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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
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.

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 2, 2018 | 4 min read

The Joy of Mentoring

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

Making time to mentor a high school student can be refreshing and rejuvenating for all clinicians.

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.

December 3, 2024 | 3 min read

Musical rounds

By Melanie Ambler, medical student, Stanford University

Music is healing. Ask patients about favorite songs or listen to a streaming service together and sing along. If you play an instrument, bring it to work to perform for patients.

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 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.

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 

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 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.

July 6, 2020 | 3 min read

Dropping Out, Surviving, or Thriving

By Jina Sinskey, MD, University of California San Francisco

The practice of medicine inherently involves intense emotional experiences. Instead of avoiding these feelings, we must embrace them if we want to grow.

"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.

September 19, 2018 | <1 min read

Dr. Raf Llinas: A CLOSLER Look

By Gretchen Miller, Managing Editor

I try to teach using humor. I start by sharing with residents funny mistakes I made during my own training, so that they remember and learn from these poignant stories.

October 24, 2023 | 6 min read

Hoping

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

Even when a cure is not possible, I try to show patients and their loved ones that there are other things for which to hope. 

November 20, 2024 | 1 min read

A view from the starting line 

By Ismaa'il Eaddy, undergrad student, Cornell University

Before I begin my career as a healthcare professional, I am working to understand what it means to be clinically excellent. Showing empathy to all and a commitment to continuous learning are essential for providing outstanding care. 

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. 

May 8, 2019 | <1 min read

Dr. Cynthia Rand, A CLOSLER Look

By Gretchen Miller, Managing Editor

"It's our responsibility to speak up for patients who don't have a voice."

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.

August 11, 2025 | 5 min read

The push, the pull, and the leap 

Major career transitions can bring up complex emotions; reflection can guide you toward choices that honor your values. Embrace these changes as opportunities to rediscover purpose and help you better care for patients. 

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.  

May 7, 2020 | 5 min read

Captivity and COVID-19

By Cesar Lopez, MD-PhD student, University of North Carolina at Chapel Hill, Zackary Berger, MD, PhD, Johns Hopkins Medicine

Severely ill incarcerated individuals will be hospitalized at disproportionately high rates during this pandemic. As always, healthcare professionals should treat them with dignity and respect. Better care of those who are imprisoned may help with our public health efforts and response.

February 24, 2021 | 2 min read

“Make you feel my love” (archives 2021)

By Amy Vinson, MD, Boston Childrens Hospital

Seeing the love in a patient’s life can be moving. It can also remind us just how important close relationships are in life.

September 12, 2018 | <1 min read

Dr. Judy Huang: A CLOSLER Look

By Gretchen Miller, Managing Editor

To be clinically excellent, you have to be able to put yourself in the shoes of your patient and their family.

October 16, 2023 | 1 min read

Clinging to Hope

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine, Nitin Narayan, medical student, Gujarat, India

A patient’s family wasn’t ready to accept that their loved one wouldn’t recover. From the encounter, I learned that sometimes it may be appropriate to delay such conversations for a little while. 

American Huey military helicopter formation flying over the jungle at sunset during the Vietnam War.

November 19, 2024 | 2 min read

Fellow humans: lessons from Dr. White’s “Seeing patients” 

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Providing humanistic, equitable care benefits patients, medical practitioners, and society.  Reminding ourselves that we are all in this together may help decrease stigma and bias in clinical settings.

December 6, 2021 | 1 min read

Replacing a Void With Joy

By Kevin Frick, PhD, Johns Hopkins Carey Business School

I recently went from being vice dean at a business school to “just” a professor. Although society generally measures success by whether a person “moves up,” returning to what I find most interesting and inspiring has increased my well-being, happiness, and fulfillment.

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.

March 13, 2024 | 1 min read

How writing helps me as a clinician

By Jason Han, MD, Penn Medicine

Writing helps me reflect on the surgical decisions I make each day.

August 4, 2025 | 3 min read

Bearing witness 

We often see the disparities in our world on display in the exam room. While we can’t make life fair, we can listen to patients’ stories and honor their experiences. 

February 27, 2023 | 2 min read

Children Need Hospice Too

By Emily Johnson, MSN, RN, Johns Hopkins Medicine

Regularly reassessing goals of care is necessary during critical illness. This can help families maintain hope and realistic expectations. 

May 28, 2020 | 4 min read

Masking Safety

By Paul Nestadt, MD, Johns Hopkins Medicine

Some patients are unable to understand the need for protective measures against COVID. Clinicians working with these patients are at increased risk, and may need to advocate for additional PPE for their healthcare team.

Many healthcare professionals make the sacrifice of quarantining from their families during the pandemic.

March 3, 2021 | 3 min read

Understanding the Sacrifices we Make in Medicine

By James Aluri, MD, Johns Hopkins Medicine

Giving excellent care to every patient requires you to make significant sacrifices. Acknowledging this can help you understand, and even accept, these sacrifices.

February 10, 2026 | 3 min read

The last appointment 

In caring for a neurosurgeon facing probable Parkinson’s, perhaps the most healing act was to be fully present—to listen, bear witness, and acknowledge his reality. It also underscored that such empathy must be paired with suicide risk assessment, safety planning, and close follow-up. 

October 10, 2023 | 1 min read

Back on Track 

By Zoobia Chaudhry, MBBS, Johns Hopkins Medicine

By encouraging patients and supporting their self-efficacy, we can empower them to take charge of their health. 

November 18, 2024 | 3 min read

Starting from scratch  

By Erica Richards, MD, Johns Hopkins Medicine

Eliciting detailed stories about patients’ experiences is invaluable in healthcare. Approaching history-taking in a thorough manner allowed me to discover that a brain tumor was causing a patient’s psychiatric symptoms. 

November 29, 2021 | 3 min read

Being Your Patient’s Advocate

By Sabrina Chen, medical student, New York University

Some supervising physicians may occasionally seem annoyed by medical students’ questions. As a trainee, I’ve learned to speak up anyways, as my question can make the difference between life and death.

May 1, 2019 | <1 min read

Dr. Ed Kraus, A CLOSLER Look

By Gretchen Miller, Managing Editor

"Whenever I sit with a patient, I try as hard as I can to see the world through their eyes." ~ Dr. Ed Kraus

March 11, 2024 | 2 min read

Hold my hand 

By Jonathan McFarland, Medical Humanist, Autonomous University of Madrid & University of Pompeu Fabra

When my friend was dying, I realized the importance of a comforting touch, like holding hands. This physical connection can give comfort to both healer and patient.  

July 24, 2025 | 1 min read

The healing power of Tai Chi 

Embracing cultural exchange opens new pathways to patient motivation, connection, and healing. Integrating Tai Chi into rehabilitation can transform routine exercises into experiences that foster engagement and well-being. 

February 21, 2023 | 1 min read

Lessons From The Novel “Sharks in The Time of Saviors”

By Margaret Olsen Hemming

This book may resonate with clinicians as it explores the complex process of healing—the rewards of its successes, as well as the toll of its limitation. 

April 2, 2018 | 2 min read

Being a Guide on the Journey to Health

By Manisha Loss, MD, Johns Hopkins University School of Medicine

As a guide on this journey with our patients to health, we must serve as an example of hope, understanding, and direction.

January 28, 2021 | 3 min read

Purple Nail Polish

By Shauna Maty, MPH, Medical Student, St. George University

Always remember that your patient is a person with a family, friends, and a unique story. Your first responsibility as a healthcare professional is to heal your patient and your second is to learn.

July 16, 2018 | 2 min read

Commitment, Integrity, and Humility

By Luca Vricella, MD, Johns Hopkins University School of Medicine

Humility is what allows us to approach clinical challenges. Thus we should behave with humility to all of those around us: patients, families, and co-workers.

June 1, 2018 | 2 min read

Fewer Assumptions, Better Care

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

Assumptions may speed our diagnoses, but they hinder our interactions with our patients. Our assumptions and expectations of what a patient wants from their care can lead to missed opportunities to providing comprehensive and compassionate care.

April 24, 2019 | <1 min read

Dr. Colleen Christmas, A CLOSLER Look

By Gretchen Miller, Managing Editor

Watch a three minute video interview with Dr. Colleen Christmas, who shares the contagious joy of both primary care and geriatrics. Guaranteed to make you smile!

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. 

February 16, 2023 | 2 min read

“Yes, we Won”

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

I was inspired by the story of Damar Hamlin, an athlete and an advocate. His recovery generated unity among society at large, pride among healthcare professionals, and brought awareness to the importance of knowing CPR. 

The author hiking on the Pacific Crest Trail. Copyright by the author.

November 17, 2023 | 5 min read

Hike Your Own Hike

By Lillian Hayes, Medical Student, Johns Hopkins University

Medical training and practice are marked by constant change, which can feel uncomfortable. Embracing discomfort as an opportunity for growth can help us to improve our care of patients.

A safe takeout meal for residents and fellows to pick up.

January 13, 2021 | 1 min read

How to Support Your Learners During a Pandemic

Listening to your trainees is always the first step in prioritizing their well-being and mitigating burnout. This is especially important during challenging times.

October 3, 2023 | 2 min read

Never Forget Where You Came From

By Hanghang Wang, MD, PhD, Johns Hopkins Medicine

Reflecting on my journey to becoming a cardiothoracic surgeon reminds me of how far I've come. This also helps me to imagine the rewards of giving clinically excellent care to future patients. 

Our Mission

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

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