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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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October 30, 2019 | 13 min read

Partnering With Parents—An Appraisal of Familial Feelings

By Monique Webber

The clinically excellent clinician understands that each family responds to and copes with chronic illness or disability differently. Being open-minded when partnering with families, and especially parents, is critical for ensuring a trusting relationship and providing support.

June 24, 2021 | 2 min read

How to Emotionally Support Patients Through Challenging Moments

By Rebekah Fenton, MD, Northwestern University

When I was a med student, I tried to “fix” how my patient was feeling. I learned that many patients need time to sit with their feelings and that listening empathically can be the best approach.

February 22, 2024 | 1 min read

A journey through time 

By Beatriz Rizkallah Alves, MD, Massachusetts General Hospital

As a young doctor, I cared for a centenarian. I realized that I’d never fully appreciated the complexity and challenges of aging—I now take extra time to uncover my older patients’ struggles. 

June 1, 2022 | 2 min read

“The Pause”

By Eileen Barrett, MD, MPH

Healthcare professionals give their best patient care when they are emotionally well. Making time to grieve the loss of a patient can help clinicians heal. 

December 5, 2024 | 2 min read

Risorius: the power of a smile 

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

A genuine smile can convey empathy, warmth, and reassurance, fostering a positive and trusting patient-clinician relationship. This helps create a more welcoming and comforting atmosphere.

"Helping Hands," by David Kopacz. Copyright with the artist.

November 3, 2020 | 4 min read

Beyond Resilience: Fighting the Causes of The Burnout Pandemic

By David Kopacz, MD, University of Washington

Clinician wellness should be a shared responsibility between individuals and institutions. Beyond facilitating clinician resilience, institutional transformation is needed.

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. 

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. 

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.

December 4, 2024 | 2 min read

The complexities of middle age 

By Alicia Arbaje, MD, MPH, PhD, Johns Hopkins Medicine

Mid-life is a period marked by multifaceted challenges, including physical, emotional, and social stressors. By adopting a holistic approach that addresses the whole patient healthcare professionals can provide more comprehensive and effective care. 

October 21, 2020 | 3 min read

Show Me

By Jared Rubenstein, MD, Baylor College of Medicine

Asking patients to share photos and videos can give clinicians a deeper understanding of their lives. This may allow us to give better person-centered care.

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.

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. 

April 14, 2022 | 3 min read

Afraid to Tell The Truth

By Kirsten Elin Smith, PhD, National Institute on Drug Abuse

When I shared with my clinician that I had previously been a heroin user, she made me feel ashamed. This taught me the importance of listening to patients with nonjudgmental curiosity. 

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 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. 

March 6, 2023 | 1 min read

Supporting Menopausal Patients

By Talia Sobel, MD, Mayo Clinic

Women often receive misinformation about menopause and even experience medical gaslighting from healthcare professionals. Clinicians should validate patients’ symptoms, and work with them to improve quality of life. 

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 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?

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.

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. 

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.

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.

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.  

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.

March 2, 2022 | 1 min read

Redefining Success

By Jennifer Eitingon, MD, Johns Hopkins Medicine

My patient on palliative radiation died in the hospital, instead of at home as she wanted. I was reminded that we must always create a treatment plan based on the patient’s goals instead of our own. 

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.

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.   

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.

Humility—a graceful bridge over the abyss of self-doubt.

April 7, 2021 | 3 min read

Humility

By Steve Bierman, MD, Del Mar, California

In medicine, all too often the optimal approach for diagnosis or therapy is not entirely clear. Acknowledging uncertainty with your patient is a sign of a humility that can strengthen the connection.

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. 

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. 

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!

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.

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.” 

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. 

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.

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.

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.

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.    

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.

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. 

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.  

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 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.  

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. 

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.

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.  

Operationalizing basic systems like a phone call home following a hospitalization can make a meaningful difference for patients.

March 25, 2025 | 3 min read

Operationalizing empathy

By Steve Meth, JD, MS, Johns Hopkins Medicine

Small systemic adjustments can have a significant impact on care quality. Examples that have been impactful recently include post-discharge phone calls, AI scribing, and better integration of bedside EHR.

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