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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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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.

The author hiking on the Pacific Crest Trail. Copyright by the author.

November 17, 2023 | 5 min read

Hike Your Own Hike

By Lillian Hayes, Medical Student, Johns Hopkins University

Medical training and practice are marked by constant change, which can feel uncomfortable. Embracing discomfort as an opportunity for growth can help us to improve our care of patients.

August 25, 2020 | 4 min read

A Real Hero and a Real Human Being

By Andrew Philip, PhD, Primary Care Development Corporation

The pandemic has created more stress for everyone, including healthcare professionals. Finding a relaxing activity to practice regularly can help you persevere.

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.

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.

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.

May 12, 2020 | 1 min read

Jump-start End of Life Discussions With “Death Over Dinner”

By Katie Nelson, PhD(c), MSN, RN, Johns Hopkins University School of Nursing

The pandemic has created a sense of urgency around advance care planning and end of life preparations. Resources like "Death Over Dinner" can help broach conversations about death, dying, and the end of life in a non-threatening (and even entertaining) manner.

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 11, 2025 | 6 min read

“The Tao of Medicine” 

By David Kopacz, MD, University of Washington

The clinician's mindful presence and understanding of the patient's full humanity are as crucial to healing as technical skill. Let go of using language to define your experience; instead focus on the wisdom that can be found in the empty spaces between thoughts. 

"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.  

August 17, 2020 | 1 min read

Top Tips For Starting a New Phase in Your Career

By Christle Nwora, MD, Johns Hopkins Medicine

Making time to care for yourself, asking questions, and letting go of perfection can help you successfully navigate a new chapter in your life.

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.   

September 17, 2019 | 5 min read

Being Human First

By Kultaj Kaleka, MD, RN, Central Michigan University

Family and friends frequently ask medical trainees for their medical advice. Naturally, our recommendations are not based on medical experience, but rather our shared humanity.

February 6, 2025 | 2 min read

Code blue 

By Ursula Gately, medical student, Johns Hopkins Medicine

Extreme heat often dominates the climate change conversation, however the dangers of extreme cold may be more perilous. Support patients, particularly those who are unhoused or with housing insecurity, by making sure they know about local warming shelters and advising them to limit exposure to the elements. 

January 5, 2019 | 2 min read

Acceptance

By Neda Gould, PhD, Johns Hopkins Medicine

When we practice acceptance in the present moment, we free up energy to see more possibilities. We may notice some clarity in our minds and even less tension in the body. There is freedom in acceptance.

November 14, 2019 | 3 min read

Medicine, Music, and Ministry

By Kimberly Turner, MD, Johns Hopkins Community Physicians

With the demands of healthcare, it is essential that you practice the ministry of self-care. Remember to nurture your passion for something you love, something you do, and something that’s bigger than you.

November 13, 2025 | 2 min read

Cognitive shuffle 

For patients with insomnia, coach them to visualize vivid, unrelated images to disrupt rumination and promote sleep onset. You can try it yourself, too! 

September 25, 2024 | 2 min read

Seasons of my mother 

By Lisa Young, medical student, Johns Hopkins Medicine

My mother had cancer while I was a pre-med student. In caring for her, I learned that it’s important for healthcare professionals to extend empathy not only to patients, but to their loved ones and caregivers as well. 

April 2, 2019 | 5 min read

Connecting to Historical Roots

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

There are a number of important physicians in history, and an appreciation of our past can further our quest for clinical excellence in the present.

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.

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.

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. 

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. 

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.   

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.

November 7, 2018 | 3 min read

How to Reduce Caregiver Burden

By Jessica Colburn, MD, Johns Hopkins University School of Medicine

Healthcare providers have the ability to provide support, connection, and resources that can help to reduce caregiver burden and increase caregiver joy.

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.

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.

August 29, 2019 | 2 min read

Mindful Doctoring in the EHR Era

By Irene Estores, MD, University of Florida College of Medicine

Mindfulness is essential in clinical excellence. Consider these five tips while working with the EHR.

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.  

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. 

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.

"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.

December 8, 2021 | 2 min read

Hitting Home Runs in Healthcare

By Colin West, MD, PhD, Mayo Clinic

Clinicians often struggle with errors and imposter syndrome. Just like in sports, coaching helps clinical performance and promotes well-being.

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.

April 21, 2023 | 2 min read

There’s No AI in Touch

By Drea Burbank, MD, Putumayo, Colombia

Sometimes innovations can make our jobs easier. Rather than competing with AI, embracing it thoughtfully can allow us to spend more time connecting with patients.   

February 24, 2018 | 1 min read

Battling The System in Defense of Diagnosis

By Souvik Chatterjee, MD, Johns Hopkins Medicine

Healthcare delivery is at odds with a fundamental aspect of being a physician—strategic curriculum interventions are necessary to preserve the art of diagnosis.

March 6, 2025 | 2 min read

Invincible

By Roshni Beeharry, MBBS, University 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.

October 27, 2025 | 1 min read

Confounding malaise

Lead with trauma-informed, dignity-first care: clarify the patient’s priorities and take the time to build a trusting relationship.

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.

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.

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. 

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.

December 27, 2018 | 2 min read

“Charm City” Movie Review

The upcoming film "Charm City" emphasizes that the struggles of each patient who comes to clinic extend far beyond a medical diagnosis. We must be conscious of our patients' many challenges and mindful to address them. Making time to ask about your patient's day-to-day concerns, worries, and fears about their homes, neighborhoods, and communities can help you to get a fuller perspective of their medical and social determinants of health. This will allow you to reach relevant goals of care together.

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.

October 21, 2024 | 2 min read

Micro-kindness, macro-impact

By Sadiqua Sadaf, MBBS, Deccan College of Medical Sciences, Hyderabad, India

To make others feel like they belong, practice small acts of kindness—for example, offering a warm greeting. Such efforts can significantly contribute to another's well-being.

February 25, 2018 | 1 min read

Diagnostic Excellence Starts With an Incessant Watch

By Reza Manesh, MD, Johns Hopkins University School of Medicine

Feedback is the key to improvement of any craft. No one is born an expert. It is earned through deliberate practice and an incessant thirst for progress.

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. 

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.

October 15, 2024 | 3 min read

Finding healing in the wound  

By David Kopacz, MD, University of Washington

In caring for patients, embrace the paradox of the wound. Recognize that illness can be an opportunity for their growth and personal transformation. Support them in exploring the spiritual and emotional dimensions of the experience. 

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