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Since its creation in 1999, the same year the Institute of Medicine issued its landmark report, To err is human, the Richardson Memorial Lecture has sparked and sustained conversation at the University of Virginia on the sensitive subject of medical error. The annual lectures ever since have brought to UVA noted experts on medical mistakes, communication about error, and the importance of clinicians' attending carefully to patients as persons. Collectively, the Richardson Lectures have provided opportunities for students, clinicians, educators, and administrators to learn better how to prevent medical errors, communicate about them when they do happen, improve quality of care in complex clinical systems, and assure patients and families of the best possible care and outcomes. The 2013 Richardson Lecturer is internationally known patient-safety expert Dr. Peter J. Pronovost, whose scientifically validated checklist protocol, developed at the Johns Hopkins University, is improving patient safety in health care institutions across the US and the world.
Co-presented with the Patient Safety Committee, UVA Health System
Part one. Law professor Jack Greenberg's class discusses executive governmental determination of states of emergencies, such as in South Africa during Apartheid and in the United States during Japanese-American internment in World War II. In 1987 states of emergency are called regularly in South Africa to detain people without reason in the name of public safety, to maintain the status quo, and to suppress the majority. Part two. What happens to democracy when the government alone has the power to declare a state of emergency? The class discusses the use of states of emergency as a way to suppress people and deny rights, preventative detention as an abuse of human rights, and using the courts in South Africa to fight the injustices of the states of emergency. Part three. How much does a democratically elected government insure adherence to human rights? The class also talks about the rights of the white minority in a future democratic South Africa. Part four. Examples of transitions to democracy.
Social and cultural factors, as well as biomedical ones, shape the way we understand and react to diseases. In the case of a disease associated with sex, social and cultural factors figure especially prominently in its history. Since moral and religious views influence almost everything connected with sex, including sexually transmitted infections (STI), syphilis can be an excellent case study to help us appreciate disease in a broader human context. This Medical Center Hour delves into the story of syphilis in America, from colonial times to the present; it looks back too at the origins and spread of the disease in Europe. How did medical science come to understand syphilis and develop treatments for it? What about public health protections against this socially stigmatized STI from prevention campaigns and quarantine of infected persons (usually, women only) to mandated reporting of infections? To what extent does syphilis's identity as an infection popularly associated with sex and sin complicate our response to it and to persons who contract and suffer with it? Finally, how might American social and cultural stigmas around syphilis have contributed to the intentions behind and conduct of the U.S. Public Health Service's unethical research studies at Tuskegee (1932-1972) and in Guatemala (1946-1948)?
Co-presented with the History of the Health Sciences Lecture Series
Sharon Johnson is a lifelong resident of Norfolk, Virginia. She has lived in the Bruces’ Park neighborhood in midtown since 1954.
Track 1: This interview discusses Johnson’s life and family, including her grandfather who was a Black contractor in Norfolk in the early part of the 20th century. It takes place in Johnson’s historic home, built by her grandfather.
Track 2: In this oral history, Johnson describes her memories of downtown Norfolk in the 1950s, and key moments including President Kennedy’s assassination and the 16th Street Baptist Church bombing in 1963. Johnson graduated from Maury High in Norfolk in 1970, and reflects on the changes precipitated by integration, and her observations on race and discrimination while she lived in Boston. She discusses her participation in marches in Washington with the Service Employees International Union. The interview also includes a walking tour with Johnson as she describes the changes that have occurred in the neighborhood since the 1980s.
In 1759, London’s British Museum opened its doors for the first time, the first free national public museum in the world. In this Phi Beta Kappa Lecture at Medical Center Hour, historian James Delbourgo explores the role of slavery and imperialism in making this now venerable institution possible by exploring the career of its founder, Anglo-Irish physician Sir Hans Sloane. Sloane worked in Jamaica as a plantation doctor, used money from sugar plantations in the caribbean and from the Atlantic slave trade to support his collecting, and created his own personal imperial network to assemble one of the greatest cabinets of curiosities in the world—and one of the key institutional legacies of the Enlightenment.
Co-presented with Phi Beta Kappa (Beta of Virginia), President's Commission on Slavery and the University, Department of History, and History of the Health Sciences Lecture Series, Historical Collections, Claude Moore Health Sciences Library
Part one. Footage of Clinton College and Friendship College in South Carolina. Part two. Footage of road in South Carolina. At 15:04 footage of South Carolina State Capitol in Columbia. Part three. Footage of South Carolina State Capitol in Columbia.
Our society is aging, and, thanks partly to the science and success of advanced health care, the journey into one’s last years is often long and richly rewarding. But our medicalization of aging also means that older adults are longtime patients entangled in complex, costly, fragmented, and sometimes ad-libbed “systems” of individualized care that are challenging for them and their caregivers to navigate. When elders’ health and functional status changes, ways of managing their care may come undone, just when robust attention is most needed to effect transitions in their care—and the goals of care.
In this Medical Center Hour, distinguished gerontologist Mary Naylor offers her pioneering approach to the design, evaluation, and dissemination of health care innovations that has at once improved outcomes for chronically ill older adults and their caregivers and lowered health care costs. Her collaborative work with an interprofessional team has yielded the Transitional Care Model, a cost-effective model led by an advanced-practice nurse that improves the transitions of frail elders as they move through both their final years and our fractured health care system.
The Zula Mae Baber Bice Memorial Lecture, School of Nursing
The Koppaka Family Foundation Lecture in Medical Humanities, School of Medicine
Co-presented with the School of Nursing and the Center for Biomedical Ethics and Humanities, School of Medicine
