C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
The Journal of Hopkins' Center for Humanizing Medicine

The song remains the same

Takeaway

Starting over in a new workplace can feel unsettling, even after years of training. During transition, patients remind us that while our surroundings change, our purpose remains constant.

Passion in the medical profession | July 22, 2026 | 2 min read

By Diane Ghanem, MD, MPH, Creighton University 

 

A few weeks after starting at a new hospital, I found myself on orthopedic trauma call, walking into yet another emergency department room to meet someone I’d never met before. Everything around me was unfamiliar. The hallways. The operating rooms. The workflows. New names, new faces, new routines.

 

The patient looked up as I introduced myself. Before we finished talking, they smiled and said, “Everyone has been so kind here. Thank you for taking such good care of me.”

 

It was a simple comment. One that could easily have been forgotten. Instead, it stayed with me. For a moment, the uncertainty that naturally comes with any new beginning faded into the background. I wasn’t thinking about learning a new hospital anymore. I was simply caring for another person who’d unexpectedly found themselves having one of the worst days of their life. And that felt familiar.

 

What stays the same

Every transition asks us to adapt. New systems to learn. New colleagues to meet. New expectations to navigate.

 

It’s easy to believe that confidence comes only after everything around us becomes familiar. But I’ve found the opposite. My confidence returned one patient at a time. With every emergency department consultation, every preoperative conversation, and every opportunity to both educate and reassure, I found myself reconnecting with the reason I chose medicine in the first place. These encounters reminded me that while my surroundings had changed, the work itself hadn’t.

 

Patients still wanted someone to listen carefully, explain clearly, and treat them with kindness.Those moments became my anchor. The building changed. The logo changed. The faces changed. The privilege of caring for patients did not.

 

The constants

Looking back, I realize that the easiest part of my transition was rediscovering that the values that define me as a physician travel with me wherever I practice.

 

Our mentors spend years teaching us not only how to diagnose fractures or perform operations, but also how to care for people with compassion, humility, and presence. Every new patient gives us another opportunity to honor those lessons.

 

Wherever your next chapter takes you, remember that your purpose doesn’t live inside an institution. It walks into the room every time a patient trusts you with their story. The constants through change are not the walls around us. They are the people in front of us.

 

So find your anchor in your patients, carry your values with you wherever you go, and remember that every new beginning is another opportunity to become the physician you hoped to be.

 

 

 

 

 

 

 

 

 

 

This piece expresses the views solely of the author. It does not necessarily represent the views of any organization, including Johns Hopkins Medicine.