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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
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
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
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
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
Instructions for how to operate the Fairchild machine, used to record aluminum transcription discs. This was recorded at the Fairchild manufacturer's studio by the African-American linguist Lorenzo Dow Turner, with whom A.K. Davis, Jr. had corresponded about his work using the Fairchild machine for his fieldwork.
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.
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
Part one. Journalist Brandy Ayers describes the Willie Brewster murder trial, which featured the shooting of indicted killer Damon Strange by Jimmy Glenn Knight in the courthouse during the grand jury hearing. He also discusses how the jury commission worked in Alabama. Part two. Mr. Ayers calls for a new style of politics wherein all factions come together for total mobilization. He believes that the American dream is not real for African Americans.
Footage of Tuskegee, Alabama. At 10:55, William Elwood interviews Allan Parker in his yard. Parker was a banker in Tuskegee who fought for desegregation and voter registration. Parker describes his involvement with the Tuskegee Civic Association. He wanted to preserve the public school system for all races and didn't support private white schools. Parker also discusses the role of lawyers in the civil rights movement.
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
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
Part one. Footage of Charlottesville house at 407 Ridge Street. At 1:00, interview with Frances Brand in her art gallery in Charlottesville. She describes her series of paintings, called "Firsts," as a tribute to important individuals within the Charlottesville community, especially people she considered exemplars of civil rights advocacy. She remembers her subjects and their achievements. At 13:30, discussion with three Charlottesville city school board members. One, Henry Mitchell, was a part of the NAACP's 1956 lawsuit to desegregate Charlottesville schools. He describes the aftermath of the desegregation ruling and the commonwealth's policy of Massive Resistance. Part two. Three members of the Charlottesville city school board, including Grace Tinsley, Henry Mitchell, and Clifford Bennett, discuss present day (1987) problems in Charlottesville city schools, especially concerning African American student self-image. At 15:10, footage of paintings of Charlottesville notables by Frances Brand. Part three. Grace Tinsley, Henry Mitchell, and Clifford Bennett recall the history of the Charlottesville city school board and the changes in race relations over the years.
Part one. Footage of the NAACP Legal Defense and Educational Fund offices including that of civil rights attorney, professor, and NAACP director counsel Julius L. Chambers. Part two. Mr. Chambers discusses the origins of the NAACP Legal Defense Fund, Charles Hamilton Houston, Thurgood Marshall, Jack Greenberg, important cases in fund history, the Keyes principle, and employment cases like Duke Power. Part three. Chambers recalls the most important civil rights case that grew out of his practice, Swann v. Charlotte-Mecklenburg Board of Education in the US Supreme Court, which became known as the busing case. He talks about current concerns of the fund, responding to Reagan administration challenges to civil rights, developing protection for the poor. Part four. Some 1987 fund work in cases dealing with discrimination against the poor. More footage of fund offices.
In a year that has seen gun violence in the U.S. escalate even more—consider the almost-daily gun deaths on the streets of Chicago or the recent Las Vegas massacre—this Medical Center Hour looks anew at this urgent public health problem. Distinguished bioethicist Steven Miles presents a comprehensive status report on gun deaths (homicides and suicides), including issues of gun supply, the relevance of mental illness, race, and poverty to firearm deaths, the effects of gun law reforms, and the prospects for better prevention of gun violence.
A John F. Anderson Memorial Lecture
Part one. Civil rights attorney Charles Morgan remembers Freedom Summer of 1964 and recalls hearing when Chaney, Schwerner, and Goodman were missing. Mr. Morgan says that the system of justice in the South did not work against African American individuals, it worked against all African Americans as a group. He explains how all parts of justice system work together and how public interest lawyers succeeded in changing the law on jury cases in the South. Part two. Mr. Morgan believes that you must integrate colors, creeds, cultures etc., or change and understanding will never happen. Mr. Morgan points out that there were no African American prisons in the South before the Civil War because all African Americans were imprisoned [by slavery]. The civil rights movement was a revolution in the sense that it changed the entire structure of law and altered much of American life. Voter registration wasn't the law until around 1900, and America still hasn't recovered from the fact that fewer people vote because of it. Part three. Mr. Morgan reviews the history of the impact of slavery, segregation, and population centers. Southern legislatures around 1900 were not based on population, and cities were underrepresented. Mr. Morgan talks about Baker v. Carr, Reynolds v. Sims, Gray v. Sanders. Sims was about reapportioning the Alabama state legislature, and Sanders was about reapportioning the congressional districts, where the phrase "one person, one vote" was first used. Television helped to confront all Americans with the problems of the South. Part four. Morgan quotes Congressman John Lewis, "Whatever happened to the civil rights movement? It got elected." Lewis suffered 40 arrests and multiple skull fractures. At 2:48, footage of Washington, DC.
First identified in 1947 and first known to cause human illness in 1953, Zika virus was seldom seen during the next 60 years. Starting in 2013, however, sizable outbreaks of human infection occurred, and in 2015 Zika appeared in the Americas, first in Brazil, then much more widely. The mosquito-borne virus also began making dramatic headlines. Zika was discovered to be transmissible during pregnancy, with serious, even devastating neurological injury to the baby, and transmissible between sexual partners, with risks to a fetus in the event of pregnancy. Earlier this year, the World Health Organization declared Zika a global public health emergency.
The 2016 Hayden-Farr Lecture by Dr. Lyle Petersen, Incident Manager for Zika Response at the Centers for Disease Control and Prevention, is an update on Zika--the science and the medical, public, health, environmental, social, and ethical implications that make this disease an urgent global challenge.
The Hayden-Farr Lecture in Epidemiology and Virology/Medical Grand Rounds
Co-presented with the Department of Medicine and the Office of the Hospital Epidemiologist, UVA Health System
Part one. Civil rights attorney Samuel Wilbert Tucker recites lyrics to an unknown song and talks about patriotism. At 13:30, Tucker and Elwood go for a walk. Part two. Stills of Tucker family photographs. Interview begins at 7:30 in Tucker's law office in Alexandria, VA. Subjects of discussion include Tucker's mother and father and Parker Grey school alumni. Part three. Tucker talks about his own education, his elementary school teachers, especially teacher Rozier D. Lyles and the naming of the Lyles Crouch elementary school. Mr. Tucker started the program for adult night classes at the Parker Grey elementary school.
Since passage of the Patient Protection and Affordable Care Act (ACA) in 2010, this particular road to health care reform in the U.S. has been riddled with political potholes and subject to slowdowns as a result of legislative and judicial challenges. But with the Supreme Court's landmark stamp of constitutional approval this past June and with President Obama's reelection on 6 November, it is now clear that some form of "Obamacare" is here to stay, at least for four more years. Indeed, repeal of the ACA may no longer be a top Republican priority, as House Speaker John Boehner noted on 8 November: "The election changes that-Obamacare is the law of the land." So what's ahead as we implement the ACA? In this Medical Center Hour, Washington and Lee law professor and ACA expert Timothy Jost and University of Virginia health policy analyst Carolyn Engelhard outline what must be accomplished in order to realize this ambitious overhaul of our health care system. And what will be the responsibilities of and implications for academic health centers like UVA as the ACA takes effect?
Co-presented with the Sadie Lewis Webb Program in Law and Health, the Institute for Practical Ethics and Public Life, the Department of Public Health Sciences, and the Bioethics and Health Policy Medical Student Interest Group
A John F. Anderson Memorial Lecture
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
Health care information can confuse doctors and patients alike. What are the risks and benefits of mammograms, of aggressive blood pressure control, of EKGs, of lung cancer screening, of heart stents? When patients can’t accurately answer these questions, they find it difficult to have sensible conversations about their health care with their doctors. And lack of comprehensible medical information not only interferes with shared decision-making between physician and patient but can also lead to over-screening and over-treatment, with deleterious consequences for patients as well as for the health care delivery system and medical reform.
In this Medical Center Hour, internist Andy Lazris and scientist Erik Rifkin assess this challenging situation and then present, as one solution, a novel decision aid called a Benefit Risk Characterization Theater (BRCT). When health care information is conveyed simply, factually, and in a non-numerical format, true shared decisions become possible. They offer BRCTs to explain the risks/benefits of some common medical interventions and demonstrate how this approach can improve health care delivery, lead to greater patient satisfaction, and result in less over-treatment, one of the main drivers of low-value health care cost.
Co-presented with the Department of Medicine
Viewing women through an androcentric lens, Western medicine from Hippocrates and Galen forward explained women's behavior from headache to "troublemaking" as unhealthful signs of "hysteria," a suffocating madness believed due to a wandering womb. Centuries, even millennia before Freud asked, "What do women really want?" medical men assumed they knew what women with hysteria needed, and that remedy was pelvic massage to "paroxysm." By the late nineteenth century, with manufacture of electrified massage instruments, doctors could deliver said therapy more quickly and efficiently. This medical treatment, the Victorian social milieu in which it was prevalent (and popular), and (mis)understandings of female sexuality, intimacy, and inequality are the subjects of young American playwright Sarah Ruhl's comedy, In the Next Room or The Vibrator Play (2010). This Medical Center Hour's panelists explore a rich mix of ideas having to do with women, medicine, and The Vibrator Play.
Offered in conjunction with LiveArts' production of "In the Next Room or The Vibrator Play", 1-23 March
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
Part one. Civil rights attorney Herbert Reid recalls his childhood in Wilson, North Carolina, and his family. He remembers hearing Charles Houston speak at his high school. His parents were involved in the formation of an NAACP chapter in Wilson, and Walter White stayed at his house when he was a little boy. He mentions Roscoe Pound's influence on Houston, but he asserts that Houston formed his own ideas of the function of the law and the social order. At Howard Law School, students and faculty called these ideas the Houstonian school of jurisprudence. Part two. Mr. Reid arrived at Howard Law School in 1947, when the whole school was immersed in preparing civil rights cases. He says that the early planning and pleadings in the Brown v. Board of Education cases involved work by both students and faculty. Mr. Reid worked on Bolling v. Sharpe with James Nabrit. He also worked on covenant cases. Mr. Reid discusses his work on Hobson v. Hansen concerning equal facilities and disparate treatment in 1967. He also mentions Powell v. McCormack. Part three. Mr. Reid talks about his student Governor Douglas Wilder and his client Mayor Marion Barry. He talks about his involvement with the Consolidated Parents Group in DC. Mr. Reid believes that enforcing equal rights helps our democracy become accepted overseas. He also states that the effects of deprivation during the separate but equal era continue to plague the African American community.
Our bodies are malleable, changing with age and the demands we place on them. And throughout our life, how we stand—our posture—defines us as healthy or ill, able or disabled, beautiful or ugly, even human or not human. The history of posture is also the history of our reading of human anatomy. From the ancients to the moderns, how the body’s anatomy is understood has shaped understandings of what is human (did Neanderthal Man “stand up straight” or slouch?), what is beautiful (“Posture Queen” competitions in 20th century America), what is patriotic (no slouching in ranks!). What we ascribe to upright posture is very much being the perfect human, today and projected into the past. In this Medical Center Hour, distinguished scholar Sander Gilman reflects on how our understanding of posture figures in the history of anatomy and how the history of anatomy has helped craft our understanding of posture. What do shifting cultural perspectives on bodily uprightness tell us about the claims society makes with respect to who we are and what we are able to do?
Co-presented with the History of the Health Sciences Lecture Series, Claude Moore Health Sciences Library; and the Institute for Practical Ethics and Public Life.
This program is also offered in conjunction with UVA's second biennial disability studies symposium, "Disability Across the Disciplines," 19 February 2016.
What still resonates with you when you're spent? What can a caregiver—or a teacher, a leader, a colleague—offer and do when all else fails, when all that's left is our humanity? In this Medical Center Hour, Tim Cunningham weaves together three stories from disparate sites and desperate situations—the Ebola crisis in West Africa, rural Haiti, and an elite pediatric emergency unit on the Upper East Side of New York City—to inquire into what might matter the most at trying times. A clown, then a nurse, and now the director of the Compassionate Care Initiative and an assistant professor in UVA's School of Nursing, Cunningham shares what he believes matters most when all else is lost—and shows how we all have the capacity to access it.
Co-presented with the Compassionate Care Initiative, School of Nursing
Part one. Civil rights attorney Samuel Wilbert Tucker recalls the Negro national anthem, “Lift Every Voice and Sing,” and the song, “We Fought Every Race’s Battle But Our Own.” Poor picture quality begins 4:00. Tucker talks about attending a meeting of civil rights attorneys from across the country in Atlanta, Georgia right after the Brown v. Board of Education decision. Tucker recounts becoming a lawyer and why he chose that profession. He never went to law school but passed the bar at age 20. Part two. Tucker discusses his first cases, particularly a murder case. He then goes into detail about his pivotal involvement in the 1939 Alexandria Library Sit-In and its outcome. Part three. Mr. Tucker's brother, Otto, joins the interview. They talk about the library sit-in and the consequent court cases. Part four. Samuel Tucker recalls Charles Houston counseling him about the library sit-in case. Mr. Tucker also imparts advice to young law students. Part five. 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.
With health care reform on the near horizon and other social realities (aging, immigration, chronic conditions, quests for prevention and wellness) dramatically changing health care in the U.S., what kinds of doctors will our health care system (and its patients) require? Clearly, not just medical school curricula but also the selection process for medical students will be key determinants of whether we have physicians fully prepared to practice as the 21st century progresses. This Medical center hour addresses transformational changes underway in the pre-professional preparation and selection of the nation's medical students, including a new version of the MCAT exam, which goes "live" in 2015. What does this new MCAT signal for premedical students as they prepare for medical school? How might colleges and universities offer their premedical students academic experiences that will better equip them for medical school and medical practice in the 21st century?
Co-presented with the Institute for the Humanities and Global Cultures, UVa
A John F. Anderson Memorial Lecture
Part one. Former White House executive and civil rights attorney Frederic Morrow contends that World War II triggered increased interest in civil rights among African Americans because they were defending a way of life that they could not enjoy. Mr. Morrow recalls his 1957 trip to Africa with Vice President Richard Nixon; he remembers African nations appointing white ambassadors to the United States because African Americans were discriminated against in the US State Department. Mr. Morrow says that President Eisenhower was a decent man, but his philosophy on race was incorrect. Mr. Morrow reviews his childhood in New Jersey, what it was like in the military during World War II, and his position as the first African American in history to be on the President's staff at the White House. Part two. Mr. Morrow tells how he became the first African American executive in the White House in the 1950s. He had to struggle and jump through many hoops to get a position there. Many top White House staffers said they would walk out if Mr. Morrow served with them. Part three. Mr. Morrow says that the civil rights struggle continues, especially on the economic side and with education. He declares, "We don't need new laws, we don't need new principles, we just have to live by them and do our duty.” Part four. Mr. Morrow recalls knowing Charles Hamilton Houston during the 1930s when he worked with NAACP. He believes that Houston was the foundation of the civil rights struggle. Mr. Morrow recounts his work as an NAACP field reporter. Part five. Mr. Morrow wrote a book called '40 Years a Guinea Pig'. He recalls civil rights supporters being critical of him because they thought he wasn't loudly advocating for civil rights while he worked at the White House. He acknowledges that he was asked to be the head of the Bank of America because their branches were being burned, and they needed an African American face to smooth things over. Mr. Morrow talks about his childhood and his grandfather, who was a slave. Part six. Mr. Morrow tells the remarkable story of how he got into Bowdoin College. He offers a message to young people.
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.
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
We hear almost daily about the rapidly increasing rate of type 2 diabetes in the U.S. population. Many pronouncements are dire, proclaiming an "epidemic," and most make it sound as though this problem is relatively new-just three or four decades old. Yet almost 100 years ago a small group of U.S. health care professionals was already warning that diabetes was "a public health problem," fated to become worse if nothing was done soon. But what did they mean by this? Why had they grown concerned? And what measures did they recommend to try and reverse the upward trend in diabetes rates? In this Medical Center Hour, historian Arleen Tuchman asks what we can learn from history that might help us understand better how we are framing the diabetes "crisis" today, and why. How do cultural assumptions about diabetes, and about the particular populations believed to be most at risk, influence not only our understanding of this disease but also our efforts to gain control over it?
Co-presented with the History of the Health Sciences Lecture Series
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
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
Florence Bryant advocates the teaching of African American history. She tells about her own life. At 7:49 interview with Mr. Williams begins. Mr. Williams discusses the historical importance of the Charlottesville street on which he stands during the interview. He offers his views on public housing and his promotion of scattered housing for low income families.
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
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
What if there were a vaccine that could prevent cancer? The human papillomavirus (HPV) vaccine, available since 2006, does this, guarding against cancers caused by this ubiquitous virus. This Medical Center Hour explores the sociopolitical context of HPV vaccination in Virginia and beyond. Using clips from a powerful documentary film, Someone You Love: The HPV Epidemic (2014), an expert panel of UVA researchers, clinicians, and oncologists discusses the crucial importance of HPV vaccination--for boys as well as girls--and the concerns that still limit its use.
A John F. Anderson Memorial Lecture
Co-presented with the Cancer Center, UVA
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
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
Many doctors have also been celebrated writers, from Anton Chekhov, Arthur Conan Doyle, and William Carlos Williams to Perri Klass, Atul Gawande, and Maxim Osipov. The reading public (including other doctors) eagerly devours what doctors write, not least in hopes of glimpsing what makes physicians tick, as persons, as healers. But why do doctors write? In this Medical Center Hour, three of UVA's own accomplished physician writers respond, in their own inimitable words.
An Ellis C. Moore Memorial Lecture
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.
Part one. Civil rights activist Palmer Weber asserts that there were three prongs to the attack on systemic segregation in the South: jobs, education, and suffrage. He speaks of his association with A. Philip Randolph and how Randolph set about conquering segregation in labor. He credits Charles Houston with the strategy of attacking segregation in education, via court cases. Weber talks about his election to the national board of the NAACP. He mentions the work of Mary McCleod Bethune, Ralph Bunche, and Mordecai Johnson. Part two. Mr. Weber discusses lawyer Oliver Hill, writer Nancy Cunard, Jack Graveley of the NAACP, Dr. J.M. Tinsley, and Professor Duncan Clark Hyde. Weber elaborates on his work for the Fair Employment Practices Commission. He credits World War II for advancing the NAACP's attack on the segregation system and swelling its membership. In terms of civil rights progress, the NAACP’s struggle to get the Armed Forces desegregated was as great as Charles Houston’s endeavors in education. He also says that Philip Randolph's accomplishments in labor are as important as Houston's for education; and Martin Luther King Jr. built on the work of all of these men, but transcended them by urging African American clergy to action. Weber also talks about Walter White and his rifts with Paul Robeson and W.E.B. Dubois. Part three. Mr. Weber discusses Walter White and his impact on the civil rights struggle, especially White’s study of lynchings in the South. Other people discussed are Mary McCleod Bethune, Ralph Bunche, Lucy Randolph Mason, Eleanor Roosevelt, Tom Clark, Thurgood Marshall, and Earl Warren.
Elwood, William A, Higginbotham, A. Leon (Aloyisus Leon), 1928-1998
Summary:
Part one. Civil rights attorney and professor Jack Greenberg talks about his involvement with the NAACP civil rights defense fund. He recalls his work on a Japanese citizen relocation rights case. He discusses important cases in civil rights law and his involvement in two of the five cases that constituted Brown v. Board of Education, the Delaware case and the Kansas case. Part two. Mr. Greenberg remarks he does not believe Southern society would be integrated if it had been left up to the states; it would be like South Africa and Apartheid. He mentions major cases litigated in Virginia, including the Davis case, the Prince Edward County case, and the NAACP v. Button case, wherein the Virginia General Assembly tried to put the NAACP out of business by making it illegal for it to function. Civil rights cases were filed purposefully in federal court because federal judges were insulated from state politics somewhat; there wasn't the problem of being reelected. Mr. Greenberg contends that the federal courts made civil rights possible. Part three. Mr. Greenberg recalls that Virginia's attempt to destroy the NAACP was really about a small group of Virginia lawyers, like Spotswood Robinson, Oliver Hill, Samuel Tucker. The NAACP Legal Defense Fund in New York relied on law school academics, legal scholars, and social scientists. Interview ends at 3:30. Footage resumes with Judge A. Leon Higginbotham being interviewed while walking around Columbia University. Mr. Higginbotham talks about Greenberg and Columbia Law School's impact on civil rights struggle
Part one. Alice Jackson Stuart recounts her experiences as the first African American student to apply to the University of Virginia. When Donald Gaines Murray applied to University of Maryland School of Law, Ms. Stuart (who already had a bachelor's degree from Virginia Union University in 1933) spoke with family friend and Murray's lawyer Charles Hamilton Houston about helping to advance integration of higher education by provoking a legal case via her application to the University of Virginia graduate school of education. Part two. Ms. Stuart recalls different events that occurred during litigation of her case during 1935 and 1936. She explains that when the Virginia General Assembly passed a bill awarding scholarships and living expenses to minority students to attend out-of-state schools, she applied to and then attended Columbia University for her master's degree. She talks about other important Virginians who benefited from the bill, including Spotswood Robinson. She also discusses her teaching career. Part three. Ms. Stuart talks about witnessing a lynch mob, which ended in the killing of African American taxi driver Lee Snell, at Bethune-Cookman University where she taught. She also discusses teaching at Howard University, the Richmond public school system, Rutgers University, and Middlesex County College in New Jersey, among other career accomplishments.
Part one. Civil rights attorney Donald Watkins talks about Montgomery’s challenges, like the Confederate Flag flying on the Alabama Capitol. He also covers George Wallace, the continuing fight for civil rights, the teacher accreditation exam case, and achieving parity in society via the law. He remembers an African American custodian at the University of Alabama law school, Remus Rhodes, who taught the first African American students there how to use the library and how to form study groups. Part two. Watkins continues discussing Remus Rhodes, the custodian who became mentor to the first African American students at University of Alabama law school, as well as civil rights law history. At 11:30 minutes, footage of rural road and neighborhood.
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