Highlights: December MAC Meeting

Opening Comments from the Dean
David S. Wilkes, MD

  • Implications of HR 1, Tax Cut and Jobs Act, on Graduate Student Stipends
    • Negative impact upon our students, UVA, and nation
      • College will be less affordable
      • Discourages participation in higher education
      • Discourages employer investment in employee learning
      • Decreases US competitiveness
      • Brightest minds will go outside of the US to advance
    • Elimination of Section 117(d) provisions
      • Devastating to research programs
      • No longer able to provide tax-free tuition for graduate students
        • Example: stipend of $24K and tuition waiver of $29K – student’s tax bill triples to $4,920
      • Erodes progress made in developing strong interest in STEM programs
        • Puts STEM education out of the reach of many students
      • Our legislators
      • Themes of Incoming UVA President Ryan
        • Community: opportunity to interact with and learn from a broadly diverse group of students, faculty, staff
        • Discovery: new knowledge that solves problems, leads to practical application, and brings new perspective to enduring questions
        • Service: public universities serve the public, starting with their own states
      • New Strategic Hire: Ken Walsh, PhD. Professor of CV Medicine and Director, Whitaker CV Institute, at Boston University SOM. Starts January 25, 2018. $.9M year one, $3.5M over five years.

Overview of Equal Opportunity & Civil Rights Policies and Reporting Options
Catherine Spear, AVP Equal Opportunity & Civil Rights
Emily Babb, AVP for Title IX Compliance & Title IX Coordinator

  • Presentation addressed:
    • Notice of non-discrimination and equal opportunity
    • Policy of Sexual and Gender-Based Harassment and Other Forms of Interpersonal Violence (Title IX Policy)
    • Preventing and Addressing Discrimination and Harassment (PADH Policy) and Preventing and Addressing Retaliation (PAR Policy)
    • Why reporting is important
    • How to report prohibited conduct under these policies
    • How to address prohibited conduct
  • See presentation.

December Health System Board Update
A. Bobby Chhabra, MD, Chair of Orthopaedic Surgery

  • Dr. Chhabra shared highlights from the December 6, 2017, HSB meeting. The HS goals dashboard showed notable improvement in solid organ and bone marrow transplants and addition investments by Seed & Venture Funds, moving these two indicators to green. All other categories are yellow.
  • FY18 first-quarter financial results were shared.

The next meeting will be Tuesday, Jan. 9, 2018, in the BIMS Classroom.

Faculty: Do You Know about This Professional Development Opportunity?

Committed to Excellence: (l-r) Christine M. Peterson, MD; Kenneth C. Bilchick, MD; Maryellen E. Gusic, MD; Ann L. Kellams, MD; P. Preston Reynolds, MD, PhD; Sukumar Sarkar, PhD; and Guillermo E. Solorzano, MD

Since the inception of its Certificate of Commitment to Excellence in Teaching series in 2012, the School of Medicine has offered professional development for faculty, fellows and residents, as well as students and staff who want to advance their skills as teachers and/or pursue scholarly work in education.

This program series is offered by the Office of Medical Education in conjunction with the Academy of Distinguished Educators. Opportunities include Medical Education Grand Rounds — lunchtime programs presented by nationally and internationally acclaimed experts in medical education — multiple afternoon sessions presented by UVA SOM faculty on various topics in education, and a monthly lunchtime Journal Club. Most are highly interactive sessions during which participants learn together and exchange ideas to enhance both teaching and learning.

This year’s series covers a range of topics of interest to those who teach in the classroom and in clinical settings. Topics include Providing Effective Feedback, Professional Identity Formation, Remediating the Learner in Need, Entrustable Professional Activities, and a research series. At the suggestions of our faculty, the content addresses learner assessment, curriculum development, advising and mentoring learning, and using a scholarly approach in educational leadership roles. The sessions are supplemented by a monthly journal club for participants to engage in a facilitated discussion of articles from the literature that address a broad variety of topics of interest.

In addition to receiving CME credit, anyone who attends 10 or more of these sessions over a two-year period receives a certificate acknowledging their commitment to professional development in education. To date, over 60 individuals have earned a certificate.

The topics presented are designed to help educators who teach across the continuum — medical student teaching, resident and fellow teaching, and peer/faculty development — and support participants in developing scholarly work and scholarship in education. The sessions provide an environment in which educators can get together to build skills and develop relationships.

We will build on the successes of past programming to meet the needs of those who are interested in biomedical and health sciences education. We welcome additional colleagues to lead and facilitate sessions in the Certificate series and for the Journal Club.

R.J. Canterbury, MD, MS, DLFAPA
Wilford W. Spradlin Professor
Senior Associate Dean for Education

Highlights: November MAC Meeting

Opening Comments from the Dean David S. Wilkes, MD

  • We learned a number of lessons from the DARs/CARs.
    • Accountability is key across all missions.
      • In education, we must ensure that students are prepared to perform the Entrustable Professional Activities.
      • In research, we must diversify the funding portfolios, maintain the standards for research funding per square foot of lab space, and maximize salary support on grants.
      • In the clinics, we must improve efficiencies across the board in the ambulatory setting and we must establish a group practice.
    • The reviews highlighted several priorities.
      • As leaders, we are all responsible for working together and guiding institutional change.
      • We must improve organizational structures and processes. In the dean’s office, we are doing this through developing business intelligence, improving IT infrastructure, and piloting the Be Smart initiative (lean processes).
      • We must build and strengthen external relationship across the University, through the Inova partnership, and through the CTSA initiative.
      • We will take education to a higher level through innovations in our graduate and master’s programs.
    • One of the programs we learned about in the DARs is the Silo Busters program in the Child Health Research Center (CHRC) in the Department of Pediatrics. James Nataro described Silo Busters for us.
      • The program is designed to facilitate interactions with basic scientists. Eligible basic scientists who will be working with Pediatrics faculty members are given joint appointments in the CHRC.
      • The research may be conducted in the lab of either the primary or the secondary appointee.
      • The objective is to attract basic scientists to work with clinicians.
      • The first Silo Buster recipients will be announced before the end of this year.

Bobby Chhabra, MD
The Department of Orthopedics’ clinical trials have grown from 4 trials in 2013 to more than 60 today. Over the last year, the clinical trials infrastructure has been fully supported by the overhead negotiated through the industry “rate card” mechanism.

Dr. Chhabra explained the methodology for developing the cost expectations for the rate card. It takes into account salary expenses (investigator and trial support staff) and OTPS. Billing may be based on an hourly rate or on trial enrollment and other milestones.

The rate card provides a process that is more streamlined and transparent for the budgeting process. It makes is easier for industry to set up trials. It provides salary support for MDs and PAs. The rate card helps to ensure that clinical revenues do not support the expenses of clinical trials.

Mentoring Program Continues to Develop Junior Faculty

The Junior Faculty Development Program (JFDP) is off and running again! In case you’re not familiar with the program, it launched in the fall of 2016 and provides networking, social opportunities, and peer mentoring among colleagues who are at a similar stage in their career. It promotes the development and advancement of junior faculty through seminars and mentored scholarly projects, and facilitates mentoring relationships between senior and junior faculty.

This year’s group, composed of 17 participants from 9 clinical departments, meets every other week to discuss a broad range of topics needed for career success in academic medicine. These topics cover a range of areas, including education, research, leadership, communication, and publication. Recent examples are:

  • Applying a scholarly approach to the work you do with learners
  • Designing a Research or Quality Project
  • Professional Decision Making and the Professional Development Plan
  • Grant Writing & the Specific Aims Page
  • Promotion and Tenure
  • Social Media and Reputation Management
  • Writing for Publication and Scholarly Dissemination

While the current cohort does not represent every department, I want to stress that this program is open to all clinical and basic science faculty.

Each participant in the JFDP works on a scholarly project over the course of the program and has access to a mentor who will answer questions, provide resources, and assist in their growth. This year’s projects cover a wide range of topics. Here is a sample of efforts underway by our junior faculty:

  • “Mechanistic evaluation of biointegration of acellular dermal matrix products”
  • “Identification of low-risk patients with mild complicated brain injury”
  • “Identifying and maximizing resident learning style”
  • “The effects of transition from a specialty-based primary to consultative hospital service: Impact on patients, caregivers, and medical providers”
  • “The perioperative surgical home: Taking the third-year medical student clerkship beyond the operating room”
  • “Improving access to kidney transplant for Hispanic minorities in the state of Virginia”

The JFDP started in October and runs until next April, with the final two meetings focusing on the faculty project presentations, where participants will share project outcomes and their progress to date. I am particularly looking forward to these sessions.

If you’re interested in the JFDP (or know someone who is), the call for applications for fall 2018 will go out in the spring. Keep an eye on your email and this space for updates.

Thank you to the departmental mentors for helping develop our junior faculty and to Troy Buer, PhD; Ashley Ayers; Jennifer Aminuddin; and Alice Keys for providing logistical and operational support. The program would not be successful without their hard work.

Susan M. Pollart, MD, MS
Ruth E. Murdaugh Professor and Chair (interim) of Family Medicine
Senior Associate Dean for Faculty Affairs and Faculty Development

VMED: Making Teaching and Learning Simpler

Making Virginia Medicine Better: (l-r) Dr. Megan Bray, Dr. Mary Kate Worden, Kim Holman, Dr. Maryellen Gusic, Robert Pastor, Dr. Randolph Canterbury, and Mark Moody.

Technology is supposed to make our lives easier and allow us to work faster or smarter; but it has to be the right technology, employed correctly. Too often we find some tech to be “good enough” and try to make it suit our needs. “Good enough” causes us to create Band-Aid solutions and workarounds which can translate to extra work and frustration. Over the years, the School of Medicine has been using a patchwork quilt of commercial and custom educational programs and software, added and modified where needed. We’re getting rid of them for something better.

The School of Medicine is in the process of building VMED, which stands for Virginia Medicine. This is an integrated learning-, curriculum-, and student-management system that is being designed with the specific needs of UVA in mind. We want to provide a seamless experience for students, faculty, and administration. With a system of our own design, we can build it to meet our needs instead of trying to muscle through the constraints of commercial software.

To build VMED, we started with the foundation of the UME NxGen Curriclum, the UVA 12 Competencies for the Contemporary Physician, which are our education program objectives for the MD degree. These competencies drive our educational activities and assessments, and VMED underpins those learning objectives and those, in turn, support our student management, online content delivery, assessments, gradebook, program evaluation, and much more. All of this assists us with our AAMC and LCME reporting and predictive analytics regarding our students’ USMLE performance. VMED, built from the ground up, also provides us with longitudinal data not only to assess our student performance but also provides us with program evaluation data necessary for continuous quality improvement

In simplest terms, we are replacing critical components in the student information system and think it will be a huge improvement for all. Student Source, Oasis, X-Credit, and Faculty Toolbox are a few of the current applications that are being replaced.

The largest pieces of VMED include:

  • the online testing system — Three classes of students are now using this.
  • a clinical assessment tool for undergraduate medical education — iCAN, which stands for Interactive Clinical Assessment Navigator, is the tool we use for assessing entrustable professional activities (EPA).
  • a learning management system for students — A home for resources, schedules, enrollment, and gradebook.
  • evaluations — Student-to-student, student-to-faculty, and student-to-course.
  • mapping of the curriculum — mapping to the physician competencies, which speaks to our accreditation as a medical school.

Most medical schools are using commercial products or open-source tools to deliver their curriculum to students and to map it for accreditation purposes. We’ll be joining a small community that is developing software from scratch. We’re moving forward with this because of the successes we’ve had with the new testing system and EPA programs — they are proof that we have the resources and the talent in the School of Medicine to build something that will suit our specific needs.

What Does This Mean for You?
We’re working on VMED now. Some modules have been piloted, but we’re also gathering requirements for future modules. The initial release of the learning management system will roll out in August 2018 with iterative releases to come in the months and years to follow.

Faculty who are teaching in the classroom or in the clinic have already seen some of these changes, particularly those using the assessment methodology for EPAs and those using the new online testing system. I hope that VMED will simplify teacher workflow for class preparation, approval of teaching materials, setting up exams, and reviewing student performance, and that it will offer faculty a clear view of how your work supports the physician competencies.

I would like to thank Dr. Megan Bray, Dr. Maryellen Gusic, Kim Holman, Mark Moody, Robert Pastor, Michael Szul, and Dr. Mary Kate Worden for their tireless efforts on VMED. It could not have happened without their hard work.

As more modules of VMED are ready for release, I’ll talk about them here. Stay tuned!

R.J. Canterbury, MD
Senior Associate Dean for Education
Wilford W. Spradlin Professor

Year 6: Excellence in Diversity Award

Dean David Wilkes

At times, I have to remind myself that some of our work is a marathon, not a sprint. But I find encouragement when I hear that, for the sixth year in a row, the University of Virginia School of Medicine has received the 2017 Health Professions Higher Education Excellence in Diversity (HEED) Award. Presented by INSIGHT Into Diversity magazine, this national honor recognizes U.S. medical, dental, pharmacy, osteopathic, nursing, and allied health schools that demonstrate an outstanding commitment to diversity and inclusion.

To receive this award six years in a row reflects our School’s dedication and commitment to diversity and inclusion. This is a great team effort. Our faculty, staff, and students consistently keep our core institutional values of respecting everyone at the forefront of what they do.

Our diversity efforts include:

  • Summer Medical Leadership Program. This six-week summer academic enrichment program brings together 30 college undergraduates interested in medical careers who are from disadvantaged backgrounds and underrepresented groups in medicine. The main goal is to expose participants to the “real world of medicine” to prepare them not only for admission to medical school but to assume future leadership positions in the medical field.
  • Partnerships with local schools. The School of Medicine hosts a Poster Symposium each year at Charlottesville High School to introduce high-school students — and future healthcare workers — to medical research. As part of their projects, students visit the UVA Claude Moore Health Sciences Library and are mentored by UVA research scientists.
  • Committee on Women. The committee promotes opportunities for mentoring and leadership for women throughout the School of Medicine, including an annual award honoring a faculty member for their leadership efforts.
  • Latino Health Initiative. In partnership with groups across UVA and the Charlottesville area, members work to improve health literacy, outcomes and access to care for local Latino residents. Ongoing projects include biweekly cardiovascular disease screening and education sessions, as well as training and empowerment for Latino community health workers.

I commend our faculty and staff for being dedicated to such an important effort. Special thanks to Dr. Greg Townsend, Associate Dean for Diversity. Each department has designated a diversity facilitator, and Greg has been meeting regularly with these facilitators to implement and promote diversity efforts in all departments. While there is still much to be done in the realm of diversity and inclusion, I feel like we are making positive strides every day. For that, I thank you all.

The University of Virginia School of Medicine will be featured, along with 23 other recipients, in the December 2017 issue of INSIGHT Into Diversity magazine. For more information on the 2017 Health Professions HEED Award, click here. For more information about the School’s diversity initiatives, click here.

David S. Wilkes, MD
Dean, UVA School of Medicine
James Carroll Flippin Professor of Medical Science

Pinn Hall Dedication: What a Great Day!

Before I arrived at UVA, a colleague of mine at the National Institutes of Health told me, “When you get to Virginia, you have to meet Vivian Pinn.” It was great advice. I’ve become friends with Dr. Pinn over the past two years and I’ll repeat that advice to you: If you have an opportunity to meet Dr. Pinn — jump at the chance. She is an outstanding scientist and an even better person.

There are many reasons I am excited to be here at UVA. But meeting Dr. Pinn and honoring her legacy by renaming a building in her honor, a building that will be dedicated to advancing science for the betterment of mankind is yet another reason.

We will soon be renovating Pinn Hall to create state-of-the-art research space to support today’s most talented and ambitious scientific leaders. This facility will incorporate the latest technologies to encourage productivity and scientific partnership among interdisciplinary teams. By using open and flexible lab modules and shared equipment, this renovation will increase our space efficiency by 25%. Ultimately, this promotes team science, which is what we need to stay competitive with other elite schools of medicine.

I recommend watching the below 40-minute video from the Sept. 13 dedication ceremony. Her accomplishments and perseverance are truly commendable and worthy of your time. Included are timestamps for ease of use.

  • 00:00 – 05:40 | Teresa Sullivan, President, University of Virginia
  • 05:50 – 09:56 | Frank “Rusty” Conner III, Rector, UVA Board of Visitors
  • 10:15 – 14:01 | Dr. L.D. Britt, UVA Board of Visitors
  • 14:07 – 15:05 | Dr. David Wilkes, Dean, UVA School of Medicine
  • 15:12 – 20:12 | Video: Dr. Francis Collins, Director, National Institutes of Health
  • 20:21 – 25:53 | Dr. David Wilkes, Dean, UVA School of Medicine
  • 26:08 – 40:40 | Dr. Vivian Pinn, Senior Scientist Emerita, NIH Fogarty International Center

Additionally, during Dr. Pinn’s visit to UVA, she participated in the Medical Center Hour entitled “Assuring Fair Access for All.” You can view that video here.

She is an inspiring speaker and I encourage you to take time to watch the video.

David S. Wilkes, MD
Dean, UVA School of Medicine
James Carroll Flippin Professor of Medical Science

 

A Year in Review

Dean David Wilkes

The other day while my wife and I were having morning coffee, we realized that I’m starting my third year as dean of the School of Medicine! We talked about how quickly the first two years have passed, how much we love Charlottesville, and how happy I am at UVA — and what an incredible honor it is to serve as your dean.

In some respects, my role is like that of an orchestra conductor because I’m not the one actually making the music. I only facilitate and fully recognize that you are the ones doing the real work.

When we’re focused on the urgent tasks of each day, it’s easy to forget where we’ve been and what we’ve done. We’ve done a lot! This letter mentions only a few highlights. Because we have so many accomplishments to celebrate, I’ve added this link where you can see what we’ve achieved in specific areas.

UVA moved from 40 to 36 in the NIH rankings of schools of medicine, as reported by the Blue Ridge Institute for Medical Research! Congratulations to all of you who worked hard on writing grants and preparing the submissions! Our FY17 extramural funding was $221 million … our highest level ever, excluding ARRA. This is remarkable growth from $162 million in FY14 and is truly a cause for celebration. The data also show that we are diversifying our research portfolio to spread risk and to create opportunity for further success. Related to this, we have just contracted with The Conafay Group to help us improve our chances of success with funding from the Department of Defense and related federal agencies.

UVA and Inova executed an academic affiliation agreement to establish the Genomics and Bioinformatics Research Institute (GBRI) on the former Exxon campus in Fairfax. We’re just in the early stages of setting this up and it will be a game changer. The affiliation agreement also establishes the UVA School of Medicine — Inova Campus where 72 of our students will complete their 3rd and 4th years in a high-volume, urban environment to begin in 2021. The School of Medicine has taken a lead position in what we anticipate to be a more broad expansion of UVA into northern Virginia.

In September 2016 we renamed Jordan Hall to Pinn Hall, and recently we held the dedication ceremony. A group of SOM leaders identified UVA alumna Dr. Vivian Pinn as the ideal choice for representing excellence in clinical care, research, scholarship, and the character and personal qualities we value. Phased renovations on Pinn Hall have begun. In addition to providing modern, open, flexible laboratories, Pinn Hall will house a Nobel Atrium to honor the Nobel laureates who did their pioneering work at UVA — thus highlighting our future by recognizing stars who represent what is best about us.

We are starting our third year of a tuition freeze. Nationally, medical students are completing their programs with staggering levels of debt. Thanks to the support of our alumni and the scholarship programs they fund, our students graduate with an average debt level that is much lower than the national average. Freezing tuition, while helping to reduce student debt, results from sound fiscal stewardship at the School of Medicine.

For the second year in a row, the University of Virginia Medical Center was recognized as the number one hospital in the Commonwealth of Virginia. Six specialties (Cancer, Ear, Nose & Throat, Orthopedics, Urology, Diabetes & Endocrinology, and Cardiology & Heart Surgery) were ranked in the top 50. And Gastroenterology & GI Surgery, Nephrology, Neurology & Neurosurgery, and Pulmonology were called out as being “high performing” specialties. Congratulations to our caregivers, researchers, and staff for this recognition of your work!

Our accrediting agency, the Liaison Committee on Medical Education, is monitoring our success in increasing diversity among our faculty. While our URM faculty increased from 4.8% to 5.3% we still have much work left to achieve the AAMC 50th percentile of 6.7%.  Now each department has a diversity plan that maps out a strategy and tactics to increase diversity among faculty and trainees.

I also want to share some information that makes a strong statement about our organization. As we continue to move as one Health System, it’s important to note that our partners in the Medical Center contributed $70.1 million in FY17 to the SOM for academic support. This is a significant and tangible statement of our partnership and of the shared trust between the individual entities of the Health System.

As I said, these are just some of the highlights. Clearly, we — that’s all of you! — have been doing a lot and accomplishing great things.

The events of August 11-12 created a lot of anxiety and uncertainty. We can get mired in the confusion or we can recognize something crucial — we are defined by who we are and what our values are, and not by the events of August. The importance of our work hasn’t changed. Let’s focus on our mission and our excellence. When someone asks where you’re from, you can stand a little taller and say, “I’m from the University of Virginia. I’m from Charlottesville.” And say it with pride, because you know who you are.

I’m very excited about what we are going to do together in the coming years. Although I’ve shared my priorities with you before, this is a good time to share them again.

  • Execute the development of the UVA-Inova Genomics Institute.
  • Operationalize the regional medical school campus for UVA 3rd and 4th year medical students at Inova.
  • Continue an aggressive investment in research and faculty recruitment.
  • Increase our NIH portfolio to $150 million by 2020.

This will take a lot of heavy lifting, but based on what we’ve already accomplished, I know we can do it. Every day we have the opportunity to do our best and every day I see the results of our efforts. My thanks to each one of you.

David S. Wilkes, MD
Dean, UVA School of Medicine
James Carroll Flippin Professor of Medical Science

See all accomplishments at https://news.med.virginia.edu/blog/deans-anniversary-letter/

Preparing Students Better Through Direct Observation

This summer, the School of Medicine began a pilot program to use assessment of entrustable professional activities (EPA) to measure the competencies of medical students and their readiness to perform patient care tasks. The EPAs are the tasks a resident should be able to perform from day one of their training; activities such as taking a patient history, documenting an encounter, performing basic procedures (e.g., starting an IV), collaborating as part of an interprofessional team, and interpreting lab values.

A lot of what we’ve done in clinical education is based on presumptive trust. Performing an EPA assessment involves direct observation to collect data about a student’s abilities. Teachers provide feedback to students about their strengths and about skills they need to develop further and the learners then use this information to improve. For teachers, these data allow trust to be grounded in fact and enables them to design individual learning experiences for students. The School of Medicine also will be able to use the information from assessments to target curricular innovation for all students.

The pilot has been a positive experience for both learners and teachers. Here’s what some of those involved have to say about it:

Joshua Eby, MD
Assistant Professor Professor of Medicine

“This was an opportunity to help students do better with histories and physical exams and a nice venue to allow attendings to give honest feedback without feeling like it’s affecting a student’s grades. Because of this, it allows for a more open discussion with constructive criticism on how a student is performing.”

Sarah Dillon
School of Medicine, Class of 2019

“I may have been the first or one of the first to do an EPA. I liked it because it formalized a process that was already being done. I think that physicians are good at giving feedback to students, but this ensured that regular feedback was happening. It was helpful to have it happen early on in the rotation, so that I could get advice on what to work on. I did my EPA with Dr. Eby, who gave me great advice on history taking and physical exam skills. One of the big takeaways I had was how he emphasized the importance of the physical exam — taking my time and developing my own routine with doing an exam, head to toe, and being very thorough.”

Brian Uthlaut, MD
Associate Professor of Medicine, Division of General Medicine
Program Director, Internal Medicine Residency Program

“One success so far has been in organizing a large number of our general medicine inpatient teaching faculty to come together for faculty development on EPA-based assessment. This was the largest workplace based assessment activity that I’ve been a part of at UVA. It was a good step for us, as we grow in terms of bedside observation, skills, and consistent observation of our medical students. I look forward to a greater environment for bedside observation for all of our learners — from medical students to residents to fellows. I think that the faculty development that we’ve started — and increasing comfort level with this — is an important step in achieving more frequent and higher quality bedside observation.

 As we get the faculty up to speed, I’ve heard positive feedback from faculty about the quality of the time they’ve been able to spend with our students at the bedside … we are off to a good start and this is really a very common-sense way to train our students with higher reliability.”

Mitch Rosner, MD
Chair, Department of Medicine
“It is critical to have methods to critically evaluate the skills of our students in real-world situations. We need to ensure that our students are as prepared as possible to enter residency and this program goes a long way in achieving this goal. It is gratifying to see UVA lead the way nationally in this program.”

In the next phase of the pilot, students, faculty and residents from the departments of pediatrics and Ob/Gyn will engage in EPA-based assessments.

Many thanks to the leadership team (Drs. Mitch Rosner, Gerald Donowitz, Molly Hughes, Alex Millard, and Brian Uthlaut), the faculty and the residents from the department of medicine for supporting this initiative and for their commitment to our students and the educational mission.

R.J. Canterbury, MD, MS, DLFAPA
Wilford W. Spradlin Professor
Senior Associate Dean for Education

We Are Not Alone

[9/18/17 Update: OrlandoHealth expresses its support, too! Scroll down to the bottom of this page to see the new banner image.]

Since the events of August 11 and 12, I have experienced an incredible churn of emotions. Anger and confusion. Sadness and grief. But eventually, I rediscovered hope. It’s important to remember that we are not alone in battling hate and intolerance. My hope was bolstered by the many notes of encouragement and support in recent weeks. I wanted to share two of the most visible gestures of kindness.

Penn State College of Medicine students sent a large, signed placard. It reads:

“We the students of Penn State College of Medicine want to convey our sincerest support during these troubling times. It saddens us to hear that such hateful acts are disturbing your community. Please know that these recent events have impacted us all and that we stand with you as allies. We trust that through love and unity, your city and our nation will come together in collaboration and cooperation to overcome these hardships.

If you want to see it for yourself, it is currently on display in the Claude Moore Health Sciences Library lobby.

Pam Cipriano, PhD, RN, President of American Nurses Association (ANA), delivered a banner on behalf of the ANA national staff to UVAHS staff in honor of our service during the events of Aug.12. Check the images below to read their messages of kindness and support.

These are wonderful reminders that we are not alone. Charlottesville is a small town, yes, but our friends are plentiful, vocal, and they stand with us. In this way, our Grounds extend much farther than the borders of the University.

9/18/17 Update: This just arrived via email. More autographed support from our colleagues at OrlandoHealth | Orlando Regional Medical Center. Thank you, Florida!

R.J. Canterbury, MD, MS, DLFAPA
Wilford W. Spradlin Professor
Senior Associate Dean for Education