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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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January 26, 2023 | 2 min read

The Things You Don’t Say

By Drea Burbank, MD, Putumayo, Colombia

Writing poetry, like other forms of creative self-expression, can be a way to process distressing events in clinical care.   

February 5, 2019 | 2 min read

Creating a Clear Care Map for Patients

By Chris Myers

Showing patients and their families a clear map of their care plan can help bring awareness and healing to patients and families alike.

June 9, 2025 | 3 min read

When care hurts 

Patients’ past healthcare experiences influence their ability to engage in care. Taking time to learn about their life stories builds trust and empowers them to participate in their healing. 

December 21, 2022 | 1 min read

The “D” Word

By Delia Chiaramonte, MD, MS, Integrative Palliative Institute

To give excellent care to patients we must become comfortable using direct language, including words like “death” and “dying.” 

July 31, 2018 | 3 min read

Waste Not, Want Not!

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

Keeping meat properly refrigerated is critical. Don’t forget to specifically ask patients if they have eaten roadkill if they present with diarrhea (especially in summer) & no other obvious source of infection is apparent.

October 24, 2019 | 1 min read

The Art of Talking About Death

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

The clinically excellent clinician engages in honest conversations about death and dying with patients and their families.

January 26, 2022 | 1 min read

Talking With Older Patients About Winter Hazards

By Shaista Ahmed, MBBS, MPH, Johns Hopkins Medicine

Be sure your geriatric patients are aware of winter hazards and provide guidance on how to avoid the risk of falls and hypothermia.    

June 4, 2025 | 3 min read

Letting the tea leaves breathe 

Kind gestures, like bringing a patient a cup of tea, may help bridge the gap between suffering and solace. Such thoughtfulness can offer comfort as powerful as any medication. 

Ahjeetha Shankar dancing.

August 22, 2024 | 3 min read

Dancing closer to patients 

By Ahjeetha Shankar, medical student, Johns Hopkins Medicine

During medical school, I learned the importance of pursuing personal passions outside of the hospital. Reconnecting with my love of Indian dance has enhanced my ability to connect with patients about their own hobbies. 

January 16, 2019 | 8 min read

An Ode to the Herculean Heart

"Heart: A History," elevates our appreciation of how our predecessors worked to better patient lives, as well as the psychosocial aspects of heart disease.

November 27, 2023 | 2 min read

When the truth (literally) hurts

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

When our patients are facing surgery or other procedures, thoughtful questions can help allay their worries.  

October 17, 2019 | 1 min read

Highs and Lows

By Kimberly Turner, MD, Johns Hopkins Community Physicians

The clinically excellent physician is always fully present with their patients. Sometimes there is the joy of a healthy new baby, and other times there is despair.

January 10, 2022 | 2 min read

Being Present During The Dying Process

By Shireen Heidari, MD, Stanford University

It’s the job of all clinicians to guide patients and their loved ones through the experience of death. Offering support and being present can help them navigate the end of life. 

September 16, 2020 | 1 min read

Music For Stress Reduction

By Chris Dingman, vibraphonist and composer

Spend time each day doing something you enjoy, like listening to music. Just a few minutes can help you remain balanced, avoid burnout, and give better care to patients.

December 13, 2022 | 3 min read

Mindful Movement

By Ken Koon Wong, MD, Cleveland Clinic

Consider encouraging your patients to practice tai chi to reduce feelings of anxiety and promote relaxation.  

January 10, 2019 | 3 min read

How to Improve Your Physical Diagnostic Skills With a Digital Database

By Samuel Durso, MD, Johns Hopkins Medicine

To sharpen diagnostic skill, take a minute to cross check the physical exam against images and lab results in the electronic record - if not congruent, then why?

July 17, 2018 | 4 min read

Being a True Patient Advocate

By Deborah Freeland, MD, Johns Hopkins University School of Medicine

Sometimes being an advocate for your patient means fighting for a decision that you don’t fully agree with and respecting their decision; in so doing, you are fulfilling your duty to protect and honor patient autonomy.

December 22, 2021 | 3 min read

Coping with grief during the holidays

By Ankita Sagar, MD, Brooklyn, New York

Having experienced my cousin’s death before Christmas reminds me that December isn’t a joyous time for everyone. I encourage those struggling to connect with loved ones and limit substance use. 

May 13, 2025 | 2 min read

The unseen front line: lessons from my military deployment  

In a field hospital, one learns quickly about clear communication and thoughtful decision making. These behaviors and working collaboratively with others are just as critical across all clinical settings. 

November 5, 2020 | 3 min read

Cultivating Compassion

By Aidan Crowley, Medical Student, University of Pennsylvania

Compassion—acting on the desire to relieve suffering—is central to giving clinically excellent care to those in need.

December 6, 2022 | 1 min read

The Helpful Role of Doulas

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Talking with expectant parents about support options can help them make informed decisions about birth plans. Doulas have been associated with a more positive delivery experience.  

October 31, 2023 | 2 min read

It is 4 a.m.

By David Kopacz, MD, University of Washington

Burnout and emotional detachment are common in medical training. Being aware of this and truly listening to patients can help us renew our compassion.

July 25, 2024 | 2 min read

Embracing awe

By Sean Goldy, PhD, Johns Hopkins Medicine

Clinicians should encourage patients to take time to notice things that may inspire awe. For patients, this may significantly reduce stress, improve well-being, and foster social connections.

August 25, 2020 | 4 min read

A Real Hero and a Real Human Being

By Andrew Philip, PhD, Primary Care Development Corporation

The pandemic has created more stress for everyone, including healthcare professionals. Finding a relaxing activity to practice regularly can help you persevere.

November 21, 2022 | 3 min read

The Angry Daughter

By Bill Bachman, MD, Albany Medical College

When working with patients or loved ones who are confrontational, recognize your own feelings, try to understand theirs, and know when to ask for help from colleagues. 

November 15, 2018 | 3 min read

You’re Always a Provider, Even in the Coffee Line

By Ishwaria Subbiah, MD, MS, The University of Texas MD Anderson Cancer Center

Opportunities to ease distress extend beyond the bedside and outside of the clinic to every interaction with our patients and also their caregivers.

October 26, 2023 | 1 min read

Silent Walking

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Take time for a mindful stroll. Instead of multitasking, untether from electronic devices, tune into the senses, and allow space for thoughts.

October 9, 2019 | 3 min read

Return to Play

By John Wilckens, MD, Johns Hopkins Medicine

While research findings are critical for clinical decisions, they only support the human art of empathizing with and understanding your patients.

December 15, 2021 | 1 min read

The Power of Humor

By Jennifer Eitingon, MD, Johns Hopkins Medicine

My dying patient taught me that laughter can sometimes normalize difficult situations. Finding humor in the problem lightened the mood and allowed us to devise a care plan that preserved her dignity.  

July 23, 2024 | 3 min read

The last gaze: witnessing a peaceful death 

By Michael McCarthy, MD, Johns Hopkins Medicine

In Abraham Verghese’s novel “Cutting for Stone” I learned about how to help patients face death. This includes considering the role of spiritual support and ensuring patients feel cared for in their final moments. 

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.

November 27, 2018 | 3 min read

Sleep on it!

By Logan Schneider, MD, Stanford Medicine

Give yourself enough sleep to retain new learning, give better patient care, and help prevent burnout!

April 29, 2025 | 2 min read

Soul gym

Our culture frequently celebrates physical strength. In healthcare, the power of emotional fortitude is regularly called upon when encountering patients’ frustration or anger. 

July 17, 2024 | 1 min read

Building bridges

Some patients have strong preferences that may not align with best practices of care. Empathy, active listening, and kindness can build trust and guide patients toward making informed medical decisions.

Dr. Barry Solomon and his team work to create a safe space for teens at their practice.

April 12, 2018 | 3 min read

Creating a Safe Space For Teen Well Visits

By Barry Solomon, MD, MPH, Johns Hopkins University School of Medicine

Providing excellent care for adolescents includes creating a safe space for confidential discussions. The clinically excellent pediatrician is able to help support the teen to share sensitive concerns with parents and caregivers.

November 9, 2022 | 2 min read

Trust

By Joanne Shay, MD, Johns Hopkins Medicine

While caring for a four-year-old girl diagnosed with lymphoma, I learned that acknowledging and validating patient and family fears strengthens relationships.

Many healthcare professionals make the sacrifice of quarantining from their families during the pandemic.

March 3, 2021 | 3 min read

Understanding the Sacrifices we Make in Medicine

By James Aluri, MD, Johns Hopkins Medicine

Giving excellent care to every patient requires you to make significant sacrifices. Acknowledging this can help you understand, and even accept, these sacrifices.

July 11, 2024 | 2 min read

Protecting the most vulnerable from heat-related illnesses (archives, 2024)

By Joanna Cohen, MD, Johns Hopkins Medicine

When caring for patients during heat waves, healthcare professionals should be aware of social determinants of health—like no air conditioning at home. Clinicians should know the available resources to recommend, such as cooling centers within the communities they serve. 

August 7, 2020 | 3 min read

How to Talk About Diversity With Minority Physicians

By Chase Anderson, MD, University of California San Francisco

Before asking minority colleagues about discrimination, gain their consent first.

June 28, 2018 | 1 min read

Reciprocating At Esperanza

By Randy Barker, MD, Johns Hopkins Medicine, retired

Making an effort to learn words in the patient's first language can make a huge difference in the physician-patient connection.

November 14, 2018 | 2 min read

How Clinicians can use “Wait, what?”

By Scott Wright, MD, Johns Hopkins Medicine

Asking good questions is fundamental for learning about our patients. Five great questions, assembled by University of Virginia President James Ryan, can help you to connect with, understand, and serve patients better.

April 21, 2025 | 3 min read

There’s been a suicide 

I wrote this poem recently after learning of a veteran’s death by suicide. This prompted me to reflect on my work as a psychiatrist, systemic failures, and the cyclical nature of grief. 

September 30, 2019 | 1 min read

Practicing Non-Judgement

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

A key to persuading patients to make healthy choices is a strong therapeutic relationship.

September 27, 2023 | 1 min read

Guardrails And Ambulances 

By Mike Fingerhood, MD, Johns Hopkins Medicine

Over 100,000 Americans die every year from overdoses, and most are preventable. Discuss with patients and loved ones the dangers of having old prescription or counterfeit pills, as well as the importance of keeping naloxone on hand.

August 19, 2019 | 6 min read

Holding Hope

By Jennifer Goetz, MD, Massachusetts General Hospital and McLean Hospital

By highlighting the strength and courage of our patients, we can sustain hope for our patients and their families.

November 18, 2021 | 3 min read

Adequate Bandwith

By Jennifer Eitingon, MD, Johns Hopkins Medicine

Recently, a patient dying of cancer requested CPR despite many clinicians advising against it. When it feels challenging to understand a patient’s decision, I remind myself to consider the situation from a different perspective.

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. 

October 27, 2022 | 2 min read

Connections Accelerated

By Jamie Schwartz, MD, Johns Hopkins Medicine

Some clinical encounters require establishing a patient-doctor connection quickly. Providing emotional support may improve your ability to create trusting relationships. 

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.

May 2, 2018 | 1 min read

Top Tips To Improve Your Webside Manner

By Joshua Wadlin, MD, Johns Hopkins University School of Medicine

You might think your bedside manner is excellent, but how’s your webside manner?

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