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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
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
In June 2018, Gov. Ralph Northam signed a budget bill that gives 400,000 low-income Virginians access to government health insurance through Medicaid. This action marked an upbeat, bipartisan close to a bitter, four-year battle in the General Assembly. An Affordable Care Act option, Medicaid expansion makes additional low-income persons in participating states eligible for care that is funded chiefly with federal dollars. Virginia’s decision to join 32 other participating states hinged on a legislative compromise with Republicans that imposes work requirements on Medicaid recipients. While a few other states have taken similar positions, debate about work requirements continues in government, policy circles, and the courts. This Medical Center Hour looks at Medicaid expansion in Virginia—to be implemented in January 2019—from policy, political, and health care perspectives, with a focus on what it means locally, in Charlottesville and Central Virginia.
A John F. Anderson Memorial Lecture
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
Thirty years ago, the medical school at East Carolina University created a readers' theater program in which short stories about medicine were adapted as theatrical scripts. Medical students performed a story by reading it aloud, then actors and audience--often a community group--together discussed the drama and the ethical and social issues it raised. These plays and post-performance discussions enlivened and changed how future physicians and audiences--prospective patients all--approached and learned from one another.
The best way to learn about medical readers' theater? Just do it. In this Medical Center Hour, UVA medical student actors present a dramatic reading of physician-poet William Carlos Williams's 1938 short story, "A Face of Stone." Following the performance, the audience joins in, as everyone responds to and discusses the play and the ethical, social, and cultural concerns it explores.
A John F. Anderson Memorial Lecture
Co-presented with the Sloane Society for Medical Humanities, UVA
As a UVA undergraduate (Class of 2010), Pennsylvania native Matthew Miller had a catastrophic, near fatal cycling accident on the Blue Ridge Parkway while training for an Ironman triathlon. He lost control of his bike as a caravan of classic cars passed by in the opposite lane; Miller plowed into an oncoming Porsche, breaking every bone in his face. Pulitzer Prize winning journalist Michael Vitez's articles about Miller for The Philadephia Inquirer (reprinted in the Charlottesville Daily Progress) led to his book, The road back: a story of grit and grace (2012). This compelling narrative of Miller's remarkable survival and recovery. He is now a third year medical student at the University of Pennsylvania not only celebrates the strength and resiliency of the human spirit but also vividly attests to the power of medicine at its best. This Medical center hour, with Michael Vitez and UVA surgeon J. Forrest Calland, one of Miller's doctors, suggests that the best way to explore and explain what's happening in medicine may be to tell stories of ordinary people, patients and professionals meeting extraordinary challenges.
A John F. Anderson Memorial Lecture
Part one. Footage of Pennsylvania Avenue moving toward the Capitol. At 9:42, footage of Monticello interiors. Part two. Footage of Monticello interiors. Part three. Footage of Monticello interiors and exterior.
In 1984, Ronald Reagan’s reelection campaign introduced the theme “Morning in America," promoting an image of the U.S. as a hopeful nation moving toward a better future. As one campaign advertisement asserted, “It’s morning again in America, and under the leadership of President Reagan, our country is prouder and stronger and better.” Fast forward to 2016. “Hopeful” or making the country “prouder" aren't descriptors most Americans would apply to either this presidential campaign or the contenders. One day post-election, what do experts think will be the “better future” under our new President and Congress? And how might the new President’s health care agenda be felt in the Commonwealth of Virginia?
A John F. Anderson Memorial Lecture
Musicologist April Greenan outlines use of music in western medicine as an agent of both healing and prevention, reviewing data documenting music's beneficial effects on patients, and suggests ways that health professionals might purposefully employ music in patient care. How might doctors guide patients to use music on their own in managing pain, anxiety, depression, the side-effects of chemotherapy? Given the ubiquity and affordability of recorded music today, might it represent a cost-effective way to help improve health care and health?
A John F. Anderson Memorial Lecture
Dr. Aaron Vinik recounts his journey through the golden years of biomedical and clinical research as he has studied and tested regeneration of pancreatic islet cells and nerve fibers. There are lessons here for coming generations of physician-scientists--about discovery, about collaboration, about being mentored, about, as Ralph Waldo Emerson suggests, venturing where there is no path and leaving a trail.
The Alpha Omega Alpha Lecture of the School of Medicine
Footage of cocktail conversations during reception for Old Dominion Bar Association convention. Participants unknown. Footage of drive through Chicago to the Supreme Life Building, footage inside the building.
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
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.
An oral history interview with Dr. Barbara Hasko Curry, conducted at the Claude Moore Health Sciences Library on April 29, 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.
Barbara Ann Hasko Curry of Silver Spring, Maryland, graduated from high school in 1967 and entered the University of Virginia School of Nursing, finishing with a B.S. in Nursing in 1971. Her interests in the health sciences inspired her to return to UVA to complete the prerequisite courses needed to apply for medical school. In 1973 she was admitted to the UVA School of Medicine, and she graduated from the medical school in 1977.
After graduation, Curry completed an internship at Dartmouth Affiliated Hospitals in Hanover, NH, and a residency at Providence Medical Center in Portland, OR. Dr. Curry became board certified in Emergency Medicine in 1981 and joined the Billings Clinic in Billings, MT, in 1990. After the merger of the Billings Clinic and Deaconess Medical Center, Dr. Curry served as Chair of the Emergency Department at Deaconess Billings Clinic. (“Deaconess” was then dropped from the name in 2005.) In 2007, a state-of-the-art Emergency and Trauma Center opened at the Billings Clinic. Dr. Curry lives and continues to practice in Billings, MT.
Oral history interview with Chloe Fife, class of 2022, via Zoom, on March 4, 2024. Fife discussed her time as a member and president of UVA Law’s chapter of Lambda Law Alliance, highlighting the group’s events and activities, including a successful campaign for the installation of gender-neutral restrooms in the Law School.
An oral history interview with Dr. Claudette Dalton, conducted at the Claude Moore Health Sciences Library on June 27, 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.
Claudette Ellis Harloe Dalton lived in Charlotte, N.C., before attending Sweet Briar College. After graduation, she enrolled in post-baccalaureate courses at the University of Virginia in order to prepare for medical school. She matriculated at the UVA School of Medicine in 1970, the first year that UVA's undergraduate programs officially became co-educational. Dr. Dalton received her M.D. from the UVA School of Medicine in 1974, and she went on to an internship and anesthesiology residency at the University of North Carolina at Chapel Hill.
While working in North Carolina, Dr. Dalton remained involved with the UVA Medical Alumni Association, and in 1989, she was invited to join the faculty of the UVA School of Medicine as the Assistant Dean for Alumni Affairs. With this appointment, Dr. Dalton became the first woman to hold the title of Assistant Dean in the history of the UVA School of Medicine. She held several positions during her tenure at the School of Medicine, including: Assistant Dean for Medical Education, Assistant Dean for Community Based Medicine, Director of the Office for Community Based Medical Education, and Assistant Professor for Medical Education. During her time on the faculty, Dr. Dalton served on the School of Medicine's Committee on Women and helped to coordinate an annual Women in Medicine Leadership Conference on behalf of the School of Medicine. In 1993, Dr. Dalton presented the opening remarks at the UVA School of Medicine Graduation Exercises.
Dr. Dalton also served as the Chair of the Federation of State Medical Boards (FSMB) Ethics and Professionalism Committee, and she chaired the Southeastern Delegation to the American Medical Association from 2019-2021. In 1996, she was inducted into the Alpha Omega Alpha (AOA) Society. In 2002, she was awarded the Sharon L. Hostler Women in Medicine Leadership Award. An active alumna of the UVA School of Medicine, Dr. Dalton has served on the Medical Alumni Association Board of Directors, as well as on the Medical Alumni Newsletter editorial board, and acted as Class Representative for the Class of 1974.
Oral history interview with Cordel Faulk, class of 2001, via Zoom, on March 13, 2024. Faulk discussed his education, his time at UVA as a law student, and his activities to recruit more LGBT+ students to UVA Law while working in admissions.
An oral history interview with Dr. Dorothy G. Tompkins, conducted at the Claude Moore Health Sciences Library on November 19, 2021. 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.
Dorothy Ellen Guild Tompkins was born in 1941 and grew up in Louisa County, VA. She majored in biology at the College of William and Mary (graduating in 1962) before matriculating at the University of Virginia School of Medicine. She graduated from medical school in 1966, one of three women in her class. In 1972, Tompkins returned to UVA as a Fellow in Pediatric Cardiology. She went on to be appointed Assistant Professor of Pediatrics in 1973 and Associate Professor of Pediatrics in 1979. Later she worked in the area of addiction treatment, and from 2003-2006 Tompkins served as a pediatrician in the UVA Department of Psychiatric Medicine. A passionate and dedicated teacher, Tompkins received the Dean's Award for Excellence in Teaching and was elected to the School of Medicine's Academy of Distinguished Educators during her time at UVA.
In recent years, Tompkins has been active in local non-profit work, including master gardener, naturalist, and tree steward programs, and extensive work with women recovering from substance abuse and trauma. She helped found an organization called Georgia's Friends, which operates Georgia's Healing House, a supportive residential home for women in recovery. Tompkins is married to Dr. William Fraser Tompkins III (also a member of the UVA SOM Class of 1966). They live in Central Virginia.
An oral history interview with Dr. Edward T. Wood, conducted by Dr. David S. Wilkes via Zoom on September 23, 2021. 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.
Edward Thomas Wood was born in Lexington, VA, in 1932. He attended Armstrong High School in Richmond, VA, and was a pre-medical student at Dartmouth University, where he earned an A.B. in 1953. Wood and his classmate Edward Bertram Nash became the first two Black students to attend and graduate from the University of Virginia School of Medicine. Matriculating in 1953, they graduated in the Class of 1957. After medical school, Wood completed several internships and residencies in New York. After choosing ophthalmology as a specialty, he opened his own practice in New York and spent the remainder of his career there. He is now retired and living in Florida.
David S. Wilkes graduated from Villanova University (B.S.) and earned an M.D. from Temple University. He served as Dean of the UVA School of Medicine from 2015-2021. Dr. Wilkes remains a member of the research faculty at the UVA School of Medicine.
Oral history interview with Hillary Taylor, class of 2016, via Zoom, on March 7, 2024. Taylor discussed her time as a member and president of UVA Law’s chapter of Lambda Law Alliance, highlighting the group’s activities and events.
Oral history interview with Kenneth Williams, class of 1986, via Zoom, on March 11, 2024. Williams discussed his time as a member and president of UVA Law’s Gay and Lesbian Law Students Association, which later became UVA Law’s chapter of Lambda Law Alliance. He detailed events and activities during his tenure, including a successful campaign for the Law School to have an official sexual orientation nondiscrimination policy.
An oral history interview with Dr. Linda R. Thompson, conducted via Zoom by the Claude Moore Health Sciences Library on November 15, 2021. 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.
Linda Ruth Thompson was born in 1941 in Bristol, Tennessee. She attended King College (now King University) in Bristol, TN, and graduated Magna cum Laude in 1962. Thompson attended the University of Virginia School of Medicine and graduated from medical school in 1966; she was one of three women who graduated in the Class of 1966. After graduation, Thompson completed a rotating internship at the State University of Iowa Hospital in 1967, and then returned to UVA for a residency in psychiatry (1967-1971). She served as the Chief Resident during her final year of residency and also as an Instructor in Psychiatry (1970-1971). Following her residency, she worked as a staff psychiatrist at the Northern Virginia Mental Health Institute in Fairfax, VA, before going into private practice in the Washington, DC, area.
Dr. Thompson pursued psychoanalytic training at the Washington Psychoanalytic Institute, and graduated from the psychoanalysis program in 1983. In 1984, she moved to the Tri-Cities area of northeastern Tennessee and southwestern Virginia, where she has maintained a general psychiatric practice since 1984. Thompson also worked as a consultant until 2014, primarily with regional mental health centers, and she attended psychiatric patients at local community hospitals. In 2016, Thompson published a book about her experiences with breast cancer, which she was diagnosed with and treated for in 2007 and 2008. She continues to practice medicine part-time in Bristol, TN, and writes about issues in modern healthcare. In addition to her book Surviving Breast Cancer, Thompson is the author of two additional books: Return to Asylums: A Prescription for the American Mental Health System, published in 2016, and Old School Medicine: Lower Tech Care to Improve the High Tech Future of Healthcare, published in 2018.
This is a shortened version of the oral history interview conducted with Dr. Thompson in November 2021. The full length interview remains restricted until 2047.
An oral history interview with Dr. Maurice Apprey, conducted on May 12, 2022. This interview is part of a joint effort of the Claude Moore Health Sciences Library and the UVA Medical Alumni Association and Medical School Foundation.
Maurice Apprey was born in Ghana, West Africa. He received a B.S. in Psychology, Philosophy, and Religion from the College of Emporia, Kansas, and graduated in 1974. Dr. Apprey was one of a small number of students who trained under Anna Freud at the Hampstead Clinic in London, from which he graduated in 1979. After studying phenomenological psychological research and hermeneutics with Amedeo Giorgi at the Saybrook Institute in San Franciso, CA, Dr. Apprey received a Ph.D. in Human Science Research. He later pursued a doctorate in Executive Management from the Weatherhead School of Management at Case Western Reserve University.
In 1980, Dr. Apprey joined the faculty of the UVA School of Medicine in the department of Psychiatry and Neurobehavioral Sciences. In 1982, he was appointed Assistant Dean of Student Affairs. His work with current and aspiring medical students continued for two and a half decades, and he was later appointed the Associate Dean of Diversity at the School of Medicine (in 1992) and the Associate Dean of Student Support (in 2003). During these years, Dr. Apprey was highly effective in increasing the number of students from under-represented backgrounds at medical school through initiatives like the Medical Academic Advancement Program (MAAP). He taught undergraduates, medical students, residents in psychiatry and psychology, and hospital chaplains, among others. In 2007, Dr. Apprey was invited to become Dean of the Office of African-American Affairs for the University of Virginia. He accepted and served in that role until his retirement in 2022.
Oral history interview with Michael Allen, class of 1985, via Zoom, on February 29, 2024. Allen discussed the formation and early activities of UVA Law’s Gay and Lesbian Law Students Association, which later became UVA Law’s chapter of Lambda Law Alliance.