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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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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. 

November 25, 2020 | 2 min read

Naming Chickens

By Claire Crawford, MSW, PhD, Texas Childrens

Incorporate laughter and joy where you can, giving yourself, your patients, and their families, moments of respite.

Audrey Hepburn. Photo by Bud Fraker, 1956. Public Domain.

August 24, 2020 | 4 min read

A Calling to Medicine From Hollywood

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

Who ever thought watching Turner Classics could inspire a career in medicine? Reflecting on what drew you to healthcare may restore your sense of purpose.

February 15, 2023 | 2 min read

Speaking from my heart

By Leslie Miller, MD, Johns Hopkins Medicine

When deeply worried about the mental health of patients, make sure they feel heard, validated, and empowered.  

January 31, 2023 | 1 min read

Brain Candy

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

Because we don't know yet how social media affects our brain, it needs to be consumed in moderation. Scheduling times to spend time with friends and family may make it easier to get offline. 

January 4, 2023 | 2 min read

Intergenerational Connections

By Susan Lehmann, MD, Johns Hopkins Medicine

We can benefit from relationships with those of different ages. Encourage patients to consider joining a community group with people from across generations. 

November 15, 2022 | 1 min read

Will I lose my hair? (from the 2022 archives)

By Lauren Rissman, MD, Advocate Childrens Hospital

Talking with my young patient about his cancer, he shared being most afraid of going bald. I learned that it’s important to acknowledge and validate all worries, including those that are not life-threatening.

November 11, 2022 | 2 min read

Is that so?

By Sarah Radtke, PhD, Johns Hopkins Medicine

Patients and families may share experiences that we feel are inaccurate, improbable, or impossible. Discussing their statements nonjudgmentally helps to form trusting relationships.  

November 9, 2022 | 2 min read

Trust

By Joanne Shay, MD, Johns Hopkins Medicine

While caring for a four-year-old girl diagnosed with lymphoma, I learned that acknowledging and validating patient and family fears strengthens relationships.

October 26, 2022 | 1 min read

Inquiring About Young Patients’ Social Media Use

By Crystal Favorito, pre-med, Johns Hopkins Medicine

Clinicians can encourage teens to avoid self-comparison by asking about the ways they use online platforms, not just how often.

October 20, 2022 | 2 min read

How I Comfort Patients

By Joanne Shay, MD, Johns Hopkins Medicine

We are sometimes unable to cure our patients. We can still make them feel heard and understood, and consider what it might be like to walk in their shoes.

October 13, 2022 | 1 min read

Asking Hard Questions

By Thuy Ngo, DO, MEd, Johns Hopkins Medicine

In the ED, my adolescent patient shared that she was being sexually abused. It reminded me of the importance of creating a safe space for courageous conversations. 

Illustration from "Jasper and Tabitha Play a Trick on the Coronas." Copyright by the author.

May 6, 2020 | 1 min read

Talking With Children About COVID-19 Using Stories

By Taylor Purvis, MD, St. Vincent Medical Center, Bridgeport, CT

In times of heightened anxiety for children, parents turn to clinicians for help. Sharing COVID-19 resources for children, including stories, can help them make sense of the pandemic.

October 10, 2022 | 3 min read

“What Else?”

By Matthew McEvoy, MD, Houston, Texas

Asking these simple two words and showing genuine concern can bring out a richer story and promote healing. 

A shared client-therapist drawing created in a teletherapy session on Zoom whiteboard. Copyright with the authors.

May 4, 2020 | 2 min read

Connecting With Teens Via Telemedicine

By Michelle Munson, LMSW, PhD, Nadia Jenefsky, MPS, LCAT

Suspending judgement is critical to building a trusting relationship, especially with teens.

August 24, 2022 | 2 min read

Conversations With Those Who Are Vaccine-Hesitant

By Joan Park, MD, Johns Hopkins Medicine

Talking about vaccines with patients can sometimes feel challenging. Extending empathy, sharing your own story, and being honest about potential side effects can be helpful. 

March 10, 2020 | 1 min read

Observing and Acknowledging Family Dynamics

By Kimberly Zeren, NP, Johns Hopkins Community Physicians

During your next patient encounter, take the time to observe the family dynamics. Don't be afraid to ask the difficult questions.

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.

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.

July 14, 2022 | 2 min read

How to Talk to Children About Gun Violence

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

Give children time and space to talk about their worries and listen closely. Remember, it’s always best for children to first hear the news from a trusted adult.

July 2, 2019 | 5 min read

Shock, Grief, and Arrival

By Paulo Selber, MD, Columbia University

In the process of decisions regarding children’s welfare, listening to the parent’s feelings will always be the right thing to do.

May 16, 2022 | 1 min read

Sharing Mental Health Diagnoses With Patients

By Leslie Miller, MD, Johns Hopkins Medicine

For some patients, a mental health diagnosis brings relief. For others, it doesn’t. Regardless, we must take the time to educate patients and caregivers about symptoms, what to expect during the course of illness, and warning signs that suggest the need for attention. 

April 28, 2025 | 3 min read

Spotting victims—human trafficking is not uncommon 

Healthcare professionals have a unique opportunity to identify and help victims of human and labor trafficking. Read on for practical tips for how to recognize and support these patients. 

May 12, 2022 | 2 min read

The “Uninterested” Mom Who Wept

By Precious Ndukwe, MD, Howard University

When caring for an overweight infant as a medical student, I wrongly assumed the mother was overfeeding the baby. This experience will remind me in the future to leave my suppositions at the door. 

April 1, 2025 | 1 min read

The PICC line 

By Miriam Colleran, MD, St. Brigids Hospice & Naas General Hospital, Ireland

As a clinician, writing this poem about my daughter’s PICC line was a reminder to focus on optimizing patients’ quality of life. While a medical device can alleviate a patient’s health problem, its presence is a constant reminder of illness.  

January 13, 2022 | 3 min read

How Being Foster Parents Has Improved Our Care of Patients

By Lindsay Terrell, MD, Duke University, Patrick Hemming, MD, Duke University

Fostering children reminds us of the foundational impact of genuine empathy and compassion on the well-being of those we care for.  

March 11, 2025 | 4 min read

When sex isn’t binary 

Providing exceptional care to intersex patients requires us to shed the outdated idea of sex as a binary. Instead, we should normalize diversity in sex presentation and encourage families to unconditionally love, support, and listen to their loved one. 

October 13, 2021 | 2 min read

Social Media During The Pandemic

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

While social media is contributing to increased rates of depression during the pandemic, it also keeps us socially connected during challenging times.

January 2, 2025 | 2 min read

Gratitude and goodbyes  

By Leslie Miller, MD, Johns Hopkins Medicine

The privilege of longitudinal care is witnessing patients grow and evolve over time. Saying goodbye to patients can be filled with both sadness and immense gratitude for the opportunity to have been a part of their lives. 

June 16, 2021 | 1 min read

Why we Must Talk About E-cigarettes with Teen Patients

By Mike Fingerhood, MD, Johns Hopkins Medicine

Proactively counseling adolescents about the risks of e-cigarette use is essential. The message should acknowledge both the health implications and the pressures that they may feel from their peers.

November 25, 2024 | 2 min read

Minimizing the risks of teen social media use

By Sarah Radtke, PhD, Johns Hopkins Medicine

Prioritize open dialogue with patients about social media use, focusing on its impact on mental and emotional well-being. 

June 7, 2021 | 2 min read

It’s Not About Weight

By Nicole Cifra, MD, MPH, University of Rochester

Approaches employed by eating disorder specialists can be applied to support all patients. This includes emphasizing healthy behaviors and acknowledging your own assumptions about weight.

November 14, 2024 | 3 min read

A surgeon’s wakeup call: Learning about helmet safety the hard way 

By James Harris Jr., MD, Johns Hopkins Medicine

Healthcare professionals can do more than treat injuries; they can help prevent them. Educate patients and their loved ones about safety gear, share real-life stories, and empower people to make wise choices. 

May 5, 2021 | 2 min read

Empathy Instead of Judgment

By Isaiah Crum, MD, University of Pittsburgh

Through the death of an infant patient, I was reminded of how integral being compassionate and non-judgmental is to clinical care.

October 17, 2024 | 2 min read

Gaming for mental health 

By Barry Bryant, MD, Johns Hopkins Medicine

Understanding the therapeutic potential of video games is important. Clinicians may elect to recommend them for certain young patients struggling with mental health challenges.

April 14, 2021 | 2 min read

Helping Parents Navigate The Return to School

By Kate Connor, MD, MSPH, Johns Hopkins Medicine, Megan Collins, MD, MPH, Johns Hopkins Medicine, Sara Johnson, PhD, MPH, Johns Hopkins Medicine

As children transition back to in-person learning, encourage parents to monitor their children’s well-being and behaviors to determine if they need more support.

September 26, 2024 | 3 min read

Under the influencers 

By Adam Schiavi, MD, PhD, Johns Hopkins Medicine

The social media "Black out challenge" promotes asphyxia that can result in irreversible brain damage or death. Healthcare professionals should warn patients and caregivers to be cautious about social media trends and provocations. 

March 4, 2021 | 2 min read

Clear is Compassionate

By Jillian Bybee, Michigan State University

Always be honest and transparent when talking with patients, even when sharing bad news.

May 7, 2024 | 3 min read

“My patient is dying”

By Nakiya Showell, MD, MPH, MHS, Johns Hopkins Medicine

Excellent patient care goes beyond medical expertise. Building relationships, clear communication, and emotional intelligence are crucial for compassionate care, especially in the face of critical illness. 

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.

March 21, 2024 | 2 min read

Young LGBTQ+ patients deserve more 

By Brady Hanshaw, medical student, Harvard Medical School, Thara Nagarajan, MD, UCSF

36% of LGBTQ+ youth are unsure they’ll live until the age of 35. These mental health outcomes are even more severe for LGBTQ+ youth of color. It’s critical that clinicians create a safe space to talk about anxiety, depression, self-harm, and suicidal ideation. 

October 12, 2020 | 2 min read

Advising Parents on a Safe Halloween

By Jade Cobern, MD, Johns Hopkins Bloomberg School of Public Health, Peyton Pike, MS, CCLS, Johns Hopkins Medicine, Rosemary Hawkins, MS, CCLS, Johns Hopkins Medicine

By being creative, everyone can safely celebrate Halloween this year. Beyond your household, consider holding a neighborhood physically distanced costume parade.

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. 

October 5, 2020 | 3 min read

How to Talk About Your Patient’s Electronic Communication

By Leslie Miller, MD, Johns Hopkins Medicine

Asking patients to show you their social media posts may give unique insights into their mental well-being and improve care.

February 29, 2024 | 1 min read

“It could happen to you”

By Hayley Sparks, MD, Johns Hopkins Medicine

When talking with vaccine-hesitant patients, I bring up the recent measles outbreaks. It can be effective to use current events to motivate better compliance with immunization guidelines. 

January 16, 2024 | 2 min read

“Too maternal”

By Kimberlee Parker, DO, MPH, Baylor College of Medicine

Being a mother has helped me to be a better doctor. Both roles require empathy, which I express toward my children and patients.  

October 2, 2023 | 4 min read

Exclamation Points And Exhalations

By Ajibike Lapite, MD, MPHTM, Texas Childrens Hospital

Even when lab results are normal, some patients may still have concerns. Take time to address their fears and worries.

September 13, 2023 | 1 min read

Firearm Suicides on The Rise

By Katherine Hoops, MD, Johns Hopkins Medicine, Paul Nestadt, MD, Johns Hopkins Medicine

To stem the increase in self-inflicted gun deaths, we must work toward early and accurate diagnosis of mental illness, as well as advocate for better firearm laws.

June 21, 2023 | 2 min read

Cultivating Healthy Social Media Practices

By Jennifer Katzenstein, PhD, Johns Hopkins Medicine

When discussing safe social media use, help patients to set their own boundaries around time spent online. With young people especially, discuss cyberbullying and online privacy.  

May 15, 2023 | 3 min read

Ode to Joy

By Joanne Shay, MD, Johns Hopkins Medicine

When I look for reasons to smile at work, I find them. Simple things like a hug from a colleague or listening to a patient share their story can brighten our days.

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