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C L O S L E R
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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March 13, 2026 | 3 min read

Physician advocacy: myths versus facts

You do not need to be a policy expert or spend endless hours to be an effective clinician advocate. Simply sharing your stories with lawmakers about caring for patients can help improve care.

September 2, 2020 | 4 min read

A Call for Advocacy in Medicine

By Sara Wallam, Medical Student, Johns Hopkins Medicine

Systemic racism is prevalent throughout our society. To dismantle disparities in health outcomes for minority patients, clinicians must advocate for their patients at the local level and for communities on a regional and national scale.

December 2, 2025 | 2 min read

Policy, patients, and persistence 

Advocacy matters—policy decisions impact access to care and patient health outcomes. When speaking with legislators, have a strategy to grab their attention and have the most influence. 

September 22, 2020 | 1 min read

Voting as part of clinical excellence

By Margot Kelly-Hedrick, MD, University of Washington

Voting is a way you can advocate for your patients and improve health outcomes.

September 15, 2025 | 6 min read

How to support LGBTQ+ patients

Amid increasing anti-LGBTQ+ legislation, clinicians have an ethical duty to provide inclusive care. Read on for how to create welcoming environments in clinic and connect LGBTQ+ patients with appropriate resources. 

May 30, 2019 | 9 min read

Confessions of a Female Doctor who Questions Gender Equity Movements Like TIME’S UP Healthcare

By Kali Cyrus, MD, MPH, Johns Hopkins Medicine

We have to embrace humility and first accept that we have biases, prejudices, and privileges in certain contexts. We must then do the hard work of recognizing when our biases show up in interactions, examine our past experiences that contributed to the development of our biases, and acknowledge the hurt that may be caused by our biases to ourselves and others. If we truly want to stop harassment and create equity, we have to do this emotional work every day. And we should do it to stop harassment and create equity for not just women, but for everyone.

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. 

June 13, 2019 | 7 min read

How to talk with a vaccine skeptic (archives, 2019)

By Dharushana Muthulingam, MD, Yale School of Medicine

You cannot treat those who challenge you with contempt. Conversations must be navigated with respect and compassion.

November 13, 2023 | 2 min read

How clinicians can address housing insecurity

By Craig Pollack, MD, MHS, Johns Hopkins Medicine

For patients with housing insecurity, clinicians can connect them with a social worker and share a list of community-based resources. We must also advocate for policies that increase access to safe and affordable housing.

August 15, 2025 | 3 min read

Detained!!!

When a patient is held by law enforcement, quickly coordinate to send a medical necessity letter to ensure uninterrupted access to vital treatment. Immediate action may protect patient health and prevents avoidable complications. 

September 29, 2022 | 2 min read

Documenting humanity

By Jane Abernethy, MD, MBE, Johns Hopkins Medicine

Clinicians are in a powerful position to advocate for undocumented people, who are among the most vulnerable patients. By acknowledging the courage of this population, we can affirm their strength and resilience.

February 25, 2020 | 2 min read

5 Things Clinicians can do to Reduce Drug Prices

By Justin McArthur, MBBS, MPH, Johns Hopkins Medicine

Excellent clinicians prescribe thoughtfully—pruning medication lists, advising patients on how to save money, and advocating for change.

June 24, 2025 | 4 min read

Unsheltered lives, unmet needs 

When caring for patients who are unhoused, addressing food and housing insecurity is just as important as providing medical treatment. Prioritize building trust and ensuring psychological safety through trauma-informed interactions and a nonjudgmental approach. 

April 4, 2023 | 1 min read

Insurance Denial Fatigue

By Justin McArthur, MBBS, MPH, Johns Hopkins Medicine

After spending hours with patients deciding what tests or treatments are most appropriate, guess how many seconds it takes for an insurance doctor to reject the claim? 

May 3, 2021 | 6 min read

Why we Must Learn About Our Patients’ Communities

By Daniel Thomas, MD, Johns Hopkins Medicine

Make time to learn about and invest in the community you serve to deepen your connection with patients.

October 22, 2020 | 2 min read

Patient voting matters

By Patrick Hemming, MD, Duke University

Clinicians are in a position of influence and can encourage patients to vote. Expressing confidence in patients’ ability to make a difference as a voter may motivate them to take action.

September 26, 2019 | 3 min read

The Necessity of Being an Advocate

By Zackary Berger, MD, PhD, Johns Hopkins Medicine

Clinical care and advocacy are intertwined. In every clinical encounter, we should think about ways that we can advocate for our patients.

July 23, 2019 | 3 min read

Engaging Care Partners in Communication

By Antonio Wolff, MD, Johns Hopkins University School of Medicine, Jennifer Aufill, BA, Johns Hopkins Bloomberg School of Public Health, Jennifer Wolff, PhD, Johns Hopkins Bloomberg School of Public Health

Families and friends are valuable resources. These partners in care can help clinicians improve quality of care and patient outcomes.

December 5, 2018 | <1 min read

“A CLOSLER Look,” Dr. Rosalyn Stewart

By Gretchen Miller, Managing Editor

When helping vulnerable urban populations, sometimes the biggest challenge is to understand where the patient is at. Then we have to work together with the patient on walking towards wellness, particularly focusing on lifestyle modifications.

March 23, 2023 | 2 min read

5 questions I ask every patient (archives 2023)

By Lillie Shockney, RN, MS, Johns Hopkins Medicine

I talk with patients who have metastatic breast cancer about their hopes and worries at every visit. This allows me to give better, whole-person care.  

March 14, 2018 | 2 min read

The Power of Acknowledging Feelings

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Recognizing and acknowledging feelings can diffuse a patient’s anxiety.

September 19, 2019 | 2 min read

The Importance of Partnering With Patients

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

What patients and families need is a clinician advocate who is available to listen, translate complex medical language, and support both the physical and mental health of the patient.

December 26, 2018 | 1 min read

How to Ensure Patient Access During the Holidays

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

The holidays can be a stressful time for both patients and clinicians. Here are a few ideas to ensure stress-free access to care for patients, and tips for everyone to stay healthy and rested.

September 25, 2018 | 1 min read

Teaching Maintains Clinical Excellence

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Engaging with learners keeps you dedicated to lifelong learning, and teaching helps to maintain clinical excellence and the joy of medicine.

June 25, 2018 | 2 min read

Trust The Diagnostic Process

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Clinicians use a diagnostic process to guide their actions when faced with a medical problem. Hypothesis generation provides an efficient reliable framework to focus the clinical workup and come to the correct diagnosis and treatment plan.

May 17, 2018 | 2 min read

How To Avoid Complacency in Diagnosis

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Top tips to avoid complacency when faced with a common clinical presentation that may have an uncommon medical diagnosis.

April 26, 2018 | 1 min read

Forming True Partnerships In Care: Listen To Your Patient

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Reflecting on caring for a 12-year-old with a complex neurological condition, I was humbled by the parents’ definition of clinically excellent patient care.

A crowd organized by the Student Non-Violent Coordinating Committee sang “We Shall Overcome” in Farmville, Virginia, in 1966, after a speech by Stokely Carmichael.

January 18, 2019 | 9 min read

From Clinic to Senate

By Kali Cyrus, MD, MPH, Johns Hopkins Medicine

Advocacy does not have to mean changing legal precedents; it can also be taking a mentee out for coffee, giving feedback about your colleague’s stereotyping of a patient, or not patronizing restaurants with unfair wage practices.

March 11, 2025 | 4 min read

When sex isn’t binary 

Providing exceptional care to intersex patients requires us to shed the outdated idea of sex as a binary. Instead, we should normalize diversity in sex presentation and encourage families to unconditionally love, support, and listen to their loved one. 

June 3, 2020 | 2 min read

COVID-19 Hospital Visitor Restrictions May Fuel Obstetric Disparities

By Alexandra Norton, MS3, Johns Hopkins Medicine, Marielle Gross, MD, Johns Hopkins Berman Institute of Bioethics, Tenisha Wilson, MD, PhD, Johns Hopkins Medicine

Clinicians must ensure that visitor restrictions do not exacerbate racial disparities in health outcomes during the pandemic. Now more than ever—without family at the bedside—listening to and advocating for your patients is essential.

February 12, 2026 | 5 min read

Reading the room

The presence or absence of loved ones in a patient's room is important information. Learn about the patient’s support network to encourage increased connectedness.

January 9, 2025 | 2 min read

Caution: red tape ahead  

By Katharine Russo, PharmD, Johns Hopkins Medicine

Holistically caring for patients includes helping them navigate healthcare systems. Take time to support already stressed patients through the frustrating and opaque processes of insurance and prior authorizations. 

April 16, 2018 | 2 min read

Giving Humanistic and Empathetic Care

By Michele Manahan, MD, Johns Hopkins University School of Medicine

Dr. Michele Manahan's Clinical Mission & Values Statement on supporting her patients through conversation, active listening, a receptive ear, and an incisive mind.

September 1, 2020 | 2 min read

How to Help When Home Isn’t Safe

By Galina Portnoy, PhD, Yale School of Medicine, Jessica Keith, PhD, University of Central Florida, Kelly Buckholdt, PhD, Veterans Health Administration

The pandemic has resulted in everyone spending more time at home, which has increased the potential for being physically, sexually, and psychologically harmed by others. After ensuring that patients feel safe during telehealth appointments, clinicians must directly ask if they are experiencing intimate partner violence and develop a safety plan.

Audrey Hepburn. Photo by Bud Fraker, 1956. Public Domain.

August 24, 2020 | 4 min read

A Calling to Medicine From Hollywood

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

Whoever thought watching Turner Classics could inspire a career in medicine? Reflecting on what drew you to healthcare may restore your sense of purpose.

May 21, 2020 | 1 min read

The Importance of Writing For Popular Media Outlets

By Koushik Kasanagottu, MD, Johns Hopkins Medicine

In this era of misinformation, we have a moral responsibility as physician-citizens to write for media outlets that our patients read. Sharing accurate health information with the general public can inform decision-making and improve health.

February 4, 2020 | 4 min read

How to Respond to Questions About CBD

By Ryan Vandrey, PhD, Johns Hopkins Medicine

With the massive expansion of interest in CBD products, clinicians need to know how to address their patients' questions.

Dr. Carl Streed and Jacob Tobia. Photo by Dr. Carl Streed.

January 6, 2020 | 2 min read

Book Review of “Sissy: A Coming of Gender Story”

By Carl G. Streed Jr., MD, MPH, Boston Medical Center

Recognizing and validating the diversity of gender identities and expressions positively affects the health of our patients and our communities.

A Reversed Retrogress: Scene 1 (The Purple Shall Govern) (2013), Mary Sibande. Courtesy of the artist and Somerset House London. Photograph by Flora Smyth Zahra.

October 28, 2019 | 5 min read

September Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

By providing a creative space in which healthcare professionals can build skills integral to clinical practice, while also expressing their vulnerabilities and humanity, art museum-based education can humanize healthcare and provide an antidote to burnout.

October 22, 2019 | 2 min read

The Color of my Skin

By Kimberly Turner, MD, Johns Hopkins Community Physicians

With mentorship, advocacy, and open-mindedness by all, it is hoped that there will be greater diversity within the healthcare workforce.

June 20, 2019 | 2 min read

Be Brave Enough to Start Conversations That Matter

By Manasa Ayyala, MD, Rutgers New Jersey Medical School

"Between the World and Me" is a must read. At 152 pages, it's a small investment of time that leaves a large impact. I invite you to read this book with the intent to ask curious questions, to be ok feeling uncomfortable, and to continue this important dialogue.

The author connects and celebrates with colleagues - one way to help reduce burnout!

October 2, 2018 | 3 min read

Reducing Resident Burnout

By Sanjay Desai, MD, Johns Hopkins University School of Medicine

We need to understand and address the causes of resident burnout, not just the symptoms. Interventions to reduce resident burnout will increase the meaning we find in our profession, and include teaching effective teamwork, and learning the patient as a person.

February 2, 2026 | 3 min read

Perfectly cracked

Let your “why” sustain compassion and presence. Bring your humanity to the bedside, acknowledge uncertainty, and stand with patients in their hardest moments. 

January 23, 2026 | 3 min read

Unconscious bias in weight management 

Excellent weight management care includes asking what patients have already tried and what barriers they face. Then offer evidence‑based options, including behavioral supports. 

September 17, 2025 | 2 min read

Medicine in shackles: reflections from the ICU

I advocated for our team to humanize the care of our patient—namely removing handcuffs at the end of life. Even if you cannot change the outcome, speaking up for patients is one way to uphold dignity and embody the values of our profession.

August 21, 2025 | 2 min read

Academic medical departments can learn much from Department Q

Warning, if you begin the “Dept Q” series, you won’t be able to stop! By the time you finish reading these books, you’ll be a more compassionate person and a better healthcare professional. 

Mykonos, Greece

August 13, 2025 | 2 min read

Gaining perspectives 

Travel fosters curiosity and open-mindedness. Encountering diverse cultures can encourage healthcare professionals to remember the value of asking better questions, avoiding assumptions, and appreciating the individuality of each patient.

March 19, 2025 | 3 min read

Lessons from caring for Syrian refugees 

By Nagina Khan, PhD, University of Kent

Seek to understand the unique cultural context of patients who have undergone trauma. This is paramount to building trust and providing effective care—especially for vulnerable populations, like refugees. 

February 6, 2025 | 2 min read

Code blue 

By Ursula Gately, medical student, Johns Hopkins Medicine

Extreme heat often dominates the climate change conversation, however the dangers of extreme cold may be more perilous. Support patients, particularly those who are unhoused or with housing insecurity, by making sure they know about local warming shelters and advising them to limit exposure to the elements. 

January 8, 2025 | 2 min read

Beyond the inhaler 

Effective and equitable asthma management requires a holistic approach that addresses the social determinants of health, including air quality, housing conditions, and environmental factors. 

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