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
Is There Life after Death? Fifty Years of Research at UVAUVA Medical Center Hour2017-03-07 | February 22, 2017 Jim B. Tucker Bruce Greyson Edward F. Kelly J. Kim Penberthy http://www.uvadops.org
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, UVAHealthcare for Every Body Caring for Higher Weight PatientsUVA Medical Center Hour2024-10-18 | Ragen Chastain, MEd, BCPA Speaker, Writer, Researcher, Board Certified Patient Advocate, and Thought Leader in Weight Science, Weight Stigma, and Healthcare
Weight stigma exists in healthcare in multiple forms and harms patients and providers in myriad ways. This talk will provide a comprehensive look at the ways that weight stigma impacts healthcare from research to direct care, what research and lived experience tell us about the best ways to care for higher weight patients, and what healthcare providers can do to make sure that they are providing the highest level of evidence-based, ethical care to patients of all sizes. Ragen Chastain is a speaker, writer, researcher, Board Certified Patient Advocate, multi-certified health and fitness professional, and thought leader in weight science, weight stigma, health, and healthcare. Utilizing her background in research methods and statistics, Ragen has brought her signature mix of humor and hard facts to healthcare, corporate, conference, and college audiences from Kaiser Permanente and Nationwide Children's Hospital, to Amazon and Google, to Dartmouth, Cal Tech and the Yale School of Medicine. Author of the Weight and Healthcare newsletter, the book Fat: The Owner's Manual, co-author of the Health at Every Size Health Sheets, and editor of the anthology The Politics of Size, Ragen is frequently featured as an expert in print, radio, television, podcasts, and documentary film. In her free time, Ragen is a national dance champion, triathlete, and marathoner who holds the Guinness World Record for Heaviest Woman to Complete a Marathon. Ragen lives in Oregon with her fiancée Julianne and a rotating cast of foster dogs.Following What Matters Kenneth R. White, PhD, APRN-BC, FACHE, FADLN, FAANUVA Medical Center Hour2024-10-09 | Zula Mae Baber Bice Memorial Lecture Kenneth R. White, PhD, APRN-BC, FACHE, FADLN, FAAN Dean Emeritus, MGH Institute of Health Professions School of Nursing UVA Health Professor of Nursing Emeritus, University of Virginia Professor of Health Administration Emeritus, Virginia Commonwealth University This one-hour educational session is a combination of didactic presentation and audience participation to reflect on ways that nurses, physicians, educators, and all care team members may reconnect with the joy of our special work using a framework on “mattering”. The overall aim is to inspire, motivate, and celebrate what matters and to present examples and stories of how each person can make a difference. Recommendations will be offered for how to return to “touchstones” that may rejuvenate in particularly challenging times. Dr. Ken White serves as Dean Emeritus of the School of Nursing at the MGH Institute of Health Professions in Boston. Prior to joining the IHP, Dr. White served as the Associate Dean for Strategic Partnerships in the School of Nursing and Endowed Professor of Nursing at the University of Virginia (UVA). Previous to his time at UVA, Dr. White served as the Sentara Professor and directed the graduate programs in health administration at Virginia Commonwealth University (VCU) for twenty years. Dr. White holds Emeritus Professor appointments at both VCU and UVA. He has completed visiting professorships at the Luiss Business School in Rome and at the Swiss School of Public Health. He also has completed consultancies in the Republic of Kazakhstan, Guam, Micronesia, and the Republic of Palau. Earlier in his career, Dr. White was an executive with the Mercy Health System, an international provider of health care, where he led the civilian hospital in Guam and served in various administrative roles with Mercy Health Center in Oklahoma City. Dr. White is a Fellow in both the American Academy of Nursing and the American College of Healthcare Executives (ACHE). From 2021 to 2023, Dr. White served as the President of the American Academy of Nursing. Dr. White has been honored with ACHE’s Gold Medal Award (2019), VCU School of Nursing’s Outstanding Alumnus Award (2021), VCU College of Health Professions Lifetime Service and Achievement Award (2023), and The DAISY Lifetime Achievement Award (2024). Also in 2024, Dr. White was named a Luminary Fellow (of the Academy of Diversity Leaders in Nursing (FADLN) by the National Black Nurses Association. Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Embracing the Healthcare Needs of our CommunitiesUVA Medical Center Hour2024-05-09 | Jessie Stewart Richardson Memorial Lecture in Patient Quality and Safety Peter Paige, MD, MMM, CPE, FACEP, FACPE Chief Clinical Officer at UVA Health
Tracey Hoke, MD, MSc, FAAP, Moderator Chief of Quality and Performance Improvement at UVA Health
The lecture will be focused on our mission, vision and values here at UVA Health as they relate to providing the best care for our communities. Now that we have a four-hospital system, our primary communities for service have expanded. How do we work to better meet the needs of these communities (and beyond) while trying to maintain care as close to home as possible? We will review some statistics describing our current state across the health system. This will include our transfer center which is responsible for transfers at our main campus and encompasses multiple other services (including bed management, medcom and discharge transportation services). As we continue to expand our services to respond to the demand in our communities, how do we prepare and strengthen our approach to handling these volumes? We’ll discuss initiatives currently underway in our Emergency Departments, our Operating Rooms and in Patient Progression as we help make a patient’s hospital stay as seamless as possible. We’ll also explore future opportunities in these areas. We will examine the future of the transfer processes as we launch a system transfer center to accommodate the needs of the health system. Lastly, we will discuss a strategy to develop a capacity command center—a model that has been deployed at numerous academic health systems across the country.
Peter Paige, MD, is UVA Health’s inaugural chief clinical officer. He is responsible for the efficiency and standardization of clinical operations and enhancing quality across all four of our hospitals and wherever we provide clinical care. Dr. Paige guides clinical operations and quality of care across the entire health system, ensuring the maintenance of best practices to secure and elevate patient satisfaction and outcomes. In his previous role, Dr. Paige served as chief executive officer of the Albany Medical Center Hospital. He previously worked at Jackson Health System and the University of Miami, where he served as an executive vice president, chief physician executive, and chief clinical officer. Dr. Paige received a bachelor’s degree from Lemoyne College and studied medicine at SUNY Upstate Medical University, earning a master’s in medical management from Carnegie Mellon University. He completed his residency in emergency medicine at the University of Massachusetts Medical School.
Tracey Hoke, MD, is a pediatrician and pediatric cardiologist. Dr. Hoke earned her undergraduate degree in biology from Dartmouth College and her medical degree from the University of Maryland. She completed her residency in pediatrics at UVA and a fellowship in cardiology at Johns Hopkins. Dr. Hoke holds a graduate degree in outcomes research from the Johns Hopkins Bloomberg School of Public Health and has also served as medical officer at the National Heart, Lung and Blood Institute, National Institutes of Health. She joined UVA in 2006, as the director of quality and safety initiatives in the Department of Pediatrics. In 2013, she was named chief of quality and performance improvement and senior associate chief medical officer for quality for UVA Health. In these roles, she works with other senior leaders and staff to provide leadership and direction for the development and implementation of improvements in the care delivery at UVA health.
How to claim Continuing Education (CE) credit: Medical Center Hour on May 1, 2024
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 150962 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Watch Medical Center Hour recordings at youtube.com/user/UVAMCHUVA AOA Honor Medical Society Saying What We Mean: How Medical Language Reveals and ConcealsUVA Medical Center Hour2024-05-09 | Anna DeForest, MD, MFA Neurologist & Supportive Care Physician, Memorial Sloan Kettering Cancer Center, New York City
Benjamin J Martin, MD, Moderator Assistant Director, Programs in Health Humanities Assistant Professor, Internal Medicine Section Hospital Medicine, UVA
Problems in language create a gulf between medical providers and patients, affecting relationship-building, medical understanding, therapeutic adherence and health outcomes. Physicians pride themselves on scientific rigor, but tend to overlook the complex subjectivities that impact patient wellbeing as much as, or more so than, cell biology, biochemistry or pharmacology. By examining the relationship between language and other cognitive processes, we build a deeper respect for the impact of the words we use, not just when we are speaking to patients, but in our discourse with each other, and even in the reasoning we perform alone in our heads. An examination of medical language including consideration of syntax, etymology and rhetorical forms provides a useful taxonomy for the strangeness of medical speech: from jargon to euphemism, passive voice to circumlocution, the commonalities of medical phrasing can reveal to us our weaknesses, biases and unmet needs. This will be an interactive session on the uses and harms of habitual medical language, and an invitation to self-examination through the lens of the words we use in practice every day.
Anna DeForest is an assistant attending physician in the Supportive Care Service at Memorial Sloan Kettering Cancer Center in New York City. Dr. DeForest has an MD from Columbia University, completed residency training in neurology at Yale-New Haven Hospital, fellowship in palliative care at Mount Sinai, and has an MFA in Fiction Writing from Brooklyn College. Their first novel, A History of Present Illness, was a New York Times Editors’ Choice and winner of the Rosenthal Family Foundation Award from the American Academy of Arts and Letters. Their second novel, Our Long Marvelous Dying is forthcoming from Little, Brown in July 2024.
Ben Martin is a hospitalist and core faculty at UVA’s Center for Health Humanities and Ethics. He studied creative writing at Middlebury College and attended Tufts University School of Medicine. His writing has most recently been published on Literary Hub.
How to claim Continuing Education (CE) credit: Medical Center Hour on April 24, 2024
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 149774 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Watch Medical Center Hour recordings at youtube.com/user/UVAMCHEverything keeps changing! Lessons of COVID-19 for Pandemic Surveillance Marc Lipsitch, DPhilUVA Medical Center Hour2024-04-23 | The Hayden-Farr Lecture in Virology and Epidemiology Everything keeps changing! Lessons of COVID-19 for Pandemic Surveillance
Marc Lipsitch, DPhil (Speaker) Professor of Epidemiology Director, Center for Communicable Disease Dynamics Harvard T. H. Chan School of Public Health
Costi D. Sifri, MD, FACP, FIDSA (Moderator) Becton, Dickinson and Company Endowed Chair of Infectious Diseases and International Health and Professor of Medicine, UVA School of Medicine
For the first half of this program, Prof. Lipsitch will describe a decision-focused notion of design for surveillance systems that are designed to detect, track, characterize, and tailor treatment or prevention of new pathogens and variants thereof, suggesting the key components of such a system. In the second half, he will describe work using health care databases in the US and Israel that provides examples of some of the potential to perform such surveillance and the accompanying challenges.
Resources:
1. What's next: using infectious disease mathematical modelling to address health disparities. Richard DM, Lipsitch M. Int J Epidemiol. 2024 Feb 01. 53(1). PMID: 38145617
2. Estimated excess deaths due to COVID-19 among the urban population of Mainland China, December 2022 to January 2023. Raphson L, Lipsitch M. Epidemiology. 2024 Jan 29. PMID: 38300113
3. JYNNEOS™ effectiveness as post-exposure prophylaxis against mpox: Challenges using real-world outbreak data. Rosen JB, Arciuolo RJ, Pathela P, Boyer CB, Baumgartner J, Latash J, Malec L, Lee EH, Reddy V, King R, Edward Real J, Lipsitch M, Zucker JR. Vaccine. 2024 Jan 25. 42(3):548-555. PMID: 38218669
Marc Lipsitch, DPhil is Professor of Epidemiology at the Harvard T. H. Chan School of Public Health. He directs the Center for Communicable Disease Dynamics and the Interdisciplinary Program on Infectious Disease Epidemiology. His scientific research concerns the effect of naturally acquired host immunity, vaccine-induced immunity, and other public health interventions on the population biology of pathogens and the consequences for human health He has authored 400 peer-reviewed publications on antimicrobial resistance, epidemiologic methods, mathematical modeling of infectious disease transmission, pathogen population genomics, research ethics, biosafety/security, and immunoepidemiology of Streptococcus pneumoniae. Dr. Lipsitch is a leader in research and scientific communication on COVID-19. Dr. Lipsitch received his BA in philosophy from Yale and his DPhil in zoology from Oxford. He did postdoctoral work at Emory University and CDC. He is a member of the American Academy of Microbiology and the National Academy of Medicine. Costi Sifri, MD is the Becton, Dickinson and Company Endowed Chair of Infectious Diseases & International Health at the University of Virginia School of Medicine in Charlottesville, Virginia, where he serves as the Director of Hospital Epidemiology/Infection Prevention and Control. Dr. Sifri received his medical degree from the University of Rochester, completed medicine residency at the University of Pennsylvania, and was a clinical and research fellow in infectious diseases and microbiology at the Massachusetts General Hospital, Brigham & Women’s Hospital, and Harvard Medical School. He joined the faculty of the University of Virginia in 2004 with a clinical and research focus on healthcare-associated pathogens. In 2006, he also founded the UVA Immunocompromised Infectious Disease Program and in 2009 he was named as the Director of Hospital Epidemiology/Infection Prevention and Control. Dr. Sifri’s research interests include the exploration of the molecular mechanisms of microbial pathogenesis and host defense, epidemiology of healthcare-associated multidrug resistant organisms, and the prevention of healthcare-associated infections. Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Watch Medical Center Hour recordings at youtube.com/user/UVAMCHThe Care of Foreigners Eram Alam, PhDUVA Medical Center Hour2024-04-23 | History of the Health Sciences Lecture Eram Alam, PhD Assistant Professor in the History of Science Department Harvard University, Cambridge, MA
Covid-19 made apparent a major deficit in the US healthcare system: physician supply was unequal to medical care demand. To urgently address this mismatch, states allowed retired physicians to reenter the workforce, the federal government issued regulations bypassing state licensing rules, and the Trump White House took this urgent need into account. In his June 22, 2020 “Proclamation Suspending Entry to Aliens Who Present a Risk to the U.S. Labor Market Following the Coronavirus Outbreak,” President Trump made a notable exception: healthcare professionals able to provide “medical care to individuals who have contracted COVID-19” were welcome to enter the country. This strategy has a long history. Since at least the 1960s, the US has trained fewer doctors than it needs, relying instead on the economically expedient option of soliciting immigrant physicians trained at the expense of other countries. This talk explores the economic, political, and social conditions that inaugurated this migratory regime. Initiated during the Cold War with the passage of the Hart-Celler Immigration and Nationality Act of 1965, this bill expedited the entry of Foreign Medical Graduates (FMGs) from postcolonial Asian and sent them to provide care in shortage areas throughout the country. Although conceived as a short-term stopgap measure, this practice has continued unabated for the last sixty years effectively allowing organized medicine and the federal government to defer substantive structural changes in distribution and access to care.
Resources: 1. Alam, Eram. “Teeth Cleaning in Tijuana: Healthcare Across the US-Mexico Border” (In preparation, Medical Anthropology). 2. Alam, Eram. “The Logistical Body.” (In preparation, Public Culture). 3. Alam, Eram. The Care of Foreigners. (Under contract, Johns Hopkins University Press).
Eram Alam, PhD is an Assistant Professor in the History of Science Department at Harvard University. She specializes in the history of medicine in the long twentieth century with a particular emphasis on US healthcare, race, migration, and the political economy of care. Her first book, The Care of Foreigners on which this talk is based, will be out later this year with Johns Hopkins University Press. Alongside this project, she completed an edited volume called Ordering the Human: The Global Spread of Racial Science that will be out in May 2024. Her next major project explores logistics and medical tourism.
Disclosure(s): The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speakers Prof. Eram Alam, Dominique Tobbell, PhD; Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie, LLB; R. Carpenter, DNP; Mary Faith Marshall, PhD; Justin Mutter, MD, MA; Kathryn Reid, PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Watch Medical Center Hour recordings at youtube.com/user/UVAMCHHEALTH WORKFORCE WELL-BEING DAY, March 18, 2024UVA Medical Center Hour2024-03-18 | Healing Healthcare A conversation between U.S. Surgeon General Dr. Vivek Murthy and Elizabeth (Lili) Powell, PhD, MA Julie Logan Sands Associate Professor, UVA Darden School of Business Associate Professor, UVA School of Nursing Director, Compassionate Care Initiative
To mark the first Health Workforce Well-Being Day of Awareness, the UVA Compassionate Care Initiative, UVA Medical Center Hour, and the Dr. Lorna Breen Heroes’ Foundation will hold an exclusive premiere screening of a conversation between U.S. Surgeon General Dr. Vivek Murthy and UVA Associate Professor and Director of the Compassionate Care Initiative Dr. Lili Powell. All medical and nursing students, as well as UVA Health team members, are invited to attend. Be the first to react to and discuss "Healing Healthcare,” a conversation that focuses on the national imperative to ensure well-being and mental health for all who work in healthcare. Featured will be questions from a few of UVA’s own nursing and medical students related to Dr. Murthy’s “Addressing Health Worker Burnout” advisory. Audience discussion follows. The event will kick-off with an introduction of the inaugural Health Workforce Well-Being Day of Awareness by Corey Feist, CEO of Dr. Lorna Breen Heroes’ Foundation. Accredited continuing education provided by University of Virginia School of Medicine and School of Nursing.
Disclosures: Speaker Vivek H. Murthy, MD, MBA, is bound by the Ethics in Government Act of 1978, codified at 5 USC App 101 et seq. and the Office of Government Ethics regulations set forth at 5 CFR 2643 et seq. which require the completion of public financial disclosure report filings for all political appointees. Dr. Murthy has complied with the reporting of all necessary financial information under these laws and any resulting recusal requirements. The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speakers: Lili Powell, PhD, MA; J. Corey Feist, JD, MBA; Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie, LLB; R. Carpenter, DNP; Mary Faith Marshall, PhD; Justin Mutter, MD, MA; Kathryn Reid, PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.
How to claim Continuing Education (CE) credit: 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 150811 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu
PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed. Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/ Watch Medical Center Hour recordings at youtube.com/user/UVAMCHNegotiating Normalcy: Deafness Cures in American HistoryUVA Medical Center Hour2024-02-20 | History of the Health Sciences Lecture JAIPREET VIRDI, PhD Associate Professor and Historian Department of History, University of Delaware
Dominique Tobbell, PhD, Moderator Professor & Director of the Eleanor Crowder Bjoring Center for Nursing Historical Inquiry, UVA
During the late nineteenth century, entrepreneurs began to glut the direct-to-consumer medical market with a plethora of remedies they professed could miraculously cure deafness. They claimed their remedies and machines fostered a world of unbridled optimism for providing “hope” to deaf ears. Even as medical specialists denounced these “cure-all” treatments as quackery in its finest form, the messages of restoring hearing would transfer over to the hearing aid industry. Focusing on the marketing of deafness cure—hearing trumpets, electrotherapy apparatuses, and hearing aids—this presentation unravels the many ways deaf people sought to restore or gain hearing. This history provides broad context for understanding the lived experiences of deaf people and how cultural pressures of normalcy significantly stigmatized deafness. JAIPREET VIRDI, PhD, Born in Kuwait to Sikh parents, Jaipreet Virdi lost her hearing at age four to bacterial meningitis. By age six, her working-class family immigrated to Toronto, Ontario where she would later attend a school for deaf and hard-of-hearing children. A product of “mainstreamed” education, Virdi learned to lip-read and rely on her hearing aids. She attended public high schools then received her Bachelors’ degree in the philosophy of science from York University. After graduation, she took time off to work in marketing and fashion merchandising, before deciding to return to school. She received first her masters, then her doctorate, from the Institute for the History and Philosophy of Science and Technology at the University of Toronto. She is currently an Associate Professor in the Department of History at the University of Delaware where she teaches courses on disability histories, the history of medicine, and health activism. Her first book, Hearing Happiness: Deafness Cures in History was published in 2020 by the University of Chicago Press. Dominique Tobbell, PhD, Centennial Distinguished Professor of Nursing and director of the Eleanor Crowder Bjoring Center for Nursing History of Inquiry at the University of Virginia. Dr. Tobbell’s research examines the complex political, economic, and social relationships that developed among academic institutions, governments, and the health care industry in the decades after World War II and assesses the implications of those relationships for the current health care system.
How to claim Continuing Education (CE) credit: 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 148932 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Watch Medical Center Hour recordings at youtube.com/user/UVAMCHArt as a Beacon: Navigating life after a diagnosis of Parkinson’s disease.UVA Medical Center Hour2023-11-16 | A conversation with Torrance York, M.F.A Moderated by Donna T. Chen, M.D., M.P.H. Sponsored by UVA Department of Neurology and UVA Medical Center Hour
After being diagnosed with Parkinson’s disease in 2015, Torrance York, a fine arts photographer and educator, used her camera to integrate this life-altering information into her sense of self.
Through her project, Semaphore, York explores the shift in her perspective post-diagnosis and draws connections between the visual world and her internal experience. Presenting photographs of nature, the body, medical images, daily life, and light to capture her experience, York’s images bear human vulnerability, while connecting to her audience with optimism. York’s Semaphore project, collected in a book of the same name, speaks to anyone whose journey requires growth, patience, and perseverance.
About the speaker: Torrance York, an artist and educator, earned an MFA in photography from Rhode Island School of Design and a BA from Yale in American Studies. She received a Connecticut Artist Fellowship grant in 2010 and was a resident artist at the Anderson Ranch Arts Center, one of the most respected visual arts programs in the country. She has exhibited nationally and internationally. Her work is represented by Rick Wester Fine Arts, NYC. In 2022, York published her monograph Semaphore about the shift in her perspective after being diagnosed with Parkinson’s disease. Featured in various publications and podcasts, Semaphore has been awarded in Lenscratch’s 2021 Art & Science Awards and as a Critical Mass 2021 Finalist. Semaphore was selected as a favorite book of 2022 by online photography magazine What Will You Remember? This past summer York presented Semaphore at the World Parkinson’s Congress in Barcelona. A selection from Semaphore is currently on exhibit at the Danforth Art Museum at Framingham State University in MA until January 28, 2024. torranceyork.com/about
Resources: • Podcast: Interview with Sarah Sniderman, Vulnerability in Life and Art, Episode 61, July 10, 2023 • Interview: Torrance York - The Power of Creating Something Cannot be Overstated, by Scarlett Sherriff for Parkinson’s life: A Voice for the international Parkinson's community. 22 September 2022 • Artist Interview: Semaphore, Fraction Magazine by Bree Lamb, 15th Anniversary Issue #167, June 2023 • Featured Portfolio: A Shared Journey - Starkman & York, Shadow & Light Magazine by E.E. McCollum, May/June 2023 • Torrance York: Semaphore, Lenscratch / Fine Art Photography Daily by Megan Ross, September 30, 2022 • Magsamen S, Ross I. Your Brain on Art: How the Arts Transform Us. Random House Publishers. March 21, 2023. (yourbrainonart.com) • Fancourt D, Finn S. What is the evidence on the role of the arts in improving health and well-being? A scoping review [Internet]. Copenhagen: WHO Regional Office for Europe; 2019. (Health Evidence Network synthesis report, No. 67.) Available from: https://www.who.int/publications/i/item/what-is-the-evidence-on-the-role-of-the-arts-in-improving-health-and-well-being-a-scoping-review
How to claim Continuing Education (CE) credit for November 10, 2023:
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146717 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Watch Medical Center Hour recordings at youtube.com/user/UVAMCHMedicine & Society: Stories of Dementia, Caregiving, and the Human BrainUVA Medical Center Hour2023-11-01 | Koppka Family Foundation Lecture in the Health Humanities A partner presentation by UVA’s Center for Health Humanities & Ethics and The Center at Belvedere Medicine & Society: Stories of Dementia, Caregiving, and the Human Brain
Dasha Kiper MA Speaker and author of Travelers to Unimaginable Lands: Dementia, Caregivers and the Hidden Workings of the Mind
Justin Mutter MD, Panelist Director of Health Humanities Programs, UVA Center for Health Humanities & Ethics
Dominique McLaughlin LPC, Panelist UVA FEAP Consultant and Mental Health Counselor
Dasha Kiper MA was born in Russia, raised in San Francisco, and makes her home in New York. She first became a live-in caregiver after she graduated Columbia University where she received an MA in Clinical Psychology. For the past decade, she has counseled caregivers, led support groups, and trained and supervised mental health professionals, as well as former caregivers, who now lead support groups. Resources: 1. Kiper, D. (2023, March 7). How People With Dementia Make Sense of the World. The Atlantic. 2. “Travelers to Unimaginable Lands: Dementia and the Hidden Workings of the Mind.” (New York: Random House, March 7, 2023) and Profile Books (Great Britain, March 2, 2023) 3. What Melville’s “Bartleby, the Scrivener” Tells Us About Memory Loss. (2023, March 23). Literary Hub. 4. Kiper, D. (2023, March 14). How Our Minds Trick Us Into Overlooking Signs of Dementia. The Daily Beast.
Accreditation & Designation Statements The University of Virginia School of Medicine and School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. The University of Virginia School of Medicine and School of Nursing awards 1 contact hour for nurses who participate in this educational activity and complete the post activity evaluation. The University of Virginia School of Medicine and School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 Credit(s)TM or ANCC contact hours) to a participant who successfully completes this educational activity. The University of Virginia School of Medicine and School of Nursing maintains a record of participation for six (6) years.
Disclosure(s): The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speakers Dasha Kiper MA, Dominique McLaughlin LPC; Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie, LLB; R. Carpenter, DNP; Mary Faith Marshall, PhD; Justin Mutter, MD, MA; Kathryn Reid, PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.
Disclosure of faculty financial affiliations The University of Virginia School of Medicine and School of Nursing as a Joint Accreditation Provider adhere to the ACCME Standards for Integrity and Independence in Accredited Continuing Education, released in December 2020, as well as Commonwealth of Virginia statutes, University of Virginia policies and procedures, and associated federal and private regulations and guidelines. As the accredited provider for this CE/IPCE activity, we are responsible for ensuring that healthcare professionals have access to professional development activities that are based on best practices and scientific integrity that ultimately supports the care of patients and the public.
How to claim Continuing Education (CE) credit:
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146714 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Integrating Medical and Social Care In Primary Care, Emilia De Marchis, MD, MASUVA Medical Center Hour2023-10-13 | Emilia De Marchis, MD, MAS Assistant Professor of Clinical Family & Community Medicine School of Medicine, University of California, San Francisco
Over the past 10+ years, there have been growing efforts to identify and address patients' social risk factors (for example, food insecurity and housing instability) in health care delivery settings. These efforts, broadly referred to as social care, have been spurred by interest in addressing the upstream factors influencing patients' health, with the goal to improving health equity and wellness. New national-level quality metrics around social care integration are expected to further increase health care system adoption of social care, with implications for the health care workforce and patients. In her talk, Dr. De Marchis will review how social care (including screening for patients' social risk factors, providing assistance, adjusting medical care with shared decision making to fit patients' social context, and advocacy work) is being integrated in primary care settings, and highlight bright spots in primary care practice innovation around social care.
Resources: 1. De Marchis EH, Pantell M, Fichtenberg C, Gottlieb L. Prevalence of patient-reported social risk factors and receipt of assistance in federally-funded health centers. JGIM. 2019; doi.org/10.1007/s11606-019-05393-w 2. Pantell M, De Marchis EH, Bueno, A, Gottlieb L. Clinic Capacity to Address Patients’ Social Needs is Associated with Physician Satisfaction and Perceived Quality of Care. Ann Fam Med. 2019 Jan; 17(1):42-45. PMID: 30670394. 3. De Marchis EH, Torres JM, Benesch T, Fichtenberg C, Allen IE, Gottlieb LM. Addressing Food Insecurity in Health Care Settings: A Systematic Review. Ann Fam Med. September/October 2019;17(5): 436-447. doi: 10.1370/afm.2412Dr.
Emilia De Marchis is a family physician and health services researcher at the University of California, San Francisco. She is affiliate faculty of the UCSF Social Intervention Research & Evaluation Network (SIREN) where she works to assess and improve how we screen for and respond to identified patient social risk factors within health care settings. Dr. De Marchis co-directs coursework through the UCSF Implementation Science Training program, Partnerships for Research in Implementation Science for Equity (PRISE) Center, and is co-director of the UCSF Training in Practice-Based Research (TIPR) Program, which aims to train family medicine and psychiatry residents of community-based programs in scholarly activities. She is co-chair the UCSF Health Social Drivers of Health Task Force and serves on the San Francisco Bay Area Collaborative Research Network Steering Committee. Dr. De Marchis uses implementation science methods to focus on moving research on social care activities into real-world settings. Her clinical work is based out of the UCSF Family Medicine Center at Lakeshore, where she provides full spectrum primary care. Through her research and clinical practice, she hopes to advance the health care system’s integration of socialc are to provide high quality, patient-centered preventative health care, to reduce health disparities. Dr. De Marchis received her MD from Stanford University, and her MAS in Clinical Research and Certificate in Implementation Science from UCSF.
How to claim Continuing Education (CE) credit
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146712 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Organizational Professionalism and the Social Contract Speaker: Barry Evan Egener, MDUVA Medical Center Hour2023-09-29 | 2023 Brodie Lecture Barry Evan Egener, MD Consultant, Professionals Wellness Lead Asante Health, Medford, OR
Evan Heald MD, Moderator Brodie Medical Education Committee Director, Associate Professor of Medicine, UVA
The public’s diminishing trust in the medical profession is due more to the actions of medical organizations than individual practitioners. This presentation will explore how organizational professionalism, the notion that medical organizations, like individual practitioners, have professional competencies and behaviors, may help restore trust in medicine’s social contract. The presentation will provide examples of how the corporatization of medicine has eroded the wellbeing of its workforce and subordinated the health of patients and communities to profit. However, there are movements in both business and medicine that may restore public trust and promote social wellbeing.
Resources: 1. Barry E. Egener, MD, Diana J. Mason, RN, PhD, Walter J. McDonald, MD, The Charter on Professionalism for Health, Academic Medicine, Vol. XX, No. X 2. Donald M. Berwick, Salve Lucrum: The Existential Threat of Greed in US Health Care, JAMA February 28, 2023 Volume 329, Number 8
How to claim Continuing Education (CE) credit:
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146710 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
In support of improving patient care, the University of Virginia School of Medicine and School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. The University of Virginia School of Medicine and School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. The University of Virginia School of Medicine and School of Nursing awards 1 contact hour for nurses who participate in this educational activity and complete the post activity evaluation. The University of Virginia School of Medicine and School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 Credit(s)TM or ANCC contact hours) to a participant who successfully completes this educational activity. The University of Virginia School of Medicine and School of Nursing maintains a record of participation for six (6) years.
Disclosure(s): The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speakers: Barry Evan Egener, MD; Evan Heald, MD; Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie, LLB; R. Carpenter, DNP; Mary Faith Marshall, PhD; Justin Mutter, MD, MA; Kathryn Reid, PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.Healing the Beloved Community 04 19 2023UVA Medical Center Hour2023-04-24 | UVA Alpha Omega Alpha (AOA) Honor Medical Society Anthony N. Fleg, MD Dept. of Family and Community Medicine and the College of Population Health University of New Mexico, Albuquerque, NM
Irène P. Mathieu, MD, Moderator Center for Health Humanities and Ethics Assistant Professor, General Pediatrics, UVA
Healing the beloved community. What does that phrase bring to mind? Does it challenge you to dig deeper and dream bigger as a healer? In this talk, Dr. Fleg will work through his aspirational journey toward healing the beloved community through his career in family medicine. Grounded in principles of social justice, love, and strength-based ways of seeing patients and communities, he will ask everyone to dig deeper and dream bigger in terms of what we are here to do as healers.
Dr. Anthony Fleg is a family medicine physician at UNM in the Department of Family and Community Medicine and the College of Population Health. Originally from Baltimore, Anthony grounds his healing work in undoing racism, health equity, and with a focus on strengths and holistic health. He also serves as a Partnership Director of the Native Health Initiative (NHI), a love grounded partnership, and has dedicated much of his career to improving health in Indigenous communities. He is a proud father of 4 children, an avid runner, and has recently written his first book, Writing to Heal - A Pandemic Journey to Healing.
Disclosure(s): The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speaker: Anthony N. Fleg, MD; Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie LLB; R. Carpenter DrNP; Mary Faith Marshall, PhD; Justin Mutter, MD MA; Kathryn Reid PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.
How to claim Continuing Education (CE) credit:
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146688 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Two Ends of the Stethoscope: Writing as a Patient-PhysicianUVA Medical Center Hour2023-04-05 | Celeste Lipkes, MD, MFA Writer and Staff Inpatient Consult Psychiatrist Charles George VA Hospital, Asheville, North Carolina
Irène P. Mathieu, MD, Moderator Center for Health Humanities and Ethics Assistant Professor, General Pediatrics, UVA
Despite the inevitability that our health as medical providers will one day fail, we continue to speak of “patients” and “physicians” as discrete categories. This dichotomy has recently been challenged by narratives of providers experiencing mid-career medical crises – but what about stories of doctors who were patients first? In this talk, Celeste Lipkes will read from her new poetry collection Radium Girl, which explores the challenges of navigating medical training as a person with chronic illness. We will think together about the strengths trainees with health challenges bring to the field as well as ways institutions can recruit and support them.
Dr. Lipkes, is a staff inpatient consult psychiatrist at the Charles George VA Hospital in Asheville, North Carolina. Her debut poetry collection, Radium Girl, was published in March 2023 by the University of Wisconsin Poetry Series. Prior to attending Virginia Commonwealth University for medical school she received her MFA in poetry at University of Virginia. She has taught poetry workshops at UVA, Kenyon Review Young Writers Workshop, and for patients in various medical settings. She is currently at work on a series of lyric essays exploring her experiences as a patient and a physician. For additional information visit her website: http://www.celestelipkes.com
Resources: 1. Lipkes, Celeste. Radium Girl. Madison, WI: The University of Wisconsin Press, 2023. 2. Meeks, Lisa M., Ben Case, Kurt Herzer, Melissa Plegue, and Bonnielin K. Swenor, 2019. "Change in Prevalence of Disabilities and Accommodation Practices Among US Medical Schools, 2016 vs 2019.” JAMA 322 (20): 2022. 3. Agaronnik, Nicole, Shahin Saberi, Michael Stein, and Dorothy Tolchin. 2021. “Why Disability Must Be Included in Medical School Diversification Efforts.” AMA Journal of Ethics 23 (12): E981-986. 4. Stanford Medicine Alliance for Disability Inclusion and Equity, https://med.stanford.edu/smadie.htmlDr. Lipkes, is a staff inpatient consult psychiatrist at the Charles George VA Hospital in Asheville, North Carolina. Her debut poetry collection, Radium Girl, was published in March 2023 by the University of Wisconsin Poetry Series. Prior to attending Virginia Commonwealth University for medical school she received her MFA in poetry at University of Virginia. She has taught poetry workshops at UVA, Kenyon Review Young Writers Workshop, and for patients in various medical settings. She is currently at work on a series of lyric essays exploring her experiences as a patient and a physician. For additional information visit her website: http://www.celestelipkes.com
How to claim Continuing Education (CE) credit: 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146685 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Dr. Nurse: Science, Politics, and the Transformation of American NursingUVA Medical Center Hour2023-03-20 | Dominique Tobbell, PhD Centennial Distinguished Professor Director, Bjoring Center for Nursing Historical Inquiry UVA School of Nursing
Elizabeth G Epstein, PhD, RN, Moderator Associate Dean for Academic Programs Professor, UVA Center for Health Humanities and Ethics
Nurses represent the largest segment of the US health care workforce and spend significantly more time with patients than any other member of the health care team. This lecture probes their history to examine major changes that have taken place in American health care in the second half of the twentieth century. It examines the work of academic nurses to construct a science of nursing—distinct from that of the related biomedical or behavioral sciences—that would provide the basis of nursing practice. Facing broad changes in patient care driven by the introduction of new medical innovations, academic nurses worked both to develop science-based nursing practice and to secure their roles within the post-war research university. By their efforts, academic nurses transformed nursing’s labor into a valuable site of knowledge production and demonstrated how application of this knowledge was integral to improving patient outcomes and healthcare delivery. This lecture explores the knowledge claims, strategies, and politics involved as academic nurses negotiated their roles and nursing’s future, revealing how state-supported academic health centers have profoundly shaped nursing education and health care delivery.
Resources: 1. Dominique Tobbell, Dr. Nurse: Science, Politics, and the Transformation of American Nursing (University of Chicago Press, 2022). 2. Dominique Tobbell, “Nursing’s Boundary Work: Theory Development and the Making of Nursing Science, 1950-1980.” Nursing Research (2018) 67(2): 63-73.
Dr. Tobbell’s scholarship focuses on the complex political, economic, and social relationships that developed after World War II between universities, governments, and the healthcare industry and that continue to impact modern-day systems. She is the author of Pills, Power, and Policy: The Struggle for Drug Reform in Cold War America and its Consequences (University of California Press, 2012), and Health Informatics at Minnesota: The First Fifty Years (Tasora Books, 2015). Her forthcoming book, Dr. Nurse: Science, Politics, and the Transformation of American Nursing (University of Chicago Press), examines American nurses’ more expansive roles in the post-World War II era. She has taught a variety of courses on the history of 20th-century American healthcare, with an emphasis on the ways that race, gender, class, sexuality, and disability determine Americans’ experiences with and access to healthcare. A board member of the American Association for the History of Nursing, Dr. Tobbell has earned fellowships from the Bates Center for the Study of the History of Nursing, UVA’s Miller Center, the Smithsonian’s Lemelson Center, and the American Institute of the History of Pharmacy.
Prof. Epstein received her BS in biochemistry from the University of Rochester and her MS in Pharmacology, BSN, and PhD in nursing from the University of Virginia. She worked in maternal-child health and neonatal intensive care for 10 years before joining the UVA School of Nursing faculty in 2007. She currently serves as Professor and Associate Dean for Academic Programs in the School of Nursing, is a core member of the UVA School of Medicine Center for Health Humanities and Ethics faculty, and an affiliate member of the UVA Jewish Studies faculty. Dr. Epstein is certified in clinical ethics consultation and an active member of the UVA Health System’s Ethics Consult Service. She also directs the health system’s Moral Distress Consult Service. In 2020, Dr. Epstein and her colleagues launched the Moral Distress Consultation Collaborative, a national group of experts in moral distress and moral distress consultation, with the purpose of conducting research, establishing best practices for consultation, and promoting education and training for moral distress consultants and ethicists.
How to claim Continuing Education (CE) credit: 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146683 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.Achieving Social Accountability in Healthcare Through Graduate Medical EducationUVA Medical Center Hour2023-03-02 | 2023 Brodie Lecture Alison Huffstetler, MD FAAFP Medical Director of the Robert Graham Center for Policy Studies in Primary Care, Assistant Professor Department of Family Medicine and Population Health at Virginia Commonwealth University
Evan Heald MD, Moderator Brodie Medical Education Committee Director, Associate Professor of Medicine, UVA
Socially accountable healthcare will transform the way people and communities receive and perceive health. To achieve equitable healthcare delivery with societal accountability, Graduate Medical Education (GME) must grow, geographically adapt, and reframe curricula to address community priorities.1,2 The history of GME directly impacts the distribution and training system in place today; there have been incremental policy efforts to increase allotment of training and training in place.3 However, financial incentives alone have not produced better outcomes or community accountability.4 What are the next steps to ensure high-value care is implemented in every community? Resources: 1. Phillips RL Jr, George BC, Holmboe ES, Bazemore AW, Westfall JM, Bitton A. Measuring Graduate Medical Education Outcomes to Honor the Social Contract. Acad Med. 2022 May 1;97(5):643-648. doi: 10.1097/ACM.0000000000004592. Epub 2022 Apr 27. PMID: 35020616; PMCID: PMC9028305. 2. Kaufman A, Scott MA, Andazola J, Fitzsimmons-Pattison D, Parajón L. Social Accountability and Graduate Medical Education. Fam Med. 2021 Jul 7;53(7):632-637. doi: 10.22454/FamMed.2021.160888. Epub 2021 Jun 4. PMID: 34086288 3. Ahmed H, Carmody JB. On the Looming Physician Shortage and Strategic Expansion of Graduate Medical Education. Cureus. 2020 Jul 15;12(7):e9216. doi: 10.7759/cureus.9216. PMID: 32821567; PMCID: PMC7430533.
How to claim Continuing Education (CE) credit:Medical Center Hour on 22 February 2023
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146680 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Something in the Air? Hospital Infection Control Policies and the Crisis in Evidence-Based MedicineUVA Medical Center Hour2023-03-01 | 2023 Jessie Stewart Richardson Memorial Lecture in Patient Quality and Safety
Professor Trish Greenhalgh OBE FMedSci Nuffield Department of Primary Care Health Sciences, University of Oxford
Justin Mutter MD, Moderator Center for Health Humanities and Ethics Division of General, Geriatric, Hospital & Palliative Medicine, UVA
To cure sometimes; to relieve often; to comfort always. This is what we expect of our hospitals, but hospital-acquired infections and other nosocomial harms have been with us for as long as hospitals have existed. My grandmother died in in 1931 of hospital-acquired childbed fever; my mother died in 2020 of hospital-acquired covid-19. In both cases, hospital staff were devotedly providing what they believed to be best, evidence-based care. In both cases, the care they gave was based on flawed mental models of how the pathogen was transmitted. This lecture will use three historical examples of contagious diseases: cholera and childbed fever (both spread primarily by contact and droplets, but initially assumed to spread through the air as ‘miasmas’) and covid-19 (spread primarily through the air but initially assumed to be spread exclusively by contact and droplets). The paradigm shift that occurred (slowly and reluctantly) from ‘miasma theory’ to ‘germ theory’ in the 19th century has some famous heroes (Ignaz Semmelweiss and John Snow for example) who were denounced and disparaged by mainstream voices at the time. There are uncomfortable parallels in modern-day policies on covid-19, with the denouncement and dismissal of the work of aerosol scientists who have called for a paradigm shift from handwashing and other ‘droplet rituals’ to systematic attention to the quality of indoor air. This lecture will ask hard questions about what we mean by ‘high-quality’ evidence and about the links between knowledge and power.
Trish Greenhalgh is Professor of Primary Care Health Sciences and Fellow of Green Templeton College at the University of Oxford. She studied Medical, Social and Political Sciences at Cambridge and Clinical Medicine at Oxford before training first as a diabetologist and later as an academic general practitioner. She has a doctorate in diabetes care and an MBA in Higher Education Management. She leads a programme of research at the interface between the social sciences and medicine, working across primary and secondary care. Her work seeks to celebrate and retain the traditional and the humanistic aspects of medicine and healthcare while also embracing the exceptional opportunities of contemporary science and technology to improve health outcomes and relieve suffering. Three particular interests are the health needs and illness narratives of minority and disadvantaged groups; the introduction of technology-based innovations in healthcare; and the complex links (philosophical and empirical) between research, policy and practice. She has brought this interdisciplinary perspective to bear on the research response to the Covid-19 pandemic, looking at diverse themes including clinical assessment of the deteriorating patient by phone and video, the science and anthropology of face coverings, and policy decision-making in conditions of uncertainty. She is a member of Independent SAGE, an interdisciplinary academic team established to provide independent advice on the pandemic direct to the lay public.
How to claim Continuing Education (CE) credit for the15 February 2023 : 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146679 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.The 2023 Koppaka Family Foundation Lecture in the Health Humanities Sharing the Language of ALSUVA Medical Center Hour2023-02-16 | Richard S. Bedlack M.D. Ph.D. M.Sc. Professor of Neurology, Faculty Network Member of the Duke Institute for Brain Sciences, Director of the Duke ALS Clinic, Duke University School of Medicine, Durham, NC
James Plews-Ogan, M.D. Moderator, UVA Professor of Pediatrics, Emeritus
Amyotrophic Lateral Sclerosis (ALS) is an incurable, progressive neuro-degenerative disease, affecting roughly 20,000 thousand patients and their families in the United States today. The clinical course eventually leads to complete paralysis, and premature death. Finding the language to accurately describe the physical and emotional experiences of ALS is often elusive for patients. Likewise, offering language to patients that matches their experience is a delicate responsibility for clinicians. In this MCH, Drs. Richard Bedlack and Jim Plews-Ogan endeavor to explore the challenge of sharing the language of ALS. As an ALS neurologist, Dr. Bedlack has cared for more than 4,000 patients with ALS. As a physician with more than 40 years of clinical experience, Dr. Plews-Ogan is now also a patient with ALS, who writes about his experience in a blog called, Offering Kindness.
Dr. Richard S. Bedlack, grew up in a small town in central Connecticut. He went to college at William and Mary in Virginia, then back to Connecticut for an MD and Ph.D. in Neuroscience at UConn. Finally, he came to Duke where he completed his Medicine Internship, Neurology Residency, Neuromuscular Fellowship, and Masters in Clinical Research Science. He is currently a Professor of Neurology at Duke and Director of the Duke ALS Clinic. He has won awards for teaching and patient care, including best Neurology teacher at Duke, Health Care Hero, Strength Hope, and Caring Award, America’s Best Doctor, the American Academy of Neurology Patient Advocate of the Year, and the Rasmussen ALS Patient Advocate of the Year. He has received ALS research grants, participated in ALS clinical trials, published more than 100 ALS articles. He is the leader of the international ALSUntangled program which utilizes social networking to investigate alternative and off-label treatment options for patients with ALS, and leader of the ALS Reversals program which attempts to understand why some people with ALS recover from it, and to make this happen more often. He lives in Durham, North Carolina with his wife Shelly and two mischievous cats.
Jim Plews-Ogan M.D., M.S., is Associate Professor Emeritus in Pediatrics. He retired abruptly in March 2022 due to a diagnosis of ALS, amyotrophic lateral sclerosis, commonly known as Lou Gehrig’s disease. Jim began his career in health care as a public health nurse, and as a primary care nurse practitioner. He practiced nursing for 10 years, including the entire time he was a student at Harvard Medical School. Dr. Plews-Ogan has had a varied clinical career spanning 40 years, mostly working with underserved populations, beginning in a methadone maintenance program in New York City. Migrant health on Virginia’s Eastern Shore, Teen Health and Spanish clinic at the Martha Elliott Health Center in Boston’s Jamaica Plain preceded four years at a federally qualified community health center in Virginia’s poorest county. In response to Jim’s ALS diagnosis, the family has created The Hummingbird Fund whose mission statements reads as follows: Hummingbird Fund Mission Statement We are honored to serve as an accelerator for innovation in ALS research, advocacy, and overall functional support, through stable and sustainable partnerships that are patient centric, and kind. Ending ALS. Starting with all of us. How to claim Continuing Education (CE) credit: 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146678 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Addressing Environmental Health Inequity A Program of the UVA Community MLK CelebrationUVA Medical Center Hour2023-01-31 | Irène Mathieu, MD, Assistant Professor, General Pediatrics; Assistant Director, Center for Health Humanities and Ethics, UVA
Ebony Hilton, MD, Associate Professor, Anesthesiology and Critical Care Medicine, UVA
Tracy Kelly, DNP, MSN, Assistant Professor of Nursing; Coordinator, Pediatric Acute Care NP, UVA
Lena Bichell, Fourth-Year Medical Student, UVA School of Medicine
Christie Julien MA, Moderator, Assistant Dean for Global Diversity, Equity, and Inclusion, UVA Darden School of Business
The preamble to the Constitution of the World Health Organization (WHO) declares that health is “a state of complete physical, mental, and social well-being.” The health of individuals, of communities, and of social systems is increasingly inseparable from the health of our environment. However, from pollution and waste to climate change and zoonotic diseases, the burdens of an unhealthy environment do not fall equally on all persons and peoples. For all those who work to achieve the “state of complete well-being” envisioned over half a century ago by the WHO—clinicians, public and community health workers, lawyers, entrepreneurs, and advocacy organizations (among many others)—understanding environmental health inequities is essential. This event invites a conversation among experts from multiple sectors on realizing environmental health justice in Virginia and beyond. (Co-presented with UVA Sustainability Civic Engagement and Virginia Clinicians for Climate Action).
Resources: Virginia Clinicians for Climate Action: Heat Illness in Virginia
How to claim Continuing Education (CE) credit: 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 146676 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.
For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Disclosure(s): Ebony Hilton, MD has disclosed a relationship with GOODSTOCK Consulting, LLC. The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speakers: Irène Mathieu, MD; Tracy Kelly, DNP, MSN; Lena Bichell; and Christie Julien MA. Planning Committee: M.D. Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie LLB; R. Carpenter DrNP; Mary Faith Marshall, PhD; Justin Mutter, MD MA; Kathryn Reid PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.
Disclosure of faculty financial affiliations The University of Virginia School of Medicine and School of Nursing as a Joint Accreditation Provider adhere to the ACCME Standards for Integrity and Independence in Accredited Continuing Education, released in December 2020, as well as Commonwealth of Virginia statutes, University of Virginia policies and procedures, and associated federal and private regulations and guidelines. As the accredited provider for this CE/IPCE activity, we are responsible for ensuring that healthcare professionals have access to professional development activities that are based on best practices and scientific integrity that ultimately supports the care of patients and the public. All individuals involved in the development and delivery of content for an accredited CE/IPCE activity are expected to disclose relevant financial relationships with ineligible companies occurring within the past 24 months (such as grants or research support, employee, consultant, stock holder, member of speakers bureau, etc.). The University of Virginia School of Medicine and School of Nursing employ appropriate mechanisms to resolve potential conflicts of interest and ensure the educational design reflects content validity, scientific rigor and balance for participants. Questions about specific strategies can be directed to the University of Virginia School of Medicine and School of Nursing of the University of Virginia, Charlottesville, Virginia. The faculty, staff, CE Advisory Committee and planning committee engaged in the development and/or peer review of this CE/IPCE activity in the Joint Accreditation CE Office of the School of Medicine and School of Nursing have no financial affiliations to disclose.CDC’s Action-Oriented Response to Public Health, Rochelle P. Walensky, MD, MPHUVA Medical Center Hour2022-11-01 | Rochelle P. Walensky, MD, MPH Director of the Centers for Disease Control and Prevention and the Administrator of the Agency for Toxic Substances and Disease Registry Costi D. Sifri, MD FACP FIDSA (Moderator) Becton, Dickinson and Company Endowed Chair of Infectious Diseases and International Health, Professor of Medicine, UVA School of Medicine
This presentation will describe the current state of the COVID pandemic and CDC’s forecast for this winter. Using examples from the pandemic, Dr. Walensky will describe how CDC is using epidemiology and data to guide policy in order to prevent medically significant illness, minimize the burden on healthcare systems, and protect our most vulnerable individuals. She will also discuss how novel surveillance such as sampling from wastewater systems has helped detect monkeypox and polio across the nation. Co-presented with the Department of Medicine Resources: 1. Paltiel AD, Schwartz JL, Zheng A, Walensky RP. Clinical outcomes of a COVID-19 vaccine: implementation over efficacy. Health Affairs Blog. 2020; 10.1377//hlthaff.2020.02054.
2. Walensky RP, Walke HT and Fauci AS. SARS-CoV-2 variants of concern in the United States -challenges and opportunities. JAMA. Mar 16 2021;325(11):1037-1038. 10.1001/jama.2021.2294.
3. Walensky RP. A piece of my mind. Disclosure. JAMA. 2010; 303(17):1676-7.
Rochelle P. Walensky, MD, MPH, is the Director of the Centers for Disease Control and Prevention and the Administrator of the Agency for Toxic Substances and Disease Registry. She is an influential scholar whose pioneering research has helped advance the national and global response to HIV/AIDS. Dr. Walensky is also a well-respected expert on the value of testing and treatment of deadly viruses. Dr. Walensky served as Chief of the Division of Infectious Diseases at Massachusetts General Hospital from 2017-2020 and Professor of Medicine at Harvard Medical School from 2012-2020. She served on the front line of the COVID-19 pandemic and conducted research on vaccine delivery and strategies to reach underserved communities. Dr. Walensky is recognized internationally for her work to improve HIV screening and care in South Africa and nationally for motivating health policy and informing clinical trial design and evaluation in a variety of settings.
Costi D. Sifri, MD FACP FIDSA, is the director of hospital epidemiology at UVA Health, where he works to prevent infections that occur as a consequence of receiving medical care. He is also the medical director of the immunocompromised infectious disease program at UVA, which is focused on providing care to patients with infectious diseases following organ or stem cell transplantation or who have cancer. Born and raised in Portland, Oregon, Dr. Sifri received his medical degree from the University of Rochester, completed internal medicine residency at the University of Pennsylvania, and clinical and research fellowships in infectious disease at the Massachusetts General Hospital, Brigham and Women’s Hospital, and Harvard Medical School. He joined UVA in 2004. Dr. Sifri’s research interests include exploring the transmission of multidrug-resistant organisms (MDROs) in the healthcare environment and understanding the clinical consequences and prevention of healthcare-associated infections. He has helped lead efforts at UVA Health to reduce transmission of healthcare-associated pathogens, supervised infection prevention education and quality improvement efforts, and led institutional responses to high-consequence emerging microbial pathogens, including carbapenem-resistant Enterobacteriaceae, Ebola virus, and COVID-19
How to claim Continuing Education (CE) credit: Thank you for attending the Medical Center Hour on October 26, 2022
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 144885 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed. ________________________________________________________________________
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/The Purpose of the Pelvic Exam: A Historical AnalysisUVA Medical Center Hour2022-10-21 | Wendy Kline PhD (Speaker) Dema G. Seelye Chair in the History of Medicine, Director, Medical Humanities Program at Purdue, Department of History, Purdue University, West Lafayette, IN
Dominique Tobbell, PhD (Moderator) Professor and Director of the Eleanor Crowder Bjoring Center for Nursing Historical Inquiry, UVA School of Nursing
Ever since the introduction of the pelvic exam as a gynecological procedure in the late nineteenth century, consumers and doctors have struggled to define the boundaries between preventive health and sexual impropriety. In the early twentieth century, for example, cancer awareness programs were stymied by the failure of the press to print particular words deemed “inappropriate,” such as “uterus, cervix, discharge, bloody, or menses.” And despite the emergence of second wave feminism in the 1970s, discomfort around discussing female sex organs remains a major problem, even leading to a state representative getting banned from speaking on the Michigan House floor after using the term “vagina” in 2012. This shaming of women’s reproductive anatomy takes a toll on all women, who have picked up the cue that they, too, should remain silent about their bodies. Researchers have documented the impact this silencing has had on women’s care, including a lack of basic anatomical knowledge and the importance of routine gynecological care. In a 2017 US study, for example, only about half of women surveyed about cervical cancer screening felt they knew the purpose of the routine pelvic exam. This talk suggests that the pelvic exam is more than just a medical procedure; it is a window into a deeper, more meaningful set of questions about gender, medicine, and power. From gynecological research on enslaved women’s bodies to practice on anesthetized patients, the pelvic exam as we know it today carries the burden of its history. By looking through that window, we can begin to understand why the pelvic exam remains both mysterious and contentious.
Co-presented with the History of the Health Sciences Lecture Series, and The Eleanor Crowder Bjoring Center for Nursing Historical Inquiry of the UVA School of Nursing
Wendy Kline, Ph.D., Dema G. Seelye Chair in the History of Medicine at Purdue University, is internationally recognized for her scholarship in the history of medicine, history of women's health and the history of childbirth. She is the author of three major books: Coming Home: How Midwives Changed Birth (Oxford University Press, 2019); Bodies of Knowledge: Sexuality, Reproduction, and Women’s Health in the Second Wave (U. of Chicago Press 2010); and Building a Better Race: Gender, Sexuality, and Eugenics from the Turn of the Century to the Baby Boom (U. of California Press, 2001). Her current book project, Exposed: A History of the Pelvic Exam, is under contract with Polity Press. She has appeared in the Netflix documentary, Sex, Explained, as well as the PBS documentary, The Eugenics Crusade, and will appear in the Showtime documentary, Pharma, in 2023. Her research has been funded by major fellowships, including a Fulbright Distinguished Scholar fellowship, a British Academy Fellowship, and a Huntington Fellowship. Kline is also a professional violinist. You can learn more about her at www.wendykline.com.
At the end of the conference How to claim Continuing Education (CE) credit: Thank you for attending the Medical Center Hour on October 12, 2022
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 144850 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed. ____________________________________________________________________________________________
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Disclosure(s): The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speakers: Wendy Kline PhD; Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie, LLB; R. Carpenter, DrNP; Mary Faith Marshall, PhD; Justin Mutter, MD, MSc; Kathryn Reid, PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.Diabetes and the Fragmented States of America - the Opportunity for Primary Care Innovation,UVA Medical Center Hour2022-10-18 | Mohammed K Ali MD, MSc, MBA (Speaker) William H. Foege Distinguished Professor of Global Health, Co-Director, Emory Global Diabetes Research Center, Vice Chair (Research), Dept. of Family and Preventive Medicine Emory University, Atlanta GA
Justin Mutter, MD, MSc (Moderator) Director of Health Humanities Programs, UVA Center for Health Humanities & Ethics
Using diabetes as a case example, this talk will examine three major aspects of fragmented care in the United States. However, there are opportunities to optimize wellbeing, health services, and systems for communities and the nation at large. In an ever-changing and interconnected world, primary care and the health of Americans are inseparable needs. As health risks, morbidity, and mortality patterns evolve, we have opportunities in terms of access to data, analytics, and tools to advance and promote health.
Resources: Diabetes And The Fragmented State Of US Health Care And Policy Puneet Kaur Chehal, Elizabeth Selvin, Jennifer E. DeVoe, Carol M. Mangione, and Mohammed K. Ali Health Affairs 2022 41:7, 939-946 Mohammed K Ali MD, MSc, MBA, is the William H. Foege Distinguished Professor of Global Health, Co-Director of the Emory Global Diabetes Research Center of the Woodruff Health Sciences Center, and Vice Chair for Research in the Department of Family and Preventive Medicine at Emory University. A global citizen with diverse training in medicine, cardiovascular research, global health, and business and management, he has built a portfolio focused on cardiometabolic health, health care and preventive services, and translation and implementation science over 14 years at Emory. His contributions include surveillance and policy research at the Centers for Disease Control and Prevention and leading or supporting synthesis reports for the World Health Organization, World Bank, and the National Academy of Medicine.
At the end of the conference How to claim Continuing Education (CE) credit: Thank you for attending the Medical Center Hour on October 5, 2022
1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 144829 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. 6. Certificate Preparation; indicate the number of credits you wish to claim for attending this activity. Click “Submit” 7. Click “Print Certificate” or you can access later by visiting our website, Click “Learning Portal”, Sign in at the top of the page and click “Credit History & Past Certificate”. 8. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30-day period. Credit will not be issued after the evaluation period has closed.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Disclosure(s): Speaker: Mohammed K Ali MD has a relationship with Merck, Eli Lilly, and Bayer. The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie, LLB; R. Carpenter, DrNP; Mary Faith Marshall, PhD; Justin Mutter, MD, MSc; Kathryn Reid, PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.Working with Refugee Populations: How do We Optimize Their Welcome?Larry Merkel, MD, PhDUVA Medical Center Hour2022-09-12 | Larry Merkel, MD, PhD (Speaker), Director of Outreach, Department of Psychiatry and Neurobehavioral Sciences, University of Virginia Fern R. Hauck, MD, MS, FAAFP (Panelist), Director, International Family Medicine Clinic, UVA Department of Family Medicine Mirna Dickey, M.Ed., LPC (Panelist), International Rescue Committee Justin Mutter, MD, MSc (Moderator), Director of Health Humanities Programs, UVA Center for Health Humanities & Ethics
UVA psychiatrist and anthropologist Dr. Larry Merkel will discuss the politicization of refugee status and the diversity of refugee resettlement experiences. Some refugees encounter medical and/or mental health challenges in their journey to making a new life and require more intensive community services. Dr. Fern Hauck and Mirna Dickey will discuss the ways in which local organizations such as the UVA International Family Medicine Clinic and the International Rescue Committee meet the special needs of such refugees and some of the innovative strategies used by area caregivers to assist refugees affected by trauma. (Co-presented with Welcoming Greater Charlottesville)
Disclosure(s): The following speakers and planning committee have no personal or professional financial relationships with a commercial entity producing healthcare goods and/or services. Speakers: Larry Merkel, MD, PhD; Fern Hauck, MD, MS; and Mirna Dickey; Planning Committee: Jim Childress, PhD; Marcia Childress, PhD; R.J. Bonnie, LLB; R. Carpenter, DrNP; Mary Faith Marshall, PhD; Justin Mutter, MD, MSc; Kathryn Reid, PhD, APRN, FNP-BC, CNL; Lois Shepherd, JD.
Larry Merkel, MD, PhD, is a Professor in the Department of Psychiatry and Neurobehavioral Sciences and Director of Outreach for the department. He graduated from the University of Virginia School of Medicine, subsequently completed a residency in psychiatry at the University of Pennsylvania. He joined the Department of Psychiatry and Neurobehavioral Sciences at the University of Virginia in 1990. Until 2012 he was Director of Psychiatric Medicine and Specialty Care Core of the Southeastern Mental Health Research Center at UVA. He is presently the Director of Outreach in the Department of Psychiatry and NBS and has expanded telepsychiatry to provide mental health care to rural SW Virginia and other parts of the state. Also in this position, he directs the department’s ECHO programs, the psychiatry branch of the International Family Medicine Clinic, the Global Mental Health Track, the Guatemala Initiative, and several other programs working with marginalized populations in Charlottesville.
Fern R. Hauck, MD, MS, is the Spencer P. Bass, MD, Twenty-First Century Professor of Family Medicine and Professor of Public Health Sciences at the UVA School of Medicine. Dr. Hauck has a longstanding interest in refugee health and global health. She founded the UVA International Family Medicine Clinic (IFMC) within the Department of Family Medicine in 2002.. Dr. Hauck has also engaged students and residents in refugee oriented research and quality improvement projects. In addition, she has developed a student elective and a comprehensive residency curriculum in refugee healthcare, and was cofounder of the Global Health Leadership Track, which now includes 10 UVA residency programs. Dr. Hauck is a member of the Virginia Office of New Americans Advisory Board, whose purpose is to advise the Governor, cabinet members, and the General Assembly on strategies to improve state policies and programs to support the economic, linguistic, and civic integration of new Americans throughout the Commonwealth.
Mirna Dickey, M.Ed, LPC, has worked for the International Rescue Committee in Charlottesville since the summer of 2000. She is currently a caseworker in the Intensive Case Management program, serving predominantly clients with special medical and mental health needs. A native of the former Yugoslavia, Mirna came to the United States (not as a refugee) in 1991. She holds a M.Ed. in counseling from the University of Virginia and a M.A. in musicology from Indiana University. She is a licensed professional counselor.
How to claim Continuing Education (CE) credit: 1. Go to www.cmevillage.com. 2. Click on the “Learning Portal” button and select “CE Certificate”. 3. Sign in with your email and password or create an account if you are a new user. 4. Enter CE Activity Code 144642 and click “Submit” and “Continue”. 5. Complete the evaluation and click “Done”. For problems, contact the CME office at uvacme@virginia.edu PLEASE NOTE: The post activity evaluation will only be available for a 30 day period. Credit will not be issued after the evaluation period has closed.What Does Justice Look Like? Designing For Health Equity In Violence ResearchUVA Medical Center Hour2022-05-04 | Zula Mae Baber Bice Memorial Lecture, School of Nursing
Kamila A. Alexander, PhD, MSN/MPH, RN Assistant Professor and Associate Director of the PhD and Postdoctoral programs, Johns Hopkins School of Nursing, Baltimore, Maryland
Introductions by Pam Cipriano, PhD, RN, FAAN Dean of the UVA School of Nursing and Sadie Heath Cabaniss Professor of Nursing
Jeanne Alhusen PhD, CRNP, RN and Justin Mutter MD, Panelists
Experiences of violence, in its many forms are unjust and pervasive throughout our society. Disproportionate rates of interpersonal, community, and structural violence reflect historical and contemporary systems of power that reflect health and well-being disparities in Black communities. Thus, justice and health equity frameworks should inform research, programming, and advocacy strategies that emphasize strengths to drive violence prevention efforts. In this session, we examine violence as a social determinant of health and opportunities to build knowledge through survivor-centered research and health promotion. Co-presented with the School of Nursing
Resources: 1. Alexander, K.A., Arrington Sanders, R., Grace, K.T., Thorpe, R.J., Doro, E., Bowleg, L. (2021) “Having a Child Meant I had a Real Life”: Reproductive Coercion and Childbearing Motivations among Young Black Men Living in Baltimore. Journal of Interpersonal Violence, 36(17-18) NP9197-NP9225. 2. Collins, P.H. (2017) On violence, intersectionality and transversal politics. Ethnic and Racial Studies, 40(9), 1460-1473.
Kamila A. Alexander is an Assistant Professor and Associate Director of the PhD and Postdoctoral programs at the Johns Hopkins School of Nursing. Her research examines the socio-structural determinants of trauma and violence on sexual, mental, and reproductive health outcomes among marginalized young people. As a trained advanced practice public health nurse, Dr. Alexander uses health equity and social justice lenses to examine the complex roles that intimate partner violence, HIV resilience, societal gender expectations, and economic opportunity play in the experience of intimate human relationships. She is recognized for her scientific and community-engaged leadership as a member of the inaugural cohort of Betty Irene Moore Fellowships for Nurse Leaders and Innovators. Dr. Alexander has been a leader in advancing health equity in interprofessional activities and leadership roles within and outside Johns Hopkins.
Pamela F. Cipriano is dean of the UVA School of Nursing and the Sadie Heath Cabaniss Professor of Nursing. Prior to becoming dean, she served two terms as the president of the American Nurses Association, from 2014 until 2018, and represented the interests of the nation’s four million registered nurses. She also has extensive experience as an academic medical center executive and served for nine years as the chief clinical officer/chief nursing officer at UVA Health where she was responsible for all inpatient and outpatient clinical services. Under her leadership, the Health System earned its initial American Nurses Credentialing Center “Magnet” designation in 2006. In 2021, Dean Cipriano was elected President of the International Council of Nurses after serving four years as its 1st Vice President.
Dr. Alexander and Dr. Alhusen have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Dean Cipriano has declared relationships with PrEP Bioopharm, Firebrick Pharma, Henkel, Inc., Worldwide Clinical Trials, Avrio Health, and DuPont/Danisco. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143029 then complete and submit your evaluation. You have 30 days from this program date (20 April 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.Quality, Disparities, and Equity: How Does Value-Based Care Narrow the Gap?UVA Medical Center Hour2022-05-04 | The Jessie Stewart Richardson Memorial Lecture
Ali Khan MD, MPP, FACP Chief Medical Officer - Value-Based Care Strategy, Oak Street Health, Chicago, IL
Justin Mutter, moderator UVA Assistant Professor of Geriatric Medicine, Faculty, Center for Health Humanities and Ethics
The twin pandemics of 2020 cast into sharp relief the persistent challenges of achieving high-quality care to all persons and communities in American society, particularly in rural and urban communities with high social vulnerability. The COVID-19 pandemic also underscored the weaknesses of fee-for-service reimbursement in the pursuit of that goal. This presentation examines the most recent trends in health care delivery innovation for underserved populations, highlighting the progress, the perils, and the vast frontier of what’s possible in American medicine.
Resource: 1) A National Goal to Advance Health Equity Through Value-Based Payment | Health Disparities | JAMA | JAMA Network
Ali Khan, MD, MPP is a practicing general internist and Executive Medical Director at Oak Street Health, a value-based healthcare company focused on the delivery of transformative primary care to vulnerable Medicare and Medicare-Medicaid enrollees across the United States. At Oak Street, Ali serves as chief medical officer over Oak Street's largest division, leading the clinical and operational performance of a 30+-center, 100+-clinician and 750+-employee delivery system over three states. He also serves on the clinical faculty of the University of Chicago, Pritzker School of Medicine. Ali works at the intersection of medicine, entrepreneurship, translational health policy, population health and public service to help transform American healthcare delivery and achieve the quadruple aim. He is an experienced leader of mission-driven teams through periods of growth, uncertainty and high-stakes challenges. On the basis of that work at frontier delivery systems across the United States, he was named a National Minority Quality Forum 40 Under 40 Leader in Health, a MedTech Boston 40 Under 40 Healthcare Innovator and a California HealthCare Foundation (CHCF) Health Leadership Fellow.
Dr. Khan has no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
This is our last program for the spring semester of 2022. We will start back up in the fall of 2022.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143030 then complete and submit your evaluation. You have 30 days from this program date (27 April 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for six years.Who Tells Your Story? Using Narrative to Build Community, Define Purpose and Foster AgencyUVA Medical Center Hour2022-04-08 | March 28, 2022 UVA School of Nursing Compassionate Care Initiative; UVA Alpha Omega Alpha (AOA) Honor Medical Society
Elizabeth Métraux, CEO, Women Writers in Medicine, the Schwartz Center for Compassionate Healthcare, Boston, MA
Healthcare, as an industry, is infused with stories: stories patients tell you when you take a history; stories told by the human body, stories that you experience as a clinician. Many of these stories follow a familiar script: loss, burnout, resilience, and redemption. In this session, we explore how our stories shape our behaviors, perspectives, and journeys. In an age of burnout and trauma, we'll question those narratives as we endeavor to rewrite stories for clinicians and their patients that are grounded in agency, equity, and self-determination.
Resources: 1. American College of Healthcare Executives: Cultivating a Workplace of Belonging 2. Medium: We Can’t Fix Physician Burnout Until We Address American Neglect 3. STAT: Taking Care Of Charlie Helped One California Town Nearly Halve Hospital Use*, Authors: Lauran Hardin, Shelly Trumbo
Elizabeth Métraux has nearly two decades of experience around the globe helping individuals and organizations disseminate their ideas, Elizabeth is a tireless advocate for the use of story as a tool for radical change. She is the founder of Women Writers in Medicine, a start-up dedicated to amplifying the voices, experiences, and research of women in healthcare. Beginning her career in political movements—most notably in the Middle East and former Soviet Union during the Iraq War—she transitioned to healthcare after observing the powerful interplay among population health, public policy, and conflict. Moving from the frontlines of war to the frontlines of healthcare, she has served as a Director of Communications in the Office of the Director at the National Institutes of Health, spearheaded communication for USAID's TB and infectious disease projects in the Central Asian Republics, and led a national study on joy, loneliness, and community among America's healthcare workforce. Elizabeth's work has appeared in The New England Journal of Medicine, Health Affairs, STAT, Medium, graced the pages of textbooks, and more. She regularly speaks across the country—from the stages of the Aspen Ideas Festival to the lecture halls of Harvard Medical School. Elizabeth is an advisor to the Carol Emmott Foundation, which seeks to advance intersectional equity in healthcare leadership, and is on the Board of Advisors at the McGill University Executive Institute in Montreal, Quebec.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Elizabeth Métraux and Justin Mutter have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143027 then complete and submit your evaluation. You have 30 days from this program date (28 March 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for six years.A Healing ARC for Hospital Inequities: From Institutional Racism to Reparative JusticeUVA Medical Center Hour2022-03-30 | Bram Wispelwey, MD, MPH Associate Physician, Division of Global Health Equity at Brigham and Women’s Hospital, Instructor in Medicine at Harvard Medical School, Boston MA
Tracy Downs MD, Scott Heysell MD, and Sula Mazimba MD, panelists
Gregory C. Townsend, MD, moderator
Racism is an ongoing public health crisis, and racial inequities in health, many of which are institutionally derived, are increasingly documented. Nationwide, little progress on these racial health inequities has been achieved to date, and a significant need persists for evidence-based interventions. From their experience analyzing institutional racism in heart failure admissions at Brigham and Women’s Hospital, Drs. Bram Wispelwey and Michelle Morse designed Healing ARC – acknowledgment, redress, and closure – as a model to practically redress racial inequities in healthcare delivery with the involvement of impacted community members. Dr. Wispelwey will discuss the Brigham team’s journey from research to action, the backlash this provoked, and the promise of race-conscious and reparative approaches to address inequities in medicine. Co-sponsored by the Diversity and Community Engagement Offices of UVA School of Medicine and UVA Health
Dr. Bram Wispelwey is an Associate Physician in the Division of Global Health Equity at Brigham and Women’s Hospital and an Instructor at Harvard Medical School and the Harvard T.H. Chan School of Public Health. He is co-founder of Health for Palestine, a community organizing initiative in Palestinian refugee camps that seeks to maximize wellness and address health barriers via social accompaniment and creative integration with existing facilities. Bram’s research, education, and implementation efforts focus on anti-racist strategies to address hospital inequities, community health worker impact, and settler colonial determinants of health. Before the start of his medical career, he pursued LGBTQ-rights activism, which informs his health approach at the bedside and in advocacy. Bram is Senior Technical Lead with Partners In Health United States and a Senior Fellow at the Atlantic Fellows for Health Equity.
Dr. Mazimba has declared a relationship with Myokardia. Drs. Wispelwey, Downs, Heysell, and Townsend have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143026 then complete and submit your evaluation. You have 30 days from this program date (23 March 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for six years.Letter to a Young Female Physician Suzanne Koven MDUVA Medical Center Hour2022-03-25 | Ellis C. Moore Memorial Lecture of the School of Medicine
Suzanne Koven MD, Primary care physician and Writer in Residence at Massachusetts General Hospital Boston, MA
Irène Mathieu MD, moderator
It’s 2022. Why haven’t women achieved more equity in medicine, or in other professions? When veteran physician and writer Dr. Suzanne Koven toured the country after the publication of her recent memoir-in-essays, Letter to a Young Female Physician, she expected the stories she told about sexism towards female physicians and patients, the macho culture of medicine, and the difficulty of combining pregnancy and childrearing with a medical career to be of largely historical interest to her younger audience members. It was not. At event after event she heard young female physicians tell of how inadequate accommodations during pregnancy, childcare and housework unequally shared with male partners, harassment, pay inequity, and imposter syndrome resulting from internalized sexism--all exacerbated during the Covid-19 pandemic--had contributed to burnout and caused many to leave or consider leaving clinical medicine years before they’d planned to. In this lecture Dr. Koven will examine the long history and current state of sexism in medicine and offer ideas about how policy change, male allyship, medical humanities, and even social media can help dismantle it. Co-Sponsored by the Virginia Festival of the Book
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Suzanne Koven is a primary care physician at Massachusetts General Hospital where she also serves as inaugural writer-in-residence. She was recently named the recipient of the Valerie Winchester Family Endowed Chair in Primary Care Medicine and is an associate professor of medicine at Harvard Medical School. Her writing has appeared in the New England Journal of Medicine, the Boston Globe, the Lancet, the Los Angeles Review of Books, and other publications, and has been featured on National Public Radio. Her book, Letter to a Young Female Physician: Notes from a Medical Life was published by W.W. Norton & Co. in May, 2021.
Dr. Koven and Dr. Mathie have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143025 then complete and submit your evaluation. You have 30 days from this program date (16 March 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for six years.Pushing Cool: Big Tobacco, Racial Marketing, and the Untold Story of the Menthol CigaretteUVA Medical Center Hour2022-03-21 | Joan Echtenkamp Klein Memorial Lecture Keith Wailoo, PhD, Henry Putnam University Professor of History and Public Affairs, Department of History, School of Public and International Affairs, Princeton University President (2020-22), American Association for the History of Medicine, Princeton, NJ
Dominique Tobbell, PhD, Professor and Director of the Eleanor Crowder Bjoring Center for Nursing Historical Inquiry, School of Nursing, UVA, moderator
This lecture describes the methods and strategies used by the tobacco industry over nearly a century to establish menthol cigarette markets in the United States. It examines the role of numerous actors in establishing and defending these markets, among them: social science consultants, marketing experts, industry insiders, and civil rights groups. It also explores the ways in which the industry racial attitudes, health beliefs about cancer, coughing, and health psychology in general, in order to (at first) market menthol brands as "health" products then (in the 1960s) to pivot toward racially focused marketing. The lecture describes how menthol markets were built using these strategies. Finally, it examines the rising tide of public health and legal criticism of these methods, which have led to the currently proposed FDA ban on menthol cigarettes.
Resources: 1. Pushing Cool: Big Tobacco, Racial Marketing, and the Untold Story of the Menthol Cigarette (University of Chicago Press, 2021) 2. "The FDA's Proposed Ban on Menthol Cigarettes,"(link is external) New England Journal of Medicine (2019)
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Prof. Wailoo is Henry Putnam University Professor of History and Public Affairs at Princeton University where he teaches in the Department of History and the School of Public and International Affairs. He is former Chair of the Department of History, the former Vice Dean of the School of Public and International Affairs, and current President (2020-2022) of the American Association for the History of Medicine. In 2007 Wailoo was elected to the National Academy of Medicine. In 2021, he was elected to the American Academy of Arts and Sciences. In 2021, Wailoo received the Dan David Prize for his “influential body of historical scholarship focused on race, science, and health equity; on the social implications of medical innovation; and on the politics of disease.” Wailoo is an award-winning author on drugs and drug policy; race, science, and health; and genetics and society; and he is known also for insightful public writing and media commentaries on history of medicine, pandemics and society, and medical affairs in the U.S.
Prof. Tobbel is the author of Pills, Power, and Policy: The Struggle for Drug Reform in Cold War America and its Consequences (University of California Press, 2012), and Health Informatics at Minnesota: The First Fifty Years (Tasora Books, 2015). Her forthcoming book, Dr. Nurse: Science, Politics, and the Transformation of American Nursing (University of Chicago Press), examines American nurses’ more expansive roles in the post-World War II era. She has taught a variety of courses on the history of 20th-century American healthcare, with an emphasis on the ways that race, gender, class, sexuality, and disability determine Americans’ experiences with and access to healthcare.
Profs. Wailoo and Tobbell have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143024 then complete and submit your evaluation. You have 30 days from this program date (09 March 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.Medical Education: Students Leading and Co-Creating Change, Russ S Phillips MDUVA Medical Center Hour2022-03-10 | Russell S. Phillips, MD, Director of the Center for Primary Care at Harvard Medical School (HMS), discusses the critical role of student engagement in the development of medical education and curriculum. The program will highlight successful examples of new educational programs co-produced by faculty and students. It will examine students as change agents and analyze their catalytic role through the framework of John Kotter’s eight-stage process for change. It will also review the success factors in the creation, organization, structure and work of the Center for Primary Care, the Office for Community-Centered Medical Education, Student Leadership Committee, and Agents of Change Program for Community Health Centers at Harvard Medical School.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Drs. Phillips, Mutter, and Heald along with Jacqueline Carson have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143023 then complete and submit your evaluation. You have 30 days from this program date (02 March 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for sixChoose Your Medicine: Freedom of Therapeutic Choice in America, Lewis A GrossmanUVA Medical Center Hour2022-03-04 | Throughout American history, lawmakers have limited the range of treatments available to patients, often with the backing of the medical establishment. The country’s history is also, however, brimming with social movements that have condemned such restrictions as violations of fundamental American liberties. This fierce conflict is one of the defining features of the social history of medicine in the United States.
In his new book, Choose Your Medicine, Lewis A. Grossman presents a compelling look at how persistent but evolving notions of a right to therapeutic choice have affected American health policy, law, and regulation from the Revolution through the Trump Era. Grossman grounds his analysis in historical examples ranging from unschooled supporters of botanical medicine in the early nineteenth century to sophisticated cancer patient advocacy groups in the twenty-first. He vividly describes how activists and lawyers have resisted a wide variety of legal constraints on therapeutic choice, including medical licensing statutes, FDA limitations on unapproved drugs and alternative remedies, abortion restrictions, and prohibitions against medical marijuana and physician-assisted suicide. Grossman also considers the relationship between these campaigns for desired treatments and widespread opposition to state-compelled health measures such as vaccines and face masks.
From the streets of San Francisco to the US Supreme Court, Choose Your Medicine examines an underexplored theme of American history, politics, and law that is more relevant today than ever.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Suggested resources: 1. Lewis A. Grossman, Choose Your Medicine: Freedom of Therapeutic Choice in America (Oxford University Press 2021) 2. Abigail Alliance for Better Access to Developmental Drugs v. von Eshenbach, 495 F.3d 695 (D.C. Cir. 2007)
Prof. Grossman and Dr. Mutter have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; M. Riley JD: L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 143022 then complete and submit your evaluation. You have 30 days from this program date (16 February 2022) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for six years.Health Care in the Time of Climate Change: Why We Need Climate Doctors, Jay Lemery MDUVA Medical Center Hour2021-11-22 | Jay Lemery MD Professor, Emergency Medicine-Wilderness and Environmental Medicine University of Colorado School of Medicine
Homan Wai, MD, FACP, respondent Vice Chair of Education, Member of the Steering Committee Virginia Clinicians for Climate Action (VCCA)
Benjamin J Martin MD, moderator
Jay Lemery, MD is a Professor of Emergency Medicine at the University of Colorado School of Medicine, Chief of the Section of Wilderness and Environmental Medicine. He is a Past President of the Wilderness Medical Society and from 2014-2016 he was the EMS Medical Director for the United States Antarctic Program. Dr. Lemery has expertise in austere and remote medical care, as well as the effects of climate change on human health. He is currently the Medical Director for the National Science Foundation’s Polar Research program and a physician consultant to the Exploration Medical Capability Element of NASA’s Human Research Program. In 2017, Dr. Lemery co-authored ‘Enviromedics: the Impact of Climate Change on Human Health’ and prior to that, co-Edited ‘Global Climate Change and Human Health: From Science to Practice’, now in its second edition.
SUGGESTED RESOURCES: 1. University of Colorado, School of Medicine, Climate & Health Program https://medschool.cuanschutz.edu/climateandhealth 2. Enviromedics: The Impact of Climate Change on Human Health enviromedics.org
Jay Lemery, MD, has expertise in austere and remote medical care, as well as the effects of climate change on human health. He is currently the Medical Director for the National Science Foundation’s Polar Research Program and a physician consultant to the Exploration Medical Capability Element of NASA’s Human Research Program. From 2014–2016, he was the EMS Medical Director for the United States Antarctic Program. Dr. Lemery graduated as an Echols Scholar from the University of Virginia and the Geisel School of Medicine at Dartmouth. In 2017, Dr. Lemery co-authored "Enviromedics: the Impact of Climate Change on Human Health" and, prior to that, co-edited "Global Climate Change and Human Health: From Science to Practice," now in its second edition. From 2011 to 2016, he was a consultant for the Climate and Health Program at the Centers for Disease Control and Prevention. Also in 2017, Dr. Lemery inaugurated the nation's first Climate and Health Science Policy Fellowship for Physicians at the CU School of Medicine. He also has academic appointments at Harvard School of Public Health (FXB Center), where he is a contributing editor for the journal "Health and Human Rights" and was the Guest Editor for the special edition on "Climate Justice."Dr. Lemery is a member of the Council on Foreign Relations and, this past October, was elected to the National Academy of Medicine.
Homan Wai, MD, FACP, obtained his undergraduate and medical degrees at the University of California San Diego (UCSD) and completed his Internal Medicine residency at George Washington University Hospital in 2009. He has been a faculty at Inova Fairfax Hospital since 2009 and practices as an inpatient Internal Medicine physician (Hospitalist). He also serves as the Clerkship Director of the Internal Medicine Clerkship at the VCU School of Medicine regional campus at Inova. Homan was a member of the Sustainability Committee at the Inova Fairfax Campus from 2009-2015 and served as co-chair and chair for the committee from 2011-2015. He was an inaugural member of Virginia Clinicians for Climate Action since its inception in 2017. Homan served as the Vice-Chair of Operations and Recruitment from 2018-2020 and has now transitioned to the role of Vice-Chair of Education.
Ben Martin, MD, is currently Assistant Director of Programs in Health Humanities and Assistant Professor of Internal Medicine. He subsequently attended Tufts University School of Medicine and completed his internal medicine residency at the University of Virginia, receiving an Arthur P. Gold Foundation Humanism and Excellence in Teaching Award. He now serves as an academic hospitalist and is an active contributor to undergraduate and graduate medical education in the School of Medicine.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 142128 then complete and submit your evaluation. You have 30 days from this program date (17 November 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.ALREADY TOAST: CAREGIVING AND BURNOUT IN AMERICA, Kate Washington, PhDUVA Medical Center Hour2021-11-16 | The Koppaka Family Foundation Lecture in Health Humanities Kate Washington, PhD, Author of Already Toast: Caregiving and Burnout In America , a longtime freelance writer, and a frequent speaker on the challenges of caregiving
Mary Taylor RN and Dominique McLaughlin LPC, panelists, Justin Mutter MD, moderator
More than 50 million Americans currently care for an ill or elderly family member or friend—and that number is set to skyrocket in the coming years, as our aging population surpasses the number of available caregivers. The COVID-19 pandemic has highlighted the importance of family caregivers as advocates and critical members of care teams—and yet unpaid family caregivers often experience severe economic and emotional strain, as well as difficulty finding respite care, benefits, and broader support. Moreover, the demands of providing care at home have grown, as the health-care system increasingly relies on family caregivers to provide round-the-clock care and perform complex medical tasks, often with little minimal training. In this panel, Kate Washington—author of Already Toast: Caregiving and Burnout in America—and Mary Taylor RN and Dominique McLaughlin LPC will share their personal stories of caregiving and discuss both the challenges facing family caregivers and the systemic changes needed to better support their critical role in patient care.
Resources: 1. Washington, Kate. Already Toast: Caregiving and Burnout in America (Beacon Press, 2021) Washington, Kate / Already Toast : Caregiving And Burnout In America | The UVA Bookstores
2. Glenn, Evelyn Nakano. Forced to Care: Coercion and Caregiving in America (Harvard University Press, 2010)
3. Poo, Ai-jen, with Ariane Conrad. The Age of Dignity: Preparing for the Elder Boom in a Changing America (New Press, 2015)
Kate Washington, Ph.D., is the author of Already Toast: Caregiving and Burnout In America (Beacon Press, 2021), a longtime freelance writer, and a frequent speaker on the challenges of caregiving. Already Toast, a reported memoir, places Washington’s journey of caring for her husband through two rare types of cancer and a harrowing stem cell transplant in the wider social and cultural context of American health care’s reliance on more than 50 million unpaid family caregivers. Booklist, in a starred review, called Already Toast “an eye-opening account from a full-time caregiver...a timely and crucial appeal.” Washington’s writing has appeared in The New York Times, TIME, Eater, Avidly, Southwest, The Washington Post, Catapult, and many other publications, and she was formerly dining critic for The Sacramento Bee, associate food editor at Sunset and a contributing writer for Sactown Magazine. She holds a Ph.D. in Victorian literature from Stanford University and lives in Sacramento with her husband and two daughters.
Dominique McLaughlin is a Licensed Professional Counselor (LPC) who works at the Faculty and Employee Assistance Program (FEAP) at the University of Virginia. She provides emotional support, consultative services, debriefing, and critical incident response services to faculty and staff at UVA, the UVAHS, and several local external agencies and organizations. Dominique attended Christopher Newport University and Gallaudet Universities where she was a student athlete and obtained her BS in Psychology and her MA in Mental Health Counseling with a specialty in deafness. Prior to her start at UVa, Dominique had primarily worked in community mental health settings, providing services to those with serious mental illness and substance use disorders.
Mary Taylor is a married and from Albemarle County, Virginia. She is a retired registered nurse with 38 years of experience, the last of which she spent as the nursing supervisor at UVA Imaging. From 2009 until her death in 2021, Mary and her husband, Harry, were the primary caretakers for her mother in their home. During her mother’s final year, the UVA Palliative Care Clinic was in charge of her care. They also managed the in-home care for Mary’s father during 2006-2008. They are still involved in a Charlottesville Alzheimer's Association support group.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 142127 then complete and submit your evaluation. You have 30 days from this program date (10 November 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.“Off the Chart”: Elegy, Ecstasy, Dissent, and Other Subversive Modes in Clinician Creative WritingUVA Medical Center Hour2021-11-09 | “Off the Chart”: Elegy, Ecstasy, Dissent, and Other Subversive Modes in Clinician Creative Writing
Laura Kolbe, MD, MPhil Assistant Professor of Medicine and Assistant Clinical Ethicist at New York Presbyterian/Weill Cornell Medical Center in New York City
Irène Mathieu MD, moderator
Our lives as clinicians, patients, or other participants in healthcare are riddled with text. In this surplus of language, what forms of language are crowded out or unspoken? What do we censor as “improper” for the written record – and why, and how can we reclaim these lost realms of affect and experience? In this talk, Laura Kolbe will read from her new poetry collection Little Pharma and discuss “experimental entanglements” between art-making and the practice of care, focusing on the productive tension between the ways we use language as clinicians, as poets, and in other shifting roles.
Suggested resources: 1. Frost, Robert, and Mark Richardson. The Collected Prose of Robert Frost. Cambridge, Mass: Belknap Press of Harvard University Press, 2007. Print. 2. Ngai, Sianne. Ugly Feelings. Cambridge, Mass: Harvard University Press, 2005. Print. 3. Percival, Thomas, and Edmund D. Pellegrino. Medical Ethics, Or, a Code of Institutes and Precepts, Adapted to the Professional Conduct of Physicians and Surgeons. , 1985. Print. 4. Ruefle, Mary. On Imagination. Louisville, Kentucky: Sarabande Books, 2017. Print.
Laura Kolbe, MD, MPhil is an assistant professor of medicine and an assistant clinical ethicist at NewYork-Presbyterian/Weill Cornell Medical Center in New York City. Her debut poetry collection, Little Pharma, won this year’s Agnes Lynch Starrett Prize and is published this month by the University of Pittsburgh’s Pitt Poetry Series. She studied English and American literature at Harvard and at the University of Cambridge before receiving her M.D. from the University of Virginia, where she was a Hook Scholar in Humanities and Ethics. She then completed her medical residency at Brigham and Women's Hospital in Boston, before moving back to New York City to join Weill Cornell’s Clinical Scholars program in hospital medicine and pursue a fellowship in medical ethics. She has published poetry, fiction, personal essays, and criticism in publications including The New York Review of Books, The Washington Post, The Wall Street Journal, The Nation, American Poetry Review, Conjunctions, Poetry, New England Review, Virginia Quarterly Review, Yale Review, and elsewhere. For additional information, please visit www.laura-kolbe.com or follow @laurakolbemd on Twitter.
Dr. Irène P. Mathieu is a general pediatrician at the University of Virginia, where she an Assistant Professor of Pediatrics and Associate Director of the Program in Health Humanities. She earned a BA in International Relations from the College of William & Mary before completing a Fulbright research fellowship in the Dominican Republic. She attended Vanderbilt University Medical School and completed residency at the Children’s Hospital of Philadelphia, where she was selected as a Global Health Track resident. She is currently a candidate for a Master's of Public Health at Johns Hopkins' Bloomberg School of Public Health. Dr. Mathieu has conducted mixed-methods and community-engaged research in Guatemala, Dominican Republic, and Virginia and Tennessee in the USA. She serves on the steering committee of Virginia Clinicians for Climate Action.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Drs. Kolbe and Mathieu have declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 141901 then complete and submit your evaluation. You have 30 days from this program date (03 November 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.Overview of a Pandemic, Sylvie Briand MD PhD MPHUVA Medical Center Hour2021-10-29 | The Hayden-Farr Lecture in Epidemiology and Virology Overview of a Pandemic
Sylvie Briand MD PhD MPH Director of the Global Infectious Hazard Preparedness Department (GIH) at the World Health Organization’s (WHO) headquarters in Geneva, Switzerland
Frederick G. Hayden MD, moderator
As the COVID-19 pandemic has evolved around the world, it has passed through several phases, raising distinct questions and challenges in each phase. Dr. Sylvie Briand from the World Health Organization will present on how the pandemic has evolved over time and will give a high level overview of emerging issues during each phase of the pandemic.
SUGGESTED RESOURCES:
1. WHO Coronavirus Disease (COVID-19) Dashboard https://covid19.who.int/
2. R&D Blueprint and COVID-19 https://www.who.int/teams/blueprint/covid-19
3. Global research and innovation forum to mobilize international action in response to the novel coronavirus (2019-nCoV) emergency https://www.who.int/news-room/events/detail/2020/02/11/default-calendar/global-research-and-innovation-forum-to-mobilize-international-action-in-response-to-the-novel-coronavirus-(2019-ncov)-emergency
4. Considerations for implementing and adjusting public health and social measures in the context of COVID-19 https://www.who.int/publications/i/item/considerations-in-adjusting-public-health-and-social-measures-in-the-context-of-covid-19-interim-guidance
5. Non-pharmaceutical public health measures for mitigating the risk and impact of epidemic and pandemic influenza https://apps.who.int/iris/bitstream/handle/10665/329438/9789241516839-eng.pdf?ua=1
6. Prevention, identification and management of health worker infection in the context of COVID-19: interim guidance, 30 October 2020 https://apps.who.int/iris/handle/10665/336265
Dr Sylvie Briand, MD, PhD, MPH is Director of the Global Infectious Hazard Preparedness department (GIH) at the World Health Organization’s (WHO) headquarters in Geneva, Switzerland. GIH develops global strategies to prevent and control epidemic-prone diseases under the International Health Regulations. The scope of GIH includes COVID-19 but also other dangerous pathogens such as pandemic influenza, plague, Nipah virus, smallpox and other pox viruses and arboviruses (Zika, yellow fever and Chikungunya) as well as Disease X. Dr Briand has been at the fore front of managing acute infectious risks to global health for more than 20 years, ensuring the development of global mechanisms and sustainable frameworks to facilitate multi sectoral and multi-partners coordination for epidemics and pandemics. It includes:
• The “Eliminating Yellow fever Epidemics” Strategy (EYE) with more than 50 partners to protect 1.4 billion people against yellow fever by 2026, • The implementation of the Pandemic Influenza Preparedness Framework, a bold and innovative public private partnership to improve pandemic preparedness • The development of OPEN WHO a Massive On Line Open Course platform to train millions of people during pandemic • And more recently the management of the infodemic due to the COVID 19 crisis in partnerships with other UN agencies and social media platforms. WHO has promoted the development of the Infodemiology, a new scientific discipline to support “infodemic management”
For COVID19, Dr Briand is also fostering the improvement of “infodemic management” through a global partnership including social media platforms and other UN agencies.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 141900 then complete and submit your evaluation. You have 30 days from this program date (27 October 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.Atomic Doctors: Conscience and Complicity at the Dawn of the Nuclear Age, James L. Nolan, Jr.UVA Medical Center Hour2021-10-26 | After his father died, James L. Nolan, Jr., took possession of a box of private family materials. To his surprise, the small secret archive contained a treasure trove of information about his grandfather’s role as a doctor in the Manhattan Project. Dr. Nolan, it turned out, had been a significant figure. A talented ob-gyn radiologist, he cared for the scientists on the project, organized safety and evacuation plans for the Trinity test at Alamogordo, escorted the “Little Boy” bomb from Los Alamos to the Pacific Islands, and was one of the first Americans to enter the irradiated ruins of Hiroshima and Nagasaki in September 1945. Participation on the project challenged Dr. Nolan’s instincts as a healer. He and his medical colleagues were often conflicted, torn between their duty and desire to win the war and their oaths to protect life. Called upon both to guard against the harmful effects of radiation and to downplay its hazards, doctors struggled with the ethics of ending the deadliest of all wars using the most lethal of all weapons. Their work became a very human drama of ideals, co-optation, and complicity. Co-presented with Historical Collections, Claude Moore Health Sciences Library and by the Institute for Advanced Studies in Culture at UVA (iasculture.org)
SUGGESTED RESOURCES:
1. Bradley, David. No Place to Hide. Boston: Little, Brown, and Company, 1948. 2. Hacker, Barton, C. The Dragon’s Tail: Radiation Safety in the Manhattan Project, 1942-1946. Berkeley: University of California Press, 1987. 3. Liebow, Averill. “Hiroshima Medical Diary,” Yale Journal of Biology and Medicine, Vol. 38 (October 1965), 60-239. 4. Lindee, M. Susan. Suffering Made Real: American Science and the Survivors at Hiroshima. Chicago: University of Chicago Press, 1994. 5. Nolan, James L. Jr., Atomic Doctors: Conscience and Complicity at the Dawn of the Nuclear Age. Cambridge, MA: Harvard University Press.
6. Welsome, Eileen. The Plutonium Files: America’s Secret Medical Experiment in the Cold War. New York: The Dial Press, 1999.
Professor Nolan’s teaching and research interests fall within the general areas of law and society, culture, technology and social change, and historical comparative sociology. His most recent book, Atomic Doctors: Conscience and Complicity at the Dawn of the Nuclear Age, was published with Harvard University Press in 2020. His previous books include What They Saw in America: Alexis de Tocqueville, Max Weber, G.K. Chesterton, and Sayyid Qutb (2016); Legal Accents, Legal Borrowing: The International Problem-Solving Court Movement (2009); Reinventing Justice: The American Drug Court Movement (2001); and The Therapeutic State: Justifying Government at Century’s End (1998). He is the recipient of several grants and awards including National Endowment for the Humanities fellowships and a Fulbright scholarship. He has held visiting fellowships at Oxford University, Loughborough University, and the University of Notre Dame.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 141899 then complete and submit your evaluation. You have 30 days from this program date (20 October 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.I read on Twitter that...”, Danny TK Avula, MD, MPHUVA Medical Center Hour2021-10-19 | “I read on Twitter that...”: Promoting Sound Public Health Guidance In A Sea Of A Million Voices
Danny TK Avula, MD, MPH Director of the Richmond City and Henrico County Health Departments, COVID-19 Vaccination Coordinator for the Commonwealth of Virginia
Max A. Luna, MD, respondent Associate Professor, Cardiovascular Medicine; Director, UVA Latino Health Initiative
Justin B. Mutter MD MSc, moderator
Throughout the pandemic, we have heard our patients, neighbors, and friends challenge evidence-based guidance with snippets of data and theories they saw online or on social media. Getting traction around COVID mitigation efforts has been infinitely more challenging given the social, political, and pseudoscientific voices sounding off on every digital platform. We will discuss what has worked, what has not, and what the last 18 months have taught us about the way we need to approach our work beyond the pandemic.
Dr. Danny Avula is the Director of the Richmond City and Henrico County Health Departments. In January 2021, Governor Northam appointed Dr. Avula to lead the Commonwealth of Virginia's unprecedented COVID-19 vaccination effort. Dr. Avula is a public health physician specializing in pediatrics and preventive medicine, and continues to practice clinically as a pediatric hospitalist. After graduating from the University of Virginia, he earned his medical degree from the Virginia Commonwealth University School of Medicine. He completed residencies at VCU and Johns Hopkins University, where he also earned the Master of Public Health degree. He is an Affiliate Faculty member at VCU, where he regularly serves as an advisor and preceptor to graduate and medical students.
Governor McAuliffe appointed Dr. Avula to the State Board of Social Services in 2013, and he served as Board Chair from 2017 to 2019. He is also a former Board Chair of the Richmond Memorial Health Foundation. He is a recent recipient of the Virginia Center for Inclusive Community’s Humanitarian Award, a 2019 Richmond Times-Dispatch Person of the Year honoree, and was named Style Weekly's "Richmonder of the Year" in 2020.
Dr. Max Luna is a native of Guatemala where he obtained his medical degree from the University of San Carlos, Guatemala. He obtained his postgraduate training in Internal Medicine at University of Cincinnati and Cardiovascular Diseases at the Brigham and Women’s Hospital/Lown Cardiovascular Center, Harvard University. At UVA he is the Vice-Chair of Diversity, Equity and Community Engagement of the Department of Medicine, a clinician and educator in clinical cardiology and echocardiography. He has a passionate interest in health disparities and prevention of non-communicable diseases in low to middle income countries and Latino health. He is the director of the UVA Latino Health Initiative. With this initiative, they aim to improve the health and wellbeing of the Latino community in the Central Virginia area, while enhancing cultural humility and competency among UVA staff, students, trainees and faculty. They hope to narrow the gap between UVA and the local Latino community.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 141898 then complete and submit your evaluation. You have 30 days from this program date (13 October 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/Where the Sidewalk Ends and Primary Care Begins, Rebecca Etz, PhDUVA Medical Center Hour2021-10-11 | Rebecca Etz, PhD Associate Professor, Department of Family Medicine & Population Health, Virginia Commonwealth University, Co-Director, Larry A. Green Center, Advancing Primary Health Care for the Public Good Distinguished Fellow, American Board of Family Medicine Foundation, Department of Family Medicine and Population Health
Caroline Lebegue, respondent Medical Student and Generalist Scholar at the University of Virginia
Justin B. Mutter MD MSc, moderator
This is what it is like to live through one of those historic moments. The COVID-19 pandemic has pulled us up into a tornado-like scramble of activity and unknowns. When it lets us go, we will be changed – there is no going back. In this presentation, we will use what we have learned during the pandemic, as well as the findings of the consensus study on primary care by the National Academies of Science, Engineering and Medicine, to consider the future directions of primary care.
Rebecca S. Etz, Ph.D., is a Professor of Family Medicine and Population Health at Virginia Commonwealth University, and Co-Director of the Larry A. Green Center - Advancing Primary Health Care for the Public Good. Dr. Etz has deep expertise in qualitative research methods and design, primary care measures, practice transformation, and engaging stakeholders. Her career has been dedicated to learning the heart and soul of primary care through two main lines of inquiry: 1) bridging the chasm between the business of medicine and the lived experience of the human condition with research that demonstrates the integration of medicine with in the fullness and dignity of humanity, and 2) exposing the ways in which current trends in health care transformation and stakeholder engagement fall short of their desired goal to bring the worlds of medicine, public health, and communities together in collaboration for improved population health. As a member of the VCU Department of Family Medicine and Population Health, and previous co-director of the ACORN PBRN, Dr. Etz has been the Principal Investigator of several federal and foundation grants, contracts and pilots, all directed towards making the pursuit of health a humane experience. Recent research activities have included studies in primary care measures, behavioral health, simulation modeling, care team models, and adaptive use of health technologies. Dr. Etz currently leads the fielding of a regular survey regarding the response to and impact of COVID-19 on US primary care practices and most recently served on the National Academies of Medicine consensus study, “Implementing High Quality Primary Care.”
Caroline Lebegue is a medical student at the University of Virginia. After graduating with a BS from the College of William and Mary, she worked in healthcare policy consulting at The Lewin Group. There she supported projects focused on issues ranging from diabetes care equity, to opioid use among the elderly, to community paramedicine. She continues to do consulting work supporting health equity. As a UVA Generalist Scholar, she does research and community service that investigates and leverages the value of primary care for her community. Her current research focuses on the relationship between meaning in life and nicotine dependence.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
Rebecca Etz, PhD and Caroline Lebegue declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 141897 then complete and submit your evaluation. You have 30 days from this program date (06 October 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.From Self to System:A “Both/And” Conversation about Improving Clinician Wellbeing 09/29/2021UVA Medical Center Hour2021-10-04 | Dorrie Fontaine, RN, PhD, FAAN Dean Emerita, School of Nursing, UVA
Julie Haizlip, MD, MAPP, FNAP Clinical Professor of Nursing Attending Physician, Department of Pediatrics, School of Medicine, UVA
Ashley Hurst, JD, M.Div., MA Assistant Professor, School of Nursing, UVA
Lili Powell, PhD, MA Julie Logan Sands Associate Professor, Darden School of Business Kluge-Schakat Professor, School of Nursing Director, Compassionate Care Initiative
The COVID-19 pandemic has made visible for the public what clinicians in healthcare have understood for all too long – clinician wellbeing is in crisis. Conversations on this topic have evolved over the last decade or more, often beginning with initial awareness, wellness committees, and a focus on individual-focused interventions. What has become all too apparent is that this is not enough; systems changes are also needed. To achieve this level of change, self-care is important and necessary, and can fuel the advocacy needed to affect change in teams, organizations, and systems. These systemic changes cannot spring from an empty well, so personal, team, organization and systems resilience are also needed. This interprofessional panel of UVA’s School of Nursing faculty – all authors in a new book aimed at new nurses but relevant for all who work in healthcare – discuss how self-care, mattering at work, and constructive advocacy can be leveraged to reinvent healthy work environments in healthcare. Co-presented with the Compassionate Care Initiative, School of Nursing, UVA Suggested resources: 1. National Academy of Medicine. Action Collaborative on Clinician Wellbeing and Resilience. https://nam.edu/initiatives/clinician-resilience-and-well-being/ 2. American Association of Critical-Care Nurses. Healthy Work Environments. aacn.org/nursing-excellence/healthy-work-environments 3. Shanafelt, T., Goh, J., Sinksy, C. The Business Case for Investing in Physician Wellbeing. JAMA Internal Medicine. 2017; 177(12): 1826-1832. doi: 10.1001/jamainternmed.2017.4340 4. Geerts, J. et al. Guidance for Health Care Leaders During the Recovery Stage of the COVID-19 Pandemic: A Consensus Statement. JAMA Network Open. 2021; 4(7):e2120295. doi:10.1001/jamanetworkopen.2021.20295 5. Fontaine, D., Cunningham, T., May, N. Self-Care for New and Student Nurses. Sigma, 2021.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 141875 then complete and submit your evaluation. You have 30 days from this program date (29 September 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour. In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for six years.Teaching and Learning for Social Justice: We Make the Road While Walking Arno K. Kumagai MD,UVA Medical Center Hour2021-07-28 | March 4, 2020
Brodie Award Lecture in Medical Education
Arno K. Kumagai MD Professor of Medicine and Vice Chair for Education in Medicine and F. M. Hill Chair for Humanism in Medicine University of Toronto, Toronto, Canada
Medicine is an activity of profound human, social, and societal significance. But how does health professions education go beyond competencies, clinical knowledge, and communication skills to link medicine's mission with the idea of human flourishing? In this Medical Center Hour, Brodie Medical Education Award recipient Dr. Arno Kumagai explores health professions education as a type of moral education grounded in critical consciousness of self, others, and the world. How do we teach excellence, compassion, and justice, and how do apprentice clinicians learn to approach their work with persons who are vulnerable and suffering with this in mind? Co-presented with the Brodie Award Committee as part of the Academy of Distinguished Educators' Medical Education Week _________________________________ Suggested resources: 1. Freire P. Pedagogy of the Oppressed. Ramos MB, trans. 20th anniversary edition. New York: Continuum, 1993. 2. Horton M, Freire P, Bell B, Gaventa J, Peters JM. We Make the Road by Walking: Conversations on Education and Social Change. Philadelphia: Temple University Press, 1990. 3. Kumagai AK, Lyson ML. Beyond cultural competence: critical consciousness, social justice, and multicultural education. Academic Medicine 2009; 84:82-87. 4. Kumagai AK, Jackson B, Razack S. Cutting close to the bone: student trauma, free speech, and institutional responsibility in medical education. Academic Medicine 2018; 92:318-323. 5. Kumagai AK, Naidu T. Reflection, dialogue, and the possibilities of space. Academic Medicine 2015; 90:283-288.
Dr. Kumagai has declared no personal/professional relationships with commercial entities producing healthcare goods and/or services. Medical Center Hour planning group members (M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; R. Dillingham MD MPH; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD) have no personal or professional relationships with commercial entities producing healthcare goods and/or services. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
Produced by the Center for Health Humanities and Ethics, University of Virginia School of Medicine, Medical Center Hour is held September through March on Wednesdays, 12:00-1:00 pm.
Programs are free of charge and open to the entire university and the public.
Claim continuing education (CE) credit for attending Medical Center Hour at cmetracker.net/UVA. Using Google Chrome or Firefox as your browser, log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter activity code 137896 then complete and submit your evaluation. You have 30 days from the program date to complete the evaluation and receive credit. The University of Virginia School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Virginia School of Medicine designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The University of Virginia School of Medicine awards 1.0 hour of participation (equivalent to AMA PRA Category 1 Credit(s)TM to each non-physician participant who successfully completes this educational activity. The University of Virginia School of Medicine maintains a record of participation for six years. University of Virginia School of Nursing Continuing Education is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. UVA School of Nursing Continuing Education awards 1.0 contact hours to a nurse who participates in this educational activity and completes the post activity evaluation. Questions? Contact Charlene Kaufman, cmk2b@virginia.edu or 434.924.5974The Public University and Publics Health, Dr. Dayna Bowen Sept. 25, 2019UVA Medical Center Hour2021-07-13 | A John F. Anderson Memorial Lecture Dayna Bowen Matthew JD William L. Matheson and Robert M. Morgenthau Distinguished Professor of Law, F. Palmer Weber Research Professor of Civil Liberties and Human Rights, and Professor of Public Health Sciences, Schools of Law and Medicine, UVA
Our University of Virginia mission statement declares that this public institution of higher learning will serve the Commonwealth, the nation, and the world. This mission aligns with the highest ideals for public education. However, the contributions our university has made to the public health of our community have not been in the service of all. In this Medical Center Hour, Prof. Dayna Bowen Matthews will describe this university’s public health legacy and its persisting consequences and will suggest ways that UVA can redress its impact on local public health and thereby model a path forward for public universities across the nation. __________________________________ Suggested resources: 1. Dayna Bowen Matthew, On Charlottesville, 105 Va. L. Rev. 269 (2019) - 2. Dayna Bowen Matthew, Health and Housing: Altruistic Medicalization of America’s Affordability Crisis, 81 Law and Contemporary Problems 161 (2018) 3. Stuart Butler, Dayna Bowen Matthew, and Marcela Cabello, Re-Balancing Medical and Social Spending to Promote Health, USC-Brookings Schaeffer on Health Policy (2017) 4. Angela P. Harris and Aysha Pamukcu, The Civil Rights of Health: A New Approach to Challenging Structural Inequality, 67 UCLA L. Rev. (2019) 5. Dayna Bowen Matthew, The Law as Healer: How Paying for Medical-Legal Partnerships Saves Lives and Money, Brookings Institution (2017)
Prof. Matthew has declared no personal/professional relationships with commercial entities producing healthcare goods and/or services. Medical Center Hour planning group members (M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; R. Dillingham MD MPH; M.F. Marshall PhD RN; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD) have no personal or professional relationships with commercial entities producing healthcare goods and/or services. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
A production of the Center for Health Humanities and Ethics at the University of Virginia School of Medicine, Medical Center Hour is held September through March on Wednesdays, 12:00-1:00 pm, in the Pinn Hall Conference Center Auditorium (unless otherwise noted): https://med.virginia.edu/biomedical-ethics/medical-center-hour/
All programs are free and open to the entire university and the public. Watch Medical Center Hour at http://www.youtube.com/uvamch
Claim continuing education (CE) credit for attending Medical Center Hour at cmetracker.net/UVA. Using Google Chrome or Firefox as your browser, log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter activity code 137122, then complete and submit your evaluation. Credit for this program can be claimed until October 25, 2019.
In support of improving patient care, the University of Virginia (UAV) School of Medicine/School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. UVA School of Medicine/School of Nursing designates this live activity for a maximum of 1 AMA PRA Category 1 Credit.TM Physicians should claim only the credit commensurate with the extent of their participation in the activity. UVA School of Medicine/School of Nursing awards 1contact hour for nurses who participate in this educational activity and complete the post-activity evaluation. UVA School of Medicine/School of Nursing awards 1 hour of participation (consistent with the designated number of AMA PRA Category 1 CreditTM or ANCC contact hours) to a participant who successfully completes this educational activity. UVA School of Medicine/School of Nursing maintains a record of participation for six years.(Un)Masking Identity: Art As AutoEthnography March 31, 2021UVA Medical Center Hour2021-04-01 | Alpha Omega Alpha Lecture of the School of Medicine
Mark B. Stephens MD MS FAAFP Department of Family and Community Medicine, Penn State University College of Medicine, University Park PA
Melissa Walker MA ATR Healing Arts Program, National Intrepid Center of Excellence, Walter Reed National Military Medical Center, Bethesda MD
"Give a [wo]man a mask and [s]he will tell you the truth." –Oscar Wilde
Since 2010, Walter Reed National Military Medical Center's therapeutic arts program has engaged brain-injured and traumatized military veterans in hands-on mask making. Even as they conceal the face, these soldiers' masks vividly reveal secret suffering, declare deeply felt identity and patriotism, signal spiritual wounds and moral strengths, externalize guilt or grief. Making a mask can help its creator to (re)claim identity, and to heal. In this AOA Lecture, physician-educator Mark Stephens and art therapist Melissa Walker discuss the construction of masks as an artful means of recognizing oneself and reflecting on identity, not just for wounded warriors but also for healthcare professionals. Co-presented with Alpha Omega Alpha national medical honor society, UVA Chapter
Suggested resources 1. Walker M. (2016). Art can heal PTSD’s invisible wounds. TED Talk: ted.com/speakers/melissa_walker 2. Alexander C, Johnson L. (2015). Behind the mask: revealing the trauma of war. National Geographic: nationalgeographic.com/healing-soldiers 3. Stephens MB, Bowen JL, McGinley EL, Rainey P. (2020). Organizing chaos: iterative professional identity formation through the lens of mask making. PRiMER 4:10 DOI: 10.22454/PRiMER.2020.705788 4. Stephens MB. (2020). Unmasking identity: observations from a cohort of entering medical students. Fam Med 53(2): 120-123
Mark B. Stephens MD MS FAAFP is a graduate of Pennsylvania State University (BA, MS) and Case Western Reserve University (MD). He trained in family medicine in Washington State, and has a certificate of added qualifications in adolescent medicine. Dr. Stephens is now professor of family and community medicine, professor of humanities, and Master Educator at the Pennsylvania State University College of Medicine in State College, PA. Prior to joining the Penn State faculty, he was professor and chair of the Department of Family Medicine at the Uniformed Services University of the Health Sciences (USUHS) in Bethesda MD. He has a certificate of added qualifications in Adolescent Medicine. Dr. Stephens’ professional interests include physician wellness, exercise medicine, and the use of arts/humanities in medical education.
Melissa S. Walker MA ATR holds degrees in art, art education, and art therapy from the University of Georgia (BA) and New York University (MA). She is a certified registered art therapist (ART). She serves as the Lead Art Therapist for Creative Forces®: National Endowment for the Arts’ Military Healing Arts Network and Healing Arts program coordinator at the National Intrepid Center of Excellence (NICoE), a directorate of the Walter Reed National Military Medical Center. Ms. Walker helped to develop the Healing Arts Program at the NICoE, where she works with military service members (SMs) diagnosed with traumatic brain injury and associated psychological health conditions.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 140405, then complete and submit your evaluation. You have 30 days from this program date (31 March 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.
Dr. Stephens and Ms. Walker declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.Staying Human In Medicine: The Danger Of Isolation And The Power Of Good Connection March 24,2021UVA Medical Center Hour2021-03-25 | Edward W. Hook Memorial Lecture in Medicine and the Arts //Medicine Grand Rounds
Samuel Shem MD PhD Professor of Medicine in Medical Humanities and Professor of Psychiatry, Grossman School of Medicine, New York University, New York NY, and author, The House of God and Man's 4th Best Hospital
Marcia Day Childress PhD, moderator
Physician-writer Samuel Shem's iconic black humor-laced novel, The House of God (1978), written while he was a resident, was an exposé of medicine's often-heartless training culture at the time. The book became unofficial required reading for generations of persons going into medicine. His most recent novel, Man's 4th Best Hospital (2020), appeared when clinician morale was low, burnout rampant, and physician suicide on the rise; if anything, the COVID pandemic has exacerbated these conditions. In this Hook Lecture, Shem discusses how his books arose out of perceived injustice to take the measure of medicine's culture, and how he has used fiction both to resist injustice and to call upon doctors, nurses, and others to reclaim their once-humane calling. Co-presented with the Department of Medicine and with generous support from the School of Medicine's Anderson Lectures
Suggested resources 1. Samuel Shem. The House of God. Berkley, 1978, reissued 2010 2. Samuel Shem. The Spirit of the Place. Berkley, 2012 3. Samuel Shem. Man’s 4th Best Hospital. Berkley, 2020 4. Samuel Shem. Fiction as resistance. Annals of Internal Medicine 2002; 137: 935-937 5. Stephen Bergman. Basch unbound—The House of God and fiction as resistance at 40. JAMA 2019; 322(6): 486-487
Samuel Shem MD PhD graduated Phi Beta Kappa from Harvard, took a PhD at the University of Oxford, where he studied as a Rhodes Scholar; and received his MD with honors from Harvard Medical School. At present, he is professor of medicine in medical humanities and professor of psychiatry at New York University's Grossman School of Medicine. Shem is best known as a novelist, playwright, and activist. His first novel, The House of God, was written during his residency and changed how American medicine, and American medical training, was viewed, inside and out. The book has had major influence and was unofficial required reading for persons contemplating a career in medicine. In 2020, The House of God was on the Washington Post's list of "12 novels that have changed our lives"—Shem was the only living author on the list. In 2016, Publishers Weekly's list of "the 10 best satires of all time" had The House of God #2, sandwiched between #1 Don Quixote and #3 Catch-22. In 2019, an MDLinx vote by doctors naming the profession's 10 most influential books put The House of God at #1, followed by Harrison's Internal Medicine (#2), and The Bible (#3). In 2020, Shem published Man's 4th Best Hospital as a sequel to The House of God. As Sanjay Gupta MD noted in a review, "Shem has done it again. Man's 4th is an instant classic. You may get pissed off, double over in laughter, and even cry a little. If you read one medical drama, make it this one." Other of Shem's novels include The Spirit of the Place (2012), which won two American best-novel awards; Mount Misery, and At the Heart of the Universe. His Annals of Internal Medicine essay, "Fiction as Resistance," is a classic. Together with Dr. Janet Surrey, Shem has written Bill W and Dr. Bob, an award-winning Off-Broadway play about the founding of Alcoholics Anonymous; a novel, The Buddha's Wife; and a nonfiction book, We Have to Talk: Healing Dialogues Between Women and Men. Shem has been a scholar/artist at the American Academy of Rome.
Dr. Shem declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit/session for learning and change.
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 140404, then complete and submit your evaluation. You have 30 days from this program date (24 March 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center HourThe Topography Of Wellness: How Health And Disease Have Shaped The American Landscape March 17, 2021UVA Medical Center Hour2021-03-22 | History of the Health Sciences Lecture Sara Jensen Carr PhD Assistant Professor, Northeastern University School of Architecture, Boston MA Timothy Beatley PhD Teresa Heinz Professor of Sustainable Communities, Department of Urban and Environmental Planning, School of Architecture, UVA
Marcia Day Childress PhD, moderator
When it comes to matters of health, environment, and urban history, lessons of the past are often forgotten by Americans. However, in many ways, fears from American epidemics in the last 150 years have all become acute again with the COVID-19 pandemic. Working at the intersection of public health and urban/environmental history, architect Sara Jensen Carr investigates how shifts in the American urban landscape were driven by health concerns, and how these have led to this inflection point between living in the pandemic and a post-pandemic future. She's joined by urban and environmental planner Tim Beatley in this Medical Center Hour that addresses the "topography of wellness" in our urban public spaces even as we anticipate COVID-driven design changes. Co-presented with Historical Collections, Claude Moore Health Sciences Library; Center for Design + Health, School of Architecture; and University of Virginia Press
Suggested resources: 1. Sara Jensen Carr. The Topography of Wellness: How Health and Disease Shaped the American Landscape. University of Virginia Press, in press (July 2021) 2. Diana Budds. Design in the age of pandemics. Curbed: archive.curbed.com/2020/3/17/21178962/design-pandemics-coronavirus-quarantine 3. Jason Corburn. Reconnecting with our roots. Urban Affairs Review (Thousand Oaks CA), 2007, 42(5): 688-713 4. Timothy Beatley. The Bird-Friendly City: Creating Safe Urban Habitats. Island Press, 2020 5. Timothy Beatley and Rob McDonald. Biophilic Cities for an Urban Century: Why Nature Is Essential for the Success of Cities. Palgrave MacMillan, 2020
For information about Sara Jensen Carr's new book, see https://www.upress.virginia.edu/title/5781
Sara Jensen Carr PhD is a graduate of Tulane University (BArch, MArch) and the University of California, Berkeley (MLA, PhD). She is an assistant professor of architecture and the program director for the Master of Design in Sustainable Urban Environments program at Northeastern University. As a licensed architect with a doctorate in environmental planning. she works on the connections between urban landscape, human health, and social equity. Her work has been funded by the Mellon Foundation, Graham Foundation, and the National Science Foundation. In addition, Prof. Carr has been published in outlets from Preventive Medicine to LA+ Journal, as well as interviewed by The New York Times, CNN, and Foreign Policy, among others, for her expertise on epidemics and urban design. Her forthcoming book, The Topography of Wellness: How Health and Disease Shaped the American Urban Landscape, will be published by the University of Virginia Press in summer 2021.
Timothy Beatley PhD holds degrees from UVA (BCP), University of Oregon (MUP), and the University of North Carolina, Chapel Hill (MA, PhD). He is the Teresa Heinz Professor of Sustainable Communities, in the School of Architecture at UVA, where he has taught for the last thirty years. He was co-founder of the architecture school's Center for Design and Health. Prof. Beatley is author or co-author of more than fifteen books, including Green Urbanism: Learning from European Cities, Native to Nowhere: Sustaining Home and Community in a Global Age, and Biophilic Cities: Integrating Nature into Urban Design and Planning. His newest book is The Bird-Friendly City (2020). He directs the Biophilic Cities Project at UVA (http://biophiliccities.org/).
For information about Sara Jensen Carr's new book, see https://www.upress.virginia.edu/title/5781
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 140402, then complete and submit your evaluation. You have 30 days from this program date (17 March 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.Anchored In Nursing: A Life In Leadership March 10, 2021UVA Medical Center Hour2021-03-15 | Zula Mae Baber Bice Memorial Lecture, School of Nursing Rebecca W. Rimel BSN MBA Former President and Chief Executive Officer (1994-2020), Senior Advisor, and Emeritus Trustee, The Pew Charitable Trusts
Pam Cipriano PhD RN NEA-BC FAAN Sadie Heath Cabaniss Professor and Dean, School of Nursing, UVA
Marcia Day Childress PhD, moderator
In this Bice Memorial Lecture, Rebecca Rimel looks back on a life in leadership—in her case, serving 26 years as president and CEO of The Pew Charitable Trusts, an innovative and influential public charity involved in health and human services, the arts, public opinion research, and environmental, public health, and national economic policy. Ms. Rimel's service at Pew was anchored in nursing, built upon an exemplary career in healthcare and on what she learned and practiced as a nurse at UVA—management under pressure, clear communication, purpose and motivation, empathy and caring. Co-presented with the School of Nursing
Suggested resources: 1. Cocke W. Gift honors Rebecca W. Rimel, establishes new dean’s chair. UVA School of Nursing, 14 Sept 2020 https://www.nursing.virginia.edu/news/rimel-dean-chair/ 2. The Pew Charitable Trusts. pewtrusts.org/en
Ms. Rimel and Dean Cipriano declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
Rebecca W. Rimel BSN MBA is a graduate of the University of Virginia (BSN, with distinction) and James Madison University (MBA). Now senior advisor and an emeritus trustee of The Pew Charitable Trusts, she joined Pew in 1983 as a health program manager, became executive director five years later, then served as president and chief executive officer of The Pew Charitable Trusts from 1994 to 2020. Prior to joining Pew, Ms. Rimel had an exemplary career in healthcare at UVA. She was the first nurse to hold a faculty position in the UVA School of Medicine, serving as an assistant professor in the Department of Neurosurgery. She was head nurse of the emergency department at the University of Virginia Hospital. She authored numerous scientific articles on head injury. Among her awards are the Distinguished Nursing Alumni Award from UVA and also the UVA Women's Center's Distinguished Alumni Award. She also received a Kellogg National Fellowship, a four-year professional enrichment opportunity for emerging leaders. Ms. Rimel serves on the board of directors for Becton, Dickinson and Co; DWS Mutual Funds; and Bridgespan. She is a fellow of the College of Physicians of Philadelphia and a member of both the American Academy of Arts and Sciences and the American Philosophical Society, along with its prestigious Wistar Association. In September 2020, UVA School of Nursing announced a $5 million gift from The Pew Charitable Trusts to create the Rebecca W. Rimel Dean's Chair in the school. This gift endowing the deanship honors Ms. Rimel's transformative leadership of the Pew organization and reflects her longtime commitment—as a nurse and as a foundation executive—to improving the health of the public.
Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/ Zoom Webinar: us02web.zoom.us/j/87684988960 Passcode: 763749
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 140401, then complete and submit your evaluation. You have 30 days from this program date (10 March 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.ELDERHOOD (Redefining Aging, Transforming Medicine, Reimagining Life) March 3, 2021UVA Medical Center Hour2021-03-11 | Louise Aronson MD MFA Professor of Medicine/Geriatrics; Director, AGE SELF CARE Project; Director, Medical Humanities; and Clinical Lead, Senior Hub, SFDPH COVID Command; University of California, San Francisco, San Francisco CA
Justin B. Mutter MD MSc Assistant Professor of Medicine and Chief of Geriatrics, Department of Medicine; and Faculty, Center for Health Humanities and Ethics, School of Medicine, UVA
Marcia Day Childress PhD, moderator
Among the COVID-19 pandemic's lessons is an increased awareness of the hazards of old age. But only a fraction of that risk is biological. At a moment in history when most of us will live into old age, we've created a world that's almost entirely focused on childhood and adulthood. It's time now to define, design, and empower this new, nearly universal elderhood. In this Medical Center Hour, geriatrician and writer Louise Aronson draws on her clinical experience and creative abilities to reimagine and advocate for old age not as a disease but as a vital phase of being human, with implications for social and community life, technology, geroscience, and healthcare. How shall we now approach elderhood?
Resources: 1. Aronson L. Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life. New York: Bloomsbury, 2019. 2. Carstensen L. A Long Bright Future: Happiness, Health and Financial Security in an Age of Increased Longevity. New York: Public Affairs, 2011 3. Applewhite A. This Chair Rocks: A Manifesto Against Ageism. New York: Celadon Books, 2019 4. Didion J. The Year of Magical Thinking. New York: Alfred A. Knopf, 2005 5. Hall D. Essays After Eighty. New York: Houghton-Mifflin Harcourt, 2014 6. Mutter JB. Neglected in the house of medicine: toward a healthy political economy of aging in America. The Hedgehog Review 2018, 20(3): 46-56 Louise Aronson, MD MFA is a graduate of Brown University (AB), Harvard Medical School (MD), and Warren Wilson College (MFA). She trained in internal medicine and geriatrics at the University of California, San Francisco (UCSF), and more recently (2018-2020) completed an integrative medicine fellowship at the University of Arizona. She is a leading geriatrician, writer, educator, and professor of medicine at UCSF as well as the author of the New York Times bestseller and Pulitzer Prize finalist Elderhood: Redefining Aging, Transforming Medicine, and Reimagining Life (2019). Dr. Aronson has received the Gold Professorship in Humanism in Medicine, the California Homecare Physician of the Year Award, and the American Geriatrics Society Clinician-Teacher of the Year Award. In addition to her clinical practice and teaching, she currently leads the AGE SELF CARE program, directs UCSF's Medical Humanities program, and is the clinical lead for the Senior Hub of the San Francisco Department of Public Health COVID-19 response. She also serves on the California state COVID vaccine allocation workgroup and the state's memory care and assisted living task forces. Dr. Aronson's writing credits include A History of the Present Illness (Bloomsbury USA, 2013), a volume of short fiction.
Justin B. Mutter MD MSc holds degrees from the University of Virginia (BA, MD) and the University of Oxford (MSc), where he was a Rhodes Scholar. He completed a residency in family medicine at the Mountain Area Health Education Center in Asheville NC, then returned to UVA for a fellowship in geriatric medicine and a faculty appointment. A primary care geriatrician, Dr. Mutter is chief of geriatrics in the Department of Medicine's Division of General, Geriatric, Palliative, and Hospital Medicine; a faculty member in the Center for Health Humanities and Ethics; on the core faculty with the medical school's Generalist Scholars Program; and a faculty fellow with the Institute for Advanced Studies in Culture, based in UVA's College of Arts of Sciences. He is the creator and founding medical director of Virginia At Home, an innovative program of comprehensive, home-based care for frail elderly in the community. ____________________________ ACCESS this Zoom webinar at: us02web.zoom.us/j/87684988960 Passcode: 763749 _____________________________ Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/ Watch Medical Center Hour recordings at http://www.youtube.com/uvamch
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 140400, then complete and submit your evaluation. You have 30 days from this program date (3 March 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.Why Doctors Write: In Their Own Words Feb. 24, 2021UVA Medical Center Hour2021-02-26 | Ellis C. Moore Memorial Lecture WHY DOCTORS WRITE: IN THEIR OWN WORDS
Daniel M. Becker MD MPH MFA Professor Emeritus of Medicine and former Director, Center for Health Humanities and Ethics, UVA
Benjamin Martin MD Assistant Professor of Medicine and Faculty Affiliate, Center for Health Humanities and Ethics, UVA
Irène Mathieu MD Assistant Professor of Pediatrics and Faculty Affiliate, Center for Health Humanities and Ethics, UVA
Marcia Day Childress PhD, moderator
Many doctors have also been celebrated writers, from Anton Chekhov, Arthur Conan Doyle, and William Carlos Williams to Perri Klass, Atul Gawande, and Maxim Osipov. The reading public (including other doctors) eagerly devours what doctors write, not least in hopes of glimpsing what makes physicians tick, as persons, as healers. But why do doctors write? In this Medical Center Hour, three of UVA's own accomplished physician-writers respond, in their own inimitable words.
Daniel M. Becker MD MPH MFA is a graduate of the University of Pennsylvania (BA), Washington University (MD), Harvard School of Public Health (MPH), and Warren Wilson College Writing Program (MFA). He trained in internal medicine at Jackson Memorial Hospital in Miami and Peter Bent Brigham Hospital in Boston. After six years on faculty at the University of Miami Miller School of Medicine, he joined the UVA faculty in 1985; he retired in 2018 as Kluge Professor of Medicine and Director of the Center for Biomedical Ethics and Humanities (now Center for Health Humanities and Ethics). Dr. Becker has since been rehired for part-time teaching in Foundations of Clinical Medicine; he also sees patients one half day each week in the addiction clinic, supervises residents at University Medical Associates, and administers COVID vaccinations at UVA and community sites. Dr. Becker's book of poems, 2nd Chance, won the 2019 New Issues Poetry Prize in a competition judged by poet Jericho Brown. His writing habit, 5:30-7:30 am each day, remains strong.
Ben Martin MD holds an AB degree in English and American Literatures from Middelbury College, where he was awarded the Donald E. Axinn Prize for his creative thesis. He graduated from Tufts University School of Medicine and completed an internal medicine residency at UVA. He is a hospitalist and assistant professor of medicine at UVA, where he is also a faculty affiliate in the Center for Health Humanities and Ethics. He is in the process of writing his first book.
Irène P. Mathieu MD holds degrees from the College of William and Mary (BA) and Vanderbilt University School of Medicine (MD); she completed her pediatrics residency at Children's Hospital of Philadelphia, with emphasis on global health. She is working on an MPH degree at Johns Hopkins University. A general pediatrician and writer, Dr. Mathieu is the author of Grand Marronage (Switchback Books, 2019), orogeny (Trembling Pillow Press, 2017), and the galaxy of origins (dancing girl press, 2014). Her poems have appeared in American Poetry Review, Narrative, Boston Review, Virginia Quarterly Review, Callaloo, TriQuarterly, and elsewhere. She is on the editorial boards of Muzzle Magazine and the Journal of General Internal Medicine's humanities section. The recipient of fellowships from Fulbright, Callaloo, and the Virginia Center for the Creative Arts, she works as an assistant professor of pediatrics at UVA, where she is a faculty affiliate in the Center for Health Humanities and Ethics. This semester, she is co-teaching a University Seminar with Dr. Martin.
For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/
HOW TO CLAIM CONTINUING EDUCATION CREDIT FOR MEDICAL CENTER HOUR: Using Google Chrome or Firefox on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 140399, then complete and submit your evaluation. You have 30 days from this program date (24 Feb 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour.The Doctors Blackwell: How Two Pioneering Sisters Brought Medicine To Women Feb. 10, 2021UVA Medical Center Hour2021-02-16 | History of the Health Sciences Lecture
Janice P. Nimura MA, New York, NY Author, The Doctors Blackwell
Marcia Day Childress PhD, moderator
The world recoiled at the idea of a woman doctor, yet Elizabeth Blackwell persisted, and in 1849 became the first woman in the U.S. to receive an MD. Her achievement made her an icon. Her younger sister Emily followed her, eternally eclipsed despite being the more brilliant physician of the pair. Together, they founded the first hospital staffed entirely by women, in New York City. While the Doctors Blackwell were visionary and tenacious—they prevailed against a resistant male medical establishment—they weren't always aligned with women's movements, or even with each other. In this Medical Center Hour, biographer Janice Nimura celebrates the Blackwells as pioneers, change agents, and, for women in medicine today, compelling yet somewhat equivocal role models. Co-presented with Historical Collections, Claude Moore Health Sciences Library
Janice P. Nimura MA is a writer who lives in New York City. A graduate of Yale and Columbia Universities, she received a Public Scholars Award from the National Endowment for the Humanities in support of her work on The Doctors Blackwell. Since its publication in January 2021, The Doctors Blackwell has received generous notice in newspapers, magazines, and other media. Ms. Nimura's previous book, Daughters of the Samurai: A Journey from East to West and Back, was a New York Times Notable book in 2015. Her essays and book reviews have appeared in the New York Times, the Washington Post, the Los Angeles Times, Smithsonian, The Rumpus, and LitHub, among other publications. Ms. Nimura declared no personal/professional relationships with commercial entities producing healthcare goods and/or services related to this presentation. Medical Center Hour planning group members M.D. Childress PhD; R.J. Bonnie LLB; R. Carpenter DrNP; J.F. Childress PhD; M.F. Marshall PhD; J. Mutter MD MA; K. Reid PhD RN FNP-C CNL; L. Shepherd JD have no personal/professional relationships with commercial entities producing healthcare goods and/or services, while R. Dillingham MD MPH reports interests with Gilead and Warm Health Technology Inc. UVA Office of Continuing Medical Education faculty and staff have no personal/professional financial relationships with commercial entities producing healthcare goods and/or services.
ACCESS these Zoom webinars at: us02web.zoom.us/j/87684988960 Passcode: 763749 ______________________________ Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/ Watch Medical Center Hour recordings at http://www.youtube.com/uvamch
How to Claim Continuing Education (CE) Credit for Medical Center Hour: Using Google Chrome or Firefox on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 140397, then complete and submit your evaluation. You have 30 days from this program date (10 Feb 2021) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour. __________________________________________
In support of improving patient care, the University of Virginia School of Medicine and School of Nursing is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
This activity was planned by and for the healthcare team, and learners will receive 1 Interprofessional Continuing Education (IPCE) credit/session for learning and change.Covid-19: Public Health And Scientific Challenges with Anthony Fauci MD Nov. 18, 2020UVA Medical Center Hour2020-11-19 | Hayden-Farr Lecture in Virology and Epidemiology / Medicine Grand Rounds / Pandemic Perspectives 2020 COVID-19: PUBLIC HEALTH AND SCIENTIFIC CHALLENGES
Anthony S. Fauci MD Director, National Institute of Allergy and Infectious Diseases National Institutes of Health, Bethesda MD
David S. Wilkes MD Dean, School of Medicine
Marcia Day Childress PhD, moderator
Even as COVID-19 surges in the U.S. and across the world, Dr. Anthony Fauci continues to guide public health policy, the media, and the public in best practices related to understanding and managing this coronavirus pandemic's many challenges. In this Hayden-Farr Lecture, he focuses on COVID-19 science, his perspectives informed by his work leading the National Institutes of Health's COVID-19 research effort and by his role on the White House Coronavirus Task Force. His talk addresses the latest developments in COVID-19 epidemiology, natural history, virology, pathogenesis, transmission and prevention of transmission, patient management and therapeutics research, and vaccine research. Co-presented with the Department of Medicine as part of Medical Center Hour's Pandemic Perspectives 2020 mini-series, with thanks to the Hayden-Farr Lecture organizing committee (Frederick G. Hayden MD, Costi Sifri MD, and Marcia Day Childress PhD)
Suggested resources: 1. Lerner AM, Folkers GK, Fauci AS. Preventing the spread of SARS-CoV-2 with masks and other "low tech" interventions. JAMA 2020 (26 Oct); https://doi:10.1001/jama.2020.21946 2. Morens DM, Fauci AS. Emerging pandemic diseases: how we got to COVID-19. Cell 2020 (3 Sept);182(5):1077-1092. doi.org/10.1016/j.cell.2020.08.021 Epub 2020 Aug 15 (erratum published 29 Oct 2020: doi.org/10.1016/j.cell.2020.10.022) 3. Lane HC, Fauci AS. Research in the context of a pandemic. Editorial. New England Journal of Medicine 2020 (17 July); DOI: 10.1056/NEJMe2024638 4. Corey L, Mascola JR, Fauci AS, Collins FS. A strategic approach to COVID-19 vaccine research and development. Science 2020 (29 May); 368(6494):948-950: https://doi:10.1126/science.abc5312 5. Paules CI, Marston HD, Fauci AS. Coronavirus infections—more than just the common cold. JAMA 2020 (25 Feb); 323(8):707-708. DOI: 10.1001/jama.2020.0757 Anthony S. Fauci MD is a graduate of Holy Cross (AB) and Cornell University (MD)and trained in internal medicine at Cornell; he then joined the National Institute of Allergy and Infectious Diseases' (NIAID) Laboratory of Clinical Investigation as a trainee and, later, as a senior investigator and head of the clinical physiology section. Since 1980, he has been NIAID's chief of the Laboratory of Immunoregulation, and, since 1984, director of NIAID. In 1988, he became director of NIH's Office of AIDS Research and NIH's associate director of AIDS research. As NIAID director, he oversees an extensive portfolio of basic and applied research to prevent, diagnose, and treat established infectious diseases such as HIV/AIDS, respiratory infections, diarrheal diseases, tuberculosis, and malaria as well as emerging diseases such as Ebola and Zika. NIAID also supports research on transplantation and immune-related illnesses, including autoimmune disorders, asthma, and allergies. The fiscal 2020 NIAID budget 2020 is an estimated $5.9 billion.
How to claim continuing education (CE) credit for watching Medical Center Hour LIVE on Zoom or on video: Using Google Chrome or Firefox on phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 139155, then complete and submit your evaluation. You have 30 days from this program date (18 Nov 2020) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center Hour. Medical Center Hour is free of charge and open to the public. For more information, see Center for Health Humanities and Ethics: https://med.virginia.edu/biomedical-ethics/medical-center-hour/ Watch Medical Center Hour recordings at http://www.youtube.com/uvamch
Learning objectives: 1. Understand the current state of scientific challenges related to COVID—19 infection and its management and possible prevention. 2. Consider the medical and public health challenges and public health policy implications of with this novel coronavirus pandemic.
This is the final Medical Center Hour of the fall semester. Medical Center Hour resumes—on Zoom—on 3 February 2021.Wisdom & Well-Being: New Ways Forward For Healthcare Workforce Well-Being 11 11 20UVA Medical Center Hour2020-11-13 | A Zoom Webinar: us02web.zoom.us/j/86828545236 Passcode: 439854 Richard Westphal PhD RN FAAN, Professor of Nursing and Director, Alliance for Compassionate Care, School of Nursing, UVA Margaret Plews-Ogan MD MS, Brodie Professor of Medicine, School of Medicine, UVA Marcia Day Childress PhD, moderator
This is a profoundly challenging time to be a healthcare professional. But times of challenge can be times of positive change, times when wisdom can emerge. In this Medical Center Hour, Drs. Richard Westphal and Peggy Plews-Ogan discuss a new approach to supporting healthcare professionals in their humanitarian work, an approach that can, and should, lead to transformation in health care, toward the humanistic, compassionate endeavor we all want it to be, for the workforce and for those they serve. Co-presented with the Compassionate Care Initiative, School of Nursing, UVA
Suggested resources: 1. Feist J, Feist C, Cipriano P. Stigma compounds the consequences of clinician burnout during COVID-19: a call to action to break the culture of silence. NAM Perspectives. Commentary. National Academy of Medicine, Washington DC, 2020: doi.org/10.31478/202008b 2. Hobfoll SE, Watson P, Bell CC, Bryant RA, Brymer MJ et al. Five essential elements of immediate and mid-term mass trauma intervention: empirical evidence. Psychiatry 2007; 70(4):283-315. 3. Plews-Ogan M, Bell T, Townsend G, Canterbury R, Wilkes D. Acting wisely: eliminating negative bias in medical education—how can we do better? Academic Medicine 2020 (Nov), PMID: 32889937 4. Rider EA, Gilligan MC, Osterberg LG, Litzelman DK, Plews-Ogan M, et al. Healthcare at the crossroads: the need to shape an organizational culture of humanistic teaching and practice. Journal of General Internal Medicine 2018(July), 33(7):1092-1099 5. Plews-Ogan M, May N, Owens J, Ardelt M, Shapiro J, Bell S. Wisdom in medicine: what helps physicians after a medical error? Academic Medicine 2016, 91(2):233-241: https://doi-org.proxy01.its.virginia.edu/10.1097/ACM.0000000000000886
Richard Westphal PhD RN FAAN is a graduate of the University of Minnesota (BSN), UCSF (MSN), and UVA (NP, PhD). He is a dual board-certified advanced practice mental health nurse and nurse practitioner. His clinical work and research focus on traumatic stress, occupational stress injuries, and mental health promotion. He currently is professor of nursing in the Department of Family, Community, and Mental Health Systems in the UVA School of Nursing.
Margaret (Peggy) Plews-Ogan MD MS holds degrees from the College of Wooster (BA), Pace University (MS), and Harvard Medical School (MD). She completed an internal medicine residency at Brigham & Women's Hospital, Boston. For five years after residency, she worked with migrant farmworkers in eastern Virginia. Now Brodie Professor of Medicine, Dr. Plews-Ogan has practiced and taught inpatient medicine at UVA since 2000.
How to Claim Continuing Education (CE) Credit for Watching Medical Center Hour LIVE on Zoom or via VIDEORECORDING: Using the Google Chrome or Firefox browser on a phone, tablet, or computer, go to cmetracker.net/UVA and log into your CE account with your email and password. Choose ‘CE Certificate-Eval for Credit,' enter Activity Code 139154, then complete and submit your evaluation. You have 30 days from this program date (11 November 2020) to evaluate and obtain credit for this program. This is the only way you can receive credit for this Medical Center.
Learning objectives: 1. Explore the current workplace challenges that put healthcare professionals at risk of excess stress, burnout, and mental health difficulties. 2. Consider the rationale and features of a new system-wide initiative to better support healthcare professionals and, in so doing, begin transforming workplace culture in positive ways.