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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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"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.

December 14, 2023 | 2 min read

Listening for meaning

By Ben Roberts, CRNP, AGACNP-BC, ACHPN, Johns Hopkins Medicine

In my palliative care career, I’ve learned that aligning care with patient goals is one of the most important parts of clinical excellence. To do this, I listen to truly understand what the patient wants. 

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.

June 21, 2022 | 2 min read

“Can’t you put him down?”

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

Medical decision making for critically ill patients is complicated and difficult for everyone involved. It is our responsibility to ensure that patients and families are adequately informed to make choices that align with their values.   

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. 

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.

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.

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.

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! 

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. 

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.

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.

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. 

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. 

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 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.

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.

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.

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.

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.

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. 

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.

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. 

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.

"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

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.  

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.

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.  

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.  

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. 

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.

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 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.

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. 

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. 

October 22, 2019 | 2 min read

The Color of my Skin

By Kimberly Turner, MD, Johns Hopkins Community Physicians

With mentorship, advocacy, and open-mindedness by all, it is hoped that there will be greater diversity within the healthcare workforce.

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. 

"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. 

April 16, 2018 | 2 min read

Giving Humanistic and Empathetic Care

By Michele Manahan, MD, Johns Hopkins University School of Medicine

Dr. Michele Manahan's Clinical Mission & Values Statement on supporting her patients through conversation, active listening, a receptive ear, and an incisive mind.

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? 

November 5, 2018 | 2 min read

Providing Holistic Care

By Nancy Hutton, MD, Johns Hopkins University School of Medicine

Excellence in clinical care requires intellectual rigor, keen observation, empathic communication, an understanding of the context in which the patient lives, and consideration of the individual patient as the center of care. 

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.

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. 

October 17, 2019 | 1 min read

Highs and Lows

By Kimberly Turner, MD, Johns Hopkins Community Physicians

The clinically excellent physician is always fully present with their patients. Sometimes there is the joy of a healthy new baby, and other times there is despair.

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.   

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.

"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.

July 29, 2020 | 2 min read

Jumping Into Redeployment

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Caring for very sick patients during the pandemic can help you to reconnect with the meaning and purpose of medicine. Sign up to serve if the opportunity presents itself.

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.

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

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