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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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March 10, 2025 | 2 min read

The B12 fix

By Selvi Rajagopal, MD, MPH, Johns Hopkins Medicine

Clinicians should remember to watch for fatigue in patients shifting to plant-based diets; a B12 test can reveal a significant, reversible cause of feeling poorly. 

August 15, 2023 | 2 min read

The Importance of Humanities in Medicine

By Mike McCarthy, MD, Johns Hopkins Medicine

Engaging with and studying the humanities can help us give better patient care. Literature, art, and history remind us that patients are whole persons with lives that exist beyond medical problems. 

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.

August 25, 2022 | 3 min read

Hugs Are Medicine

By Aidan Crowley, Medical Student, University of Pennsylvania

Showing genuine warmth is a compassionate way to comfort our patients. 

August 14, 2023 | 3 min read

Accentuate The Positive

By Megan Gerber, MD, MPH, Albany Medical College

Sometimes interactions with patients may feel challenging. Expressing gratitude to patients for positive encounters may help reduce stress and bring joy.

August 31, 2018 | 1 min read

A Walk in the Woods Keeps the Doctor Away

By Rachel Levine, MD, MPH, Johns Hopkins University School of Medicine

The benefits of a walk outside include improved mood, self-awareness, emotional processing and regulation, attentiveness, and sense of well-being, as well as decreased feelings of stress and anxiety. 

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.

August 17, 2022 | 2 min read

Listening to The How Can Reveal The Why

By Jeffrey Millstein, MD, Penn Medicine, Meshulam Twerski, medical student, Penn Medicine

The way patients express their reluctance to pursue screening can help uncover truths that guide meaningful conversations and build trust.   

August 1, 2019 | 3 min read

Mindset and the Power of Yet: A Conversation With Dr. Gurpreet Dhaliwal

Excellent clinicians are also thoughtful mentors. Mentors are like beacons as we navigate our path forward.

December 30, 2020 | 4 min read

Grateful For #MedTwitter in 2020 

By Chase Anderson, MD, University of California San Francisco

Despite physical distancing during the pandemic, Twitter is a platform where clinicians around the world can connect. This reduces feelings of isolation and gives support to many.

July 15, 2020 | 5 min read

5 Steps to Regulate Our Emotions

By William Wright, DO, MPH, Johns Hopkins Medicine

Sometimes our feelings are difficult to manage. When working with patients and colleagues, recognizing, understanding, and labeling our emotions can help us to respond more thoughtfully.

May 1, 2024 | 2 min read

The patient’s voice: a doctor’s song

By Sujay Pathak, MD, Johns Hopkins Medicine

A clinician who heals truly listens without judgment and sees things from the patient's perspective.

July 25, 2019 | 2 min read

3 Lessons From my First House Call

By Jessica Colburn, MD, Johns Hopkins University School of Medicine

It is a privilege to be present with our patients, even during times of pain and loss. Meaningful connections, like those that naturally emerge during house calls, provide space for important decision making, comfort, and hope.

June 19, 2018 | 2 min read

Sleep solutions (archives, 2018)

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 24, 2019 | 3 min read

Time, Talent, and Treasure

By Jennifer Foster, MD, MBA, Florida Atlantic University

Excellent clinicians always strive to make human connections with their patients. This creates the foundation of trust and respect essential to healing.

December 17, 2020 | 4 min read

Racial Discrimination And Larger Bodies

By Kristal Brown, PhD, MSPH, Johns Hopkins Medicine

We must be aware of our own biases and prejudices in order to give excellent care to every patient.

June 3, 2020 | 2 min read

COVID-19 Hospital Visitor Restrictions May Fuel Obstetric Disparities

By Alexandra Norton, MS3, Johns Hopkins Medicine, Marielle Gross, MD, Johns Hopkins Berman Institute of Bioethics, Tenisha Wilson, MD, PhD, Johns Hopkins Medicine

Clinicians must ensure that visitor restrictions do not exacerbate racial disparities in health outcomes during the pandemic. Now more than ever—without family at the bedside—listening to and advocating for your patients is essential.

September 1, 2021 | 2 min read

What’s The Problem?

By Ben Roberts, CRNP, AGACNP-BC, ACHPN, Johns Hopkins Medicine

Systematically formulating a clear statement of the patient’s problem can be incredibly helpful. This may improve your diagnostic reasoning and ability to formulate more effective therapeutic plans.

The new 2018 members of the Gold Humanism Honor Society chapter at Georgetown University School of Medicine.

June 12, 2018 | 6 min read

Transcending Quality In Pursuit of Clinical Excellence

By Jack Penner, MD

This is an excerpt of the keynote speech given by Jack Penner at the 2018 induction ceremony for the Gold Humanism Honor Society chapter at Georgetown University School of Medicine. Dr. Penner will be entering residency in Internal Medicine at UCSF as a member of the UCPC Primary Care Track.

"Spending time outdoors helps me cope with the stress and sadness of the job." -Dr. Jared Rubenstein

December 10, 2020 | 3 min read

Coping With Patients’ Heartbreak

By Jared Rubenstein, MD, Baylor College of Medicine

When supporting patients and their loved ones during times of great sadness and loss, cultivating a daily habit of self-care may protect against burnout.

June 8, 2023 | 3 min read

The Swiss Army Knife

By Cory Rohlfsen, MD, University of Nebraska Medical Center

Sometimes clinicians’ wellspring of empathy runs dry. Unfolding a few simple tools—like mirroring patients’ nonverbal communication—can improve therapeutic relationships and allow us to provide compassionate care even when we are not at our best.

June 23, 2020 | 1 min read

Connecting Despite Physical Distance

By Carey Roesler, PA-C, Johns Hopkins Medicine

Telemedicine visits are an opportunity to hone our listening skills, thus improving the care of our patients.

August 16, 2021 | 3 min read

The Heart of Clinical Reasoning

By Susrutha “Sus” Kotwal, MBBS, MD, Johns Hopkins Medicine

Making a diagnostic error reminded me that connecting with patients on a personal level is necessary for optimal clinical reasoning.

June 13, 2022 | 2 min read

3 Tips from the ED For All Healthcare Professionals

By Rodney Omron, MD, MPH, Johns Hopkins Medicine

Sharing appreciations with colleagues and learners is your superpower. Use it. 

January 22, 2025 | 2 min read

The ulcer: a window into a patient’s emotional distress 

By Margret Nassuuna, DCP, Innerspark Recovery, Naalya, Uganda

The body, a masterful storyteller, often reveals insights into a patient’s mental state. By deciphering its narratives, clinicians may also be able to better address both the mental and emotional aspects of care.

"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. 

August 5, 2021 | 2 min read

Talking With People About COVID Vaccination

By Daniel Brotman, MD, Johns Hopkins Medicine

When discussing COVID vaccinations, I show appreciation to those who have been vaccinated and explain to them that they performed a vital civic duty.

September 22, 2025 | 1 min read

Touchdowns, “trash talk,” and treatment 

Conversing about sports with patients and colleagues, even if you cheer for rival teams, can be a light and fun way to build connections. 

March 11, 2024 | 2 min read

Hold my hand 

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

When my friend was dying, I realized the importance of a comforting touch, like holding hands. This physical connection can give comfort to both healer and patient.  

June 13, 2022 | 3 min read

Pause, Relax, Open

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

In these politically polarizing times, we must continue to practice loving kindness toward our patients. This includes patients who share prejudiced and/or judgmental opinions with us. 

"New Zealand Landscape," original artwork by the author, 2011.

July 18, 2019 | 4 min read

Circle Medicine: A Holistic Approach to Health for Clinicians and Patients

By David Kopacz, MD, University of Washington

It can be helpful to see the circle path of the hero's journey as the healer's journey, the path that we take through our lifelong medical education. For the true healer, this is not a journey we make just once, but periodically we embark on exploring new depths of the suffering of the world, reaching deep into ourselves to find new resources for healing to bring into our work and world.

December 23, 2024 | 1 min read

Beyond the Grinch’s grump 

By Heather Agee, MD, Johns Hopkins Medicine

Patients exhibiting "Grinch-like" behaviors may be masking underlying trauma and vulnerability. Try an empathetic "Cindy Lou" approach to foster trust and facilitate healing. 

May 23, 2023 | 3 min read

“Both And”

By Jennifer Lycette, MD, rural oncologist in the Pacific Northwest

As the only oncologist in a small rural town, I must often care for patients who are also my friends.

April 20, 2020 | 3 min read

Gender-Affirming Care During the Pandemic

By Carl G. Streed Jr., MD, MPH, Boston Medical Center, Liam Hein, PhD, RN, University of South Carolina, College of Nursing, Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Postponing procedures safeguards public health but can be distressing, particularly for transgender patients. Be proactive and transparent about access limitations during the pandemic.

September 11, 2025 | 2 min read

Compassion at eye level

When communicating with patients, words, tone, and gestures matter. In addition, genuine presence provides comfort to patients who are suffering.  

June 11, 2018 | 5 min read

Caring For The Patient

By Michael Carducci, MD, Johns Hopkins University School of Medicine

An oncologist shares his inspiring clinical mission and values statement on noticing beauty and knowing his patients.

"Primary Colors Ascending," by Janice Greenberg.

December 17, 2024 | 5 min read

The portal paradox   

By Megan Gerber, MD, MPH, Albany Medical College

Communicating with patients electronically presents both benefits and challenges. I’ve cherished when patients have shared creative works with me—both in person and via the portal—although I recognize this may add to my message count. 

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.

September 9, 2025 | 2 min read

Lessons from osteopathic training 

Osteopathic medicine’s holistic approach offers opportunities for individualized and effective care. Integrating an appreciation of the mind-body-spirit connection, for example, encourages a deep understanding of the unique goals and challenges each patient faces. 

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 16, 2024 | 2 min read

Navigating vaccine discussions (archives, 2024)

By Erica Prochaska, MD, Johns Hopkins Medicine

By understanding and addressing patients' concerns about vaccination, healthcare professionals can foster trust and promote informed decision-making. Every conversation is a chance to educate and empower. 

October 28, 2020 | 1 min read

Preventing Dry Eye in the Zoom Era

By Sharon Solomon, MD, Johns Hopkins Medicine

Increased online activities during the pandemic has caused higher rates of dry eye for many. All clinicians should encourage their patients to take regular short breaks from screens.

May 10, 2023 | 1 min read

Coming Back Later

By Tetsuyuki Kawai, medical student, Texas Tech

I learned from my patient with terminal lung cancer that it’s often helpful to give time to process bad news before making a medical plan together.  

Helen Brooke Taussig (May 24, 1898 - May 20, 1986), American cardiologist who founded the field of pediatric cardiology. Photograph taken for the cover of Modern Medicine, January 21, 1963. Wikipedia, public domain.

April 1, 2020 | 4 min read

Strength in Vulnerability

By Kamna Balhara, MD, Johns Hopkins Medicine, Sarah Clever, MD, Johns Hopkins Medicine

There is strength in acknowledging our fears individually and facing them collectively.

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. 

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.

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.

April 13, 2020 | 3 min read

Social Distancing, Not Emotional Distancing

By Loveleena Virk, MD, Kaiser Permanente, Oakland Medical Center, California.

Creating space to recognize and manage feelings of helplessness is critical to prevent burnout and maintain wellness during the pandemic. We share strategies in this piece to help you cope during these challenging times.

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