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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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September 9, 2024 | 2 min read

Social Rx

By Mfon Umoh, MD, PhD, Johns Hopkins Medicine

Clinicians can play a crucial role in combating the epidemic of loneliness and social isolation by asking about patients' social networks, identifying deficits, and connecting them to community resources.

October 11, 2022 | 6 min read

Learning About Your Patients And Their Communities

By Hailey Haffey, PhD, University of Utah

Receiving patient and community stories with thoughtful attention can help serve the aims of equity in healthcare. 

October 1, 2024 | 2 min read

Supporting parents before they break 

By Mackenzie Sommerhalder, PhD, Johns Hopkins Medicine

Many patients experience distress because of their role as parents and caregivers. It is a pediatrics “best practice” to screen parents and offer resources for mental health support.  

December 2, 2021 | 3 min read

TikTok: The Good, The Bad, And The Ugly

By Colleen Schreyer, PhD, Johns Hopkins Medicine

For patients who are on social media, encourage them to engage with pro-mental health content on TikTok by watching, liking, and sharing.

"Shamanic Vision." Original painting by the author. Copyright with the author.

April 2, 2020 | 4 min read

Staying Connected Inside and Out During the Pandemic

By David Kopacz, MD, University of Washington

Finding creative ways to connect to ourselves and to others is more important than ever in these days of social distancing.

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.

October 20, 2021 | 3 min read

Rethinking the Routine in the Pursuit of Inclusion

Interprofessional team members bring a rich variety of perspectives about patients that can lead to better whole person care. Using first names among our team helps minimize power differentials.

April 22, 2025 | 5 min read

Let the language live 

Daily clinical interactions, marked by honest communication and empathy, hold unique power for healing and justice. 

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.

September 9, 2020 | 1 min read

We’re All in This Together

By Mike Fingerhood, MD, Johns Hopkins Medicine

With the added stress caused by the pandemic, make an extra effort to screen your patients for anxiety and depression. Empathizing about shared concerns may facilitate patient expression.

September 22, 2020 | 1 min read

Voting as part of clinical excellence

By Margot Kelly-Hedrick, MD, University of Washington

Voting is a way you can advocate for your patients and improve health outcomes.

August 12, 2019 | 3 min read

Mental Illness and Mass Shootings

By Cassandra Crifasi, PhD, MPH, Emma Beth McGinty, PhD, Johns Hopkins Bloomberg School of Public Health

Most people with serious mental illness are never violent toward others. Due to the media’s misleading focus on the role of mental illness in gun violence generally and mass shootings specifically, many people are afraid that a diagnosis of a serious mental health condition like schizophrenia means they or their loved one are at high risk of hurting other people, which is not supported by the research evidence.

April 26, 2018 | 1 min read

Forming True Partnerships In Care: Listen To Your Patient

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Reflecting on caring for a 12-year-old with a complex neurological condition, I was humbled by the parents’ definition of clinically excellent patient care.

May 20, 2020 | 4 min read

Lessons From Ebola Outbreaks

By Linda Mobula, MD, MPH, Johns Hopkins Medicine

Prior epidemics, like Ebola, have taught us much about caring for patients. While PPE creates a barrier between ourselves and our patients, it’s still possible to give excellent care.

August 27, 2024 | 6 min read

Wounded health systems 

By David Kopacz, MD, University of Washington

In my own journey as a physician, I’ve realized that healthcare's emphasis on efficiency, productivity, and the EMR can contribute to the wounding of healers. To counteract this, systems must prioritize compassion, foster a culture of caring, and make large-scale changes to create institutional and individual well-being.

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. 

Photo by David Kopacz.

March 9, 2022 | 6 min read

Being a naturalist to improve the health of all

By David Kopacz, MD, University of Washington

Listening and closely observing patients, in the way we appreciate and notice nature, can promote humanistic care and clinician well-being.

January 27, 2025 | 2 min read

The green hospital 

By Nick Dalesio, MD, MPH, Johns Hopkins Medicine

Recognize the significant environmental impact of your healthcare practices. Advocate for and implement sustainable solutions, such as optimizing workflow to reduce waste and improve resource utilization. 

August 8, 2023 | 2 min read

Advocating For Gun Safety

By Ankita Sagar, MD, Brooklyn, New York

As healthcare professionals, we’ve chosen to make healing and preventative care our life’s work. Working to mitigate firearm injuries and deaths will create safer communities and is part of our professional commitment. 

December 9, 2021 | 4 min read

3 Lessons From Coach Ted Lasso

By Claire Crawford, MSW, PhD, Texas Childrens , Jared Rubenstein, MD, Baylor College of Medicine, pediatric

Apple TV’s “Ted Lasso” shares a simple message—be kind. We can never truly know what it’s like to walk in another person’s shoes. Curiosity, instead of judgment, helps us give better patient care.

April 24, 2025 | 5 min read

Time machine

I recently cared for a patient labeled as “difficult” and struggled. Learning more about his life story would have allowed me to serve him more effectively. 

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. 

October 24, 2024 | 2 min read

The heat is on: How to keep patients cool and safe 

Rising temperatures due to climate change affect patients of all ages, particularly those with chronic health conditions. Counsel patients on strategies to prevent heat-related medical complications. 

The Juneteenth Star.

June 17, 2021 | 5 min read

Lessons from 1865: What clinicians can learn from Juneteenth

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.

March 30, 2022 | 3 min read

Mitigating maternal mortality (archived piece, 2022)

By Kimberly Turner, MD, Johns Hopkins Community Physicians

A more diverse clinical workforce brings greater variety of perspectives in patient care which may improve clinical outcomes. 

June 20, 2023 | 1 min read

The Road Not Taken 

By Antonio Forte, LMSW, Johns Hopkins Medicine, Larkin Corrigan, MSW, Portland, Oregon

If patients can’t manage on their own, clinicians and staff can help them use social support networks and other resources to find transportation to their appointments. Virtual visits can also be considered. 

November 23, 2020 | 3 min read

Working With Perpetrators of Intimate Partner Violence

By Galina Portnoy, PhD, Yale School of Medicine

In addition to identifying survivors of Intimate Partner Violence (IPV), complementary efforts are needed to detect those at risk of perpetrating IPV to prevent future incidents.

September 13, 2023 | 1 min read

Firearm Suicides on The Rise

By Katherine Hoops, MD, Johns Hopkins Medicine, Paul Nestadt, MD, Johns Hopkins Medicine

To stem the increase in self-inflicted gun deaths, we must work toward early and accurate diagnosis of mental illness, as well as advocate for better firearm laws.

August 25, 2021 | 2 min read

‘Stay calm and carry on’

By Nicole Cifra, MD, MPH, University of Rochester

Educating people about the value of vaccinations is our duty. If you encounter resistance or hostility, don’t take it personally, and reach out to colleagues for support.

March 17, 2021 | 3 min read

Making Unconscious Bias Training Work

By Verna Monson, PhD, Minneapolis, Minnesota

To be an antiracist, you must be aware of your own biases and learn from your missteps. And remember that unconscious bias training is only a starting point for dismantling discrimination.

September 28, 2021 | 1 min read

Considerations When Talking With Patients About Cannabis

By Mike Fingerhood, MD, Johns Hopkins Medicine

The medical literature on cannabis use is not clear, making it difficult to know what to tell patients. Share both positives and negatives about using marijuana, and help your patient make the best care plan for them.

August 19, 2024 | 3 min read

Patient-powered research 

Clinicians can empower patients through transparency, involvement, and ownership in the research process. This can foster a deeper connection with scientific discovery, enhance dignity, and advance health outcomes for all. 

December 8, 2021 | 2 min read

Hitting Home Runs in Healthcare

By Colin West, MD, PhD, Mayo Clinic

Clinicians often struggle with errors and imposter syndrome. Just like in sports, coaching helps clinical performance and promotes well-being.

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.

September 19, 2019 | 2 min read

The Importance of Partnering With Patients

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

What patients and families need is a clinician advocate who is available to listen, translate complex medical language, and support both the physical and mental health of the patient.

March 14, 2018 | 2 min read

The Power of Acknowledging Feelings

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Recognizing and acknowledging feelings can diffuse a patient’s anxiety.

December 26, 2018 | 1 min read

How to Ensure Patient Access During the Holidays

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

The holidays can be a stressful time for both patients and clinicians. Here are a few ideas to ensure stress-free access to care for patients, and tips for everyone to stay healthy and rested.

September 25, 2018 | 1 min read

Teaching Maintains Clinical Excellence

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Engaging with learners keeps you dedicated to lifelong learning, and teaching helps to maintain clinical excellence and the joy of medicine.

June 25, 2018 | 2 min read

Trust The Diagnostic Process

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Clinicians use a diagnostic process to guide their actions when faced with a medical problem. Hypothesis generation provides an efficient reliable framework to focus the clinical workup and come to the correct diagnosis and treatment plan.

May 17, 2018 | 2 min read

How To Avoid Complacency in Diagnosis

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Top tips to avoid complacency when faced with a common clinical presentation that may have an uncommon medical diagnosis.

September 12, 2019 | 3 min read

Connecting climate change to patient care (archives, 2019)

Healthcare professionals must confront the health threats posed by climate change. To safeguard the health of all humanity, we should take a leadership role in addressing this critical issue.

The author having fun ice skating with colleagues at Patterson Park, Baltimore, Maryland.

February 25, 2019 | 5 min read

General Internal Medicine: An Opportunity to Engage Holistically

By Paul O'Rourke, MD, MPH, Johns Hopkins University School of Medicine

General internal medicine focuses on the importance of knowing and treating the whole patient. The entire patient, in their biopsychosocial context, must always be considered to provide high-quality, patient-centered care.

June 2, 2021 | 4 min read

When “No” to Others Means “Yes” to Yourself

By Ijeoma Nnodim Opara, MD, Wayne State University

Self-care requires the courage to say “no” to things that do not reinforce your self-worth, priorities, and purpose. This will allow you to most effectively serve your patients.

October 21, 2021 | 2 min read

Be a Team Player: Get Vaccinated

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

Be a teammate to everyone in your community. Get vaccinated and encourage others to do so.

Photograph by Dr. Margaret Chisolm.

January 30, 2020 | 6 min read

December Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

The art museum is an emerging informal educational space for the health professions. Here, transformative learning theory provides educators with a model to understand how, through systematically challenging learners’ preconceived beliefs, assumptions, and values, students can grow in their developing professional role.

November 14, 2022 | 2 min read

The Benefits of Overdose Prevention Centers (OPCs)

By Bennett Allen, PhD, New York University, Noa Krawczyk, PhD, New York University

Supervised injection facilities prevent death and do not encourage drug use. Sharing this information can keep our patients safer. 

August 5, 2024 | 2 min read

Shaping great clinicians

To ensure the next generation of healthcare professionals is outstanding, clinicians need to role model clinical excellence. Asking open-ended questions and listening to patient concerns are two ways to demonstrate patient-centered care. 

September 6, 2018 | 2 min read

The Power of Finding Common Journeys Between You and Your Patients

By Sherita Golden, MD, MHS, Johns Hopkins University School of Medicine

Our patients are deeply impacted by their community experiences outside of the healthcare setting. As physicians it is imperative that we lead by example in understanding our patients’ social challenges so that we can more comprehensively address their medical issues by treating the “whole person” and not just the disease.

"Tjulpu wiltja: bird nest basket," 2017, Ilawanti Ungkutjuru Ken, as part of "The Art of Healing: Australian Indigenous Bush Medicine," King’s College London.

July 11, 2019 | 7 min read

June Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

Art captures both the ordinary and extraordinary moments of human lives throughout history, and offers insights into how to heal ourselves and one another.

Window at St. Leopold’s Church, depicting the seven corporal works of mercy. Photograph by Margaret S. Chisolm

September 18, 2019 | 7 min read

August Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

Clinical learning and practice are not removed from cultural and political realities. As clinical educators, it is our responsibility to create both humanistic learning environments that inculcate respect for the ultimate purpose of healthcare: the well-working of the human being as a whole.

Our Mission

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

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