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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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"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."

May 7, 2018 | 2 min read

The 5 Core Beliefs of a Hospitalist

By Daniel Brotman, MD, Johns Hopkins Medicine

As a hospitalist, I'm in a position to establish intense relationships with patients. Here are my five core beliefs, values, and premises that govern my approach to clinical care in this setting.

November 1, 2023 | 2 min read

Lean on me

Upon learning of my patient’s death, I called their spouse to offer support. Realizing my need to talk with someone, I turned to my colleague, who was able to help me refocus on giving excellent care to other patients.  

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.

"I’ve relived that moment many times in my head. I wonder what I would have done differently today."

February 1, 2022 | 2 min read

Finding my Voice

By Jennifer Eitingon, MD, Johns Hopkins Medicine

As a trainee, a distressing clinical experience taught me that I must always be the patient’s advocate. Now as a teacher, I help my learners to feel confident speaking up for what they know is right. 

April 22, 2024 | 2 min read

Mentorship—a lifelong dialogue   

By Jane Abernethy, MD, MBE, Johns Hopkins Medicine, Rani Nandiwada, MD, MSEd, Penn Medicine

In our long-lasting mentor-mentee relationship, we’ve learned it’s helpful to put a regular check-in time on the calendar and to brainstorm questions and goals for the session ahead of time. 

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. 

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.

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.

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.

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.

January 24, 2022 | 3 min read

What I Learned About Medicine from “The Price is Right”

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

A childhood dream was fulfilled when I won my favorite gameshow. The joy I experienced in that moment is something that I strive to share with patients each day. 

April 15, 2024 | 1 min read

When the end is near 

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine, Shubham Tomar, MBBS, MPH, Vanderbilt University Medical Center

At the end of life, loved ones often must make difficult decisions. Healthcare professionals can help ease this burden by showing empathy and compassion. 

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. 

March 8, 2023 | 2 min read

Cleaning Dentures

By Becky Sansbury, MDiv, Raleigh, North Carolina

When my patient asked me to get the blackberry seeds out of her false teeth, I was reminded that simple comfort measures can be crucial for patient well-being. 

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.

"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.

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 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.

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?

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 

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.

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.

"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

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.

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. 

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. 

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.

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, 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.

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.  

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.

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.  

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.

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.

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 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.

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.

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.

"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. 

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.

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. 

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. 

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.

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. 

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.

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.

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.

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 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.

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