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C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
The Journal of Hopkins' Center for Humanizing Medicine
Johns Hopkins Medicine Logo
Creative arts in medicine
Connecting with patients
Passion in the medical profession
Lifelong learning in clinical excellence
Topic Search
January 4, 2024 | 1 min read

Searching for the solution

By Scott Wright, MD, Johns Hopkins Medicine

Improving clinical reasoning skills is a career-long journey where we feel like an expert one day and a novice the next. Commitment to growth and learning from mistakes are absolutely required.  

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.

April 24, 2023 | 1 min read

How CLOSLER Has Improved My Care of Patients: A Five-Year Retrospective

By Jeffrey Millstein, MD, Penn Medicine

Through CLOSLER, I’ve learned about the power of active listening and how better to navigate challenging conversations. It has also provided many ideas for re-energizing myself both personally and professionally. 

March 9, 2023 | 2 min read

Latticeworks

By Zaina Siraj, medical student, Albany Medical College

The more we learn and grow, the better we can understand ourselves, our patients, and our world. 

August 31, 2022 | 2 min read

Reducing overdose risk for minority patients 

By Brendan Saloner, PhD, Johns Hopkins Medicine, Omeid Heidari, PhD, NP, MPH, Johns Hopkins Medicine

When caring for patients with opioid and other substance use disorders, focus on using tools such as evidence-based medications, naloxone, and fentanyl test strips. 

June 9, 2022 | 3 min read

Gender And Sexual History 2.0 

By Rebekah Fenton, MD, Northwestern University

To help LGBTQIA+ individuals feel more welcome, I introduce myself with the pronouns I use. This seems to invite them to do the same.  

June 6, 2022 | 2 min read

The Weight of Victory

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

Increasing numbers of female collegiate athletes are taking their lives. Athletes, like all patients, need a nonjudgmental environment to help them feel more comfortable sharing their thoughts, feelings, and behaviors. 

May 24, 2022 | 2 min read

The Reflexive Practitioner

By Corliss Wong, MS4, The University of Hong Kong

Our own biases and judgements inevitably affect our care of patients. Deep introspection can help us overcome our prejudices and improve clinical practice. 

May 2, 2022 | 3 min read

The Alarming Rise in Pediatric Suicide

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Rates of childhood suicide have been rising steadily and this is now the second leading cause of death for youth. It's critical to screen children for suicidal thoughts and behaviors.   

June 28, 2021 | 2 min read

Carrying Pride Month year-round (archives, 2021)

By Carl G. Streed Jr., MD, MPH, Boston Medical Center

The skills with which we care for LGBTQ patients, including affirmation and support, will allow us to better care for ALL patients.

February 8, 2021 | 2 min read

The Silver Linings of Having a Baby During The Pandemic

By Susan Aucott, MD, Johns Hopkins Medicine

The hospital experience for pregnant patients is different during the pandemic. Without visitors, new parents can focus even more on bonding with their new baby.

A child playing with a parent's gun that wasn't safely stored.

October 15, 2020 | 3 min read

How to Talk About Firearm Safety During the Pandemic

By Katherine Hoops, MD, Johns Hopkins Medicine

With a surge in gun sales during the pandemic, exposure to firearms has increased for all. It’s imperative that clinicians give comprehensive firearm safety counseling to patients during these challenging times.

"Crassula ovata," the jade plant, is a succulent that traditionally represents monetary prosperity.

October 8, 2020 | 2 min read

The Do’s and Don’ts of Discussing Monetary Donations With Patients

By Joseph Carrese, MD, MPH, Johns Hopkins Medicine

Unless patients initiate the discussion about philanthropy, it’s wise to be cautious on this topic. Such practices will preserve a trusting patient-clinician relationship.

August 3, 2020 | 1 min read

Book Review of “Elderhood”

By Michelle Gyenes, MS, Columbia Mailman School of Public Health

Ageism is a form of discrimination that contributes to poor health outcomes. To mitigate its effects, we must enact policies that address biases in ourselves, our workplaces, and our communities.

"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.

"Rinaldo and Armida," 1629, Anthony van Dyke. Public domain.

September 4, 2019 | 7 min read

From Frameside to Bedside: Pauses and Perspective

By Kamna Balhara, MD, Johns Hopkins Medicine

The art of medicine must balance stillness and motion. Making time to reflect can infuse more meaning in our interactions with patients.

July 17, 2019 | <1 min read

Dr. Laura Hanyok: A CLOSLER Look

By Gretchen Miller, Managing Editor

The care of your patients will suffer if you don't prioritize your own well-being.

June 20, 2019 | 2 min read

Be Brave Enough to Start Conversations That Matter

By Manasa Ayyala, MD, Rutgers New Jersey Medical School

"Between the World and Me" is a must read. At 152 pages, it's a small investment of time that leaves a large impact. I invite you to read this book with the intent to ask curious questions, to be ok feeling uncomfortable, and to continue this important dialogue.

June 17, 2019 | 2 min read

Seeking the Silver Lining

By Alin Gragossian, DO, Drexel University

If you seek positivity, you will find it.

May 9, 2019 | 2 min read

Ending Conversion Therapy

By Carl G. Streed Jr., MD, MPH, Boston Medical Center

Speaking up to end conversion therapy is fulfilling one of our fundamental oaths: primum non nocere—first do no harm.

February 11, 2019 | 5 min read

The Dots We Connect – An Interview with Dan Pink

Dan Pink distills pearls of wisdom for health professionals from his bestselling books "A Whole New Mind" and "When."

November 28, 2018 | <1 min read

Dr. Jim Black, A CLOSLER Look

By Gretchen Miller, Managing Editor

A favorite part of my job is telling patients when they, in fact, do NOT need surgery!

December 4, 2018 | 3 min read

Just the Facts: A Book Review of “Factfulness”

This book is full of examples showing that we are actually doing well as a species, despite constant pronouncements to the contrary. It also reminds us that we need to be mindful of our own instincts and the biases that can influence our decisions.

November 3, 2025 | 4 min read

Embracing the awkward 

Make talking about sexual health a routine part of care—explain why you’re asking and avoid assumptions. If it feels awkward, name it to build trust and show patients that sexual well-being matters. 

October 1, 2025 | 2 min read

Build trust, build immunity  

When talking about vaccines with those who are hesitant, provide a strong recommendation and revisit the conversation over time. 

Trichomonas vaginalis

December 12, 2024 | 3 min read

Home testing: a new era in sexual health      

By Scott Wright, MD, Johns Hopkins Medicine

At-home sexually transmitted illness (STI) testing allows easier patient access. It’s crucial for healthcare professionals to talk with patients about the limitations of these tests and discuss when follow-up care is needed.  

November 14, 2024 | 3 min read

A surgeon’s wakeup call: Learning about helmet safety the hard way 

By James Harris Jr., MD, Johns Hopkins Medicine

Healthcare professionals can do more than treat injuries; they can help prevent them. Educate patients and their loved ones about safety gear, share real-life stories, and empower people to make wise choices. 

November 7, 2024 | 2 min read

Following my own rules  

By Julie Caffrey, DO, MS, Johns Hopkins Medicine

Having my own set of guidelines has helped me to continuously improve. One of my favorites is consciously learning something new every day.

April 3, 2024 | 2 min read

Military kids serve too 

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

April is the Month of the Military Child. Clinicians caring for military family members should understand their history and stressors specific to the armed service to give the best possible care.    

December 7, 2023 | 2 min read

“I need this test.” 

By Pavitri Dwivedi, DO, MPH, Johns Hopkins Medicine

When patients request a test that you think is unnecessary, be curious and elicit why they feel this way. Then address their concerns about the condition being screened. 

November 30, 2023 | 1 min read

STD knows not your DOB (archives, 2023)

By Jeffrey Millstein, MD, Penn Medicine

Sex can be an important part of life in older age. My patient reminded me to address STD prevention and other intimacy concerns consistently in all sexually active adults. 

October 11, 2023 | 3 min read

Sharing Decisions

By Eric Last, DO, Northwell Health, Wantagh, New York

The term “shared decision making” is often misunderstood and misused. What this phrase really means is respecting the autonomy of patients to make their decisions based on the information and counsel their clinicians provide. 

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.

July 26, 2023 | 3 min read

Small change = big impact (archives, 2023)

By Jennifer Katzenstein, PhD, Johns Hopkins Medicine

Ideally, healthcare professionals model healthy habits. In doing so, they can inspire others and influence the health of communities.

July 3, 2023 | 1 min read

Pronouns Matter

By Kevin Frick, PhD, Johns Hopkins Carey Business School

A reminder to try to use a person’s preferred pronouns. This can help people feel more welcome and comfortable.

May 2, 2023 | 2 min read

Treating all patients with compassion (archives, 2023)

By Keisha Ray, PhD, McGovern Medical School

Physician bias is one driver of poor health outcomes among Black patients. A commitment to compassion and active listening can combat this trend. 

September 26, 2022 | 3 min read

Concerning Hobbits: On Middle-earth and Medicine

By Tina Zhang, MD, Johns Hopkins Medicine, Zach Lorenz, MD, Johns Hopkins Medicine

J.R.R. Tolkein’s beloved trilogy offers lessons for life and medicine, including journeying with our patients through dark times and effectively engaging in teamwork. 

August 9, 2022 | 1 min read

How to Maintain Clinical Skills During Parental Leave . . . Don’t!

By Jessica Bienstock, MD, MPH, Johns Hopkins Medicine

Revel in the wonder and the joy that is new parenthood. The privilege of practicing medicine will be here when you return. 

July 11, 2022 | 5 min read

Navigating Power Relations in Healthcare

By Hailey Haffey, PhD, University of Utah

We must be aware of the power we have in relation to our patients. This imbalance must only be used in the service of care.   

November 15, 2021 | 1 min read

Healthy Social Media Use

By Nicole Cifra, MD, MPH, University of Rochester

Talk with patients about their social media use. Remind them to limit screen time before bed in order to sleep well and stay healthy.

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.

June 23, 2021 | 6 min read

Aducanumab: The Clinical Wisdom of Being Conservative, Careful, And Transparent

By Constantine Lyketsos, MD, Johns Hopkins Medicine

Clinicians frequently face thorny ethical dilemmas when caring for patients. Take time to reflect on all components of these issues before discussions with patients.

May 24, 2021 | 2 min read

In Sickness and in Wealth

By Eric Last, DO, Northwell Health, Wantagh, New York

When traveling to Denmark, I learned how much the Danes appreciate and value equitable access to care within their healthcare system. Countries can learn from one another, and clinicians can be impactful advocates for change.

January 27, 2021 | 2 min read

Gin And Tonic—Cultural Footprints of Disease

By Kittane "Vishnu" Vishnupriya, MBBS, Johns Hopkins Medicine

To mitigate incorrect assumptions about patients who have been infected with COVID-19, we must work to spread truths and to minimize inaccuracies—particularly those that may be shameful or demeaning.

February 25, 2021 | 2 min read

How You Can Help With Intimate Partner Violence

By Lisa Geller, MPH, Educational Fund to Stop Gun Violence

Intimate partner violence (IPV) is a public health crisis and most deadly when a gun is involved. Clinicians should screen patients for IPV, ask about firearm possession, and refer those at risk of IPV to appropriate services.

January 19, 2021 | 2 min read

How to Mitigate Compassion Fatigue

By Dimitrios Tsatiris, MD, Cleveland, Ohio

Prioritizing self-care and making an effort to connect with others may prevent burnout and allow us to continue to give clinically excellent care to patients.

October 22, 2020 | 2 min read

Patient voting matters

By Patrick Hemming, MD, Duke University

Clinicians are in a position of influence and can encourage patients to vote. Expressing confidence in patients’ ability to make a difference as a voter may motivate them to take action.

October 1, 2018 | 2 min read

Listening to Build Trust

By Sophie Lanzkron, MD, MDH, Johns Hopkins University School of Medicine

When I'm helping a patient who's angry about an aspect of care, the most important thing I do is listen, just sit quietly and listen. Often patients just want to be heard. Listening and repeating back their concerns lets them know they've been heard.

February 14, 2023 | 3 min read

Caring For Patients by Listening

By Shari Lawson, MD, Johns Hopkins Medicine

Treat every patient with respect and address all their concerns.

September 6, 2022 | 3 min read

Photographs at The Bedside

By Charlotte Grinberg, MD, Tufts Medicine Care at Home

Asking to see videos and memorabilia from a patient’s past may help us connect with each person in a more personal and complete way. 

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