University of Virginia Library

The regular monthly meeting of the Board of Visitors of The Rector and Visitors of the
University of Virginia was held on this date in the Office of the President of the University of
Virginia, Charlottesville, Virginia, with the following present: The Rector, Barron F. Black,
President Colgate W. Darden, Jr., of the University of Virginia, Visitors Barksdale, Carrington,
Coxe, Emmett, Gay, Gravatt, Mears, Mrs. Smith, Mr. Smith, Talbott, Wailes and Wheeler. Absent:
Dr. M.L. Combs, President of Mary Washington College, Visitor Howard.

Mr. Smith and Miss Wheeler presented certificates of the oath of office taken by them as
members of the Board of Visitors, Mr. Smith's dated April 4, 1952, and Miss Wheeler's dated March
13, 1952.

ELECTION OF EXECUTIVE COMMITTEE

The following members were elected to the Executive Committee: The Rector, Mr. Black,
Chairman, Mr. Gay, Mr. Carrington, and Mr. Mears

GIFTS

The President reported receipt of the following gifts and grants.

                           

From the Gulf Red Cedar Company, a gift in memory of William J. Parrish, Jr., 1920, for the Woodrow Wilson School of Foreign Affairs	$10,000.00
From the National Fund for Medical Education, for the Medical School	4,845.00
From the Virginia Division, American Cancer Society, to finance a program of cancer education during the period February 1 through August 31, 1952	11,561.92
From the Rockingham Poultry Marketing Cooperative, Broadway, Virginia, for certain research to be conducted by the Engineering Experiment Station	1,000.00
From the Department of the Air Force, for psychological research under Dr. R. H. Henneman	14,858.76
From the Department of the Navy, for research in biology under Dr. Jacques Rappaport	8,756.00
From the Department of the Navy, for research in pharmacology under Dr. C. L. Gemmill	4,600.00
From the Department of the Navy, for continued research in chemistry under Prof. Allan T. Gwathmey	48,000.00
From the U. S. Atomic Energy Commission, for continued research under Dr. Alfred Chanutin of the Medical School	10,000.00
From the U. S. Public Health Service, for medical research under Dr. Grover C. Pitts	5,535.00
From the National Cancer Institute, U. S. Public Health Service, for cancer training under the direction of Dr. George Cooper	24,944.00
From the National Bureau of Standards, U. S. Department of Commerce, for engineering research under Prof. James C. Mace and Prof. R. M. Hubbard	75,000.00
From the Eli Lilly Company, in support of hematology research by Dr. Byrd S. Leavell	600.00
From the Old Dominion Foundation, for the session of 1951-52	7,500.00

RESIGNATION

The following resignation was accepted.

RESOLVED by the Board of Visitors of The Rector and Visitors of the University of Virginia
that the resignation of Dr. Stephen D. Tuttle, Associate Professor of Music, be and it is
hereby accepted as of the end of the session of 1951-52. We wish for him the highest success
in his new undertaking

LEAVES OF ABSENCE

The following leaves of absence were granted.

RESOLVED by the Board of Visitors of The Rector and Visitors of the University of Virginia
that Dr. Gordon Thomas Whyburn, Professor of Mathematics, be and he is hereby granted leave
of absence without pay for the session of 1952-53. He has been granted a Ford Foundation fellowship.

RESOLVED by the Board of Visitors of The Rector and Visitors of the University of Virginia
that Mr. Lionel Weiss, Assistant Professor of Statistics, be and he is hereby granted leave
of absence without pay for the session of 1952-53 in order to take a temporary position at Cornell
University.

ELECTIONS

The following elections were approved.

Dr. William Parker Anslow elected Professor of Physiology and chairman of the School
of Physiology, effective September 1, 1952, at a salary of $10,000

Dr. Edwin Pratt Jordan elected Lecturer in Social and Environmental Medicine for one
year, effective July 1, 1952, at no salary from the University.

Dr. Charles Linwood Savage elected Lecturer in Social and Environmental Medicine for
one year, effective July 1, 1952, at no salary from the University

Mrs. Johanna C. G. Mountain elected Lecturer in Social and Environmental Medicine for
one year, effective July 1, 1952, at no salary.

Dr. C. Adrian Rich elected Lecturer in Neurology and Psychiatry, effective May 1, 1952,
at no salary.

Dr. Richard J. Ackart, Director of the University of Virginia Hospital, elected Lecturer
in Social and Environmental Medicine for one year, effective July 1, 1952, at no salary.

UNCOLLECTIBLE HOSPITAL ACCOUNTS

The following resolution was adopted.

RESOLVED by the Board of Visitors of The Rector and Visitors of the University of Virginia
that the Hospital Accounts Committee be and it is hereby authorized to charge off as uncollectible
accounts schedules 269, 272, 275, 278 and 279, aggregating $19,748.41, recommended by
them for cancellation.

APPEARANCE OF ART COMMISSION RE: PHYSICS BUILDING

The following members of the Art Commission appeared before the Board of Visitors: Mr.
Louis W. Ballou, Mr. Floyd E. Johnson, and Mr. A. Edwin Kendrew, Chairman, together with Mr. Frank
E. Hartman, Superintendent of Buildings and Grounds of the University. President Darden stated
that he had asked these gentlemen to appear before the Board because he felt that their proposal
was of such great importance to the future plan of the University that the Board should have an
opportunity to hear it and discuss the matter with them.

Mr. Kendrew, chairman of the Commission, then stated that it was the feeling of the
Commission that the University should not build the Physics Building just east of the present
dormitory group but should go across the road from the dormitories, west of the Engineering
School, and plan a new science area with all the buildings of contemporary architectural style
Mr. Kendrew stated that the Commission felt it was particularly important in science buildings
that modern architecture be utilized because the buildings could be much more functional in design;
that the cost of construction would be less and the maintenance of such buildings would be
less. It was the feeling of the Commission that if the University were ever to change from its
classical design, now was the time to make the break, it was the sense of the Art Commission
that the University should make this fundamental change in design.

Mrs. Smith pointed out that she thought it was quite significant that Mr. Kendrew, with
his background of association with Colonial Williamsburg, should recommend a change from classical
architecture

Mr. Talbott inquired if there was any compelling reason for the change. Mr. Kendrew
said that he believed the architects could design a better Physics Building if they were not restricted
by the requirement in classical design of having windows balancing windows, wings balancing
wings, and other essential features of classical architecture.

Mr. Gay inquired of the Art Commission how they would act if they were members of the
Board of Visitors and were asked to make a change from the classical architecture which had been
followed here for more than one hundred twenty-five years. Mr. Kendrew, the chairman, replied
that he realized it was a difficult decision but he thought that in the long run the University
would benefit greatly from the change and that was why the Commission was recommending it.

The President thanked the members of the Art Commission for taking time to come here and
appear before the Board, whereupon they were excused.

The President read a letter from the Physics faculty stating that they were highly
pleased with the relocation of the site for the Physics Building. He also stated that he had a
letter from the Engineering Dean stating that he thought it would be of great advantage to the
Engineering School to have the Physics Building located adjacent to it.

The President said that he had asked the Physics faculty whether they felt modern architecture
design was desirable to make the building more usable for the teaching of physics, and
that the Physics faculty had assured him they were fully satisfied with the present classical design
of the building. The President pointed out that Dean Lewis had told him that the Brooks
Museum had won a national award for outstanding design of modern architecture at the time it was
built.

The President then read from a letter from Mr. T. J. Young, of Eggers and Higgins, in
which he states. "The site chosen for the Physics Building is a good one, and it should be
judged in relation to a far-sighted view of the whole inevitable expansion of the University.

Judging the relocation of the Physics Building from a purely architectural point of
view it is hard to see how any exception could be taken to it. Its cornice height will be at
almost the exact level of the cornices of the men's (dormitory) group, which it adjoins. Its design
and detail will be in complete harmony with the dormitories and with the engineering buildings

In summation, our views, which have been arrived at after a careful study of the master
plan, are that the selected site for the Physics Building is well chosen and that the proposed
design will be in complete harmony with the existing buildings."

Mr. Gay stated that he had just that morning walked over the site of the proposed Physics
Building and he feels that we should use the area now planned for this building for additional
dormitories. The President stated that he believed it was better to keep the dormitories on the
periphery and build classroom buildings in the central area, because if the classroom buildings
became too scattered it would be difficult for the boys to go from building to building between
classes.

Mr. Talbott inquired if there would be any problems which would arise if we postponed
the construction of the building until such time as plans for a new design could be prepared.
The President said that there would be, that the appropriation was insufficient and that he hoped
to advertise the building not later than May 1, so that the bids would be in prior to the end of
the fiscal year, that he believed the Governor would have some funds available and that he might
add to the appropriation from the conditional appropriation for this building made by the 1950
session of the Legislature.

Whereupon the following resolutions were adopted.

RESOLVED that the present design of the Physics Building, in classical style, be
approved

Mrs. Smith voted in the negative.

RESOLVED that the site recommended by the architects be accepted for the Physics Building,
that is, a site on the north side of McCormick Road directly across from the present Engineering
buildings.

The President stated that the question had come up of what distance the building should
be located from the road, in a line with the dormitories, or dropped back about twenty feet. It
was the sense of the Board that this question should be left to the architects for determination.

MEDICAL FACULTY SALARY PLAN

Dr. Vernon Lippard, Dean of the Medical School, appeared before the Board to present a
revised plan for compensation to members of the clinical staff. The Dean stated that his committee
had reviewed the suggested changes made by the Board of Visitors and had incorporated them into
the plan. He reviewed these changes, and the total plan, set forth below, was then approved by
the Board.

The Dean was asked to send a copy of the plan to each member of the clinical staff with
the request that its receipt be acknowledged and the plan accepted or rejected

UNIVERSITY OF VIRGINIA
DEPARTMENT OF MEDICINE

REPORT OF COMMITTEE ON PRIVATE PRACTICE

I. BASIC CONSIDERATIONS

Certain basic considerations must be kept in mind in determining the best policy for organization
of private practice in the University Hospital and for remuneration of the Clinical Staff
Among these considerations are the following

1. The reasons for existence of the University Hospital are production of well-trained physicians,
research and medical service.

2. In order to provide proper instruction, there must be an adequate supply of patients and,
to set a good example for the students, they must be given the best possible type of medical
care.

3. The institution is recognized by the people of the State as a center at which superior
medical service can be obtained and it would not be in the best interest of the institution
or the public to deny such service to those who can afford to pay for it. Therefore,
provision for the care of private, as well as ward, patients is necessary.

4. Clinicians, like other members of the faculty, should be compensated for time and effort
devoted to teaching and research and on approximately the same basis as preclinical faculty
members. The source of additional income must be private practice because, viewing
the problem realistically, there is no hope of establishing a salary scale on State funds
comparable to the income which may be available from private practice or at other medical
schools.

5. Income from private practice should not be used as it has been to maintain hospital equipment
or services essential for the care of the hospitalized patients. The 20 per cent deduction
now in force is a reasonable charge for employment of extra secretaries and office
nurses and purchase of supplies and equipment for care of private ambulatory patients.

6. The demand for and interest in teaching and research will never be the same for all members
of the clinical staff. Some will devote the major share of their time and interest to
teaching and research and others to private practice. It does not seem reasonable that
those who are members of this group and spend a greater portion of their time and efforts
in private practice should be compensated out of all proportion to those who devote more
of their time to teaching, research and administrative activities which are of equal importance
to the School. It should be recognized, however, that stresses incident to assumption
of responsibility for life and death, day and night, regardless of academic sessions,
constitutes a hazard to life and longevity to which only the clinician is subjected

7. There are recognized advantages and disadvantages in the association with a medical school
and teaching hospital. The advantages are more apparent to some than to others and only
those who choose this type of life, realizing its restrictions and limitations in terms of
financial return, can remain happy in it. Those who feel that a larger income and greater
amount of freedom are more important considerations should not confine themselves to such
an environment but should take advantage of the opportunity to practice independently and
earn larger amounts without the restrictions which are inherent in institutional practice.
As a corollary, however, it should be recognized that medical schools and teaching hospitals
are of necessity in competition with each other and clinicians of high attainment cannot be
attracted or retained on incomes out of all proportion to those available at similar institutions.

8. The administration of the University should make a vigorous effort to increase and staff
and to overcome inadequacies in facilities so that the burdens may be properly distributed
and a pleasant working environment provided.

9. The question of salaries cannot be divorced entirely from the whole problem of the organization
of private practice in the Hospital. Further attention should be given to the development
of methods of practice which will give the best service to patients yet conserve the
time and energy of the staff. The fact that steps in this direction may require more cooperation
between individual physicians and departments in the conduct of practice must be recognized

10. Promotion in academic rank should be based on academic achievement rather than capacity to
earn in private practice and earning allowance from practice should not be related directly
to rank.

II. TYPES OF ORGANIZATION OF CLINICAL STAFFS IN TEACHING HOSPITALS

1. Part-time, in which members of the faculty carry on their private practices outside of and
entirely independent of the medical school and teaching hospital. They come to the hospital
when they have teaching assignments, have the privilege of admitting private patients, usually
are not engaged in research and receive little or no compensation from the medical school.
This plan has not proven most suitable for development of strong schools and is gradually
being discontinued.

2. Straight full-time, in which all income from private practice is turned in to the institution
and the staff is compensated on a straight salary basis. This plan is in operation completely
only at the University of Chicago and partially at several other schools. It is probably not
practical for a state institution where large salaries, regardless of the source of funds,
cannot appear on state budgets.

3. Geographical full-time, in which members of the clinical staff have offices within the
teaching hospital, engage in various amounts of instruction, research and private practice.
The school pays a basic salary and provides office space. The clinician reimburses
the institution from private practice income for approximately the cost of rent, equipment
and personnel, such a secretaries and office nurses, necessary for conducting practice efficiently.
This plan usually entails some restriction in the amount of income from private
practice.

This plan is considered the most desirable by medical schools throughout the United
States, all new schools are adopting it and many older schools are working toward it. It
provides a good balance between teaching and practice, good medical care for the patients
and adequate attention to the medical students. Although we recognize certain deficiencies
in our organization which interfere with its most efficient operation, the geographical
full-time plan at the University of Virginia should be preserved.

III. PROPOSED REORGANIZATION OF PRIVATE PRACTICE

In order to provide better service, to conserve the time and energy of the staff in care of
private patients and to derive a larger income for development of the Medical School and Hospital,
it is recommended that physicians services to private patients be organized on a cooperative
basis.

To implement this recommendation, it is proposed (at such time as proper physical facilities
can be provided and the details can be worked out):

1. That a group clinic be established, to include all members of the clinical staff of the
University Hospital who are appointed on a geographical full-time basis.

2. That a clinic manager and secretarial and accounting staffs be employed by the clinical
staff to handle the business affairs of the clinic.

3. That a Private Clinic Committee be elected by the clinical staff annually and be delegated
responsibility for determining the administrative policies of the Clinic including the
Central Billing Office. The Dean of the Medical School shall be a member of this committee
ex-officio

IV. INTERIM PROGRAM

Pending further study and development of the program outlined in Section III, it is recommended
that the following revision of the existing plan for conduct of private practice and
compensation of the clinical staff be put into effect:

1. A central office for distribution of bills for private services and collection of fees
will be established.

• (a) The cost of operating this service will be prorated on the basis of a formula which
  takes into consideration the amount collected and the number of bills distributed
  Charges will be made to the departments at the end of the fiscal year. The Fluid
  Research and Development Fund will be used as a source of capital during the year
  and reimbursed.

2. Total income to the clinician shall consist of the basic salary paid by the University
plus income from private practice within established limits.

3. The basic salaries shall be flexible and adjusted to the teaching load and academic contribution
of the individual.

4. The regular net income allowance from private practice, as determined for each member of
staff, shall be calculated by deducting 20 per cent of the gross income for departmental
expenses.

5. The net income allowance from private practice shall increase at the rate of $750.00 per
year up to a maximum total income (basic salary plus practice earnings) of $20,000.00
without consideration of academic rank. Furthermore, in exceptional circumstances, the
usual annual increment in practice earnings may be denied or doubled on agreement of the
Departmental Chairman and the Dean. (All changes will be effective on July 1st. Members
of the staff appointed between July and January should receive the first increase on the
next July 1st, others, the following year.)

6.

• (a) Practice earnings, up to prescribed limits, after the standard 20 per cent deduction
  has been made, may be withdrawn as accrued during the year.

• (b) At the end of the year after all departmental expenses, as agreed upon by the Departmental
  Chairman, the Dean and the Bursar, have been met, the departmental surplus
  shall be divided as follows:

       

  Fluid Research & Development Fund	40 per cent
  Clinicians	40 per cent
  Departmental Reserve	20 per cent

  (The amount of the above allotted to each clinician shall be decided by mutual agreement
  of members of the department and with approval of the Dean.)

• (c) New members of the staff, except full professors, will be appointed on a basis which
  excludes the privilege of participating in surplus earnings and these provisions may
  apply only after a period of trial of at least two years and on agreement of the Departmental
  Chairman and the Dean.

7. The Departmental Reserve Funds shall be used to purchase equipment and for other necessary
expenses which cannot be covered by current operating funds.

8. The title to all equipment purchased with funds derived from current income, Departmental
Reserve Funds or the Fluid Research and Development Fund shall rest in the University.

9. The title to all money deposited in Departmental Reserve Funds and the Fluid Research and
Development Fund shall rest in the University but shall be designated for these specific
funds. In the event of the dissolution of a department, its Departmental Reserve Fund
shall revert to the Fluid Research & Development Fund.

10. If, because of death, resignation, retirement or incapacity due to illness, the clinician
severs his connection with the University, income accrued, including accounts receivable,
within his established limit and after deduction of the usual 20 per cent for overhead,
shall be paid to him or his beneficiaries, within the limits of the plan as stated above.

11. The budgets of all departments must be approved by the Dean and the President and all
financial transactions must clear through the Bursar's Office and be subject to pre-audit.

12. Each member of the staff will be expected to maintain a reasonable balance between academic
responsibilities and private practice. The emphasis on each activity must at all
times remain satisfactory to the Departmental Chairman and the administration.

13. The plan of compensation shall be subject to review and individual compensation may be
revised upward or downward, in keeping with economic trends, one year after the group
practice plan is put into effect and/or at intervals of four years.

14. The plan shall be retroactive to July 1, 1951.

UNIVERSITY INSURANCE

The Secretary presented a plan to increase the insurance coverage on University buildings.

Mr. Gay inquired why the University was required to carry 90% coverage on sprinklered
buildings. The Secretary pointed out that frequently the damage in sprinklered buildings was
caused more by water than by fire, and that the insurance companies required a higher percentage
of coverage to anticipate such losses. The Board approved the proposal.

DUNNINGTON PROPERTY

The President stated that he had received a letter from Mr. William H. White, Jr.,
Treasurer of the Alumni Board of Trustees, stating that the City of Charlottesville had increased
the assessment of the Dunnington property from $17,000 to $24,630. The University
rents this property from the Alumni Board at $125 per month, which Mr. White stated was totally

inadequate to pay the taxes and yield a reasonable return on the $45,000 investment of the Board.
He asked if the Board of Visitors would not increase the rent sufficiently to take care of the
additional tax burden. The President recommended that this action be taken, effective with the
start of the new fiscal year

Whereupon a resolution was adopted increasing the rent on the Dunnington property sufficiently
to take care of the additional tax burden recently imposed by increase in value assessment
from $17,000 to $24,630, to be effective July 1, 1952.

ESTATE OF HUGH E. VINCENT

On recommendation of Mr. Perkins, attorney for the University, the following preamble
and resolution were adopted.

WHEREAS, the late Hugh E. Vincent of New Orleans, Louisiana, whose estate is being administered
under No. 304-985 of the docket of the Civil District Court of Orleans Parish, Louisiana,
has left a will under which he has named as usufructuary of certain property, his widow Mildred
Saffold Vincent and under which he has named as naked owners of that certain property in the
proportion of an undivided one-third to each (a) Trinity Church, (b) The Administrators of the
Tulane Educational Fund and (c) The University of Virginia, and

WHEREAS, certain of the property which form the subject of this bequest consists of
real estate in the City of New Orleans, and

WHEREAS, in connection with the administration of that property it will be necessary
from time to time for prompt decisions to be reached by the parties in interest consisting of
(a) the executors during their tenure of office, (b) the widow and usufructuary Mildred Saffold
Vincent, and (c) the three naked owners, and in order to expedite such handling for the benefit of
all concerned, it is desirable that the three naked owners have representatives in New Orleans
authorized to act promptly

NOW, THEREFORE, BE IT

RESOLVED, that Wayne G. Borah of New Orleans, Louisiana, be and he hereby is designated
as the representative of The Rector and Visitors of the University of Virginia generally known
and designated as the "University of Virginia", for the purpose of acting in the premises.

BE IT FURTHER RESOLVED that the said Wayne G. Borah be and he hereby is authorized and
empowered on behalf of said The Rector and Visitors of the University of Virginia in any case in
which (a) the executors (during their tenure but not thereafter) and (b) the widow and usufructuary
and (c) the other two naked owners concur in that action, to subscribe the name of this Institution
to an endorsement upon a lease of any portion of the property included in said estate
and in which this Institution has an undivided naked ownership interest as above set out, which
lease shall be for a period not exceeding five years, which endorsement shall read substantially
as follows:

BE IT FURTHER RESOLVED that in connection with the execution of any such lease the said
representative is hereby authorized to consent to the charge against this Institution of its proportionate
part in any expenditures (not in excess of $5,000.00 for the total of such expenditures
in any one case), which under the Louisiana law are chargeable to the naked owners of the property
in question.

SUIT OF HENRY B. MASON AGAINST THE UNIVERSITY

The President reported that a student had been denied readmission to the University,
after spending some time in the mental ward of the University Hospital. The student had filed
suit in Federal court to force the University to readmit him. Mr. Perkins, University attorney,
appeared in defense of the University, and the suit was dismissed by Judge Paul.

The Board approved payment to Mr. Perkins of a fee for legal services of $250.00, plus
costs of $15.67.

HOSPITAL DISCOUNTS

The President stated that with the Blue Cross coverage now available to University employees,
it was no longer necessary to provide discounts for employees of the Hospital and Medical
School, and that he wished to inform the Board that these discounts were being withdrawn unless
there was objection on the part of the Board

CONSERVATION COMMISSION BUILDING

President Darden stated that Mr. Sidney S. Kellam, Director of the Conservation Commission,
has asked for an easement to construct a building to be connected to the present Geological
Survey building on McCormick Road just west of Alderman Road. The President stated that he desires
to examine the land and determine just how much of an easement should be granted before
formal action is taken by the Board. However, the Conservation Commission would like to proceed
with the plans for the building unless there is objection by the Board.

SEVEN SOCIETY STUDENT-FACULTY LOAN FUND

The Seven Society Student-Faculty Loan Fund committee is desirous of investing part of
its loan funds in a savings account, to offset any losses which may be suffered, as these loans
are made without interest. The following resolution was adopted.

RESOLVED by the Board of Visitors of The Rector and Visitors of the University of Virginia
that the Bursar be and he is hereby directed to open a savings account in the name of the
University and to deposit therein such funds as the Seven Society Student-Faculty Loan Fund Committee
may direct.

ART SCHOOL

Mr. Gay asked that special consideration be given to this matter at the May meeting of
the Board.

- - - - - -

On motion the meeting was then adjourned.