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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
Topic Search
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. 

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. 

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.   

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.

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. 

August 31, 2020 | 2 min read

4 Tips for Using Neo and Gender-Neutral Pronouns

By Nat Mulkey (they/them), Medical Student, Boston University Medicine

Becoming familiar and fluent with neo and gender-neutral pronouns takes practice. It is essential to providing affirming care for transgender, genderqueer, and non-binary patients.

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.

January 21, 2020 | 2 min read

A Daily Dose of Shakespeare

Making time to read even just a few lines of timeless words can remind us of the complexity of being human, and facilitate clinicians' reflection upon connecting more genuinely with their patients.

Newly Renamed Black Lives Matter Plaza NW, Washington, D.C., June 2020.

June 30, 2020 | 1 min read

Learning to be Antiracist

By Ashlyn McRae, Medical Student, Johns Hopkins Medicine

We must acknowledge the ways in which we have been, and are racist. This will allow us to provide the most equitable care to all of our patients.

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. 

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. 

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.

"Girl with a Bamboo Earring," Awol Erizku, 2009. Used under the fair use Copyright Act.

February 18, 2021 | 2 min read

Art is Integral to Healthcare

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

Engaging with art can address some of medicine’s greatest challenges, including recognizing our common humanity.

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. 

April 6, 2023 | 1 min read

Finding Parallels

By Mattea Miller, medical student, Johns Hopkins Medicine

When deciding on a specialty in medical school, I looked for similarities between my passion for pottery and an area of expertise. I hope this helps me to connect more deeply with my work and find fulfillment in medicine.

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.

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. 

August 1, 2019 | 3 min read

Mindset and the Power of Yet: A Conversation With Dr. Gurpreet Dhaliwal

Excellent clinicians are also thoughtful mentors. Mentors are like beacons as we navigate our path forward.

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.

March 17, 2021 | 3 min read

Making Unconscious Bias Training Work

By Verna Monson, PhD, Minneapolis, Minnesota

To be an antiracist, you must be aware of your own biases and learn from your missteps. And remember that unconscious bias training is only a starting point for dismantling discrimination.

April 22, 2025 | 5 min read

Let the language live 

Daily clinical interactions, marked by honest communication and empathy, hold unique power for healing and justice. 

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 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 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.

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.  

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.

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 6, 2025 | 3 min read

Thank you “notes” 

Despite the often overwhelming pace of medicine, remember that a genuine "thank you" to a patient or coworker can be powerful. It acknowledges the profound gifts of trust, collaboration, and shared humanity that underpin all healing and connection. 

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.

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.

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.

March 31, 2022 | 2 min read

A Lesson in Cultural Humility

By Mengyi "Zed" Zha, MD, Othello, Washington

Working at a community health clinic serving migrant workers from Mexico, I was confronted with a pervasive stereotype that the female patients were “dramatic.” I learned how important it was for patients’ concerns to be taken seriously.   

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.

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.

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.  

November 28, 2022 | 2 min read

What to Know About RSV

By Shannon Scott-Vernaglia, MD, Mass General

Let caregivers know that if symptoms are mild, they can watch children at home and encourage fluid intake. If having trouble breathing, the child should be seen right away. 

December 3, 2025 | 3 min read

Gravity, purpose, and “Stranger Things” 

During career transitions, clarify your purpose, establish routines, and schedule regular check-ins with peers or mentors to stay grounded and focused. 

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.

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.

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. 

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. 

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.

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.

"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.

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.

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