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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 22, 2019 | 2 min read

The Color of my Skin

By Kimberly Turner, MD, Johns Hopkins Community Physicians

With mentorship, advocacy, and open-mindedness by all, it is hoped that there will be greater diversity within the healthcare workforce.

"Sun Rise," by David Kopacz.

August 8, 2019 | 2 min read

The Circle of Re-Humanizing Medicine

By David Kopacz, MD, University of Washington

We need human-based medicine in conjunction with evidence-based medicine. If we only identify as scientists and not as healers, we risk dehumanizing our patients and ourselves.

November 8, 2023 | 2 min read

Memory is a poor monument

By David Kopacz, MD, University of Washington

Healthcare professionals often witness challenging events, like the death of a patient. Writing and other artistic expression may help us process emotions. 

November 7, 2022 | 2 min read

Suggestions For Coping With Grief

By Justin Jeffers, MD, MEHP, Johns Hopkins Medicine

When you or others are grieving, give permission to be vulnerable and accept help. It may sometimes be helpful to work with a therapist. 

March 6, 2025 | 2 min read

Invincible

By Roshni Beeharry, MBBS, Kings College London

Clinicians should be as person-centered as possible when caring for patients; seemingly small details, like a child's request for butterflies painted on her pink spinal jacket, can have a positive impact.

December 5, 2018 | <1 min read

“A CLOSLER Look,” Dr. Rosalyn Stewart

By Gretchen Miller, Managing Editor

When helping vulnerable urban populations, sometimes the biggest challenge is to understand where the patient is at. Then we have to work together with the patient on walking towards wellness, particularly focusing on lifestyle modifications.

April 16, 2020 | 1 min read

Designing Your Life in Medicine

By Lynae Conyers, MD, Johns Hopkins Medicine

Thoughtful career exploration may promote well-being and protect against burnout. Life design practices may guide you along your career journey.

November 2, 2022 | 2 min read

Psychedelics to Quit Smoking?

By Matthew Johnson, PhD, Johns Hopkins Medicine

Patients may ask about using psilocybin to stop smoking. While being actively studied, please remind them that it’s still illegal and not necessarily risk-free. 

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. 

April 18, 2019 | 2 min read

The Importance of Rest

By Gretchen Miller, Managing Editor

Make time for rest in order to lead a good life! This includes not working around-the-clock, prioritizing both work and non-work activities equally, and using your vacation time!

April 23, 2019 | 1 min read

Reacting Versus Responding

By Neda Gould, PhD, Johns Hopkins Medicine

The next time you find yourself in a stressful communication, pause. Take one deep breath - buy yourself a little time with this breath. This pause can change everything.

Original artwork by Trisha Smith.

May 7, 2024 | 1 min read

Putting back the pieces

By Trisha Smith, MA, Charlotte, North Carolina

When I was recovering from cancer, painting abstract watercolors became my healing outlet. It allowed me to process emotions, sparked self-discovery, and led me to a career in art therapy. 

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. 

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.

May 7, 2024 | 2 min read

Kids in tow 

By Martina Anto-Ocrah, PhD, MPH, University of Pittsburgh

I once had to bring my four children with me to an OB-GYN appointment. It reminded me that it’s important to recognize that patients may have challenges getting to clinic, and to work with them to find solutions. 

February 27, 2023 | 2 min read

Children Need Hospice Too

By Emily Johnson, MSN, RN, Johns Hopkins Medicine

Regularly reassessing goals of care is necessary during critical illness. This can help families maintain hope and realistic expectations. 

December 4, 2018 | 3 min read

Just the Facts: A Book Review of “Factfulness”

This book is full of examples showing that we are actually doing well as a species, despite constant pronouncements to the contrary. It also reminds us that we need to be mindful of our own instincts and the biases that can influence our decisions.

July 17, 2019 | <1 min read

Dr. Laura Hanyok: A CLOSLER Look

By Gretchen Miller, Managing Editor

The care of your patients will suffer if you don't prioritize your own well-being.

"Shamanic Vision." Original painting by the author. Copyright with the author.

April 2, 2020 | 4 min read

Staying Connected Inside and Out During the Pandemic

By David Kopacz, MD, University of Washington

Finding creative ways to connect to ourselves and to others is more important than ever in these days of social distancing.

January 6, 2021 | 1 min read

5 Wellness Tips for 2021

By John Poehler

To mitigate burnout, prioritize sleep and gratitude.

February 27, 2025 | 2 min read

Behind the mirror: teen eating disorders 

By Jasmine Reese, MD, MPH, Johns Hopkins Medicine

You don't have to be an eating disorder specialist to make a difference; every healthcare professional can play a vital role in early intervention. Knowing local resources and showing compassion can guide patients toward recovery. 

Now is the perfect time to seek collaborators for an idea you’ve had brewing. While your idea might not result in a masterpiece like da Vinci's "Vitruvian Man" (~1490), it will reduce feelings of social isolation.

April 9, 2020 | 3 min read

Mentoring While Social Distancing

By Ruth Gotian, EdD, MS, Weill Cornell Medicine, Weill Cornell Mentoring Academy

The pandemic is a critical time for clinically excellent role models to continue mentoring. Separation creates opportunities to connect in new ways.

March 5, 2018 | 2 min read

Introducing Monday Mission and Values Statements

By Gretchen Miller, Managing Editor

Begin with the end in mind. ~Stephen Covey

May 23, 2019 | 1 min read

The Orchid

By Susan Aucott, MD, Johns Hopkins Medicine

The orchid: each time I see the growth of a new leaf, it reminds me of the hope that can come even in the midst of sorrow. And when a blossom appears, it reminds me of the hope and caring that I have the privilege of sharing with every family I have the honor to encounter.

August 21, 2024 | 2 min read

Confessions of a non-flosser 

By Kyra Reu, medical student, University of Pennsylvania

When I told my dentist I didn’t floss regularly, it reminded me of a patient who shared she was not taking her medication as directed. Careful questioning of how the patient is actually taking their medication should be done before modifying the treatment. 

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. 

rainbow hearts

July 29, 2019 | 1 min read

Book Review of “Tomorrow Will Be Different”

By Carl G. Streed Jr., MD, MPH, Boston Medical Center

Clinicians are well positioned to be advocates for transgender persons and communities. In listening compassionately to our patients' personal narratives, we can understand how to best meet the needs of each individual.

August 20, 2024 | 2 min read

Wounded healer

By David Kopacz, MD, University of Washington

Clinician burnout can erode compassion, which is at the heart of healthcare. To reignite a passion for healing, clinicians must tend to their own souls in addition to mind and body.

June 26, 2023 | 2 min read

How the Arts Can Address Mental Health Inequities 

By Alex Rodriguez, MPH, University of Florida Center for Arts in Medicine

Awareness of local and online art and cultural offerings enables healthcare professionals to provide enriching recommendations to patients. 

October 27, 2020 | 3 min read

Beyond The CV

By Kayla Eboreime, Medical Student, University of Texas Medical Branch

There will always be both accolades and critiques that come your way. Neither define who you are. Nourishing your whole self can maintain balance so that you can flourish professionally and personally.

June 10, 2025 | 2 min read

Reflections on the Netflix series “Adolescence” 

In the course of patient care, clinicians are often witness to powerful, emotion-filled stories. To continue to do this work, we must find ways to replenish ourselves and reach out for support when needed. 

December 13, 2023 | 1 min read

Micro-acts of joy 

Focusing on your own wellness doesn’t take a lot of time. A simple practice like listing three things you’re grateful for each day can reduce burnout. 

March 26, 2020 | 2 min read

6 ways to stay calm in these uncertain times

By Neda Gould, PhD, Johns Hopkins Medicine

It's normal to feel anxious during uncertain times. However, there are tools we can practice so that our anxieties don't overwhelm us. Remind yourself to come back to the present using a phrase such as "This moment is the only reality" or "One moment at a time."

November 19, 2019 | 2 min read

Aging Isn’t a Dirty Word

By Sharon Inouye, MD, MPH, Encore Public Voices Fellowship, and Marcus Institute for Aging Research, Hebrew SeniorLife, Harvard Medical School

To many, "aging" and "old" are considered dirty words. Clinicians should fight ageism.

December 8, 2022 | 2 min read

Embracing Music to Cope With Burnout

By Tara Rajendran, MBBS, MFA, Annamalai University, Annamalai Nagar, Chidambaram, Tamil Nadu, India 

Playing and listening to music every day fosters my well-being and allows me to take better care of patients.  

August 7, 2024 | 1 min read

The rat

Soliciting diverse perspectives and considering unexpected etiologies can improve diagnostic accuracy. Answers to clinical puzzles may be rooted in cultural and geographic specificities. 

February 13, 2023 | 3 min read

“Powershield”

By Drea Burbank, MD, Putumayo, Colombia

“Powershield:” a poem about power and responsibility. 

"The Starry Night," Vincent Van Gogh, 1889, Museum of Modern Art.

May 16, 2019 | 5 min read

Starry, Starry Night

By Juliette Perzhinsky, MD, MSc, Central Michigan University

There are times that as clinicians we become patients ourselves, needing compassionate care for injuries entirely unrelated to our chief complaint.

March 11, 2019 | 2 min read

Know Your Resources to Combat Burnout

By Anne Walsh, MD, Johns Hopkins Medicine

Burnout can feel overwhelming, but the first steps in approaching this growing problem are recognizing the symptoms and being aware of available resources to manage them.

August 16, 2022 | 2 min read

Outbreaks as Opportunities

By Jade Cobern, MD, Johns Hopkins Bloomberg School of Public Health

Talking about monkeypox and the return of polio can remind caregivers that vaccinating young children against other illnesses is essential.

Juneteenth Flag

July 2, 2020 | 4 min read

3 Tips for Dismantling Anti-Black Racism in Academic Medicine

By LaShyra Nolen, Medical Student, Harvard University

White educators and learners must commit to doing the work and educating themselves on how to be antiracist. Black colleagues should not be responsible for educating those around them.

April 22, 2024 | 2 min read

Mentorship—a lifelong dialogue   

By Jane Abernethy, MD, MBE, Johns Hopkins Medicine, Rani Nandiwada, MD, MSEd, Penn Medicine

In our long-lasting mentor-mentee relationship, we’ve learned it’s helpful to put a regular check-in time on the calendar and to brainstorm questions and goals for the session ahead of time. 

February 8, 2023 | 2 min read

Taking Time For Pizza

By Heather Agee, MD, Johns Hopkins Medicine

When possible, take time to share dinner with colleagues and friends. This is a gift we can give ourselves to help decrease work stress.

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. 

February 12, 2024 | 2 min read

Recognizing and treating substance use disorders in healthcare professionals 

By Gregory Hobelmann, MD, MPH, President of Ashley Addiction Treatment

Healthcare professionals are at least just as vulnerable to substance use disorders as the general public. It never occurred to me that I may be among those numbers, but I am. 

August 7, 2024 | 2 min read

Squish the peas 

By Jonathan Reisman, MD, Cooper University Health Care

Toddlers offer invaluable lessons for healthcare professionals. By embracing curiosity and focusing on the present, clinicians may enhance patient care, reduce burnout, and improve overall well-being.

February 13, 2025 | 2 min read

“Facul-tea” 

By Laura Tafe, MD, Dartmouth-Hitchcock

To deepen relationships with colleagues, intentionally cultivate community by establishing regular, shared experiences—like a tea—that encourage connecting. Such gatherings may improve the overall well-being of the team. 

"Heart Meditation," original painting by the author. Copyright by the author.

March 19, 2020 | 3 min read

Returning to Medicine of the Heart During a Pandemic

By David Kopacz, MD, University of Washington

How can we practice the kind of medicine that we so desperately need right now? Perhaps it is time to return to a medicine of the heart and of the soul.

October 9, 2023 | 2 min read

The Martial Art of Medicine 

By Meher Kalkat, medical student, Johns Hopkins Medicine

Master Sam taught me that to be successful, I have to envision success. Helping patients see a brighter future is now part of my clinical approach. 

June 14, 2023 | 1 min read

Is it safe to breathe?

Wildfires are worsening in intensity and frequency due to global warming. When the air quality is poor, encourage those with underlying cardiopulmonary conditions to stay inside if possible, and to wear a well-fitted mask outdoors. 

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