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
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.

July 30, 2018 | 2 min read

Stepping Forward

By Dorianne Feldman, MD, MS, Johns Hopkins University School of Medicine

There is no greater reward than the gratitude of a patient you've helped to heal.

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!

May 3, 2023 | 1 min read

Love And Loss

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When a patient is unresponsive, loved ones may have differing ideas about the patient’s condition. We can hold these contradictions with compassion and see them as expressions of love.

August 15, 2018 | <1 min read

A CLOSLER Look: Interview with Dr. Ziegelstein

By Gretchen Miller, Managing Editor

"Patients let you into a part of their lives that they often don't let anyone else into." Enjoy a short 4-minute YouTube to learn how Dr. Ziegelstein became attuned to the emotional health of his heart patients. 

May 15, 2018 | 1 min read

Gratitude as an antidote to burnout 

By Jennifer Janus, MD, Johns Hopkins Community Physicians

By focusing on the positive aspects of medicine, clinicians reduce stress and provide more compassionate care. Happy Thanksgiving! 

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.

December 13, 2023 | 1 min read

Micro-acts of joy 

Focusing on your own wellness doesn’t take a lot of time. A simple practice like listing three things you’re grateful for each day can reduce burnout. 

August 15, 2025 | 3 min read

Detained!!!

When a patient is held by law enforcement, quickly coordinate to send a medical necessity letter to ensure uninterrupted access to vital treatment. Immediate action may protect patient health and prevents avoidable complications. 

June 11, 2018 | 5 min read

Caring For The Patient

By Michael Carducci, MD, Johns Hopkins University School of Medicine

An oncologist shares his inspiring clinical mission and values statement on noticing beauty and knowing his patients.

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.

May 7, 2024 | 3 min read

“My patient is dying”

By Nakiya Showell, MD, MPH, MHS, Johns Hopkins Medicine

Excellent patient care goes beyond medical expertise. Building relationships, clear communication, and emotional intelligence are crucial for compassionate care, especially in the face of critical illness. 

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.

April 26, 2023 | 2 min read

Saying Yes to Joy in Practice

By Leslie Miller, MD, Johns Hopkins Medicine

Our patients and colleagues can inspire us. Being open to having fun and making genuine relationships in clinical settings can promote wellness. 

December 11, 2024 | 2 min read

Taking the call 

By Stasia Reynolds, MD, Johns Hopkins Medicine

It is a privilege to bear witness to the suffering our patients endure and to share in the joy that comes in honoring a dying wish.   

May 14, 2018 | 1 min read

Teamwork, Compassion, and Respect

By Derek Fine, MD, Johns Hopkins University School of Medicine

A clinical mission statement from a nephrologist: values important to the best patient centered clinical care include teamwork, compassion, and respect.

June 26, 2019 | <1 min read

Dr. Panagis Galiatsatos, A CLOSLER Look

By Gretchen Miller, Managing Editor

We need to think of ourselves as community members who happen to be clinicians.

December 11, 2023 | 3 min read

A jagged landscape  

By Jen Nixon, PhD, Cone Health, North Carolina, Kardie Tobb, DO, MS, Cone Health, North Carolina

Navigating the pathway to finding help for patients lacking resources can be challenging. It may be helpful to first focus on listening to and understanding patient barriers to care.

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.

May 31, 2022 | 2 min read

3 Good Things

By Richard Wardrop , MD, PhD, Cleveland Clinic

Spring is a time of graduations, assuming new roles, and career transitions. It’s also a time to practice gratitude, lead, and strive for excellence. 

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.

May 7, 2024 | 1 min read

Shifting careers

By Zeina Moukarzel, MD, MPH, Beirut, Lebanon

As healthcare professionals, there are multiple ways to have a positive impact on the world. If and when you step away from patient care, thoughtfully consider what will bring fulfillment and purpose. 

The author's pediatrician was an early role model in her development as a neurologist.

October 15, 2018 | 1 min read

Respect, Empathy, and Communciation

By Andrea Corse, MD, Johns Hopkins University School of Medicine

My approach to care is to provide the kind of care you would want for yourself and your family.

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.

The former Elizabeth Blackwell Infirmary For Women And Children.

March 31, 2021 | 2 min read

Building on The Legacy of Pioneering Women in Medicine

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

Increasing the diversity of clinicians may improve patient outcomes, as well as the health of patients’ communities

November 27, 2023 | 2 min read

Immunity illusions

By Abraham Nussbaum, MD, Denver Health

When my classmate in medical school died of chronic illness, I was finally able to imagine myself as a patient. I now treat patients with the compassion that I would want to receive in the hospital.  

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. 

April 6, 2022 | 3 min read

The Last Inning

By Mark Duncan, MD, Johns Hopkins Medicine

Sometimes, patients have the opportunity to write a beautiful concluding chapter to their lives. We can encourage them in this endeavor.  

July 30, 2020 | 2 min read

Taking a Moment to Pause

By Jareatha Abdul-Raheem, Med Student, Johns Hopkins Medicine

When hearing disappointing news or encountering stress, making time to step back and reassess may help with coping and gaining perspective.

May 7, 2024 | 2 min read

Kids in tow 

By Martina Anto-Ocrah, PhD, MPH, University of Pittsburgh

I once had to bring my four children with me to an OB-GYN appointment. It reminded me that it’s important to recognize that patients may have challenges getting to clinic, and to work with them to find solutions. 

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.

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. 

May 11, 2018 | <1 min read

Share A Story In One Tweet

By Scott Wright, MD, Johns Hopkins Medicine

Hope you’re as moved as we were by these touching short stories from both healthcare providers and patients.

June 12, 2019 | <1 min read

Dr. Jamie Wright, A CLOSLER Look

Making the time to ensure that patients understand what you are teaching them about their bodies will help them make better decisions about their care.

November 15, 2023 | 2 min read

Rolling boulders uphill

By Jennifer Lycette, MD, rural oncologist in the Pacific Northwest

When my patient was incarcerated, I realized that I could still be present and caring despite challenging circumstances. 

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. 

March 14, 2022 | 1 min read

A Woman of Faith in Medicine

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Having faith in something helps me mitigate burnout and give empathic care to all patients. 

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.

"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.

April 4, 2023 | 1 min read

Insurance Denial Fatigue

By Justin McArthur, MBBS, MPH, Johns Hopkins Medicine

After spending hours with patients deciding what tests or treatments are most appropriate, guess how many seconds it takes for an insurance doctor to reject the claim? 

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.

April 1, 2021 | 3 min read

April Fool’s Joke: The Text Message

By Roy Ziegelstein, MD, Johns Hopkins Medicine

Don’t be a fool. IMHO, getting to know patients as individuals isn’t necessary. Is it rewarding? I’m ROFL.

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.

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. 

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 23, 2022 | 1 min read

Why we Must be Mentors

Mentoring is essential to supporting trainees. Helping learners find their passion and grow will ultimately allow them to find happiness and meaning in their work.   

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.

"Caregiving is a bit of a mix of leaping and stepping—but in both cases, you never really know what's up next."

April 30, 2024 | 2 min read

Taking the leap

By Jennifer Woodard, MD, Medical College of Wisconsin

Caring for those with dementia extends to their caregivers. Often, that means simply being there to offer support.

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.

March 29, 2023 | 1 min read

Remarkable Human Spirit

By Jeffrey Millstein, MD, Penn Medicine

In the aftermath of my patient’s devastating consequences of illness, his reaction was anything but what I expected.

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