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C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
The Journal of Hopkins' Center for Humanizing Medicine
Johns Hopkins Medicine Logo
Creative arts in medicine
Connecting with patients
Passion in the medical profession
Lifelong learning in clinical excellence
Topic Search

"The Doctor," Sir Luke Fildes 1843-1927, Tate Museum.

December 12, 2018 | <1 min read

Dr. Ivor Berkowitz, A CLOSLER Look

By Gretchen Miller, Managing Editor

"I approach comforting my patients and their families by sitting at my patient's bedside with kindness and respect, aware of religious and cultural customs, and use a vocabulary that everyone in the family will understand."

November 12, 2018 | 3 min read

Insights From “A Whole New Mind”

Daniel Pink's "A Whole New Mind" highlights the importance of cultivating empathy, humor, and the ability to create meaning.

October 25, 2018 | 1 min read

Stepping Over the Curb

By Khalil Ghanem, MD, PhD, Johns Hopkins University School of Medicine

While curbsiding a colleague may get you a quick answer and spare the consultant from needing to complete a formal consultation, there are certainly perils with this practice. Buyer beware!

"Facilitate finding new ways to stay busy and have fun. Recovery is not punishment. Helping your patient find new ways to have fun is crucial."

October 3, 2018 | <1 min read

Dr. Mike Fingerhood: A CLOSLER Look

By Gretchen Miller, Managing Editor

Every time I see a patient I ask them about their home environment, and what the main stressors in their life are right now.

June 8, 2026 | 3 min read

Takeaways from the book “Addiction, Inc.” 

Many opioid overdose deaths are preventable with medications like buprenorphine and methadone; unfortunately, commercial interests have interfered with access to treatment. Knowing how to start or link patients to treatment—regardless of your specialty—can save lives. 

May 29, 2026 | 1 min read

Reading between the lines   

When patients or colleagues act in ways that frustrate us, pause before assuming negative intent. Practicing respectful curiosity can help us gain more insight into what people are experiencing. 

May 21, 2026 | 3 min read

Being there 

In critical care, physical presence at the bedside is required to recognize subtle changes in the patient’s condition. A doctor in the room must remain the gold standard for clinical excellence.  

May 5, 2026 | 2 min read

Seize this social media moment  

Clinicians can use recent headlines about social media as a timely opening to discuss digital habits with patients. Healthcare professionals can suggest practical limits and safety strategies.  

May 4, 2026 | 1 min read

Beyond the treadmill  

To boost patients’ intrinsic motivation, ask questions that elicit their reasons for exercising. Then set small achievable goals and follow-up to celebrate their progress. 

April 6, 2026 | 2 min read

Nourish to flourish 

When patients have living situations that affect nutrition—like unstable housing or limited access to fresh produce—screen for food insecurity. Learn about available resources in your clinic and community, and refer patients as needed. 

March 16, 2026 | 1 min read

Lessons from Conroy’s book “Body and Soul” applicable to healthcare 

Becoming masterful, in piano or healthcare delivery, requires a lot from the individual and the larger support / educational systems. Deliberate practice with reflection, resilience, comfort with ambiguity, and openness to input from others, are some of the important notes to hit on the path to becoming a maestro.  

February 9, 2026 | 1 min read

Vaccines, vigilance, and equity 

Funding cuts and disease resurgence demand immediate action: work to expand vaccination in the communities you serve. This protects vulnerable patients and preserves hard-won gains. 

January 23, 2026 | 3 min read

Unconscious bias in weight management 

Excellent weight management care includes asking what patients have already tried and what barriers they face. Then offer evidence‑based options, including behavioral supports. 

September 5, 2018 | <1 min read

Interview with Dr. Wolff: A CLOSLER Look

By Gretchen Miller, Managing Editor

A 3-minute video interview with oncologist Antonio Wolff, MD, on the privilege of taking care of patients.

November 21, 2025 | 2 min read

The promise and pitfalls of GLP-1s 

This new class of weight loss drugs is not a magic fix. Work with patients to set realistic goals, start low and titrate slowly, and counsel on GI risks. 

October 20, 2025 | 2 min read

White coat/blue gown 

When I became a patient, loss of control helped me realize how much trust I needed to place in my doctor. As a clinician, I will remember my experience and the need to build trust with candor and clear communication. 

August 29, 2018 | <1 min read

Interview With Dr. Geetha: A CLOSLER Look

By Gretchen Miller, Managing Editor

On the importance of meaningful long-term patient-physician partnerships: enjoy a 3-minute video interview with Dr. Duvuru Geetha.

September 2, 2025 | 3 min read

Gambling with health 

Gambling disorder frequently goes unrecognized in clinical settings despite its significant impact on mental and physical health. Clinicians can routinely screen for it using validated tools and refer at-risk patients to resources. 

August 12, 2025 | 2 min read

Safe and sound care   

Now more than ever, create an affirming healthcare environment for LGBTQIA+ patients by using respectful language and addressing unique care needs.  

May 14, 2025 | 2 min read

Spring always comes 

A healthcare professional’s consistent efforts in caring for patients contributes to all of our well-being, even when progress seems slow. 

April 30, 2025 | 2 min read

Aging and autonomy 

Many older patients struggle with losing independence. Healthcare professionals can partner with them and their loved ones to ease challenging transitions. 

August 15, 2018 | <1 min read

A CLOSLER Look: Interview with Dr. Ziegelstein

By Gretchen Miller, Managing Editor

"Patients let you into a part of their lives that they often don't let anyone else into." Enjoy a short 4-minute YouTube to learn how Dr. Ziegelstein became attuned to the emotional health of his heart patients. 

December 11, 2024 | 2 min read

Taking the call 

By Stasia Reynolds, MD, Johns Hopkins Medicine

It is a privilege to bear witness to the suffering our patients endure and to share in the joy that comes in honoring a dying wish.   

October 31, 2024 | 3 min read

The human cost of toxic work culture 

Healthcare professionals often experience unrealistic work expectations. If this becomes too much, clinicians can seek support, set boundaries, and even consider making a change. 

August 26, 2024 | 1 min read

The medical Tower of Babel  

Immigrant patients often face challenges when accessing healthcare because of language and cultural barriers. Certified medical interpreters can help reduce the likelihood of inequities in care. 

July 11, 2024 | 2 min read

Protecting the most vulnerable from heat-related illnesses (archives, 2024)

By Joanna Cohen, MD, Johns Hopkins Medicine

When caring for patients during heat waves, healthcare professionals should be aware of social determinants of health—like no air conditioning at home. Clinicians should know the available resources to recommend, such as cooling centers within the communities they serve. 

May 29, 2024 | 1 min read

Unstable housing, unstable health

By Stasia Reynolds, MD, Johns Hopkins Medicine

Routinely asking patients about housing insecurity can help identify those who are at-risk of poor health outcomes. Understanding a patient's living situation can help you provide realistic guidance.  

March 6, 2024 | 2 min read

Both sides 

By Joanne Shay, MD, Johns Hopkins Medicine

I realized that I didn’t truly understand my patients’ pain until I experienced pain myself. This has allowed me to give even better care. 

July 18, 2018 | 2 min read

The Bell Curve

By Lee Akst, MD, Johns Hopkins University School of Medicine

The difference between a 99.5% and 99.95% success rate isn't necessarily in knowledge or training, but in physician attitudes towards adapting and changing to evolving information.

August 22, 2023 | 4 min read

HeART And Soul

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

Incorporating the arts into patient care may be a step toward infusing compassion into what can be a dehumanizing healthcare environment. 

July 10, 2018 | 1 min read

Pause Before Hospitalizing the Elderly

By Samuel Durso, MD, Johns Hopkins Medicine

Confusion among hospitalized older adults is common and dangerous. The hospital environment should be avoided if at all possible, with a goal of managing acutely ill older adults at home.

Role playing "Dungeons and Dragons."

July 31, 2023 | 3 min read

Dungeons and Dragons and Medicine

By Lillian Houston, MD, Southern Illinois University

D&D teaches us that the team is our most important asset. Interdisciplinary and diverse teams that communicate openly are most successful. 

June 15, 2023 | 1 min read

Lessons From a Humble Mentor 

By Rafael Llinas, MD, Johns Hopkins Medicine

My mentor, Dr. Martin Samuels, modeled outstanding communication skills with patients, colleagues, and trainees. He discussed times when he was wrong so that others could learn from his mistakes. 

May 30, 2023 | 2 min read

Artificial Intelligence: Artificial? Intelligent? Neither or Both?

By Matthew Peters, MD, Johns Hopkins Medicine

AI can complement the work of mental health professionals, in addition to performing clerical tasks and analyzing big data for insightful trends.

"Jazzed about teaching others? Volunteer for a few hours to teach K-12 students about medicine or science."

May 1, 2023 | 2 min read

Choose Your Own Adventure

When choosing and leading well-being initiatives, consider what would most meaningfully help you and your colleagues thrive. 

April 17, 2023 | 1 min read

The Joy of Napping

By Randy Barker, MD, Johns Hopkins Medicine, retired

I love to nap on my days off and tell my patients about this joy. When we share pieces of ourselves, we can connect more deeply as human beings. 

February 7, 2023 | 2 min read

“Now-right And Future-wrong”

By Drea Burbank, MD, Putumayo, Colombia

Clear communication about uncertainty can help clinicians and patients better cope with unexpected or undesirable outcomes. 

September 26, 2022 | 3 min read

Concerning Hobbits: On Middle-earth and Medicine

By Tina Zhang, MD, Johns Hopkins Medicine, Zach Lorenz, MD, Johns Hopkins Medicine

J.R.R. Tolkein’s beloved trilogy offers lessons for life and medicine, including journeying with our patients through dark times and effectively engaging in teamwork. 

September 13, 2022 | 2 min read

Psychedelics and Health

By Mary Yaden, MD, Johns Hopkins Medicine

Psychedelic therapies have long been feared and avoided. We must acknowledge that there are clinical indications where these treatments are profoundly beneficial.   

April 4, 2022 | 4 min read

Lessons From Puppies About Life And Medicine

By Ankita Sagar, MD, Brooklyn, New York

Adopting a pandemic puppy has reminded me of the value of play, curiosity, listening, perseverance, and vulnerability. This helps me be a better human and give better patient care. 

June 5, 2018 | 3 min read

5 Things Residency Taught Me About Parenting

A general internist reflects on insights gleaned from residency applied to parenting.

December 13, 2021 | 1 min read

Grace

By Farah Ali, DO, Johns Hopkins Medicine

Faith plays a significant role in many patients’ lives. Learning more about their beliefs can help us to understand them better and allows us to serve our patients in line with their values. 

December 9, 2021 | 4 min read

3 Lessons From Coach Ted Lasso

By Claire Crawford, MSW, PhD, Texas Childrens , Jared Rubenstein, MD, Baylor College of Medicine

Apple TV’s “Ted Lasso” shares a simple message—be kind. We can never truly know what it’s like to walk in another person’s shoes. Curiosity, instead of judgment, helps us give better patient care.

November 22, 2021 | 4 min read

Noticing What We’ve Seen Without Seeing

By Ekene Ojukwu, MD, Johns Hopkins Medicine

Carefully observing our patients can lead to clinically relevant insights. Sometimes what seems inconsequential at first glance may be surprisingly significant.

October 20, 2021 | 3 min read

Rethinking the Routine in the Pursuit of Inclusion

Interprofessional team members bring a rich variety of perspectives about patients that can lead to better whole person care. Using first names among our team helps minimize power differentials.

The Juneteenth Star.

June 18, 2026 | 5 min read

Lessons from Juneteenth for medicine

Just as freedom came slowly for enslaved people in Texas, health equity remains delayed for marginalized communities today. As clinicians, we must relearn history and work to dismantle the systems perpetuating health disparities.

May 19, 2021 | 3 min read

Clinical Training Translating to Clinical Excellence

By Jennifer Spicer, MD, MPH, Emory University

Bias awareness achieved in teaching/learning can transfer to the clinic. Thus learners can help clinicians become aware of bias toward patients.

Encourage parents to support their teens in connecting with friends safely.

April 8, 2021 | 3 min read

How to Support Teens’ Mental Health During The Pandemic

By Leslie Miller, MD, Johns Hopkins Medicine

Now more than ever, it's critical for parents to check in with their teens on a regular basis. Encourage parents to ask their children directly how they’re doing and to validate that these are hard times.

January 28, 2021 | 3 min read

Purple Nail Polish

By Shauna Maty, MPH, Medical Student, St. George University

Always remember that your patient is a person with a family, friends, and a unique story. Your first responsibility as a healthcare professional is to heal your patient and your second is to learn.

December 7, 2020 | 3 min read

Flipping the Switch

By Swathi Raman, MD, MPH, LifeBridge Health, Maryland

Shifting away from needing external validation can promote wellness. Self-reflection and awareness of our internal monologue may help with internal validation and improve feelings of self-worth.

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