prince Edward County case. He says that Virginia and North Carolina were the most vigorous in their legal defense in civil rights cases. Carter used local Virginia lawyers to sustain the cases the NAACP had going (Spotswood Robinson, Oliver Hill, Samuel Tucker). He also talks about the NAACP v. Button case. He gives advice to young people. Part four. More about young people; still pictures of Carter; New York CIty footage.
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
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
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
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
Part one. Civil rights attorney Samuel Wilbert Tucker argues that the Brown v. Board of Education decision didn't mandate immediate desegregation, so it took years of court cases make it happen slowly. He also discusses civil rights in 1985. At 7:00 there is footage of brothers Samuel and Otto Wilbert visiting the Alexandria Library. At 9:50, interview with William Evans begins. There is no sound until 11:54. Evans discusses his participation in the 1939 Alexandria Library Sit-In. Part two. Civil rights activist William Evans recounts the 1939 Alexandria Library Sit-In, details of the circumstances, the hearings, and the other men involved.
Acclaimed physician-writer Christine Montross (Body of work, 2007; and Falling into the fire, 2013) discusses how diving deeply into her most challenging patient encounters has led her to the ancient concept of "abiding" as a lost tenet of patient care. A psychiatrist and medical educator, Dr. Montross speaks in defense of repugnance, and encourages physicians and doctors-in-training to acknowlege, rather than suppress the discomforts which naturally arise in the practice of medicine.
A John F. Anderson Memorial Lecture
The opioid epidemic is currently exacting a terrible toll on the health, lives, safety, and livelihood of persons and communities across Virginia, the Appalachian region, and, indeed, much of North America. What is being done to address this crisis at the levels of policy and practice in the Commonwealth of Virginia and in Charlottesville-Albemarle and environs? In this Medical Center Hour, the Honorable William A. Hazel Jr MD, Secretary of Health and Human Resources for the Commonwealth, discusses Virginia’s five-pronged approach to the epidemic and the impact of that approach to date. He is joined in this conversation by a primary care physician and community mental health professionals.
The Jessie Stewart Richardson Memorial Lecture of the School of Medicine
Co-presented with the Office of Quality and Performance Improvement, UVA Health System
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
Part one. Mr. Lorin Thompson discusses the 1954 Supreme Court decision Brown v. Board of Education, which in practice gave states the opportunity to close public schools in order to avoid desegregation. The Charlottesville schools closed in the fall of 1958, the teachers volunteered to teach in other venues. The crisis over school desegregation eventually became an important social, economic and moral issue. Mr. Thompson asserts that people should find an amenable solution and recognize the rights of all people. Thompson was the director of the Bureau of Population Economic Research at the University of Virginia which studied problems of urban development. Part two. Different camera angles.
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