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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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April 19, 2018 | 3 min read

Becoming a Mindful Clinician

By Patricia Dobkin, PhD, McGill University Department of Medicine

Most healthcare professionals maintain high standards, perfectionistic tendencies, and critical minds. This appears to be an advantage in a high stakes-high risk work environment. However, these habits of mind may backfire when held too tightly and lead to emotional exhaustion. Being mindful can offset this problem.

November 24, 2021 | 4 min read

What I Learned When I Deleted my Social Media

By Tyler Mains, MD, University of California, San Francisco

When I stopped checking Twitter, Instagram, and Facebook, I created a boundary between myself and the never-ending stream of noise and emotion. I now have more bandwidth to empathize with my patients’ feelings.

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, 2022 | 2 min read

Perspective Matters

By Souvik Chatterjee, MD, Johns Hopkins Medicine

As the pandemic continues, I remind myself that my job is to give selflessly to those who are sick. It’s helpful to lean on my team when situations feel especially challenging.

June 2, 2020 | 3 min read

“Flattening the Curve”

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

The pandemic is breaking down the traditional hierarchy of medical education. Opportunities are emerging for faculty to learn even more from residents.

July 7, 2022 | 1 min read

Filial Affection

By Corliss Wong, MS4, The University of Hong Kong

We must listen closely to patients with dementia’s thoughts and feelings, even though their sense of reality may be different than our own.

March 2, 2018 | 4 min read

The Joy of Mentoring

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

Making time to mentor a high school student can be refreshing and rejuvenating for all clinicians.

April 4, 2023 | 1 min read

Insurance Denial Fatigue

By Justin McArthur, MBBS, MPH, Johns Hopkins Medicine

After spending hours with patients deciding what tests or treatments are most appropriate, guess how many seconds it takes for an insurance doctor to reject the claim? 

January 23, 2024 | 1 min read

Book review of “The algorithm will see you now”

By Joan Naidorf, DO

In this medical thriller set in the not-too-distant future, diagnosis and treatment are performed entirely by AI. The novel serves as a reminder that AI must be used thoughtfully and responsibly.  

September 7, 2022 | 2 min read

“Hysteria”

By Tina Zhang, MD, Johns Hopkins Medicine

We need to be aware of our own gender biases that could adversely affect women. To combat this, engage in shared decision-making with patients and be a lifelong learner of female health topics.   

January 8, 2020 | 1 min read

Medical Overuse: When the Care we Give Doesn’t Help

By Daniel Morgan, MD, University of Maryland

The clinically excellent clinician must commit to reducing overuse.

January 9, 2020 | 3 min read

Top Tips to Support Yourself While Pregnant and Working in Healthcare

You yourself or clinician colleagues will undoubtedly take parental leave at some point. Clinically excellent clinicians and practices use this as an opportunity to enhance continuity and ensure high quality care.

March 17, 2025 | 7 min read

Caring and uncaring in medicine and beyond 

By David Kopacz, MD, University of Washington

Every moment in medicine, and in life, we have the choice to base our actions in caring.  

September 4, 2025 | 2 min read

To comfort always 

Providing compassionate companionship to patients can be as healing as any medicine when a cure is no longer possible. 

November 8, 2021 | 1 min read

Lessons Learned From 30 Years of Night Shifts

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Patience, stamina, and fortitude are important traits to cultivate in medicine at any and all times.

December 19, 2022 | 2 min read

Female Leaders in Surgery

By Ming-Hsien Wang, MD, Johns Hopkins Medicine

More women surgeons will increase the diversity of ideas and perspectives needed for excellent patient care. 

October 21, 2025 | 2 min read

Stroke, breath, care

Swimming taught me the importance of rhythm and breath. During difficult conversations with patients and families, I make room for quiet pauses to give them time to process.

Encourage caregivers to get support.

September 8, 2021 | 2 min read

How to Mitigate Caregiver Burnout

By Simone Lescott, MD, Johns Hopkins Medicine

Caring for a loved one can be emotionally exhausting. Remind caregivers to prioritize self-care and encourage them to seek support from others.

June 11, 2019 | 2 min read

Burnt out on Burnout: how to understand what burnout means to you

By Hannah Wilson, MBBS, Harvard Medical School

In order to truly understand and prevent burnout, we must first define what it is that burnout means to each of us.

June 21, 2022 | 2 min read

“Can’t you put him down?”

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

Medical decision making for critically ill patients is complicated and difficult for everyone involved. It is our responsibility to ensure that patients and families are adequately informed to make choices that align with their values.   

May 10, 2022 | 2 min read

Supporting Underrepresented Trainees

By Vivian Altiery De Jesus, MD, MBE, Johns Hopkins Medicine

When witnessing racism, we must support those affected to foster an environment of safety and respect.

February 7, 2024 | 2 min read

Vacations: a “how-to” guide 

Vacations have been shown to reduce burnout, but sometimes it can feel hard to take time off. Blocking vacation time at the start of the year and getting coverage in place early may help. 

February 25, 2021 | 2 min read

How You Can Help With Intimate Partner Violence

By Lisa Geller, MPH, Educational Fund to Stop Gun Violence

Intimate partner violence (IPV) is a public health crisis and most deadly when a gun is involved. Clinicians should screen patients for IPV, ask about firearm possession, and refer those at risk of IPV to appropriate services.

"Imperial Purple," by Spencer Finch. Photo copyright with the authors.

July 20, 2020 | 6 min read

Art and Connection During COVID-19

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

In a time of physical distancing, stepping out of our comfort zone to find creative and unconventional ways to connect with patients and colleagues can bring us together.

"Dreamscape." Painting by the author.

September 30, 2024 | <1 min read

Approaching the horizon 

By Jessica Berry, PhD, clinical psychologist

My painting, “Dreamscape,” represents the importance of acknowledging and addressing patients' feelings about aging and mortality.  

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 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.

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!

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.  

March 30, 2020 | 1 min read

Serving the Socially Vulnerable During the Pandemic

By Deidra Crews, MD, Johns Hopkins Medicine

Excellent clinicians must think of creative ways to serve all of our patients during this time of crisis, and keep the most vulnerable at the front of our minds.

February 9, 2023 | 1 min read

Firearm Safe Storage

By Katherine Hoops, MD, Johns Hopkins Medicine

Child access prevention laws and safe storage of firearms prevent injuries. We must advocate for stronger safety laws to prevent the death of children in our communities. 

October 9, 2018 | 2 min read

Five Authors to Follow

Reading for a few minutes before bedtime is a calming habit, and a great way to fit in a few words from inspiring authors to fuel your practice.

June 18, 2025 | 1 min read

Lewy-body diary 

This poem describes the profound loss of autonomy experienced by patients with dementia. It’s a call to truly see the person grappling with the reality of their diminishing faculties. 

December 4, 2019 | 1 min read

The Power of Petite

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Your  unique qualities and attributes allow you to interact with each of your patients in a way that only you can. Embrace what sets you apart.

August 11, 2025 | 5 min read

The push, the pull, and the leap 

Major career transitions can bring up complex emotions; reflection can guide you toward choices that honor your values. Embrace these changes as opportunities to rediscover purpose and help you better care for patients. 

May 3, 2023 | 1 min read

Love And Loss

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When a patient is unresponsive, loved ones may have differing ideas about the patient’s condition. We can hold these contradictions with compassion and see them as expressions of love.

March 24, 2020 | 1 min read

Exercising for Wellness During the Pandemic

By Erica Leonard, MD, Johns Hopkins University School of Medicine

With the drastic changes to our lives due to COVID-19, we can still stay active. Exercise during this challenging time can help improve everyone's emotional well-being and physical health.

December 16, 2021 | 3 min read

How to Make New Habits Stick, Part 1

By Howard Chang, Medical Student, Johns Hopkins Medicine

James Clear’s book, “Atomic Habits,” teaches us that the best way to start good habits is to implement small changes. This framework can help clinicians and patients meaningfully improve their daily routine. 

July 18, 2024 | 2 min read

The French secret 

By Alisha Dziarski, MS, Johns Hopkins Medicine

Clinicians might consider recommending interactive recreational activities to some patients rather than non-specific exercise guidelines. These endeavors provide exercise, community, and social interaction all in one. 

"You Let Your Magic Tortoise Go," David Kopacz. Copyright with the artist.

August 27, 2020 | 3 min read

Finding Balance During Unbalanced Times

By David Kopacz, MD, University of Washington

Spending time “going into and opening our hearts” is healing and restorative. We can do this for ourselves as healers and guide patients through the practice. It’s as simple as slowing down, putting your hand on your heart, and taking three deep breaths.

December 14, 2023 | 2 min read

Listening for meaning

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

In my palliative care career, I’ve learned that aligning care with patient goals is one of the most important parts of clinical excellence. To do this, I listen to truly understand what the patient wants. 

October 5, 2022 | 2 min read

Long Drives, Slow Thinking

By Margot Kelly-Hedrick, MD, University of Washington

I no longer think of my long commute as “wasted” time. Spending it reflecting on the lives of my patients has reignited my passion for medicine.

August 1, 2022 | 1 min read

Keeping Children Safe

By Katherine Hoops, MD, Johns Hopkins Medicine, Monique Burke, MD, President, MD Chapter of the AAP

The new Safer Communities Act helps clinicians connect patients to mental healthcare. Hopefully, this will reduce youth gun violence, including suicide. 

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.

This is from "The Spirit Catches You and You Fall Down," written by Anne Fadiman. The art copyright is believed to belong to the publisher, Farrar, Straus and Giroux, or the artist. Public domain from wikipedia.org.

November 20, 2019 | 2 min read

“The Spirit Catches You and You Fall Down”

By Laura Pugh, Medical Student, Johns Hopkins Medicine

The gap between cultural systems can be wide. Openness, curiosity, and humility will improve cross-cultural care.

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.

Artwork by Megan Gerber. Copyright by Megan Gerber.

February 3, 2020 | 5 min read

Joyful Deficiencies

By Megan Gerber, MD, MPH, Albany Medical College

Creative expression can provide needed counterbalance to the outcomes-driven world of medicine.

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!

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.

August 24, 2021 | 2 min read

5 Lessons From my Nonlinear Career in Medicine

By Thelben Mullett, MD, Seattle, Washington

Instead of asking medical students what specialty they intend to pursue, we should help them reflect on their natural strengths and values in planning their career.

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