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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
Adverse events and poor patient outcomes occur for all doctors, regardless of subspecialty, regardless of educational and training pedigree, and despite best intentions. Such occurrences often exact a significant and sometimes lasting emotional toll on doctors, even apart from any culpability or potential medicolegal ramifications. In this Medical center hour Dr. Farnaz Gazoni demonstrates that adverse events in clinical care and their impact on physicians have substantial, widespread repercussions affecting quality of care and patient safety. But her research and experience show too that, by simply cultivating awareness of this issue, health care institutions and individual practitioners are taking important first steps toward culture change.
The Jessie Stewart Richardson Memorial Lecture, School of Medicine
In observance of National Quality Week (19-25 October), and co-presented with the Patient Safety Committee, UVA Health System
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
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
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
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.
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
Sarnitz, August, Last, Nana, Diamond, Cora, Crane, Sheila
Summary:
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
