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Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
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Creative Arts In Medicine
Connecting with Patients
Passion in the Medical Profession
Lifelong Learning in Clinical Excellence
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May 2, 2022 | 3 min read

The Alarming Rise in Pediatric Suicide

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Rates of childhood suicide have been rising steadily and this is now the second leading cause of death for youth. It's critical to screen children for suicidal thoughts and behaviors.   

November 15, 2021 | 1 min read

Healthy Social Media Use

By Nicole Cifra, MD, MPH, University of Rochester

Talk with patients about their social media use. Remind them to limit screen time before bed in order to sleep well and stay healthy.

January 12, 2021 | 2 min read

6 Ways to Engage Families to Support Child Mental Health

By Barbara Robles, MD, University of Texas

Strong relationships with clinicians can empower children and their families to engage more fully in their mental health treatment.

October 13, 2021 | 2 min read

Social Media During The Pandemic

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

While social media is contributing to increased rates of depression during the pandemic, it also keeps us socially connected during challenging times.

June 7, 2021 | 2 min read

It’s Not About Weight

By Nicole Cifra, MD, MPH, University of Rochester

Approaches employed by eating disorder specialists can be applied to support all patients. This includes emphasizing healthy behaviors and acknowledging your own assumptions about weight.

Dr. Barry Solomon and his team work to create a safe space for teens at their practice.

April 12, 2018 | 3 min read

Creating a Safe Space For Teen Well Visits

By Barry Solomon, MD, MPH, Johns Hopkins University School of Medicine

Providing excellent care for adolescents includes creating a safe space for confidential discussions. The clinically excellent pediatrician is able to help support the teen to share sensitive concerns with parents and caregivers.

A shared client-therapist drawing created in a teletherapy session on Zoom whiteboard. Copyright with the authors.

May 4, 2020 | 2 min read

Connecting With Teens Via Telemedicine

By Michelle Munson, LMSW, PhD, Nadia Jenefsky, MPS, LCAT

Suspending judgement is critical to building a trusting relationship, especially with teens.

October 13, 2022 | 1 min read

Asking Hard Questions

By Thuy Ngo, DO, MEd, Johns Hopkins Medicine

In the ED, my adolescent patient shared that she was being sexually abused. It reminded me of the importance of creating a safe space for courageous conversations. 

August 9, 2021 | 4 min read

Hiding in Plain Sight: Just Ask, or You’ll Miss Most Eating Disorders

By Angela Guarda, MD, Johns Hopkins Medicine

Although five percent of the population has a clinically significant eating disorder, most aren't detected because clinicians don’t ask. Simply asking,“What is the MOST you would be comfortable weighing?” can help identify a restrictive eating disorder.

June 16, 2021 | 1 min read

Why we Must Talk About E-cigarettes with Teen Patients

By Mike Fingerhood, MD, Johns Hopkins Medicine

Proactively counseling adolescents about the risks of e-cigarette use is essential. The message should acknowledge both the health implications and the pressures that they may feel from their peers.

A child playing with a parent's gun that wasn't safely stored.

October 15, 2020 | 3 min read

How to Talk About Firearm Safety During the Pandemic

By Katherine Hoops, MD, Johns Hopkins Medicine

With a surge in gun sales during the pandemic, exposure to firearms has increased for all. It’s imperative that clinicians give comprehensive firearm safety counseling to patients during these challenging times.

June 22, 2022 | 1 min read

Explaining The Risks of Vaping

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Prioritize discussions about the long-term consequences of smoking. Be aware that just because someone has quit doesn’t mean that they won’t relapse.

January 20, 2022 | 2 min read

Reflecting on Boundaries During Times of Loss

By Leslie Miller, MD, Johns Hopkins Medicine

Recently, my eyes filled with tears upon learning of a death in my patient’s family. Empathizing with patients who have suffered a loss can bring up strong feelings. How much of this is ok for clinicians to reveal?

May 18, 2021 | 2 min read

A Question That Transformed my Care of Patients

By Rebekah Fenton, MD, Northwestern University

Asking patients, “What are you most worried about?” can bring to light unspoken concerns and allow fears to be addressed.

Encourage parents to support their teens in connecting with friends safely.

April 8, 2021 | 3 min read

How to Support Teens’ Mental Health During The Pandemic

By Leslie Miller, MD, Johns Hopkins Medicine

Now more than ever, it's critical for parents to check in with their teens on a regular basis. Encourage parents to ask their children directly how they’re doing and to validate that these are hard times.

September 15, 2020 | 3 min read

How to Talk With Patients About Sexual Health

By Matthew Hamill, MBChB, PhD, Johns Hopkins Medicine

Sexual health can be a sensitive topic to discuss. Asking open-ended questions and allowing time for your patient’s story to unfold can create a safe space for conversations about sexual health.

September 9, 2020 | 1 min read

We’re All in This Together

By Mike Fingerhood, MD, Johns Hopkins Medicine

With the added stress caused by the pandemic, make an extra effort to screen your patients for anxiety and depression. Empathizing about shared concerns may facilitate patient expression.

August 6, 2020 | 3 min read

5 Tips for Supporting People With Autism

By Roma Vasa, MD, Johns Hopkins Medicine

It’s critical to make time to understand how your patient communicates best, learn their strengths, empathize with their challenges, and give them as much autonomy and choice as possible.

December 20, 2018 | 9 min read

You’re not getting my f-ing box cutter: paradoxical ways kids ask for limits

By Hal Kronsberg, MD, Johns Hopkins University School of Medicine

The most important lesson I’ve learned as a child psychiatrist is how badly kids want limits when they’re struggling, even when they keep that wish to themselves. Kids are smart, and when we catch them breaking a rule, we need to be curious about why it happened.

January 23, 2023 | 2 min read

Young People And Mental Health Concerns

By Mackenzie Sommerhalder, PhD, Johns Hopkins Medicine

The decision to bring a young patient to the ER for mental health concerns versus what can wait is challenging. As a general rule, a young person should be taken to the ER if the caregiver has any concern about their safety and/or the safety of others. 

January 4, 2023 | 2 min read

Intergenerational Connections

By Susan Lehmann, MD, Johns Hopkins Medicine

We can benefit from relationships with those of different ages. Encourage patients to consider joining a community group with people from across generations. 

May 16, 2022 | 1 min read

Sharing Mental Health Diagnoses With Patients

By Leslie Miller, MD, Johns Hopkins Medicine

For some patients, a mental health diagnosis brings relief. For others, it doesn’t. Regardless, we must take the time to educate patients and caregivers about symptoms, what to expect during the course of illness, and warning signs that suggest the need for attention. 

April 14, 2022 | 1 min read

Supporting Young Adults Who Use E-Cigarettes

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

When talking with young patients about tobacco dependence, first create a judgment-free zone and ask open-ended questions to understand why they use the product. 

December 2, 2021 | 3 min read

TikTok: The Good, The Bad, And The Ugly

By Colleen Schreyer, PhD, Johns Hopkins Medicine

For patients who are on social media, encourage them to engage with pro-mental health content on TikTok by watching, liking, and sharing.

March 22, 2021 | 2 min read

Why I Care About The Costumes in “Little Women”

By Leslie Miller, MD, Johns Hopkins Medicine

We can build deeper relationships with our patients by talking with them about their passions—from Broadway to zinnias.

October 28, 2020 | 1 min read

Preventing Dry Eye in the Zoom Era

By Sharon Solomon, MD, Johns Hopkins Medicine

Increased online activities during the pandemic has caused higher rates of dry eye for many. All clinicians should encourage their patients to take regular short breaks from screens.

October 5, 2020 | 3 min read

How to Talk About Your Patient’s Electronic Communication

By Leslie Miller, MD, Johns Hopkins Medicine

Asking patients to show you their social media posts may give unique insights into their mental well-being and improve care.

October 9, 2019 | 3 min read

Return to Play

By John Wilckens, MD, Johns Hopkins Medicine

While research findings are critical for clinical decisions, they only support the human art of empathizing with and understanding your patients.

January 4, 2022 | 2 min read

Welcome to The No-Judgment Zone

By Rebekah Fenton, MD, Northwestern University

After lying to my own doctor because I feared her judgment, I learned to invite all patients to be open and honest. Earning the patient’s trust will allow us to give the best care. 

November 11, 2022 | 2 min read

Is that so?

By Sarah Radtke, PhD, Johns Hopkins Medicine

Patients and families may share experiences that we feel are inaccurate, improbable, or impossible. Discussing their statements nonjudgmentally helps to form trusting relationships.  

September 28, 2021 | 1 min read

Considerations When Talking With Patients About Cannabis

By Mike Fingerhood, MD, Johns Hopkins Medicine

The medical literature on cannabis use is not clear, making it difficult to know what to tell patients. Share both positives and negatives about using marijuana, and help your patient make the best care plan for them.

Helen Brooke Taussig (May 24, 1898 - May 20, 1986), American cardiologist who founded the field of pediatric cardiology. Photograph taken for the cover of Modern Medicine, January 21, 1963. Wikipedia, public domain.

April 1, 2020 | 4 min read

Strength in Vulnerability

By Kamna Balhara, MD, Johns Hopkins Medicine, Sarah Clever, MD, Johns Hopkins Medicine

There is strength in acknowledging our fears individually and facing them collectively.

August 19, 2019 | 6 min read

Holding Hope

By Jennifer Goetz, MD, Massachusetts General Hospital and McLean Hospital

By highlighting the strength and courage of our patients, we can sustain hope for our patients and their families.

January 22, 2019 | 4 min read

The 5A’s of Firearm Safety Counseling

By Cassandra Crifasi, PhD, MPH, Katherine Hoops, MD, Johns Hopkins Medicine

Clinicians must counsel their patients about the dangers of firearms. If they decide to be gun owners, advise how to store them safely.

November 5, 2018 | 2 min read

Providing Holistic Care

By Nancy Hutton, MD, Johns Hopkins University School of Medicine

Excellence in clinical care requires intellectual rigor, keen observation, empathic communication, an understanding of the context in which the patient lives, and consideration of the individual patient as the center of care. 

“Imagine your baby’s lungs are a tree,” she said. “A pleural effusion would be a puddle around the tree while pulmonary edema is water on the leaves.” The mother seemed to follow along, nodding her head. I was grateful to hear this metaphor that inspired me to utilize pictorial representations more.

August 19, 2021 | 2 min read

The Power of Pictures

By Rebekah Fenton, MD, Northwestern University

When educating patients about their illness, it’s often helpful to include pictures and visual descriptions to improve understanding.

July 21, 2021 | 2 min read

Talking With Patients About Safe Summer Swimming

By Jade Cobern, MD, Johns Hopkins Bloomberg School of Public Health

Swimming is a summertime joy, but it is not without risk. Before patients take the plunge, they should be reminded to always swim with a buddy (never alone) and to apply sunscreen.

June 30, 2021 | 2 min read

Promoting Wellness Through Intergenerational Connections

By Susan Lehmann, MD, Johns Hopkins Medicine

Bridging the generations can enhance emotional well-being for young and old. Encourage patients to reach out to older family members and neighbors!

March 26, 2021 | 5 min read

“The Danger of a Single Story”

By Jade Cobern, MD, Johns Hopkins Bloomberg School of Public Health, Margaret Hannah, MD, MPH, Johns Hopkins Medicine, Rosemary Hawkins, MS, CCLS, Johns Hopkins Medicine

A single narrative creates biases, reinforces stereotypes, and can prevent us from seeing the full potential in ourselves and others. Appreciating multiple stories can deepen and broaden our perspectives.

November 2, 2020 | 4 min read

Prescription For a Healthy Future—Vote

By Deanna Behrens, MD, Advocate Children\'s Hospital, Elizabeth Mack, MD, Jenna Miller, MD, Katherine Hoops, MD, Johns Hopkins Medicine

Clinicians have a responsibility to advocate for policies that can improve the health of all. We must take our civic responsibility seriously and make a plan to vote. 

September 29, 2020 | 4 min read

Respecting All Patients

By Chase Anderson, MD, University of California San Francisco

Using your patient’s correct pronoun at all times is critical to supporting their mental well-being.

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