Skip to content
C L O S L E R
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • Topic Search
  • About Us
  • Our Team & Partnerships
  • Contact
  • Add Your Voice
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
Subscribe
C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
Johns Hopkins Medicine Logo
Creative Arts in Medicine
Connecting with Patients
Passion in the Medical Profession
Lifelong Learning in Clinical Excellence
Topic Search
November 14, 2023 | 3 min read

Authenticity

By Charlene Gamaldo, MD, Johns Hopkins Medicine

Bringing your full self to work is a purposeful strategy for flourishing. This may also allow you to connect more deeply with patients and colleagues. 

October 8, 2018 | <1 min read

Alleviating Patients’ Emotional Burden

By Paul Manson, MD, Johns Hopkins University School of Medicine

My approach to clinical care involves making a dual diagnosis for each patient: identifying the problem, and understanding how that problem affects the patient psychologically and emotionally.

February 14, 2022 | 2 min read

Patients Admitted to Hospitals May be Sicker Than Ever 

By Scott Wright, MD, Johns Hopkins Medicine

Because of the pandemic, some patients have avoided healthcare settings and professionals. Outreach to these patients is needed. 

April 24, 2024 | 1 min read

The power of teamwork

By Joanne Shay, MD, Johns Hopkins Medicine

Our multidisciplinary team collaborates to deliver excellent patient care. Shared problem-solving from diverse perspectives is critical when facing complex issues. 

June 5, 2019 | <1 min read

Dr. David Hellmann, A CLOSLER Look

By Gretchen Miller, Managing Editor

The greatest joy is to know your patients as people.

July 23, 2025 | 2 min read

Denial difficulties 

Patients are often faced with automatic denials from insurance companies. When advocating for patients, healthcare professionals can stay calm, present facts clearly, and prioritize the patient’s best interests. 

June 1, 2020 | 3 min read

Tribute to the Med School Class of 2020

By Donald Berwick, MD

The pandemic is an ongoing reminder of the privilege of caring for our fellow humans. It also gives healthcare professionals the opportunity to reconnect with our deepest values—healing, justice, equity, respect, and love for our work.

March 11, 2021 | 1 min read

How to Create Sanctuaries for Patients

By Michelle Ogunwole, MD, Johns Hopkins Medicine

To create safe spaces for historically marginalized patients, slow down and gather more information when conflicts arise. Be aware of your biases and give patients the benefit of the doubt.

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.

"Facilitate finding new ways to stay busy and have fun. Recovery is not punishment. Helping your patient find new ways to have fun is crucial."

October 3, 2018 | <1 min read

Dr. Mike Fingerhood: A CLOSLER Look

By Gretchen Miller, Managing Editor

Every time I see a patient I ask them about their home environment, and what the main stressors in their life are right now.

June 4, 2018 | 2 min read

Giving My Best to Each Patient

By Ross Donehower, MD, Johns Hopkins University School of Medicine

An oncologist shares his clinical mission statement, with the ultimate goal of making sure that each patient feels deeply cared for.

October 23, 2024 | 2 min read

Educated lucky: Making critical decisions without all the answers 

By Edana Mann, MD, Johns Hopkins Medicine

In critical care, we often make life-saving decisions with incomplete information. Teamwork is essential, and sometimes acting on our best-educated guess is the only option. These moments remind us of life’s fragility and the importance of trusting our instincts and each other. 

Miami, FL, USA - March 23, 2024: Passing out Narcan nasal spray at the Ultra Music Festival Miami.

April 23, 2024 | 1 min read

Outside the clinic walls: making Narcan accessible to everyone

Addiction is a chronic disease that requires a combined approach of medical treatment and community engagement. Clinicians must work to educate their community about addiction and provide them with resources like Narcan.

November 10, 2023 | 2 min read

Final journeys

By Elizabeth Gundersen, MD, University of Colorado

Today, we remember patients who have served our country. We are grateful for the honor and privilege of caring for these veterans through their final journeys.

July 8, 2020 | 2 min read

Appreciating ALL Healthcare Workers

By Gaye Cunnane, MD, PhD, Trinity College Dublin

All healthcare workers contribute meaningfully to the care of patients. Taking the time to offer a kind word to those who may be underappreciated can make an enormous difference.

May 8, 2018 | 3 min read

Compassion is Contagious

By Colleen Christmas, MD, Johns Hopkins Medicine

Patients are observing us while we interact with others in the hospital, and this can have a tremendous impact on the trust they put in our care.

September 24, 2018 | 1 min read

Healing, Counseling, and Consoling

By Satish Shanbhag, MBBS, MPH, Johns Hopkins University School of Medicine

An essential part of clinically excellent care is empathy with our patients—a trait that can be cultivated by visualizing ourselves as an extension of our patient’s family helping them get through a rough patch in life.

"I’ve relived that moment many times in my head. I wonder what I would have done differently today."

February 1, 2022 | 2 min read

Finding my Voice

By Jennifer Eitingon, MD, Johns Hopkins Medicine

As a trainee, a distressing clinical experience taught me that I must always be the patient’s advocate. Now as a teacher, I help my learners to feel confident speaking up for what they know is right. 

October 21, 2024 | 2 min read

Micro-kindness, macro-impact

By Sadiqua Sadaf, MBBS, Deccan College of Medical Sciences, Hyderabad, India

To make others feel like they belong, practice small acts of kindness—for example, offering a warm greeting. Such efforts can significantly contribute to another's well-being.

April 22, 2024 | 2 min read

Mentorship—a lifelong dialogue   

By Jane Abernethy, MD, MBE, Johns Hopkins Medicine, Rani Nandiwada, MD, MSEd, Penn Medicine

In our long-lasting mentor-mentee relationship, we’ve learned it’s helpful to put a regular check-in time on the calendar and to brainstorm questions and goals for the session ahead of time. 

June 4, 2019 | 3 min read

Haiku on Phone

By Crystal Jing Jing Yeo, MD, PhD, MassGeneral, Brigham and Women Hospital, Harvard Medical School

To be a true healer is to heal not just in life, but also through dying and death.

July 10, 2025 | 2 min read

Lessons in quiet courage 

As a new doctor, I cared for an unwaveringly optimistic patient with systemic sclerosis. She reminded me that holistic care requires deep listening—not just to medical histories, but to the hopes and dreams that carry patients forward, even when medicine can do no more. 

The author and her mother enjoying the cherry blossoms in Washington, D.C.. Copyright by the author.

May 27, 2020 | 2 min read

The Weight of the White Coat

By Margot Kelly-Hedrick, MD, University of Washington

As the daughter of a frontline physician, and an incoming medical student, the pandemic raises questions about both personal and professional obligations. Open and honest conversations about such responsibilities are critical to professional identity formation.

May 7, 2018 | 2 min read

The 5 Core Beliefs of a Hospitalist

By Daniel Brotman, MD, Johns Hopkins Medicine

As a hospitalist, I'm in a position to establish intense relationships with patients. Here are my five core beliefs, values, and premises that govern my approach to clinical care in this setting.

November 1, 2023 | 2 min read

Lean on me

Upon learning of my patient’s death, I called their spouse to offer support. Realizing my need to talk with someone, I turned to my colleague, who was able to help me refocus on giving excellent care to other patients.  

March 5, 2018 | 2 min read

Introducing Monday Mission and Values Statements

By Gretchen Miller, Managing Editor

Begin with the end in mind. ~Stephen Covey

January 24, 2022 | 3 min read

What I Learned About Medicine from “The Price is Right”

By Tyler Mains, MD, University of California, San Francisco

A childhood dream was fulfilled when I won my favorite gameshow. The joy I experienced in that moment is something that I strive to share with patients each day. 

August 8, 2018 | <1 min read

“A CLOSLER Look:” Interview With Dr. Greenough

By Gretchen Miller, Managing Editor

"Every note I write, I include something about the patient as a person. Everyone needs to understand who the person is who is experiencing the disease." Watch and listen as Dr. Greenough shares a couple pearls of wisdom from over six decades of clinical experience in a five minute YouTube interview.

April 15, 2024 | 1 min read

When the end is near 

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine, Shubham Tomar, MBBS, MPH, Vanderbilt University Medical Center

At the end of life, loved ones often must make difficult decisions. Healthcare professionals can help ease this burden by showing empathy and compassion. 

May 29, 2019 | <1 min read

Dr. John Sperati, A CLOSLER Look

By Gretchen Miller, Managing Editor

Uncovering your patients' individual health goals takes time, but is always worth it.

March 8, 2023 | 2 min read

Cleaning Dentures

By Becky Sansbury, MDiv, Raleigh, North Carolina

When my patient asked me to get the blackberry seeds out of her false teeth, I was reminded that simple comfort measures can be crucial for patient well-being. 

Jeremy and the author out for a bike ride.

July 8, 2025 | 2 min read

Walking the road with Jeremy 

By constantly challenging me to connect my decisions back to the patient’s real needs, Dr. Walston pushed me to become a more thoughtful and compassionate clinician-scientist, always grounding my care and research in what matters most to those I serve. 

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.

March 9, 2021 | 2 min read

Self-Compassion: A Resilience Strategy For Stressful Times

By Jennifer Hartmark-Hill, MD, University of Arizona

Cultivating self-compassion can combat stress and burnout, and improve your overall well-being.

March 3, 2018 | 2 min read

Six Steps to Make Wellness Work

Our well-being as physicians is an essential part of professionalism. If we aren't well, we can't provide the best care to our patients, who deserve our best.

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?

October 16, 2024 | 2 min read

Best practices for motivating patients  

By Zoobia Chaudhry, MBBS, Johns Hopkins Medicine

To motivate patients toward long-term behavior change, healthcare professionals should try to identify patients’ intrinsic goals and align care plans. 

April 1, 2024 | 7 min read

Osler’s visit  

By Jeffrey Millstein, MD, Penn Medicine

“Every patient you see is a lesson in much more than the malady from which he suffers.”—Dr. William Osler 

May 22, 2019 | <1 min read

Dr. Jonathan Efron, A CLOSLER Look

By Gretchen Miller, Managing Editor

Do today's work well, so that tomorrow will take care of itself.

March 7, 2023 | 6 min read

When The Doctor Becomes The Patient

By David Kopacz, MD, University of Washington

Cancer interrupted my personal and professional lives. Being a patient is an invitation to be human, something we often don’t have much time for in medicine. I am working to bring together the best of being a doctor, being a patient, and being a human being.

June 30, 2025 | 4 min read

Finding flow and joy in medicine

Finding professional flow requires assessing your inner values and the work environment. Finding harmony between who you are and what you do may help to prevent burnout and restore your joy in medicine. 

May 14, 2020 | 3 min read

Stay at Home When Possible as Restrictions Ease

By Nina Shapiro, MD, University of California Los Angeles

It’s important to remind patients and loved ones that avoiding unnecessary socialization and travel can save lives.

"I asked his family what he'd want us to know about him and his daughter said he loves Irish music."

February 15, 2021 | 2 min read

End-of-Life Care During The Pandemic

By Ambereen Mehta, MD, Johns Hopkins Medicine

Hospital visitation is limited during the pandemic. To alleviate the stress of this restriction, connect patients with their families via video as often as possible.

October 26, 2023 | 1 min read

Silent Walking

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Take time for a mindful stroll. Instead of multitasking, untether from electronic devices, tune into the senses, and allow space for thoughts.

September 17, 2018 | 2 min read

Listening, Educating, and Giving Reassurance

By Sharon Solomon, MD, Johns Hopkins Medicine

By focusing on one patient at a time, 35-40 per day, my mission and approach to patient care is to listen, to educate, to intervene with treatment when I can, and to provide reassurance.

January 6, 2022 | 1 min read

Celebrating The Wonderful Throughout The Year

By Susan Lehmann, MD, Johns Hopkins Medicine

Reinforcing our ties with family and friends (including coworkers) is more important than ever. These connections can be an antidote to despair and anxiety. 

October 15, 2024 | 3 min read

Finding healing in the wound  

By David Kopacz, MD, University of Washington

In caring for patients, embrace the paradox of the wound. Recognize that illness can be an opportunity for their growth and personal transformation. Support them in exploring the spiritual and emotional dimensions of the experience. 

March 26, 2024 | 3 min read

Taylor Swift on the psych ward

By Abraham Nussbaum, MD, Denver Health

Music can be a powerful tool for learning and can be used to teach complex topics in a way that is both memorable and engaging.

May 23, 2019 | 1 min read

The Orchid

By Susan Aucott, MD, Johns Hopkins Medicine

The orchid: each time I see the growth of a new leaf, it reminds me of the hope that can come even in the midst of sorrow. And when a blossom appears, it reminds me of the hope and caring that I have the privilege of sharing with every family I have the honor to encounter.

March 1, 2023 | 2 min read

Moving Past Debt 

With my student loans forgiven, financial pressures were substantially allayed. With this stress removed, I feel more focused on serving my patients.  

Our Mission

Stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

C L O S L E R
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • About Us
  • Our Team & Partnerships
  • Contact
  • Add Your Voice
  • Subscribe
  • Donate

©2025 Miller Coulson Academy of Clinical Excellence,  Johns Hopkins Medicine.  All Rights Reserved.  Privacy Policy