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
September 26, 2018 | <1 min read

Dr. Susan Lehmann: A CLOSLER Look

By Gretchen Miller, Managing Editor

Enjoy a three-minute video interview with Dr. Susan Lehmann, who shares how playing the piano helped her become adept at listening to patients while maintaining eye contact and writing notes.

November 17, 2021 | 3 min read

Awe in The Midst of Medicine

Pausing, reflecting, and savoring moments of awe can balance the frequently overwhelming demands of clinical care.

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.

November 12, 2025 | 2 min read

Paternal insight 

My patient’s father reminded me that exceptional care goes beyond knowledge—it’s also the humility to admit uncertainty and the skill to forge collaborative partnerships with patients and families. 

January 19, 2023 | 2 min read

With Only a Nod

By Becky Sansbury, MDiv, Raleigh, North Carolina

Sometimes the best care we can give is to be quiet, observant, and appreciative of our patient’s sharing a life-changing moment.

July 29, 2020 | 2 min read

Jumping Into Redeployment

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Caring for very sick patients during the pandemic can help you to reconnect with the meaning and purpose of medicine. Sign up to serve if the opportunity presents itself.

August 20, 2024 | 2 min read

Wounded healer

By David Kopacz, MD, University of Washington

Clinician burnout can erode compassion, which is at the heart of healthcare. To reignite a passion for healing, clinicians must tend to their own souls in addition to mind and body.

April 30, 2018 | 4 min read

The 15 Values of a Pediatric Anesthesiologist

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

A pediatric anesthesiologist shares the 15 values that have guided his career.

October 31, 2018 | 2 min read

Halloween Heartbreak

By Wilma Ferthler, MD, Rural Country Doctor, Northeast Kingdom, Vermont

This is both our trick and treat. Enjoy a silly story – we hope it makes you laugh! Happy Halloween!

August 14, 2023 | 3 min read

Accentuate The Positive

By Megan Gerber, MD, MPH, Albany Medical College

Sometimes interactions with patients may feel challenging. Expressing gratitude to patients for positive encounters may help reduce stress and bring joy.

May 19, 2025 | 3 min read

The moral injury of divergent healthcare goals 

Moral injury can arise when there’s a tension between business goals and clinicians' mandate to serve patients. Encouraging transparency and commitment to reconverging these goals may improve understanding and lessen distress among hospital administrators, healthcare professionals, and patients.  

May 29, 2018 | 2 min read

Love At First Sight

By Margaret Chisolm, MD, Johns Hopkins Medicine

A clinically excellent physician always takes the time to ask his/her patient about the history of substance use in their parents and siblings, as well as aunts, uncles, grandparents, and cousins; and always asks about adoption.

October 17, 2019 | 1 min read

Highs and Lows

By Kimberly Turner, MD, Johns Hopkins Community Physicians

The clinically excellent physician is always fully present with their patients. Sometimes there is the joy of a healthy new baby, and other times there is despair.

February 13, 2024 | 3 min read

Unsent letters from a palliative care doctor to a patient and her dog 

By Lingsheng Li, MD, MHS, University of California, San Franscisco

Sometimes we never get the chance to tell a patient what we admire about them. After my patient died, I realized I’d been inspired by the inner strength she showed by caring for her dog despite health and life challenges. 

November 11, 2025 | 1 min read

Purpose shapes practice

I found more meaning in my work when I stopped treating “cases” and started seeing people. Compassionate attention became my most effective clinical tool.

January 17, 2023 | 2 min read

Finding Meaning

By Jaime Jump, DO, Texas Childrens Hospital

When my seven-month-old-patient suffered severe neurological damage, despite having little to offer medically, I remembered I could still support her mother through this tragedy. Taking solace in this helps me to be present for my other patients. 

April 10, 2018 | 3 min read

Finding Beauty In Your Inbox

By Scott Wright, MD, Johns Hopkins Medicine

Sometimes, beauty and inspiration are inches away from our eyes, glowing at us from the blue light of our screen. Dr. Wright shares a moving story from a recent email exchange between a resident and attending.

July 16, 2024 | 3 min read

A box full of hope 

While working as a doctor in Cameroon, I learned that the most valuable resources aren’t always technological. Instead, generosity, kindness, and human connections may be most important for making healthcare more widely accessible. 

December 23, 2020 | 5 min read

Holiday Rounds

By Samuel Durso, MD, Johns Hopkins Medicine

If you're called on to work through Christmas and New Year’s, there's a bright side. This is typically a quieter period and may allow more time to learn from clinically excellent role models.

October 29, 2018 | 2 min read

The Power of Laughter

By Carol Ann Huff, MD, Johns Hopkins University School of Medicine

Laughter is wonderful medicine and can almost always be heard emanating from my clinic!

October 21, 2021 | 2 min read

Be a Team Player: Get Vaccinated

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

Be a teammate to everyone in your community. Get vaccinated and encourage others to do so.

January 11, 2023 | 3 min read

Joy in Primary Care 

By Jane Abernethy, MD, MBE, Johns Hopkins Medicine

Meaningful longitudinal primary care relationships with patients are fulfilling and rewarding. Modeling for trainees that this career path can be gratifying and fun is vital. 

July 1, 2020 | 3 min read

How to Support Immigrant Communities During the Pandemic

By Amelie Meltzer, Medical Student, University of Pittsburgh, Reuben Mathew, MPH, Medical Student, St. George University, Zackary Berger, MD, PhD, Johns Hopkins Medicine

All people, including immigrants in the U.S., need comprehensive care at this time. Clinicians should be aware of the resources to help immigrant patients obtain medication, food, housing, and mental health support.

July 8, 2024 | 2 min read

Suturing stories 

By Andrea Merrill, MD, Boston Medical Center

By using writing to process patient care experiences, I'm able to learn from challenging events at work and find more meaning in medicine. 

April 25, 2018 | 1 min read

How To Maintain Joy In Practice

By Steve Kravet, MD, MBA, Johns Hopkins Community Physicians

Maintaining joy in practice requires deliberate attention. The emotional and physical investments demanded by healthcare professions are additive and contribute to high levels of stress and burnout. Mitigating this trend requires effort and attention on the part of all stakeholders.  

October 24, 2018 | <1 min read

Dr. Hugh Calkins: A CLOSLER Look

By Gretchen Miller, Managing Editor

Not requiring a referral or pre-screening patients are two things physicians can do to ensure that more people have access to clinically excellent care.

August 3, 2023 | 3 min read

A Glass of Milk

By Kyle Glienke, MD, Buena Vista Regional Medical Center, Iowa

When I was working with my grandpa as a dairy farmer, he said what made it all worth it was knowing how many children needed the milk. As a doctor, I find meaning by reminding myself how many people need care. 

May 24, 2018 | 2 min read

My Professional Totem

By Margaret Chisolm, MD, Johns Hopkins Medicine

A psychiatrist shares her story of how a painting by Raphael has reminded her of of why she wanted to become a doctor and what the profession of medicine is all about.

September 17, 2019 | 5 min read

Being Human First

By Kultaj Kaleka, MD, RN, Central Michigan University

Family and friends frequently ask medical trainees for their medical advice. Naturally, our recommendations are not based on medical experience, but rather our shared humanity.

October 23, 2025 | 2 min read

Move over FOMO 

ROMO—the Relief of Missing Out—is the burnout antidote you can start tonight. Consider skipping the next conference and protecting your weekends to have energy to give exceptional care to every patient. 

June 22, 2020 | 4 min read

Doing Something or Doing Nothing: Health Disparities, Racial Justice, and the Risk of Failing to Meet This Moment

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

Truly addressing health disparities and racial justice requires an intense and challenging examination of our own clinical practices and how they may perpetuate inequalities. We must continually hold ourselves and our institutions accountable on the path to building a more just medicine.

August 13, 2018 | 1 min read

How I Uphold My Hippocratic Oath

By Marcia Canto, MD, Johns Hopkins University School of Medicine

I try to take care of each patient as if he or she is my close relative or friend. I believe this is the only way that we can uphold our Hippocratic oath in the modern era of medicine, which tends to depersonalize physician-patient interactions. 

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. 

October 30, 2018 | 1 min read

The Joy of Patient Volunteers

By Steve Kravet, MD, MBA, Johns Hopkins Community Physicians

Ask a patient to volunteer in your clinic or office - I guarantee it will add to the joy of medicine and the joy of life!

July 27, 2023 | 2 min read

Book Review of “The Pastoral Clinic” 

By Juliana Fan, medical student, Johns Hopkins Medicine

Garcia’s ethnography highlights the need for healthcare professionals to foster hope, particularly when working with patients with opioid use disorder. Remember to be kind, patient, and positive with those who are suffering. 

April 22, 2025 | 5 min read

Let the language live 

Daily clinical interactions, marked by honest communication and empathy, hold unique power for healing and justice. 

Photograph by Sheldon H. Gottlieb, MD, (c) 2018, all rights reserved.

June 5, 2018 | 2 min read

Clinical Excellence: It Takes A Village

By William Greenough, MD, Johns Hopkins University School of Medicine

The key to clinical excellence in long term care rests not solely on the physician, but also with hands-on bedside caregivers—the unsung heroes of healthcare—nurses, and in this patient story, a recreational therapist.

Dr. Susan Harvey

July 10, 2019 | <1 min read

Dr. Susan Harvey, A CLOSLER Look

By Gretchen Miller, Managing Editor

When talking with patients, sitting down at the same level that they are sitting can help them relax.

February 6, 2024 | 2 min read

Co-bearers of suffering

By Mike McCarthy, MD, Johns Hopkins Medicine

Sometimes a patient’s pain can’t be eliminated. However, we can still walk with them as a co-bearer of suffering. 

October 20, 2025 | 2 min read

White coat/blue gown 

When I became a patient, loss of control helped me realize how much trust I needed to place in my doctor. As a clinician, I will remember my experience and the need to build trust with candor and clear communication. 

April 6, 2018 | 1 min read

The Human Tragedy of the Opioid Crisis

By Margaret Chisolm, MD, Johns Hopkins Medicine

Addiction impacts more than just my patient, but their entire family. And our job as doctors is—in some way—to care for all of them, to bring them in close, and to try to relieve their suffering in some way.

June 27, 2024 | 2 min read

Lessons from earlier in life: from public school teaching to doctoring  

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

I apply the principles I learned as a public school teacher to patient care: asking insightful questions, seeing the whole person, and fostering motivation for positive change. 

October 27, 2020 | 3 min read

Beyond The CV

By Kayla Eboreime, Medical Student, University of Texas Medical Branch

There will always be both accolades and critiques that come your way. Neither define who you are. Nourishing your whole self can maintain balance so that you can flourish professionally and personally.

October 22, 2018 | 2 min read

Giving Compassionate Care

My goal is to to be a clinically excellent oncologist, which means being compassionate, spending time with patients and families in order to understand their needs, helping with treatment decisions, and being there for end-of-life decisions as well as hospice care.

July 19, 2023 | 2 min read

Sacred Spaces

By Eric Last, DO, Northwell Health, Wantagh, New York

Patients often experience the most vulnerable moments of their lives with clinicians. These shared intimacies refuel my passion for caregiving and are a fulfilling part of medical practice.  

August 24, 2021 | 2 min read

5 Lessons From my Nonlinear Career in Medicine

By Thelben Mullett, MD, Seattle, Washington

Instead of asking medical students what specialty they intend to pursue, we should help them reflect on their natural strengths and values in planning their career.

June 19, 2019 | <1 min read

Dr. William Ravekes, A CLOSLER Look

By Gretchen Miller, Managing Editor

Taking the time to build trusting relationships with kids and their families is essential.

October 15, 2025 | 3 min read

Mea culpa 

When speaking with a patient who was upset about the long wait time, I reminded myself to apologize without excuses and center the patient’s reality over my schedule. 

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.

June 15, 2020 | 1 min read

Getting CLOSLER: A Note to Our Readers

By Margaret Chisolm, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

For two years, CLOSLER has been stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

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

©2026 Miller Coulson Academy of Clinical Excellence,  Johns Hopkins Medicine.  All Rights Reserved.  Privacy Policy