Skip to content
C L O S L E R
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • Topic Search
  • About Us
  • Our Team
  • Contact
  • Add Your Voice
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
Subscribe
C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
Johns Hopkins Medicine Logo
Creative Arts in Medicine
Connecting with Patients
Passion in the Medical Profession
Lifelong Learning in Clinical Excellence
Topic Search

"Blue Rider," Franz Marc, 1911.

May 14, 2019 | 4 min read

Review of “Critical Crash”

By Andre Lijoi, MD, York, Pennsylvania

We all have our woundedness, and our own story is important in the context of caring for our patients. These stories and wounds operate in the background of our consciousness and we must recognize and manage them.

Aiden Crowley said that “a hug can be medicine” and that simple “presence and accompaniment” provides more for the patient and family than we might think.

November 23, 2022 | 1 min read

Using CLOSLER For Grand Rounds

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

CLOSLER has a wealth of material that can be leveraged to enhance teaching in a variety of settings, including lectures, bedside, and small group discussions. 

Practicing humility can improve team-based care.

November 10, 2020 | 2 min read

Moving From Empathy to Humility

By Barret Michalec, PhD, Arizona State University

Acting with humility is granting someone else a higher status than one claims for themselves. This acknowledgement of respect is critical to being an effective healthcare professional.

May 26, 2020 | 1 min read

Accelerating Adaptation in Healthcare

By Lia Logio, MD, Drexel University College of Medicine

Efficiency erodes our ability to respond to the uncertainty of life. The messy world of clinical care requires time, patience, and creative experimentation.

June 13, 2018 | 1 min read

Behavioral Change Bolstered By Human Touch

By Souvik Chatterjee, MD, Johns Hopkins Medicine

A human doctor is a critical component of creating change in patient behavior and health.

July 12, 2018 | 1 min read

Storytelling in Medicine

By Susan Lehmann, MD, Johns Hopkins Medicine

The ability to learn your patient’s story from their words is the essential skill for developing a comprehensive understanding. This is crucial for accurate diagnosis and for establishing a therapeutic bond with each patient.

November 26, 2018 | 1 min read

You are special – but not when it comes to sleep!

By Rachel Salas, MD, Johns Hopkins Medicine

Healthcare providers are no different than anyone else - if you shortchange your sleep, there will be consequences!

July 20, 2021 | 2 min read

3 lessons on clinical excellence from the oncology clinic

By Sajya Singh, Medical Student, Johns Hopkins Medicine

While shadowing clinicians in cancer care, I learned the importance of spending time to gather the family history, building trusting relationships, and balancing treatment plans with quality-of-life considerations.

June 29, 2020 | 2 min read

Lessons From the AIDS Epidemic

By Melinda Kantsiper, MD, Johns Hopkins Medicine

In times of crisis, it can be helpful to listen and learn from the stories of those who have come before us.

July 9, 2018 | 2 min read

Educator, Advocate, Surgeon, and Caregiver for Life

By Matthew Weiss, MD, Johns Hopkins University School of Medicine

As a cancer surgeon, my approach to care focuses heavily on communication with patients and their loved ones. Quite simply, I treat patients as I would want to be treated myself as a patient. 

"Community," acrylic on canvas, copyright with the artist.

March 5, 2024 | <1 min read

Community support

By Carolyn Im, medical student, Johns Hopkins Medicine

This painting celebrates that individuality of every patient and also highlights the help they can receive from their community in times of need.

Richard Schaefer, MD, MPH

Like Osler, I’m a colonel. Born and raised in Buffalo, New York, I was a U.S. Army orthopedic surgeon who lived and practiced in many places around the world. Now at Johns Hopkins, my interests include medical education and humanism. It’s a privilege to be on the CLOSLER team. When not at work, I enjoy spending time with…

The author with teammates.

August 30, 2018 | 1 min read

The Importance and Psychology of Facial Expression

By Patrick Byrne, MBA, MD, Johns Hopkins University School of Medicine

Carefully noting your patient's facial expression consciously helps you "be" with your patient more effectively, to meet them where they are in their emotional state.

July 6, 2018 | 1 min read

Music and Coffee

By Scott Wright, MD, Johns Hopkins Medicine

If you get the sense that one of your patients is isolated or alone, ask about their support network. If they have none, ask if they would like help in being connected to community resources.

June 29, 2018 | 1 min read

Getting Into Character

By Scott Wright, MD, Johns Hopkins Medicine

Working as a primary care provider for the last 24 years, I can say without a doubt that reading fiction has expanded my capacity to connect with my patients with a greater level of empathy.

June 19, 2018 | 2 min read

Sleep solutions (archives, 2018)

By Rachel Salas, MD, Johns Hopkins Medicine

People see sleep as a luxury, but it's a basic human need. As clinicians, we should ask patients how they're sleeping. Here are nine things you can recommend to help them feel more rested.

July 3, 2024 | 1 min read

More than fireworks

By Steve Kravet, MD, MBA, Johns Hopkins Community Physicians

The patient-doctor relationship is strengthened through conversation. In discussing holidays with patients, clinicians can sometimes gain valuable insights into patients’ physical, social, and emotional health. 

June 12, 2024 | 3 min read

Getting serious about citrus 

By Maureen Flood, NP, Johns Hopkins Medicine

In patients with chronic conditions and socially determined health risks, remember to consider vitamin C deficiency. 

September 7, 2023 | 2 min read

“Wild Problems” Book Review

By Margaret Chisolm, MD, Johns Hopkins Medicine

When it comes to the big decisions in life, abandoning a rational, algorithmic approach—and going back to guiding principles—may be the secret to happiness. 

"Couple in the Park," John Russell Clift, 1961, Museum of Fine Arts, Boston.

January 17, 2019 | 5 min read

Do You See? The Power of Pictures

By Elizabeth Gundersen, MD, University of Colorado

Photographs capture the essence of who we are. When we ask to see pictures, patients and families are reassured that we value the wholeness of their lives.

August 19, 2020 | 2 min read

6 ways to address Black mistrust in medicine

By Biosha Jones, MD, Loma Linda University

We must work toward establishing trust with all of our patients instead of assuming it already exists.

January 5, 2019 | 2 min read

Acceptance

By Neda Gould, PhD, Johns Hopkins Medicine

When we practice acceptance in the present moment, we free up energy to see more possibilities. We may notice some clarity in our minds and even less tension in the body. There is freedom in acceptance.

June 3, 2019 | 1 min read

Every Piece of Data Matters

By Rabih Geha, MD, University of California San Francisco

Bolded, flagged, or typed in a different color, an abnormal result demands the mind’s eye in many modern EMRs, but it is equally important to direct our gaze to the quietly normal labs; not uncommonly, they may be screaming a powerful clue.

April 25, 2024 | 1 min read

The night owl

By M. Carolina Musri, MD, Johns Hopkins Medicine

Working nights can be challenging. I've found that prioritizing sleep and prepping healthy foods helps a great deal. 

February 1, 2023 | 1 min read

Patience With Patients

By Will Frye, PhD, Johns Hopkins All Childrens, St. Petersburg, Florida

Consider the challenges you experience when trying to make changes in your daily habits. Remember to praise your patient’s progress no matter how small. 

April 14, 2022 | 4 min read

Talking About Climate Change With Patients

By Dean Chien, CLOSLER team, Baltimore, Maryland

Climate change affects the health of everyone. When talking with patients about climate change, meet them where they are and listen nonjudgmentally. 

April 12, 2022 | 2 min read

Describing the Scribe: How We Help Clinicians

By Dean Chien, CLOSLER team, Baltimore, Maryland

Medical scribes allow clinicians to focus more fully on the patient in front of them. 

March 17, 2025 | 7 min read

Caring and uncaring in medicine and beyond 

By David Kopacz, MD, University of Washington

Every moment in medicine, and in life, we have the choice to base our actions in caring.  

"Enlightenment," original painting by David Kopacz. Copyright with the artist.

October 6, 2020 | 4 min read

Yoga is Good Medicine

By David Kopacz, MD, University of Washington

Yoga can help you to restore and reset your mind, emotions, and spirit during stressful times. This practice may allow you to give better care to your patients.

Édouard Manet: "A Bar at the Folies-Bergère," 1881-1882. This is a faithful photographic reproduction of a two-dimensional, public domain work of art. The work of art itself is in the public domain for the following reason: Public domain This work is in the public domain in its country of origin and other countries and areas where the copyright term is the author's life plus 100 years or less.

August 6, 2019 | 7 min read

July Art Museum Challenge

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

The skills required in the clinic are the same as those in the art gallery: to examine, investigate, embrace ambiguity, consider multiple interpretations, reflect, collaborate, and learn.

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.

"You Let Your Magic Tortoise Go," David Kopacz. Copyright with the artist.

August 27, 2020 | 3 min read

Finding Balance During Unbalanced Times

By David Kopacz, MD, University of Washington

Spending time “going into and opening our hearts” is healing and restorative. We can do this for ourselves as healers and guide patients through the practice. It’s as simple as slowing down, putting your hand on your heart, and taking three deep breaths.

A Reversed Retrogress: Scene 1 (The Purple Shall Govern) (2013), Mary Sibande. Courtesy of the artist and Somerset House London. Photograph by Flora Smyth Zahra.

October 28, 2019 | 5 min read

September Art Museum Challenge

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

By providing a creative space in which healthcare professionals can build skills integral to clinical practice, while also expressing their vulnerabilities and humanity, art museum-based education can humanize healthcare and provide an antidote to burnout.

April 5, 2018 | 5 min read

Remaking Medicine Whole

By Gregory Frichionne, MD, Harvard Medical School

A review of "Whole Person Care: Transforming Healthcare" by Tom Hutchinson, MB, McGill University.

March 25, 2019 | 2 min read

Movie Review of “End Game”

By Barry Bryant, MD, Johns Hopkins Medicine

The documentary "End Game" includes honest and reflective conversations with patients about what dying might be like, and investigation into what patients want the end of their life to look like.

March 20, 2019 | 4 min read

Social History as Story

By Colleen Farrell, MD, New York University

We cannot understand our patients’ bodies if we do not understand something about who they are as human beings,

May 30, 2023 | 2 min read

Artificial Intelligence: Artificial? Intelligent? Neither or Both?

By Matthew Peters, MD, Johns Hopkins Medicine

AI can complement the work of mental health professionals, in addition to performing clerical tasks and analyzing big data for insightful trends.

September 10, 2024 | 4 min read

Our patients, our planet, ourselves

By Christopher Lemon, MD, Johns Hopkins Medicine

By understanding the environmental determinants of health, clinicians can contribute to the well-being of both patients and the planet.

Natya Dhrami Foundation for Performing Arts. Copyright with Eswar Avidi.

August 10, 2022 | 3 min read

Storytelling With Hands

By Shreya Srivastava, medical student, Albany Medical College

Exploring Non-Western art forms–like Indian classical dance–can diversify our understanding of the cultural and spiritual roles that body parts can play in healing.

"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.

Ruth and Carl J. Shapiro Gallery (Gallery 232), Museum of Fine Arts, Boston, featuring "Daughters of Edward Darley Boit," by John Singer Sargent (American, 1856–1925). Photograph by Flora Smyth Zahra.

June 6, 2019 | 7 min read

May 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 a space that has lessons to teach about clinical excellence, and fosters both the personal development and professional identity formation of clinicians.

October 21, 2019 | 4 min read

Stepping Up to Climate Change

By Evans Brown, MD, Johns Hopkins Medicine

The climate crisis is directly relevant to our work in healthcare. Healthcare professionals must step up and get involved.

"Before I studied Zen, mountains were just mountains and rivers just rivers. When I started studying Zen, mountains were no longer mountains and rivers no longer rivers. But now that I’ve gained some understanding of Zen, mountains are once again mountains and rivers are once again rivers."

January 3, 2025 | 5 min read

Zen and the art of physician-maintenance 

By David Kopacz, MD, University of Washington

Healthcare professionals can help counteract "sustained inattentional blindness" and faulty clinical reasoning by integrating Zen principles into their practice. This may allow clinicians to more fully perceive the patient’s reality, as well as avoid overlooking crucial details. 

February 27, 2018 | 2 min read

On Discrimination, Transparency, and Mutual Respect

By Anika Hines, PhD, MPH, Johns Hopkins University School of Medicine

Patients' past experience with discrimination may influence how they interact with you. Acknowledging this may improve communication and patient care.

The koru is a spiral shape based on the appearance of a new unfurling silver fern frond. It's an integral symbol in Māori art, carving and tattooing, where it symbolizes new life, growth, strength and peace. Photo by David Kopacz.

October 18, 2022 | 7 min read

A New Paradigm For Growth 

By David Kopacz, MD, University of Washington, Lucinda Houghton, PhD

As with other traumas, burnout, viewed as an opportunity for personal and professional development, offers a way to expand ourselves as wholehearted healers.

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.

"I close my ears and journey to the moon . . ."

February 20, 2024 | 1 min read

Sickle cell does not have me

By Lily Kwak, medical student, Johns Hopkins Medicine

Creating art, like poetry, may help clinicians to process the complex emotions that can arise while caring for patients.

April 28, 2021 | 4 min read

The Social Determinants of Clinician Health

By David Kopacz, MD, University of Washington

When half of clinicians are burned out, we clearly need to fix our workplaces. In the meantime, we also need to care for ourselves, our patients, and each other.

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. 

September 25, 2023 | 5 min read

Less is More

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

The Japanese concept of wabi-sabi can help us appreciate impermanence and approach death as part of life. 

Our Mission

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

C L O S L E R
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • About Us
  • Our Team
  • Contact
  • Add Your Voice
  • Subscribe
  • Donate

©2025 Miller Coulson Academy of Clinical Excellence,  Johns Hopkins Medicine.  All Rights Reserved.  Privacy Policy