581. Oral History Interview with Anastasia Williams (1:16:00)

Date:
2021-04-08
Main contributors:
Williams, Anastasia
Summary:
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.

582. Clinician's ear: learning to listen (1:02:34)

Date:
2017-01-25
Main contributors:
University of Virginia. School of Medicine
Summary:
The stethoscope, an extension of the clinician's ear, is perhaps modern medicine's most characteristic symbol. Through it, doctors listen for the body to disclose its secrets. Doctors must also listen to their patients' stories. In fact, as Oliver Sacks said, "The first act of medicine is listening to a personal story." But hasn't the clinician's ear lost much of its importance now that procedures and machines can give us more direct access to pathology? In this Richardson Lecture, physician and poet John Coulehan affirms the importance of the clinician's aural attention in the clinical encounter and considers three aspects of the metaphorical clinical ear. First, listening to patients, an active process with vertical (deep listening) and horizontal (narrative) dimensions. Second, listening to the heart, the reflective core of clinical practice. And, finally, hearing the resonance of our own healing words. In medicine, the word can be an instrument of healing. Co-presented with the Office of Quality and Performance Improvement, UVA Health System

583. Preventing gun deaths: a public health perspective (59:56)

Date:
2017-11-01
Main contributors:
University of Virginia. School of Medicine
Summary:
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

584. Is there life after death? Fifty years of research at UVA (1:02:10)

Date:
2017-02-22
Main contributors:
University of Virginia. School of Medicine
Summary:
Does some aspect of our personality survive bodily death? Long a philosophical and theological question, in the 20th century this became the subject of scientific research. Fifty years ago, in 1967, Ian Stevenson, then chair of UVA's Department of Psychiatry, created a research unit—now named the Division of Perceptual Studies—to study what, if anything, of the human personality survives after death. Dr. Stevenson's own research investigated hundreds of accounts of young children who claimed to recall past lives. In this Medical Center Hour, faculty from the Division of Perceptual Studies highlight the unit's work since its founding, including studies of purported past lives, near-death experiences, and mind-brain interactions in phenomena such as deep meditation, veridical out-of-body experiences, deathbed visions, apparent communication from deceased persons, altered states of consciousness, and terminal lucidity in persons with irreversible brain damage. As the division enters its second half-century, what are its research priorities and partnerships? History of the Health Sciences Lecture Co-presented with Historical Collections, Claude Moore Health Sciences Library and the Department of Psychiatry and Neurobehavioral Sciences, UVA

585. Primary care and addiction: a case for social leadership (1:01:38)

Date:
2016-09-07
Main contributors:
University of Virginia. School of Medicine
Summary:
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

586. Stacking stones: the art and science of improving care of older adults (57:51)

Date:
2017-11-15
Main contributors:
University of Virginia. School of Medicine
Summary:
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

587. Assuring fair access for all: Vivian Pinn's achievements and legacy (57:16)

Date:
2017-09-13
Main contributors:
University of Virginia. School of Medicine
Summary:
On 13 September 2017, the University of Virginia proudly dedicates as Pinn Hall the medical education and research building formerly known as Jordan Hall. The building’s new name recognizes UVA medical graduate Vivian W. Pinn MD, Class of 1967, founding director of the Office of Research on Women’s Health at the National Institutes of Health. Dr. Pinn was the second African American woman to graduate from the School of Medicine and went on to a distinguished career in pathology and in medical leadership. One of the medical school’s four colleges bears Dr. Pinn’s name, and she is an active presence in Pinn College student life. This Medical Center Hour celebrates Dr. Pinn and her accomplishments and calls attention to critical current issues of fair and full access for underrepresented minorities, especially African American women, as students, practitioners, and leaders in medicine but also as beneficiaries of health care. Individually and institutionally, what can we learn from Dr. Pinn to ensure that her legacy matters? Co-presented with the Department of Medicine and the Generalist Scholars Program, in conjunction with UVA's dedication of Pinn Hall and the UVA medical students' celebration of Primary Care Week

588. The changing healthcare landscape: preventing the preventable healthcare-associated infections (1:01:24)

Date:
2017-10-11
Main contributors:
University of Virginia. School of Medicine
Summary:
The Affordable Care Act (ACA) has brought transformational changes to the healthcare system, including, in some ACA programs, movement away from a pay-for-volume system to pay-for-performance or outcome. Three programs exemplify this approach: readmission penalties, no payment for selected hospital-acquired conditions (HACs), and value-based purchasing. To date, the HAC nonpayment program has targeted prevention of central-line-associated bloodstream infections, catheter-associated urinary tract infections, selected surgical site infections, and methicillin-resistant Staphylococcus aureus (MRSA) or Clostridium difficile infections. With better understanding, improved procedural practices, and closer monitoring, more of these infections are proving preventable; infection rates, including for MRSA, have dramatically decreased. In this Medical Center Hour, distinguished medical epidemiologist Dr. William Jarvis discusses these successes, including their financial implications, and how further collaboration between clinicians and infection control programs can prevent even more hospital-acquired conditions. The Hayden-Farr Lecture in Epidemiology and Virology/Medical Grand Rounds Co-presented with the Department of Medicine, UVA

589. After the fall: a tapestry of disturbance, recovery, and resilience (54:24)

Date:
2016-09-21
Main contributors:
University of Virginia. School of Medicine
Summary:
Nalini Nadkarni is known as "The Queen of the Rainforest Canopy," being a pioneer in the field of forest canopy research and in public engagement about the plants and animals that live in the treetops. Her interest in rainforest dynamics and in the response of rainforests to disturbances such as harvesting, fire, and climate change has led her to invite input from experts in diverse other fields that also study disruption and recovery--economics, neuroscience, refugee studies, human development, and traffic engineering, to name a few. Exchanges with these experts have given Professor Nadkarni novel insights into theory and models that foster better understanding of disturbance, recovery, and resilience. Unexpectedly, in 2015, this work also proved personally useful as Professor Nadkarni recovered from extensive trauma sustained when she fell 50 feet from the top of a tree while doing forest canopy fieldwork. In this Medical Center Hour/Medical Grand Rounds, she shares her insights and offers applications for medicine--especially, to the specifics of critical care, and, more generally, to healing. Medical Grand Rounds / A John F. Anderson Memorial Lecture Co-presented with the Department of Medicine

590. How can I meet you? Knowing each other through poetry and medicine (56:12)

Date:
2017-11-08
Main contributors:
University of Virginia. School of Medicine
Summary:
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

591. Eros and illness: a caregiver's tale (1:03:25)

Date:
2017-03-15
Main contributors:
University of Virginia. School of Medicine
Summary:
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

592. ZIKA--the science and the situation (1:04:44)

Date:
2016-10-12
Main contributors:
University of Virginia. School of Medicine
Summary:
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

594. On the centenary of the 1918 flu: remembering the past and planning for the future (1:03:52)

Date:
2018-10-31
Main contributors:
University of Virginia. School of Medicine
Summary:
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

595. Mary Shelley's Frankenstein @ 200: it's alive! and why it still matters (57:11)

Date:
2018-02-14
Main contributors:
University of Virginia. School of Medicine
Summary:
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

596. Diversity for diversity's sake? Or, the answer to implicit bias? (1:00:01)

Date:
2018-02-07
Main contributors:
University of Virginia. School of Medicine
Summary:
In recent years in the US, increasing workforce diversity has become a priority in health care and other industries. Many companies, including Fortune 500s, now recognize that having a diverse workforce improves both business and the bottom line—indeed, diversity is key to organizational excellence. In this Medical Center Hour, a panel of physicians explores whether UVA Health System's growing diversity can add value in a very different way: can our organization's greater diversity be a lever to mitigate bias in these increasingly fraught times? A John F. Anderson Memorial Lecture

597. What we see, what we feel, what we say: exploring assumptions we bring to learning and practice (51:24)

Date:
2018-03-14
Main contributors:
University of Virginia. School of Medicine
Summary:
Whether we are students, educators, or clinicians (learners all!), our stated assumptions and principles are sometimes at odds with our actual practices. In this Brodie Medical Education Award Lecture, learners of all stripes will practice foundational skills such as cultivating beginner’s eyes and more accurate data collection in order to uncover and examine habits and thought patterns that may no longer serve us. Understanding our own assumptions and the values they reflect will allow us to be more intentional in designing educational programs and clinical learning/practice environments that are principle-driven and meet the needs of patients, learners, and caregivers. The Brodie Medical Education Award Lecture/Medicine Grand Rounds

599. Extraordinary stories of ordinary life: Radio Diaries (1:03:33)

Date:
2019-01-23
Main contributors:
University of Virginia. School of Medicine
Summary:
January 23, 2019 Joe Richman Since 1996, the Radio Diaries project has been giving people audio recorders and working with them to report on their own lives and histories. Collaborating with teens and octogenarians, persons with chronic and terminal illness, prisoners and prison guards, gospel preachers and bra saleswomen, the famous and the unknown, the project tells extraordinary stories of ordinary life. With stories aired on NPR, BBC, This American Life, and its own podcast, Radio Diaries has pioneered a new form of citizen journalism and, along the way, garnered every major award in broadcast journalism. This Medical Center Hour welcomes Radio Diaries’ founding director, Joe Richman, to share stories and draw parallels with health care practice, where, daily, clinicians traffic in the “extraordinary stories of ordinary life.” The Edward W. Hook Lecture in Medicine and the Arts / Medical Grand Rounds Co-presented with the Department of Medicine, UVA