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 & Partnerships
  • 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
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 

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.

Soller, Mallorca, Spain

February 26, 2025 | 2 min read

Kindly words 

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

As Osler advised, offering a "sympathetic look" and a "cheerful greeting" can transform everyday encounters into moments of healing. We all possess the capacity to uplift others. 

13 Norham Gardens, the Osler's home in Oxford from 1907 until their deaths.

June 6, 2018 | 1 min read

Open Arms: The Welcoming Spirit of the Osler Residence

By Margaret Chisolm, MD, Johns Hopkins Medicine

Although we might not all live in a “substantial Victorian house” like William Osler’s, we can all embrace the welcoming spirit of “The Open Arms,” and invite more of our learners into our homes for informal meetings, mentorship, and maybe even tea.

May 6, 2024 | 2 min read

A lesson in humility

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

All patients deserve to be treated with respect, listened to attentively, and seen as individuals.

May 3, 2022 | 5 min read

10 Pearls From Clinician Exemplars

By Ralph Hruban, MD, Johns Hopkins Medicine

We have much to learn from those who came before us. One example is working toward equity in healthcare, including fighting sexism and racism. 

March 30, 2018 | 4 min read

An EPIC Tale

By Wilma Ferthler, MD, Rural Country Doctor, Northeast Kingdom, Vermont

A warm welcome to our new regular contributor, Dr. Wilma Ferthler, a rural country doc from the Northeast Kingdom, Vermont.

March 28, 2019 | 6 min read

Integrating Psychology and Primary Care

By Benjamin Bensadon, PhD, University of Florida College of Medicine

Person-centeredness holds great potential to maximize healing in the way Osler envisioned more than a century ago. But to translate this concept clinically, psychology and medicine must come closer together. The closer we can come together, the closer we can come to Osler.  

The Osler Club of London's Osler Coat of Arms.

June 15, 2018 | 2 min read

Osleriana

By Margaret Chisolm, MD, Johns Hopkins Medicine

Enjoy our regular contributor Margaret Chisolm's fun exploration of all things Olser.

May 31, 2022 | 2 min read

3 Good Things

By Richard Wardrop , MD, PhD, Cleveland Clinic

Spring is a time of graduations, assuming new roles, and career transitions. It’s also a time to practice gratitude, lead, and strive for excellence. 

December 7, 2022 | 4 min read

The Road to Aequanimitas

My medical training in the 80s and 90s taught me to be reserved and distant from patients. After many years in practice, I now know that they deserve a personal relationship with their doctor.  

July 30, 2018 | 2 min read

Stepping Forward

By Dorianne Feldman, MD, MS, Johns Hopkins University School of Medicine

There is no greater reward than the gratitude of a patient you've helped to heal.

January 16, 2024 | 2 min read

“Too maternal”

By Kimberlee Parker, DO, MPH, Baylor College of Medicine

Being a mother has helped me to be a better doctor. Both roles require empathy, which I express toward my children and patients.  

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.

The Bluebird Cafe, Nashville, Tennessee. Copyright by the author.

May 11, 2020 | 3 min read

Redefining Rounds—Will The Circle be Unbroken?

By Chase Webber, DO, Vanderbilt University Medical Center

A patient care team performs best when all voices harmonize and creative approaches are applauded.

December 7, 2021 | 3 min read

A Window Into a Patient’s World

By Deirdre Johnston, MBBCh, MD, Johns Hopkins Medicine

Visiting a patient’s home environment, either virtually or in person, may shed light on the source of their distress.

October 26, 2021 | 3 min read

What is The Scope of a Clinician’s Work?

By Margaret Chisolm, MD, Johns Hopkins Medicine

We must help our patients achieve a state where body, mind, and spirit are working as a whole. We can help them do more than survive. Let’s help them thrive!

March 26, 2018 | 1 min read

Knowing and Caring For The Patient As A Person

By Kimberly Peairs, MD, Johns Hopkins University School of Medicine

Medical care extends far beyond simply treating a disease—it involves forging a relationship and offering trust, support, and wisdom. 

The author with Imam Hassan A. Aman, Johns Hopkins Ministry Advisory Board, sharing ideas about diversity.

May 23, 2018 | 2 min read

Identity: Knowing How Our Patients Describe Themselves Matters

The complexity of identity is what makes “getting to know your patient” important, and allows for deeper cultural engagement, exchange, understanding, and, ultimately, helps us to create a culturally competent health plan with our patients.

January 8, 2025 | 2 min read

Beyond the inhaler 

Effective and equitable asthma management requires a holistic approach that addresses the social determinants of health, including air quality, housing conditions, and environmental factors. 

Author's photos, including a photo of the portrait of Anna (center).

March 6, 2019 | 1 min read

Calling Card for the Soul

By Stephanie Cooper Greenberg, Johns Hopkins Pet Therapy Program

Pets hold a special place in all of our hearts. To connect with patients and to show genuine interest, ask them about their pets. You may be surprised how much you will learn about your patient including who they are, what matters to them, and what they love.

Evelyn in her nursing uniform.

December 18, 2018 | 4 min read

Evelyn’s Story

By Mariah Robertson, MD, Johns Hopkins Medicine

Keeping in touch with patients and their families in the days, weeks, and months following an encounter makes the practice of medicine meaningful and rewarding.

Plato, Greek philosopher. A disciple of Socrates and the teacher of Aristotle, he founded the Academy in Athens. This is his statue, located before the Academy of Athens, Greece.

June 29, 2022 | 3 min read

Being PerfecT in Healthcare 

By Mike Fingerhood, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

Moral questions often arise in healthcare. Contemplating how our efforts might translate into the most good deserves our thoughtful consideration. 

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 1, 2018 | 2 min read

Most Physicians Sit Down at the Bedside When Entering a Patient’s Room

By Scott Wright, MD, Johns Hopkins Medicine

Choice architecture, framing, herd behavior, and feedback—how to nudge your patient towards healthier choices.

December 10, 2024 | 1 min read

A breath of fresh air

By Mike Fingerhood, MD, Johns Hopkins Medicine

Healthcare professionals can prioritize ongoing conversations about the risks of smoking and vaping with young patients, tailoring their approach to address specific concerns and misconceptions.

October 17, 2018 | 1 min read

When?

By Scott Wright, MD, Johns Hopkins Medicine

Timing is everything! Daniel Pink's book, "When," will make you a believer!

Encourage parents to support their teens in connecting with friends safely.

October 7, 2020 | 1 min read

CLOSLER Together

By Scott Wright, MD, Johns Hopkins Medicine

Discussing CLOSLER pieces in groups may yield more insights than simply reading on your own. Consider adding a discussion of a piece to your next staff, practice, or division meeting.

February 12, 2025 | 1 min read

Insights from the book “Decoding Greatness”

By Scott Wright, MD, Johns Hopkins Medicine

Achieving greatness in any field is not only about talent or practice; it’s also about studying the successes of those who are exemplary. In medicine, observing and analyzing the approaches of admirable colleagues can allow us to grow and evolve toward being more clinically excellent. 

April 6, 2020 | 1 min read

Addiction Recovery During the Pandemic

By Mike Fingerhood, MD, Johns Hopkins Medicine

We are all stressed by the great uncertainty related to COVID-19, but for our patients with addiction, it is much greater. Check in with your patients and support them in finding healthy ways to cope.

April 2, 2025 | 2 min read

“Alchemy”—book review 

By Scott Wright, MD, Johns Hopkins Medicine

Sprinkling a little bit of magic into whatever you are doing can make it better and more fun. The world, in general, and healthcare are both in need of plenty of magical transformation—read on for ways to get started yourself.  

Dr. Wright's dog Lucy, out for a spring walk at the University of Virginia.

April 9, 2024 | 1 min read

Wagging tails and healing hearts 

By Gretchen Miller, Managing Editor, Scott Wright, MD, Johns Hopkins Medicine

If you or your patients are thinking about getting a pet, full encouragement; life is better with animals around. Pets generally improve mental well-being by offering unconditional love, reducing stress, and providing a sense of purpose. 

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.

"I've learned that keeping a vegetable garden is worth a medicine cabinet full of pills."-Lucy Beneventi

May 24, 2023 | 3 min read

An Email Chain That Made me Smile 

By Scott Wright, MD, Johns Hopkins Medicine

Each year of life has lessons to teach us. The insights in this piece may serve as a reminder to seek out advice from those who are older, and to make time for reflection. 

April 28, 2022 | 2 min read

Clinical Pearls From Sarah Lewis’ Book “The Rise”

By Scott Wright, MD, Johns Hopkins Medicine

The journey to mastery is long and full of setbacks. In clinical medicine, a commitment to excellence is a worthy goal; missteps represent growth opportunities, not failures. 

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 3, 2024 | 2 min read

Book review: “Everything I Know About Love” by Dolly Alderton 

By Scott Wright, MD, Johns Hopkins Medicine

This page-turner about friendship reminds readers that relationships are not easy and require sustained care and attention. In medicine and life, this can lead to meaningful and loyal bonds. 

May 4, 2021 | 1 min read

Love as a social determinant of health (archived 2021)

By Scott Wright, MD, Johns Hopkins Medicine

Many feel happier and healthier when feeling loved and sharing their love. Encouraging our patients to share love through meaningful personal relationships will improve their health and well-being.

July 5, 2018 | 1 min read

Getting the Most Out of Your Eyes

By Scott Wright, MD, Johns Hopkins Medicine

If you look at your patients as you would a piece of art in a museum, you will notice many details that would otherwise be missed.

June 16, 2021 | 1 min read

Why we Must Talk About E-cigarettes with Teen Patients

By Mike Fingerhood, MD, Johns Hopkins Medicine

Proactively counseling adolescents about the risks of e-cigarette use is essential. The message should acknowledge both the health implications and the pressures that they may feel from their peers.

March 13, 2018 | 2 min read

Reading Your Patient and Changing Your Plan

By Mike Fingerhood, MD, Johns Hopkins Medicine

We usually already have an agenda set when we see patients. However, we have to be ready to improvise by reading the patient, and be open to changing our plan.

June 15, 2020 | 1 min read

Getting CLOSLER: A Note to Our Readers

By Margaret Chisolm, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

For two years, CLOSLER has been stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

March 17, 2020 | 3 min read

Medicine is Like Poker

By Scott Wright, MD, Johns Hopkins Medicine

In medicine, uncertainty abounds. Poker can teach us how to make smarter decisions when we don’t have all the facts.

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.

January 9, 2023 | 2 min read

Questions Raised by “There, There” 

By Mike Fingerhood, MD, Johns Hopkins Medicine

Reflecting on our own “there” (the place where we grew up) can trigger conversation that helps us to understand our patients’ “there.” This can strengthen the patient-clinician relationship.

July 26, 2018 | 1 min read

A Taste of Their Own Medicine

By Scott Wright, MD, Johns Hopkins Medicine

Videos spreading misinformation to patients, promoting unproven therapies, can spread like wildfire on social media. We are sharing another video to fight fire with fire.

January 5, 2023 | 1 min read

Quiet Quitting in Healthcare

By Scott Wright, MD, Johns Hopkins Medicine

The past three years have been difficult in healthcare and some are now doing less than we used to. Because this may be a temporary strategy, patience and understanding may be the most considerate approach.  

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.

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.  

Public Domain, https://commons.wikimedia.org.

August 2, 2022 | 3 min read

Stranger Things in Healthcare

By Scott Wright, MD, Johns Hopkins Medicine

Working in healthcare can often feel like entering the “Upside Down.” The importance of teamwork, bravery, and embracing uncertainty are just a few of the valuable lessons from this terrific Netflix series.    

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 & Partnerships
  • Contact
  • Add Your Voice
  • Subscribe
  • Donate

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