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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
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.

January 23, 2019 | <1 min read

Dr. Michele Bellantoni, A CLOSLER Look

By Gretchen Miller, Managing Editor

In long-term care we're able to develop personal relationships with our patients, and thus in our Geriatrics, physician burnout rates are lower. The personal relationships with patients create both meaning and joy.

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. 

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?

March 30, 2020 | 1 min read

Serving the Socially Vulnerable During the Pandemic

By Deidra Crews, MD, Johns Hopkins Medicine

Excellent clinicians must think of creative ways to serve all of our patients during this time of crisis, and keep the most vulnerable at the front of our minds.

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 

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.

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. 

"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.

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.

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.

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. 

March 26, 2018 | 1 min read

Knowing and Caring For The Patient As A Person

By Kimberly Peairs, MD, Johns Hopkins University School of Medicine

Medical care extends far beyond simply treating a disease—it involves forging a relationship and offering trust, support, and wisdom. 

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.

Jimmy Stewart, Donna Reed, and Karolyn Grimes in the film It's a Wonderful Life (1946).

January 14, 2026 | 6 min read

Lessons for healthcare delivery from “It’s a Wonderful Life” 

Choose George Bailey’s philosophy of stewardship—advocate for payment and employment models that reward continuity and community health. 

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.  

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. 

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.

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.

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. 

June 18, 2025 | 2 min read

The heart of the practice: a PA’s reflections on teamwork 

Exceptional patient care is a team endeavor, built on trust and a shared commitment to addressing every patient's unique needs. This is especially true when navigating complex health disparities.

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.

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.

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.

January 9, 2026 | 2 min read

Rule three: Be grateful always 

Consider practicing daily gratitude—like noticing small acts of kindness—to strengthen empathy, buffer burnout, and reconnect to your professional “why.” 

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. 

October 14, 2024 | 2 min read

Beyond the bike lane

By Chris Tiplady, MD, Northumbria Healthcare, England

Healthcare professionals can be strong advocates for communities. This can include working to improve cycling infrastructure, affordable housing, and access to education. 

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.

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.

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. 

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.

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.

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.  

September 10, 2018 | 2 min read

Defusing Patients’ Emotional Stress

By James Black, MD, Johns Hopkins Medicine

I believe it's my first responsibility to recognize my patients' emotional stress and start to defuse it. I do this by framing the ongoing issue in a way that is understandable to the patient and their family.

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. 

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.

"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."

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. 

June 10, 2025 | 2 min read

Reflections on the Netflix series “Adolescence” 

In the course of patient care, clinicians are often witness to powerful, emotion-filled stories. To continue to do this work, we must find ways to replenish ourselves and reach out for support when needed. 

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.

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.

"Trust in your training."

December 18, 2025 | 2 min read

Leaning on the wisdom of others 

On challenging days, wise quotations on letting go of worry help me remain grounded. Staying present and collaborating with colleagues lightens the mental load and improves care. 

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. 

September 24, 2024 | 1 min read

The “afterglow” 

By Alexis Coslick, DO, MS, Johns Hopkins Medicine, Carey Roesler, PA-C, Johns Hopkins Medicine

Offering free sports physical exams for high school students reconnected us to our purpose. Consider doing a community service project like this to remember why you chose a career in medicine. 

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.

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 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.

August 22, 2018 | <1 min read

Dr. Goldstein: A CLOSLER Look

By Gretchen Miller, Managing Editor

Check out our 4-minute YouTube interview with pediatric emergency physician Dr. Mitchell Goldstein, who shares how he's guided by the Golden Rule.

November 24, 2021 | 4 min read

What I Learned When I Deleted my Social Media

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

When I stopped checking Twitter, Instagram, and Facebook, I created a boundary between myself and the never-ending stream of noise and emotion. I now have more bandwidth to empathize with my patients’ feelings.

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.

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