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Theresa Brown became a nurse-who-writes quite accidentally: she had a bad experience at work, wrote it down, and sent what she'd written to the New York Times. To her surprise, the newspaper published it, to great acclaim. From that column came the contract for Ms. Brown's first book, Critical Care, and she also began writing regularly for the Times, proud to have this chance to give voice to the often under-recognized nursing profession.
Only lately, though, while writing her second book, The Shift, did Ms. Brown realize not just how much her nursing gives shape to her writing, but also how her writing influences her nursing. There's much to mull over in health care and usually not much time to do that. Writing forces Ms. Brown to reflect. She learns both positives and negatives about her nursing work in the process of putting that work into words. In this Medical Center Hour, Ms. Brown talks about how writing, which she loves, makes her a better nurse.
The Catherine Strader McGehee Memorial Lecture of the School of Nursing
Co-presented with the School of Nursing, the Virginia Festival of the Book, and Hospital Drive
The first global wave of reform in modern medical education occurred early in the 20th century, following the Flexner report. The second wave came in the latter half of that same century, led by innovations in problem-based learning and community orientation. Recently, the Lancet Commission called for a third wave of reform to create transformative system-based medical education that is socially accountable. This may be a fine aspiration, but is it possible? How can we translate new understandings from neuroscience, sociology, and the sciences of learning to meet this aspiration? In doing so, may we also transform research on medical education from eminence-based to evidence-based medical education? How accountable are we prepared to be for the results of our efforts? And to whom?
In his Brodie Medical Education Award Lecture, Dr. Paul Worley draws on evidence from medical schools around the world to explore these critical questions and consider the challenge that social accountability brings to academic medicine's combined research, education, and service mission.
The Brodie Medical Education Award Lecture
Co-presented with the Department of Medicine and the Brodie Medical Education Award Committee, in association with the School of Medicine’s Medical Education Week, 29 February-4 March 2016.
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
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.
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
Chocolate has been special to human beings for millennia. In our time and culture as in earlier centuries and other cultures, claims abound regarding chocolate's health effects, positive and otherwise. What is it about chocolate—chemically and culturally—that makes it so distinctive in our diets, our emotional lives, our celebrations? Why do we love it so, and what does it do to/for us? In this Medical Center Hour, local chocolatier Tim Gearhart offers insights into chocolate's appeal and effects and gives a glimpse of the craft of artisan chocolate-making.
A John F. Anderson Memorial Lecture
Early in her own training in psychology a decade ago, Casey Schwartz discovered that contemporary neuroscience and psychoanalysis are entangled in a conflict almost as old as the disciplines themselves. Many neuroscientists, if they think about psychoanalysis at all, view it as outdated, arbitrary, and subjective, while many psychoanalysts decry neuroscience as lacking the true texture of human experience. Yet some are now fighting passionately to bring the two fields together, including Mark Solms, a South African psychoanalyst, neuropsychologist, dream researcher, and towering presence in the effort to grow the hybrid discipline that he himself calls neuropsychoanalysis. Ms. Schwartz has written this story in her new book, In the Mind Fields: Exploring the New Science of Neuropsychoanalysis. In this Medical Center Hour, she tracks and interprets the ongoing struggle to define what we mean by the mind, the brain, and everything in between.
History of the Health Sciences Lecture
Co-presented with History of the Health Sciences Lecture Series and the Department of Psychiatry and Neurobehavioral Sciences
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
When academic medicine in the U.S. begins to reflect the remarkable diversity of the population it serves, we can potentially start narrowing critical gaps in cultural knowledge, the provision of health care, and the education and advancement of future physicians. Invoking the time-honored art of quilt-making as a metaphor, Dr. Wendi Wills El-Amin will engage the audience at this Medical Center Hour in exploring the urgent issue of minority diversity in academic medicine, including the opportunities that currently exist to craft new patterns and other opportunities we need to create in order to increase minority presence and engagement throughout academic medicine. UVA School of Medicine Associate Dean for Diversity Dr. Greg Townsend will offer a response.
Co-presented with the Office for Diversity, School of Medicine
A John F. Anderson Memorial Lecture
Danny Quirk is a young artist specializing in photorealistic watercolors, painting what the camera cannot capture. Much of his work illustrates the intricacies of human anatomy. On canvas, he paints figures in classic poses (sometimes á la Renaissance anatomist Andreas Vesalius) in striking chiaroscuro lighting. But, more dramatically, he also paints on living subjects, representing on the body's surface the anatomical structures that lie beneath. In this Medical Center Hour, Danny Quirk talks about "dissecting" with a paintbrush—and while he's talking, he'll complete an anatomical drawing on a student volunteer.
Co-presented with the History of the Health Sciences Lecture Series