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November 16, 2020 | 5 min read

Breaking Bad on Video

By Mark Taubert, MD, Cardiff University, Wales

Traditionally, grave medical news is shared in person; we're now having to do so virtually. During such conversations, try to infuse as much warmth and compassion as possible.

November 11, 2021 | 3 min read

Dying Alone

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

Caring for a patient dying of AIDS reminded me that—while it's necessary to be fully present and listen attentively to all patients—those who are alone need even more of our time.

Hobbit holes, Hobbiton, Matamata, New Zealand. Photo by Jackie Ick, flickr.com, public domain, wikimedia.org.

February 21, 2020 | 2 min read

Hobbits of Healthcare

By David Shih Wu, MD, Johns Hopkins Medicine

The excellent clinician demonstrates hobbit-like bravery by leaning into hard conversations.

August 15, 2022 | 2 min read

Role Modeling Vulnerability

By Daniel Saddawi-Konefka, MD, MBA, Massachusetts General Hospital

When a patient dies, sharing your emotions with trainees normalizes this response and highlights our shared humanity.

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.

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.

August 28, 2023 | 2 min read

Travelers on an Unfamiliar Road

By Daniel Pomerantz, MD, Montefiore New Rochelle Hospital, New York

A rabbi once taught me the distinction between curing and caring. As I accompany patients on the rough road of illness, I consider ways to make their journey a little smoother.

February 11, 2020 | 2 min read

Moving Mountains

By Susan Huff, RN, MSN, Johns Hopkins Homecare Group

In end of life care, excellent clinicians can and should move mountains to get patients home if that's where they want and need to be.

November 6, 2019 | 3 min read

Songs From Hospice

By J Lind, Dale Fellow and touring songwriter, Nashville, Tennesse

It's the details of the patient's story that transforms them into a person.

July 8, 2021 | 1 min read

Reaching Out to Your Patient’s Family When Death is Imminent

By Jeffrey Millstein, MD, Penn Medicine

When my friend died of pancreatic cancer recently, I saw how valuable it was for her family to hear from the treating physician. Going forward, I will emulate this inspiring practice.

"If I die, tell my mother I love her. If I get better, I'm going to visit her in Tennessee. She has ten acres and a farmhouse."

May 11, 2021 | 1 min read

Empathy at The End of Life

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

At the end of life, clinicians who are present and listen compassionately may be entrusted with patients’ final wishes. Attempting to honor these requests is one way to serve.

November 25, 2020 | 2 min read

Naming Chickens

By Claire Crawford, MSW, PhD, Texas Childrens

Incorporate laughter and joy where you can, giving yourself, your patients, and their families, moments of respite.

October 2, 2024 | 1 min read

Pain management: a perspective from a doctor in Kuwait

Pain and suffering are ubiquitous. Observing approaches and practices in the U.S. highlighted for me the importance of open dialogue, patient empowerment, and multimodal approaches.

November 15, 2022 | 1 min read

Will I lose my hair?

By Lauren Rissman, MD, Advocate Childrens Hospital

Talking with my young patient about his cancer, he shared being most afraid of going bald. I learned that it’s important to acknowledge and validate all worries, including those that are not life-threatening.

November 2, 2022 | 2 min read

The Last Choice

By Ivy Akid, MD, Johns Hopkins Medicine

Caring for a man dying of cancer reminded me to always guide patients toward decisions that best align with their goals of care.

July 26, 2022 | 2 min read

Sharing One More Pint

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When caring for a cancer patient who lived days longer than expected, I learned to be humble in my prognostications and to help patients receive “extra” moments of life as gift.

April 6, 2022 | 3 min read

The Last Inning

By Mark Duncan, MD, Johns Hopkins Medicine

Sometimes, patients have the opportunity to write a beautiful concluding chapter to their lives. We can encourage them in this endeavor.

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.

February 10, 2022 | 1 min read

How to Express Empathy With Humility

By Rebekah Fenton, MD, Northwestern University

To show we care, we can simply say something like, “I can’t imagine how hard this must be.”

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.

June 7, 2023 | 1 min read

Reflections on Candles

By Joanne Shay, MD, Johns Hopkins Medicine

Consider how we are beacons of hope for our patients and their loved ones as they navigate a potentially dark time in their lives.

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.

December 22, 2022 | 2 min read

Bittersweet Holidays

By Taryn Schuelke, MS, CT, CCLS, Texas Childrens Hospital

Many experience grief during the holidays. Make sure to acknowledge your patients’ feelings and consider encouraging them to heal through ritual.

September 28, 2022 | 1 min read

The Fist Bump

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

My patient and her family showed me how to celebrate and enjoy each moment, even in the face of a terminal diagnosis.

August 11, 2022 | 2 min read

A Mother’s Death

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

Including a patient’s words in your empathic response is affirming and creates connection.

June 22, 2023 | 2 min read

Caring With Pride

By Corey Tapper, MD, Johns Hopkins Medicine

To ensure nonjudgmental and equitable care of LGBTQ+ patients, call and chart people by their preferred name and pronouns. I also wear a Pride flag lapel pin to show my support.

November 5, 2018 | 2 min read

Providing Holistic Care

By Nancy Hutton, MD, Johns Hopkins University School of Medicine

Excellence in clinical care requires intellectual rigor, keen observation, empathic communication, an understanding of the context in which the patient lives, and consideration of the individual patient as the center of care.

May 7, 2024 | 3 min read

“My patient is dying”

By Nakiya Showell, MD, MPH, MHS, Johns Hopkins Medicine

Excellent patient care goes beyond medical expertise. Building relationships, clear communication, and emotional intelligence are crucial for compassionate care, especially in the face of critical illness.

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.

March 4, 2021 | 2 min read

Clear is Compassionate

By Jillian Bybee, Michigan State University

Always be honest and transparent when talking with patients, even when sharing bad news.

May 4, 2021 | 1 min read

Love as a Social Determinant of Health

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.

April 5, 2018 | 5 min read

Remaking Medicine Whole

By Gregory Frichionne, MD, Harvard Medical School

A review of "Whole Person Care: Transforming Healthcare" by Tom Hutchinson, MB, McGill University.

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.

September 24, 2018 | 1 min read

Healing, Counseling, and Consoling

By Satish Shanbhag, MBBS, MPH, Johns Hopkins University School of Medicine

An essential part of clinically excellent care is empathy with our patients—a trait that can be cultivated by visualizing ourselves as an extension of our patient’s family helping them get through a rough patch in life.

November 1, 2018 | 2 min read

Lessons From ‘The Giving Body’

By Adam P. Stern, MD, Harvard Medical School

Little by little, chronic disease can eat away at a patient’s sense of self. The best antidote can be a doctor who empathizes with the patient’s subjective experience.

February 14, 2022 | 2 min read

Patients Admitted to Hospitals May be Sicker Than Ever

By Scott Wright, MD, Johns Hopkins Medicine

Because of the pandemic, some patients have avoided healthcare settings and professionals. Outreach to these patients is needed.

September 9, 2019 | 6 min read

Patient Interviewing Gems

By Thomas Gracie, Medical Student, Johns Hopkins University School of Medicine

Excellent clinicians make the time to learn about their patients as people and connect on a personal level, building relationships that can last years, decades, or even a lifetime.

June 1, 2023 | 3 min read

Meditations For Pride Month

By Hailey Haffey, PhD, University of Utah

LGBTQ2S+ Pride Month can provide us with a time not only to celebrate but also to reflect on questions related to shame and alliances in medicine.

February 3, 2021 | 3 min read

How to Cultivate a “Friendtorship”

By Jared Rubenstein, MD, Baylor College of Medicine, Liz Salmi, OpenNotes Communications, Beth Israel Deaconess Medical Center

A “friendtorship” is an informal peer-mentor relationship between two people with shared interests but different careers. “Friendtorships” can help you develop new perspectives and ideas about your own field.

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.

February 26, 2020 | 2 min read

How to Process Emotions as a Team

By Peter Heikkinen, MDiv, Johns Hopkins Medicine

Excellent clinical teams support each other by reflecting on patient encounters and sharing their emotions.

"Couple in the Park," John Russell Clift, 1961, Museum of Fine Arts, Boston.

January 17, 2019 | 5 min read

Do You See? The Power of Pictures

By Elizabeth Gundersen, MD, University of Colorado

Photographs capture the essence of who we are. When we ask to see pictures, patients and families are reassured that we value the wholeness of their lives.

"I’ve relived that moment many times in my head. I wonder what I would have done differently today."

February 1, 2022 | 2 min read

Finding my Voice

By Jennifer Eitingon, MD, Johns Hopkins Medicine

As a trainee, a distressing clinical experience taught me that I must always be the patient’s advocate. Now as a teacher, I help my learners to feel confident speaking up for what they know is right.

September 25, 2023 | 5 min read

Less is More

By Jonathan McFarland, Medical English Coach, Autonomous University of Madrid

The Japanese concept of wabi-sabi can help us appreciate impermanence and approach death as part of life.

December 3, 2020 | 4 min read

The Other Side of the Glass

By Michelle Sharp, MD, MSH, Johns Hopkins Medicine

Having a loved one in the ICU is one of the hardest things someone can experience. Timely and compassionate communication from clinicians to families is invaluable.