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This Richardson Memorial Lecture's origins are the hospital death of infant Lola Jayden Fitch and her family's journey to evoke change. The hour is anchored in the stories of Lola's parents--her mother, who questioned her intuition, and her father, who chose to continue working in the hospital where Lola's death occurred--and in a review of medical staff communication errors that tragically affected Lola's care.
How can we prevent communication breakdowns, improve teamwork, and foster greater transparency and true partnership with families to make health care better and safer, especially for the most vulnerable patients? How can Lola's Song and similar stories--those of patients, families, health professionals, and others--help us to accomplish this important work?
www.lolassong.com
The Jessie Stewart Richardson Memorial Lecture of the School of Medicine
Co-presented with the Office of Quality and Performance Improvement, UVA Health System
In the making of a doctor, the residency is the principal formative experience. Its three to nine years of supervised practical learning are the crucible in which medical graduates acquire specialty knowledge and skills, forge a professional identity, and develop the values, attitudes, and behaviors for a lifetime of practice. While there have long been tensions within and around residency, physician-historian Kenneth Ludmerer's new book, Let Me Heal, a history of residency in the U.S. since its 19th century origins, comes at a time when training programs are pressured as never before by government regulation, workforce changes, shifts in disease patterns and sites of care, and highly commercialized health care. In this Medical Center Hour, Dr. Ludmerer mines the history of residency for lessons to address current concerns about medical education and to assure we can make the best doctors for the 21st century.
The Joan Echtenkamp Klein Memorial Lecture in the History of the Health Sciences
Co-presented with the History of the Health Sciences Lecture Series
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
In June 2018, Gov. Ralph Northam signed a budget bill that gives 400,000 low-income Virginians access to government health insurance through Medicaid. This action marked an upbeat, bipartisan close to a bitter, four-year battle in the General Assembly. An Affordable Care Act option, Medicaid expansion makes additional low-income persons in participating states eligible for care that is funded chiefly with federal dollars. Virginia’s decision to join 32 other participating states hinged on a legislative compromise with Republicans that imposes work requirements on Medicaid recipients. While a few other states have taken similar positions, debate about work requirements continues in government, policy circles, and the courts. This Medical Center Hour looks at Medicaid expansion in Virginia—to be implemented in January 2019—from policy, political, and health care perspectives, with a focus on what it means locally, in Charlottesville and Central Virginia.
A John F. Anderson Memorial Lecture
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
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
As a UVA undergraduate (Class of 2010), Pennsylvania native Matthew Miller had a catastrophic, near fatal cycling accident on the Blue Ridge Parkway while training for an Ironman triathlon. He lost control of his bike as a caravan of classic cars passed by in the opposite lane; Miller plowed into an oncoming Porsche, breaking every bone in his face. Pulitzer Prize winning journalist Michael Vitez's articles about Miller for The Philadephia Inquirer (reprinted in the Charlottesville Daily Progress) led to his book, The road back: a story of grit and grace (2012). This compelling narrative of Miller's remarkable survival and recovery. He is now a third year medical student at the University of Pennsylvania not only celebrates the strength and resiliency of the human spirit but also vividly attests to the power of medicine at its best. This Medical center hour, with Michael Vitez and UVA surgeon J. Forrest Calland, one of Miller's doctors, suggests that the best way to explore and explain what's happening in medicine may be to tell stories of ordinary people, patients and professionals meeting extraordinary challenges.
A John F. Anderson Memorial Lecture
Part one. Footage of Pennsylvania Avenue moving toward the Capitol. At 9:42, footage of Monticello interiors. Part two. Footage of Monticello interiors. Part three. Footage of Monticello interiors and exterior.
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
Musicologist April Greenan outlines use of music in western medicine as an agent of both healing and prevention, reviewing data documenting music's beneficial effects on patients, and suggests ways that health professionals might purposefully employ music in patient care. How might doctors guide patients to use music on their own in managing pain, anxiety, depression, the side-effects of chemotherapy? Given the ubiquity and affordability of recorded music today, might it represent a cost-effective way to help improve health care and health?
A John F. Anderson Memorial Lecture
Dr. Aaron Vinik recounts his journey through the golden years of biomedical and clinical research as he has studied and tested regeneration of pancreatic islet cells and nerve fibers. There are lessons here for coming generations of physician-scientists--about discovery, about collaboration, about being mentored, about, as Ralph Waldo Emerson suggests, venturing where there is no path and leaving a trail.
The Alpha Omega Alpha Lecture of the School of Medicine
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.
The year 2018 marks the centennial of the "Spanish" influenza pandemic, the world's deadliest event, killing at least 50 million persons worldwide. This pandemic's sudden emergence and high fatality are stark reminders of the threat influenza has posed to human health and society for more than a millennium. Unusual features of the 1918-1919 outbreak, such as the age-specific mortality pattern and unexpectedly high frequency of severe and fatal pneumonias, are still not fully understood. But the recent sequencing and reconstruction of the 1918 virus—work accomplished by NIH scientist Jeffery Taubenberger and colleagues—have yielded answers to crucial questions about the virus's origin and pathogenicity. In this Hayden-Farr Lecture at Medical Center Hour, Dr. Taubenberger summarizes key findings, considers yet-to-be answered questions about the 1918 influenza, and looks ahead to 21st century public health preparedness and the need to optimize preventive vaccines and vaccination strategies.
The Hayden-Farr Lecture in Epidemiology and Virology/Medical Grand Rounds/History of the Health Sciences Lecture
Co-presented with the Department of Medicine, Historical Collections in the Health Sciences Library, and Influenza! 1918-2018
An oral history interview with Dr. Anastasia Williams, conducted at the Claude Moore Health Sciences Library on April 8, 2022. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Anastasia Longchamps Bayardelle Williams was born in New York and attended Cornell University, graduating with an undergraduate degree in Chemistry in 1991. She moved to Charlottesville with her husband in 1993 so that they could attend medical and law school, respectively, at the University of Virginia. Dr. Williams graduated from the UVA School of Medicine in 1998. After medical school Dr. Williams completed an internship in pediatrics at the Medical College of Georgia (1998-1999) and a residency in pediatrics at Johns Hopkins Hospital in Baltimore, MD (1999-2001). She worked as a pediatrician in northern Virginia for 20 years, founding Olde Towne Pediatrics in Manassas and Gainesville, VA, and serving as the Medical Director of Pediatrics for Novant Health UVA Health System. Dr. Williams currently lives and practices in California.
Dr. Williams has served on the UVA Medical Alumni Association Board of Directors and the UVA School of Medicine Board of Trustees, as well as on the UVA Parents Committee, which she co-chaired with her husband, Sanford Williams. The Williams have three children, who are all alumni of UVA.
An oral history interview with Dr. Barbara Hasko Curry, conducted at the Claude Moore Health Sciences Library on April 29, 2022. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Barbara Ann Hasko Curry of Silver Spring, Maryland, graduated from high school in 1967 and entered the University of Virginia School of Nursing, finishing with a B.S. in Nursing in 1971. Her interests in the health sciences inspired her to return to UVA to complete the prerequisite courses needed to apply for medical school. In 1973 she was admitted to the UVA School of Medicine, and she graduated from the medical school in 1977.
After graduation, Curry completed an internship at Dartmouth Affiliated Hospitals in Hanover, NH, and a residency at Providence Medical Center in Portland, OR. Dr. Curry became board certified in Emergency Medicine in 1981 and joined the Billings Clinic in Billings, MT, in 1990. After the merger of the Billings Clinic and Deaconess Medical Center, Dr. Curry served as Chair of the Emergency Department at Deaconess Billings Clinic. (“Deaconess” was then dropped from the name in 2005.) In 2007, a state-of-the-art Emergency and Trauma Center opened at the Billings Clinic. Dr. Curry lives and continues to practice in Billings, MT.
Oral history interview with Chloe Fife, class of 2022, via Zoom, on March 4, 2024. Fife discussed her time as a member and president of UVA Law’s chapter of Lambda Law Alliance, highlighting the group’s events and activities, including a successful campaign for the installation of gender-neutral restrooms in the Law School.
An oral history interview with Dr. Claudette Dalton, conducted at the Claude Moore Health Sciences Library on June 27, 2022. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Claudette Ellis Harloe Dalton lived in Charlotte, N.C., before attending Sweet Briar College. After graduation, she enrolled in post-baccalaureate courses at the University of Virginia in order to prepare for medical school. She matriculated at the UVA School of Medicine in 1970, the first year that UVA's undergraduate programs officially became co-educational. Dr. Dalton received her M.D. from the UVA School of Medicine in 1974, and she went on to an internship and anesthesiology residency at the University of North Carolina at Chapel Hill.
While working in North Carolina, Dr. Dalton remained involved with the UVA Medical Alumni Association, and in 1989, she was invited to join the faculty of the UVA School of Medicine as the Assistant Dean for Alumni Affairs. With this appointment, Dr. Dalton became the first woman to hold the title of Assistant Dean in the history of the UVA School of Medicine. She held several positions during her tenure at the School of Medicine, including: Assistant Dean for Medical Education, Assistant Dean for Community Based Medicine, Director of the Office for Community Based Medical Education, and Assistant Professor for Medical Education. During her time on the faculty, Dr. Dalton served on the School of Medicine's Committee on Women and helped to coordinate an annual Women in Medicine Leadership Conference on behalf of the School of Medicine. In 1993, Dr. Dalton presented the opening remarks at the UVA School of Medicine Graduation Exercises.
Dr. Dalton also served as the Chair of the Federation of State Medical Boards (FSMB) Ethics and Professionalism Committee, and she chaired the Southeastern Delegation to the American Medical Association from 2019-2021. In 1996, she was inducted into the Alpha Omega Alpha (AOA) Society. In 2002, she was awarded the Sharon L. Hostler Women in Medicine Leadership Award. An active alumna of the UVA School of Medicine, Dr. Dalton has served on the Medical Alumni Association Board of Directors, as well as on the Medical Alumni Newsletter editorial board, and acted as Class Representative for the Class of 1974.
Oral history interview with Cordel Faulk, class of 2001, via Zoom, on March 13, 2024. Faulk discussed his education, his time at UVA as a law student, and his activities to recruit more LGBT+ students to UVA Law while working in admissions.
An oral history interview with Dr. Dorothy G. Tompkins, conducted at the Claude Moore Health Sciences Library on November 19, 2021. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Dorothy Ellen Guild Tompkins was born in 1941 and grew up in Louisa County, VA. She majored in biology at the College of William and Mary (graduating in 1962) before matriculating at the University of Virginia School of Medicine. She graduated from medical school in 1966, one of three women in her class. In 1972, Tompkins returned to UVA as a Fellow in Pediatric Cardiology. She went on to be appointed Assistant Professor of Pediatrics in 1973 and Associate Professor of Pediatrics in 1979. Later she worked in the area of addiction treatment, and from 2003-2006 Tompkins served as a pediatrician in the UVA Department of Psychiatric Medicine. A passionate and dedicated teacher, Tompkins received the Dean's Award for Excellence in Teaching and was elected to the School of Medicine's Academy of Distinguished Educators during her time at UVA.
In recent years, Tompkins has been active in local non-profit work, including master gardener, naturalist, and tree steward programs, and extensive work with women recovering from substance abuse and trauma. She helped found an organization called Georgia's Friends, which operates Georgia's Healing House, a supportive residential home for women in recovery. Tompkins is married to Dr. William Fraser Tompkins III (also a member of the UVA SOM Class of 1966). They live in Central Virginia.
An oral history interview with Dr. Edward T. Wood, conducted by Dr. David S. Wilkes via Zoom on September 23, 2021. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Edward Thomas Wood was born in Lexington, VA, in 1932. He attended Armstrong High School in Richmond, VA, and was a pre-medical student at Dartmouth University, where he earned an A.B. in 1953. Wood and his classmate Edward Bertram Nash became the first two Black students to attend and graduate from the University of Virginia School of Medicine. Matriculating in 1953, they graduated in the Class of 1957. After medical school, Wood completed several internships and residencies in New York. After choosing ophthalmology as a specialty, he opened his own practice in New York and spent the remainder of his career there. He is now retired and living in Florida.
David S. Wilkes graduated from Villanova University (B.S.) and earned an M.D. from Temple University. He served as Dean of the UVA School of Medicine from 2015-2021. Dr. Wilkes remains a member of the research faculty at the UVA School of Medicine.
Oral history interview with Hillary Taylor, class of 2016, via Zoom, on March 7, 2024. Taylor discussed her time as a member and president of UVA Law’s chapter of Lambda Law Alliance, highlighting the group’s activities and events.
Oral history interview with Kenneth Williams, class of 1986, via Zoom, on March 11, 2024. Williams discussed his time as a member and president of UVA Law’s Gay and Lesbian Law Students Association, which later became UVA Law’s chapter of Lambda Law Alliance. He detailed events and activities during his tenure, including a successful campaign for the Law School to have an official sexual orientation nondiscrimination policy.
An oral history interview with Dr. Linda R. Thompson, conducted via Zoom by the Claude Moore Health Sciences Library on November 15, 2021. This interview is part of the Medical Alumni Stories Oral History Project, a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Linda Ruth Thompson was born in 1941 in Bristol, Tennessee. She attended King College (now King University) in Bristol, TN, and graduated Magna cum Laude in 1962. Thompson attended the University of Virginia School of Medicine and graduated from medical school in 1966; she was one of three women who graduated in the Class of 1966. After graduation, Thompson completed a rotating internship at the State University of Iowa Hospital in 1967, and then returned to UVA for a residency in psychiatry (1967-1971). She served as the Chief Resident during her final year of residency and also as an Instructor in Psychiatry (1970-1971). Following her residency, she worked as a staff psychiatrist at the Northern Virginia Mental Health Institute in Fairfax, VA, before going into private practice in the Washington, DC, area.
Dr. Thompson pursued psychoanalytic training at the Washington Psychoanalytic Institute, and graduated from the psychoanalysis program in 1983. In 1984, she moved to the Tri-Cities area of northeastern Tennessee and southwestern Virginia, where she has maintained a general psychiatric practice since 1984. Thompson also worked as a consultant until 2014, primarily with regional mental health centers, and she attended psychiatric patients at local community hospitals. In 2016, Thompson published a book about her experiences with breast cancer, which she was diagnosed with and treated for in 2007 and 2008. She continues to practice medicine part-time in Bristol, TN, and writes about issues in modern healthcare. In addition to her book Surviving Breast Cancer, Thompson is the author of two additional books: Return to Asylums: A Prescription for the American Mental Health System, published in 2016, and Old School Medicine: Lower Tech Care to Improve the High Tech Future of Healthcare, published in 2018.
This is a shortened version of the oral history interview conducted with Dr. Thompson in November 2021. The full length interview remains restricted until 2047.
An oral history interview with Dr. Maurice Apprey, conducted on May 12, 2022. This interview is part of a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Maurice Apprey was born in Ghana, West Africa. He received a B.S. in Psychology, Philosophy, and Religion from the College of Emporia, Kansas, and graduated in 1974. Dr. Apprey was one of a small number of students who trained under Anna Freud at the Hampstead Clinic in London, from which he graduated in 1979. After studying phenomenological psychological research and hermeneutics with Amedeo Giorgi at the Saybrook Institute in San Franciso, CA, Dr. Apprey received a Ph.D. in Human Science Research. He later pursued a doctorate in Executive Management from the Weatherhead School of Management at Case Western Reserve University.
In 1980, Dr. Apprey joined the faculty of the UVA School of Medicine in the department of Psychiatry and Neurobehavioral Sciences. In 1982, he was appointed Assistant Dean of Student Affairs. His work with current and aspiring medical students continued for two and a half decades, and he was later appointed the Associate Dean of Diversity at the School of Medicine (in 1992) and the Associate Dean of Student Support (in 2003). During these years, Dr. Apprey was highly effective in increasing the number of students from under-represented backgrounds at medical school through initiatives like the Medical Academic Advancement Program (MAAP). He taught undergraduates, medical students, residents in psychiatry and psychology, and hospital chaplains, among others. In 2007, Dr. Apprey was invited to become Dean of the Office of African-American Affairs for the University of Virginia. He accepted and served in that role until his retirement in 2022.
Oral history interview with Michael Allen, class of 1985, via Zoom, on February 29, 2024. Allen discussed the formation and early activities of UVA Law’s Gay and Lesbian Law Students Association, which later became UVA Law’s chapter of Lambda Law Alliance.
Growing enthusiasm in medicine and in the population at large for early diagnosis has engaged many doctors in a systematic search for abnormalitites in persons who are well. While physicians, patients, and the press tend to focus on the potential benefits, Dr. H. Gilbert Welch in his work has exposed the often-ignored harm associated with this practice: overdiagnosis. Diagnoses of a great many conditions, including high blood pressure, osteoporosis, diabetes (and prediabetes), and even cancer, have skyrocketed in recent years, yet many individuals so labeled are destined never to develop symptoms, much less die, from their conditions. They are overdiagnosed. And overdiagnosed patients as Dr. Welch points out in the Medical Center Hour, cannot benefit from treatment since there is nothing to fix. But they can be harmed. Understanding the trade-offs involved is critical, Dr. Welch argues, so that health care systems don't further narrow the definition of "normal" and, ironically, turn more and more well persons into patients.
Co-presented with the Department of Public Health Sciences, School of Medicine; the Sadie Lewis Webb Program in Health Law, School of Law; and the Institute for Practical Ethics and Public Life, UVA
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
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
Hospitals and clinics and safety-net organizations across the U.S. are increasingly challenged to provide medically appropriate care to undocumented and uninsured immigrants. These "patients without passports" do not qualify for public benefits that finance health care for low income persons and often lack other means to secure care for themselves and their families. In this Medical Center Hour, Nancy Berlinger, co-director of The Hastings Center’s Undocumented Patients project, explores the ethical and practical dimensions of health care access for this cohort of immigrants, drawing on data from Virginia and other states and on her work with New York City policymakers to improve health care access for vulnerable populations. UVA emergency medicine physician David Burt offers a local perspective.
A John F. Anderson Memorial Lecture
Co-presented with Institute for Practical Ethics and Public Life
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.
This movie is an animated flythrough of the 3D point cloud data documentation of the Pine Grove Rosenwald School, Cumberland County, Virginia, ca. 1917. Data was collected by ARH 5600 Fall 2021 class students Zhang Jie, Natalie Chavez, Matthew Schneider, Chris MacDonnell. Equipment used included (2) X 130 and (1) S120 FARO Focus 3D laser scanners. Data was collected in support of community preservation efforts - more info at https://www.ammdpinegroveproject.com/.
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
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
Opiate abuse and addiction in the U.S. population have reached epidemic proportions, with one result being that primary care practices increasingly see patients for whom addiction is the presenting, or exacerbating, problem. But are primary care practitioners actively engaged in treating addiction? Unfortunately, no, says Dr. Hughes Melton, a primary care physician and Virginia's Chief Deputy Commissioner of Public Health and Preparedness. They lack the practical training and helpful mindset to approach addiction, but, also, addiction is more than a medical problem, with multiple stakeholders beyond patient and family, doctor, and clinic.
In this Medical Center Hour, Dr. Melton and two Generalist Scholars--students preparing for careers in primary care--consider what primary care practitioners need in order to care effectively for this urgent population health problem: practical skills and informed attitudes, to be sure, but also the will and nuanced capabilities to be robust social leaders in the community.
A John F. Anderson Memorial Lecture
Co-presented with the Generalist Scholars Program and the Department of Public Health Sciences in observance of Primary Care Week at UVA
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.
Over the last decade, the number of reports urging American universities to expose their health professional students to interprofessional education (IPE), so that those who will practice together may learn together, has exceeded the number of actual IPE experiences in most nursing and medical students' entire curricula. In 2013, strong new calls for interprofessional education came from the Institute of Medicine and the Josiah Macy Jr. Foundation. What does this mean for the University of Virginia's Schools of Nursing and Medicine, our students, our health systems, and the patients and families we serve? If we were to push the envelope on IPE, where might we best focus our efforts? How might we lead in preparing the next generation of nurses and physicians for better collaboration and team-based care?
The Zula Mae Baber Bice Memorial Lecture, School of Nursing
Event held in conjunction with the exhibition Reconstructing Wittgenstein. The Architecture of Ludwig Wittgenstein.
In direct comparison to contemporary Viennese works by Behrens, Hoffmann, Frank, Loos or Prutscher, the intriguing qualities of the Stonborough-Wittgenstein House (1926-1928) are highlighted by the radical nature and modernity of its architecture. Today, the philosopher Ludwig Wittgenstein is credited with being the architect of the Stonborough-Wittgenstein House in Vienna, in collaboration with Paul Engelmann. The exhibition extends beyond the Viennese context and emphasizes a broader cultural environment, considering the positions of Emerson, Alois Riegl, Schmarsow, Schinkel, Bötticher, Wagner, Behrens, Mies van der Rohe and Perret. Ludwig Wittgenstein’s fundamental structuralism in creating architecture transcends cultural conventions of his age and demonstrates liberation of contemporary modern architecture with the aid of the collage. The exhibition was curated by August Sarnitz, Professor at the Academy of Fine Arts Vienna, and organized as a travelling exhibition with support from the Austrian Ministry of Foreign Affairs. It includes material provided by the Stonborough Family and the Archives of the City of Vienna, as well as new photographs by Thomas Freiler.
Reconstructing Wittgenstein as an Architect - Ludwig Wittgenstein and Margaret Stonborough-Wittgenstein
August Sarnitz, Professor, Academy of Fine Arts Vienna
Wittgenstein: Language, Space and Architecture
Nana Last, Associate Professor in Architecture, UVa School of Architecture
Wittgenstein: Some Continuities and Discontinuities
Cora Diamond, philosopher and Professor Emerita, UVa Department of Philosophy
Scenes of Inhabitation: Freud/Wittgenstein
Sheila Crane, Associate Professor in Architectural History, UVa School of Architecture
Presented by Esther Lorenz, Lecturer, UVa School of Architecture
Supported by the Austrian Cultural Forum, Washington
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
In September 1925, while the family of English composer, Herbert Howells, was on vacation in the English countryside, their son, nine-yer-old Michael Howells fell ill with polio and died in London three days later. Howells channeled his grief into the composition of the "Requiem," which drew heavily on an earlier, unpublished work. In this Medical Center Hour, fourth-year medical student and musician Rondy Michael Lazaro explores the historical context of polio in the 1930s and how the loss of Howells's young son played out in the composer's music. Mr. Lazaro conducts a chamber chorus in the performance of two movements from Howell's "Requiem."
Co-presented with the History of the Health Sciences Lecture Series
Animation of the barn at River View Farm, Ivy Creek Natural Area, Charlottesville, VA; data collected with FARO Focus 3D laser scanners by students of ARH5600:3D Cultural Heritage Informatics during the Fall semester of 2022; Data was processed with FARO Scene v.2022; Animation was rendered with Autodesk ReCap v.2023;