341. Pain--a political history: liberal relief and conservative care? (1:03:39)

Date:
2015-11-11
Main contributors:
University of Virginia. School of Medicine
Summary:
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

343. Patient safety and quality, the new currency of academic medicine (1:01:27)

Date:
2014-03-12
Main contributors:
University of Virginia. School of Medicine
Summary:
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

344. Patients without passports: challenges of caring for the undocumented (1:01:38)

Date:
2016-09-28
Main contributors:
University of Virginia. School of Medicine
Summary:
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

347. Philadelphia City Planning Commission: A Review of the Integrated Planning and Zoning Process (1:14:16)

Date:
2014-04-04
Main contributors:
Jastrzab, Gary J.
Summary:
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.

348. Pine Grove Rosenwald School 3D Data Flythrough (02:03)

Date:
2022-04-05
Main contributors:
Will Rourk
Summary:
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/.