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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
Topic Search
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. 

April 24, 2019 | <1 min read

Dr. Colleen Christmas, A CLOSLER Look

By Gretchen Miller, Managing Editor

Watch a three minute video interview with Dr. Colleen Christmas, who shares the contagious joy of both primary care and geriatrics. Guaranteed to make you smile!

May 24, 2018 | 2 min read

My Professional Totem

By Margaret Chisolm, MD, Johns Hopkins Medicine

A psychiatrist shares her story of how a painting by Raphael has reminded her of of why she wanted to become a doctor and what the profession of medicine is all about.

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.

July 16, 2024 | 3 min read

A box full of hope 

While working as a doctor in Cameroon, I learned that the most valuable resources aren’t always technological. Instead, generosity, kindness, and human connections may be most important for making healthcare more widely accessible. 

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.

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. 

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.

November 2, 2020 | 4 min read

Prescription for a healthy future—vote!

By Deanna Behrens, MD, Advocate Children\'s Hospital, Elizabeth Mack, MD, Jenna Miller, MD, Katherine Hoops, MD, Johns Hopkins Medicine

Clinicians have a responsibility to advocate for policies that can improve the health of all. We must take our civic responsibility seriously and make a plan to vote. 

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. 

April 17, 2019 | <1 min read

Dr. Ilene Browner, A CLOSLER Look

By Gretchen Miller, Managing Editor

Dr. Ilene Browner highlights the importance of learning and understanding her patients' hopes and goals of care.

Photograph by Sheldon H. Gottlieb, MD, (c) 2018, all rights reserved.

June 5, 2018 | 2 min read

Clinical Excellence: It Takes A Village

By William Greenough, MD, Johns Hopkins University School of Medicine

The key to clinical excellence in long term care rests not solely on the physician, but also with hands-on bedside caregivers—the unsung heroes of healthcare—nurses, and in this patient story, a recreational therapist.

July 8, 2024 | 2 min read

Suturing stories 

By Andrea Merrill, MD, Boston Medical Center

By using writing to process patient care experiences, I'm able to learn from challenging events at work and find more meaning in medicine. 

December 4, 2019 | 1 min read

The Power of Petite

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Your  unique qualities and attributes allow you to interact with each of your patients in a way that only you can. Embrace what sets you apart.

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? 

August 22, 2018 | <1 min read

Dr. Goldstein: A CLOSLER Look

By Gretchen Miller, Managing Editor

Check out our 4-minute YouTube interview with pediatric emergency physician Dr. Mitchell Goldstein, who shares how he's guided by the Golden Rule.

April 23, 2018 | 2 min read

Knowing Your Patient as a Person

By Roy Ziegelstein, MD, Johns Hopkins Medicine

Knowledge and skill are critical to clinical excellence—however their true value can only be realized when the clinician knows each patient as a person.

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.

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.  

April 10, 2019 | <1 min read

Dr. Steven Frank, A CLOSLER Look

By Gretchen Miller, Managing Editor

Enjoy a three-minute video interview with anesthesiologist Steven Frank, MD, on what he learned from being a patient himself, and his gratitude for his entire team.

August 24, 2021 | 2 min read

5 Lessons From my Nonlinear Career in Medicine

By Thelben Mullett, MD, Seattle, Washington

Instead of asking medical students what specialty they intend to pursue, we should help them reflect on their natural strengths and values in planning their career.

August 13, 2018 | 1 min read

How I Uphold My Hippocratic Oath

By Marcia Canto, MD, Johns Hopkins University School of Medicine

I try to take care of each patient as if he or she is my close relative or friend. I believe this is the only way that we can uphold our Hippocratic oath in the modern era of medicine, which tends to depersonalize physician-patient interactions. 

December 9, 2019 | 1 min read

Presence in Final Moments

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

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.

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.

September 26, 2018 | <1 min read

Dr. Susan Lehmann: A CLOSLER Look

By Gretchen Miller, Managing Editor

Enjoy a three-minute video interview with Dr. Susan Lehmann, who shares how playing the piano helped her become adept at listening to patients while maintaining eye contact and writing notes.

October 27, 2020 | 3 min read

Beyond The CV

By Kayla Eboreime, Medical Student, University of Texas Medical Branch

There will always be both accolades and critiques that come your way. Neither define who you are. Nourishing your whole self can maintain balance so that you can flourish professionally and personally.

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.

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.

March 27, 2019 | <1 min read

Dr. Christopher Wolfgang, A CLOSLER Look

By Gretchen Miller, Managing Editor

A short and sweet video interview with Christopher Wolfgang, MD, PhD, on his path from agriculture to medicine, and providing hope for patients with pancreatic cancer.

May 25, 2018 | <1 min read

“The Secret of Quality is Love”

By Scott Wright, MD, Johns Hopkins Medicine

Connecting with patients, caring deeply, and remembering your sense of calling will bring joy and fulfillment to the practice of medicine.

June 26, 2024 | 2 min read

White Coat Ceremony 

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Medical school traditions and ceremonies are to be cherished and appreciated. They also provide educators with an opportunity to reflect on the importance of teaching and mentoring. 

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.

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. 

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. 

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.

Audrey Hepburn. Photo by Bud Fraker, 1956. Public Domain.

August 24, 2020 | 4 min read

A Calling to Medicine From Hollywood

By Jade Cobern, MD, Johns Hopkins Bloomberg School of Public Health

Who ever thought watching Turner Classics could inspire a career in medicine? Reflecting on what drew you to healthcare may restore your sense of purpose.

December 19, 2023 | 3 min read

Spinoza and 21st-century medicine

By Jonathan McFarland, Medical Humanist, Autonomous University of Madrid & University of Pompeu Fabra

I learned about the mind-body connection from the philosopher Spinoza. A holistic clinical approach emphasizes the relationship between mental well-being and physical health. 

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.

August 5, 2021 | 2 min read

Talking With People About COVID Vaccination

By Daniel Brotman, MD, Johns Hopkins Medicine

When discussing COVID vaccinations, I show appreciation to those who have been vaccinated and explain to them that they performed a vital civic duty.

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.

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.

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.

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.

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 26, 2019 | 3 min read

Tunnel Carver

By Christopher Wolfgang, MD, PhD, Johns Hopkins University School of Medicine

"Carve a tunnel of hope through the dark tunnel of disappointment." ~ Reverend Martin Luther King Jr.

August 11, 2021 | 8 min read

Reclaiming Joy

By Ekene Ojukwu, MD, Johns Hopkins Medicine

When experiencing severe burnout during my intern year, I decided to take a year away from medicine. Upon my return, I was able to bring my authentic self into the work and to partner more effectively with patients.

June 25, 2024 | 2 min read

Lessons from an earlier life: Latin dance

By Neha Santucci, MD, Cincinnati Childrens

My experiences with both dancing and patient care have taught me that connection and passion are key. In medicine, like in dance, I focus on building strong relationships and finding joy. 

March 12, 2018 | 3 min read

13 Principles for Daily Living

By Rosalyn Stewart, MD, Johns Hopkins University School of Medicine

A primary care physician and clinician educator shares her core values for living a good life.

March 1, 2023 | 2 min read

Moving Past Debt 

By Laura Hanyok, MD, Johns Hopkins Medicine

With my student loans forgiven, financial pressures were substantially allayed. With this stress removed, I feel more focused on serving my patients.  

April 3, 2025 | 3 min read

The unknown variable 

By Eve Glenn, ScB, medical student, Johns Hopkins Medicine

Providing excellent patient care requires being in the liminal space between scientific certainty and human ambiguity. This is a place from which to bear witness to suffering with both intellectual curiosity and deep empathy. 

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