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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
Topic Search
January 3, 2019 | 1 min read

Post-Holiday Reflections

Throughout the entirety of the year, placing emphasis on humanity and connecting with patients is paramount.

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. 

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.

February 11, 2020 | 2 min read

Moving Mountains

By Susan Huff, RN, MSN, Johns Hopkins Homecare Group

In end of life care, excellent clinicians can and should move mountains to get patients home if that's where they want and need to be.

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. 

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.

December 28, 2018 | 3 min read

How do you measure a year?

By Dawn Harris Sherling, MD, Florida Atlantic University

How do we measure a year in medicine? I’d like to measure mine in patient laughter, hugs, and lives that were made just a little bit better.

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.  

May 25, 2018 | <1 min read

“The Secret of Quality is Love”

By Scott Wright, MD, Johns Hopkins Medicine

Connecting with patients, caring deeply, and remembering your sense of calling will bring joy and fulfillment to the practice of medicine.

David and John Launer in North Wales. Photo author's own.

January 7, 2020 | 3 min read

Like Father, Like Son—or Possibly Not

By John Launer, MD, London, United Kingdom

Would you advise young people to become a doctor? Reflection from a father and son below.

January 29, 2024 | 2 min read

Life after grief 

By Jaime Jump, DO, Texas Childrens Hospital

I was invited to a baby shower for the sibling of a baby who had died in my care. Talking with the parents taught me that beyond sadness, there can be hope and joy.  

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 (archives, 2022)

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 26, 2024 | 2 min read

White Coat Ceremony 

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Medical school traditions and ceremonies are to be cherished and appreciated. They also provide educators with an opportunity to reflect on the importance of teaching and mentoring. 

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.

"The Doctor," Sir Luke Fildes 1843-1927, Tate Museum.

December 12, 2018 | <1 min read

Dr. Ivor Berkowitz, A CLOSLER Look

By Gretchen Miller, Managing Editor

"I approach comforting my patients and their families by sitting at my patient's bedside with kindness and respect, aware of religious and cultural customs, and use a vocabulary that everyone in the family will understand."

July 12, 2023 | 3 min read

Act now: save the planet

By Evans Brown, MD, Johns Hopkins Medicine

Climate change is a public health emergency. As healthcare professionals, we have a responsibility to advocate for reducing carbon emissions to ensure everyone’s health. 

April 9, 2025 | 2 min read

Feeling secure

Sometimes the most profound acts of care aren't medical interventions, but recognizing the simple comforts that anchor patients, like a cherished stuffed animal.

August 5, 2021 | 2 min read

Talking With People About COVID Vaccination

By Daniel Brotman, MD, Johns Hopkins Medicine

When discussing COVID vaccinations, I show appreciation to those who have been vaccinated and explain to them that they performed a vital civic duty.

March 19, 2018 | 5 min read

Deep and Active Listening

By Susan Lehmann, MD, Johns Hopkins Medicine

The essence of good doctoring is to listen attentively and respectfully to the concerns of your patient.

October 14, 2025 | 5 min read

Procedures that are painful for both patients and clinicians

Some medical procedures are uncomfortable and do not go quickly or smoothly. The patient’s well-being and the need to complete the task must both be thoughtfully considered continuously. 

June 18, 2018 | 7 min read

Treating Every Patient How I Would Want To Be Treated

By Mitchell Goldstein, MD, Johns Hopkins University School of Medicine

A pediatric emergency department physician shares his inspiring clinical mission and values statement.

June 25, 2024 | 2 min read

Lessons from an earlier life: Latin dance

By Neha Santucci, MD, Cincinnati Childrens

My experiences with both dancing and patient care have taught me that connection and passion are key. In medicine, like in dance, I focus on building strong relationships and finding joy. 

December 10, 2018 | 3 min read

Immigrants Should Not Have to Choose Between Health and a Green Card

By Lochan Shah, Neha Anand, Priyal Gandhi

We urge you to leverage your voice as an agent of change by submitting a comment opposing the proposed rule to the U.S. Department of Homeland Security before the deadline, TODAY, December 10, 2018. Make your voice heard so that families across the country do not have to choose between their health and their immigration status.

July 9, 2018 | 2 min read

Educator, Advocate, Surgeon, and Caregiver for Life

By Matthew Weiss, MD, Johns Hopkins University School of Medicine

As a cancer surgeon, my approach to care focuses heavily on communication with patients and their loved ones. Quite simply, I treat patients as I would want to be treated myself as a patient. 

July 27, 2021 | 3 min read

Lessons From My Experience as a Grandpa And Clinician

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

My experience of feeling helpless through my grandchild’s illness reminded me that kindness, empathy, and honesty are central to giving clinically excellent care.

December 9, 2019 | 1 min read

Presence in Final Moments

Traditionally, we have "protected" families from witnessing abrupt or unexpected death in our hospitals. This assumption may be incorrect; offering families the chance to be present can be what is wanted and needed.

July 23, 2018 | 1 min read

Consider The Patient First

By Julie Hoover-Fong, MD, PhD, Johns Hopkins University School of Medicine

Whatever decision is best for the patient is the right one to manage the problem at hand.

August 29, 2018 | <1 min read

Interview With Dr. Geetha: A CLOSLER Look

By Gretchen Miller, Managing Editor

On the importance of meaningful long-term patient-physician partnerships: enjoy a 3-minute video interview with Dr. Duvuru Geetha.

Cardiologist Dr. Hugh Calkins.

August 6, 2018 | <1 min read

Treat All Patients Like A Family Member

By Hugh Calkins, MD, Johns Hopkins University School of Medicine

I care for all patients as if they were a family member.

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.

June 7, 2023 | 1 min read

Reflections on Candles

By Joanne Shay, MD, Johns Hopkins Medicine

Consider how we are beacons of hope for our patients and their loved ones as they navigate a potentially dark time in their lives. 

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. 

May 21, 2018 | 3 min read

Listening and Communicating

By Justin McArthur, MBBS, MPH, Johns Hopkins Medicine

The clinical mission and values statement of a neurologist, sharing thoughtful tips on listening and communicating with patients and their families.

Dr. William Osler. Copyright belongs to the artist, Dr. Nathan Gray. We thank him for his generosity in sharing his illustration with us.

November 25, 2019 | 2 min read

A Tribute Sir William Osler

By John Launer, MD, London, United Kingdom

Enjoy highlights from the latest issue of the Postgraduate Medical Journal to mark the centenary of Sir William Osler’s death.

July 24, 2018 | 2 min read

Why I Attend My Patients’ Funerals

I try to go to my patients' funerals because they are profound and humbling experiences.

September 30, 2025 | 1 min read

More time

It is best for goals-of-care conversations to happen as early as possible. Clinicians can use these discussions to help guide shared decision making around end-of-life care.  

A drive-in BINGO game during the pandemic,

November 9, 2020 | 2 min read

Supporting Older Patients’ Emotional Health During The Pandemic

By Art Walaszek, MD, University of Wisconsin

We can support our patients’ well-being by encouraging safe social interactions and addressing psychiatric illness.

June 11, 2024 | 2 min read

From pizza pans to pain plans 

By Christle Nwora, MD, Johns Hopkins Medicine

For young adults transitioning to adult care, building trust and rapport is crucial. With permission, it may be helpful to continue involving parents in care plans to improve health outcomes.  

"Abstract Painting (726)" 1990, Gerhard Richter, Tate Museum.

December 6, 2018 | 5 min read

Lines Blurred

By Ekene Ojukwu, MD, Johns Hopkins Medicine

Really taking care of a patient means making hard choices, saying things people don’t want to hear, and letting them decide if they will engage in their own care. At the same time, it means learning different ways of listening, looking for opportunities and strategies to trust our patients, believing their stories, and seeing them as full individuals

June 1, 2023 | 3 min read

Meditations For Pride Month

By Hailey Haffey, PhD, University of Utah

LGBTQ2S+ Pride Month can provide us with a time not only to celebrate but also to reflect on questions related to shame and alliances in medicine. 

July 8, 2021 | 1 min read

Reaching Out to Your Patient’s Family When Death is Imminent

By Jeffrey Millstein, MD, Penn Medicine

When my friend died of pancreatic cancer recently, I saw how valuable it was for her family to hear from the treating physician. Going forward, I will emulate this inspiring practice.

November 14, 2019 | 3 min read

Medicine, Music, and Ministry

By Kimberly Turner, MD, Johns Hopkins Community Physicians

With the demands of healthcare, it is essential that you practice the ministry of self-care. Remember to nurture your passion for something you love, something you do, and something that’s bigger than you.

January 10, 2024 | 2 min read

Risk and reward 

By Hien Tan Nguyen, MD, MBA, MPH, Johns Hopkins Medicine

During surgical residency training, I learned how to operate. In practice, I learned how to decide WHETHER to operate based on individualized versus protocol-driven parameters. 

"Art and Surgery," by Janina Cerbetowitzc, Royal Liverpool Hospital. 

September 23, 2025 | 3 min read

Keeping humanity at the heart of surgery 

Exceptional care means seeing—and honoring—the patient behind every procedure. A few ways to achieve this can include compassionate communication, gentle touch, and taking time to clarify anything that is poorly understood. 

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.

August 1, 2018 | <1 min read

Introducing “A CLOSLER Look”

By Gretchen Miller, Managing Editor

Check out the first video our new weekly series, “A CLOSLER Look,” featuring short and sweet interviews with clinically excellent physicians. On tap today - psychiatrist Dr. Margaret Chisolm.

November 15, 2018 | 3 min read

You’re Always a Provider, Even in the Coffee Line

By Ishwaria Subbiah, MD, MS, The University of Texas MD Anderson Cancer Center

Opportunities to ease distress extend beyond the bedside and outside of the clinic to every interaction with our patients and also their caregivers.

May 31, 2023 | 1 min read

Lessons From a Leaf-Coated Dog

By Catherine Callister, MD, University of Colorado

Encouraging patients to bring things that remind them of home to the hospital may help promote healing.  

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