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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
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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. 

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.

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.

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.

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.

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.

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.

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. 

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.

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.

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.  

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.

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.  

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.

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.  

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.

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.

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. 

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.

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.

"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.

"I've learned that keeping a vegetable garden is worth a medicine cabinet full of pills."-Lucy Beneventi

May 24, 2023 | 3 min read

An Email Chain That Made me Smile 

By Scott Wright, MD, Johns Hopkins Medicine

Each year of life has lessons to teach us. The insights in this piece may serve as a reminder to seek out advice from those who are older, and to make time for reflection. 

August 27, 2018 | 1 min read

Practicing the Golden Rule

By Scott Newsome, DO, Johns Hopkins University School of Medicine

A key element in treating people with chronic illness is partnering with their family to develop an individualized management plan.

May 16, 2018 | 2 min read

The Stigma of Opioid Use Disorder

By Margaret Chisolm, MD, Johns Hopkins Medicine

Building a strong therapeutic alliance between patient and clinician—via open communication, mutual respect, and trust—is a lifeline for the individual patient with an Opioid Use Disorder.

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.

January 2, 2024 | 1 min read

Thank you lessons

By Gail Berkenblit, MD, PhD, Johns Hopkins Medicine

When patients express thanks, they teach us what matters most to them. They often mention careful listening and conveying empathy and compassion. 

September 17, 2025 | 2 min read

Medicine in shackles: reflections from the ICU

I advocated for our team to humanize the care of our patient—namely removing handcuffs at the end of life. Even if you cannot change the outcome, speaking up for patients is one way to uphold dignity and embody the values of our profession.

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.

June 3, 2024 | 2 min read

Book review: “Everything I Know About Love” by Dolly Alderton 

By Scott Wright, MD, Johns Hopkins Medicine

This page-turner about friendship reminds readers that relationships are not easy and require sustained care and attention. In medicine and life, this can lead to meaningful and loyal bonds. 

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.

February 13, 2025 | 2 min read

“Facul-tea” 

By Laura Tafe, MD, Dartmouth-Hitchcock

To deepen relationships with colleagues, intentionally cultivate community by establishing regular, shared experiences—like a tea—that encourage connecting. Such gatherings may improve the overall well-being of the team. 

The Juneteenth Star.

June 17, 2021 | 5 min read

Lessons from 1865: What clinicians can learn from Juneteenth (archives, 2021)

On June 19 we can work toward unlearning inaccurate history, practicing critical reflection, and engaging in transformative conversations. These steps and ongoing advocacy should help promote health equity and equal opportunities for all—including healthcare professionals.

November 10, 2023 | 2 min read

Final journeys

By Elizabeth Gundersen, MD, University of Colorado

Today, we remember patients who have served our country. We are grateful for the honor and privilege of caring for these veterans through their final journeys.

December 20, 2023 | 3 min read

Unhappy holidays

By Larkin Corrigan, MSW, Portland, Oregon

During “the most wonderful time of the year,” we can remind patients, loved ones, and ourselves, that grief often sits side by side with joy at the holiday table, and that’s ok.  

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.

May 29, 2024 | 1 min read

Unstable housing, unstable health

By Stasia Reynolds, MD, Johns Hopkins Medicine

Routinely asking patients about housing insecurity can help identify those who are at-risk of poor health outcomes. Understanding a patient's living situation can help you provide realistic guidance.  

March 5, 2018 | 2 min read

Introducing Monday Mission and Values Statements

By Gretchen Miller, Managing Editor

Begin with the end in mind. ~Stephen Covey

May 15, 2023 | 3 min read

Ode to Joy

By Joanne Shay, MD, Johns Hopkins Medicine

When I look for reasons to smile at work, I find them. Simple things like a hug from a colleague or listening to a patient share their story can brighten our days.

January 2, 2025 | 2 min read

Gratitude and goodbyes  

By Leslie Miller, MD, Johns Hopkins Medicine

The privilege of longitudinal care is witnessing patients grow and evolve over time. Saying goodbye to patients can be filled with both sadness and immense gratitude for the opportunity to have been a part of their lives. 

"While we are both subspecialist pediatricians, we are also the parents of an amazing three-year-old boy."

June 14, 2021 | 3 min read

How Trainees Improve The Care of Patients

By Jared Rubenstein, MD, Baylor College of Medicine, Leyat Tal, MD, Texas Childrens Hospital

While the experience of being a trainee doesn’t always feel impactful, from our perspective as attending physicians and parents of a sick child, know that what you do matters.

June 4, 2019 | 3 min read

Haiku on Phone

By Crystal Jing Jing Yeo, MD, PhD, MassGeneral, Brigham and Women Hospital, Harvard Medical School

To be a true healer is to heal not just in life, but also through dying and death.

July 19, 2018 | 1 min read

Reflections on “Will You Forgive Me for Saving You?”

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

A pediatric intensivist offers reflections on a moving piece from the NEJM.

September 4, 2025 | 2 min read

To comfort always 

Providing compassionate companionship to patients can be as healing as any medicine when a cure is no longer possible. 

The author and her mother enjoying the cherry blossoms in Washington, D.C.. Copyright by the author.

May 27, 2020 | 2 min read

The Weight of the White Coat

By Margot Kelly-Hedrick, MD, University of Washington

As the daughter of a frontline physician, and an incoming medical student, the pandemic raises questions about both personal and professional obligations. Open and honest conversations about such responsibilities are critical to professional identity formation.

May 28, 2024 | 3 min read

Catching Zzzs

By Kimberlee Parker, DO, MPH, Baylor College of Medicine

Many traditional practices, like pre-dawn pre-rounding, disrupt patient sleep. Prioritizing patient comfort can be a form of compassion and contribute to healing. 

March 3, 2018 | 2 min read

Six Steps to Make Wellness Work

Our well-being as physicians is an essential part of professionalism. If we aren't well, we can't provide the best care to our patients, who deserve our best.

Our Mission

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

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