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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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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. 

May 30, 2019 | 9 min read

Confessions of a Female Doctor who Questions Gender Equity Movements Like TIME’S UP Healthcare

By Kali Cyrus, MD, MPH, Johns Hopkins Medicine

We have to embrace humility and first accept that we have biases, prejudices, and privileges in certain contexts. We must then do the hard work of recognizing when our biases show up in interactions, examine our past experiences that contributed to the development of our biases, and acknowledge the hurt that may be caused by our biases to ourselves and others. If we truly want to stop harassment and create equity, we have to do this emotional work every day. And we should do it to stop harassment and create equity for not just women, but for everyone.

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. 

WWI Battle of Verdun Cemetery, Verdun, France.

March 23, 2020 | 4 min read

Finding the Right Words—Lessons From Nurse Mary Borden

By Iro Filippaki, PhD, Johns Hopkins University School of Medicine

WWI Nurse Mary Borden's autobiography provides inspiration to search for the right words to describe our experience, and perhaps, find solace as we face the challenges of medicine.

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.  

October 31, 2025 | 2 min read

Starting over 

Approach each patient encounter with humility and curiosity. If you misstep, apologize and invite a reset to restore trust. 

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. 

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.

Encourage parents to support their teens in connecting with friends in physically-distanced ways.

March 3, 2020 | 3 min read

The Power of the “Ordinary”

By Gaye Cunnane, MD, PhD, Trinity College Dublin

Excellent clinicians recognize that sometimes the opportunity to make a difference in the lives of patients comes in the most unexpected moments.

"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 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. 

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. 

January 29, 2020 | 2 min read

How to Give Patients Presence

By Aidan Crowley, Medical Student, University of Pennsylvania

Leaving your own worries at the door, sitting at eye level, and listening attentively are three important ways to connect meaningfully with your patients.

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.

October 17, 2025 | 3 min read

Got religion? 

Patients’ community participation can be a powerful determinant of health—an essential part of your assessment and care plan. Try asking, “Are you part of a faith community, and how is it affecting you right now?” 

"Wheat Field with Cypresses," Vincent van Gogh, 1889. Metropolitan Museum of Art.

May 7, 2019 | 2 min read

Finding Balance

By Danielle Johnson, MD, Lindner Center of HOPE, University of Cincinnati

Small gestures while supporting patients through trauma and grief can make a big difference.

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. 

January 14, 2020 | 3 min read

A Relationship Between Equals

By Madeline Rodriguez, MD, Johns Hopkins University School of Medicine

The clinically excellent practice is centered on core humanistic values rather than on efficiency or productivity.

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. 

April 16, 2019 | 2 min read

4 Lessons From 12 Years as a Patient-Doctor

By Julia Michie Bruckner, MD, MPH, Children\'s Hospital Colorado, University of Colorado School of Medicine

Our white coats are not shields; they could be traded in for a flimsy hospital gown at any moment. Keeping this in mind, we can think of how we want to be cared for when our time comes, and then give this level of care to others. We can honor our shared humanity and vulnerability in our practice.

December 17, 2019 | 4 min read

Stop, Look, and Listen

By Chase Webber, DO, Vanderbilt University Medical Center

From a young age, children learn to “Stop, Look, and Listen” when crossing the street. Clinicians would do well to live by these words in the realm of clinical reasoning.

March 20, 2019 | 4 min read

Social History as Story

By Colleen Farrell, MD, New York University

We cannot understand our patients’ bodies if we do not understand something about who they are as human beings,

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.

Vibraphone. Copyright Chris Dingman.

December 5, 2019 | 2 min read

Peace—Music to Live

By Chris Dingman, vibraphonist and composer

Music with intention and sensitivity can be a powerful tool for helping the terminally ill—and others—cope with physical and emotional pain in order to find peace. Recommending this form of therapy to patients can be a valuable gift.

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.  

March 5, 2019 | 3 min read

From Film School to Medical School (Part 3 of 3)

By Margaret Chisolm, MD, Johns Hopkins Medicine

Using both words and images, John Berger and Jean Mohr's photo-essay, "A Fortunate Man," provides an intimate glimpse into the role of the doctor: "To cure sometimes, to relieve often, and to comfort always."

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. 

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. 

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. 

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.   

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.  

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.

November 4, 2019 | 3 min read

Top Tips to Make the Best of Night Call

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

Working nights in healthcare is tough. Five tips highlighted in this piece are related to self-care, and the last one reminds us all to support our colleagues who are covering the night shift.

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 26, 2019 | 4 min read

On “Great” Diagnoses

By Nathan Douthit, MD, Brookwood Baptist Health, Birmingham, Alabama

Making an accurate diagnosis and giving a name to our patient's illness is a crucial component of acceptance and healing for the patient and their family.

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.

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.

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.    

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. 

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.  

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.

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. 

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 14, 2025 | 2 min read

Rose, bud, and thorn 

Try starting your next team meeting with an icebreaker activity. Rituals like this can jumpstart connections with colleagues and build healthier care teams. 

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.

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.

Our Mission

Stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

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