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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
March 28, 2019 | 6 min read

Integrating Psychology and Primary Care

By Benjamin Bensadon, PhD, University of Florida College of Medicine

Person-centeredness holds great potential to maximize healing in the way Osler envisioned more than a century ago. But to translate this concept clinically, psychology and medicine must come closer together. The closer we can come together, the closer we can come to Osler.  

May 12, 2025 | 2 min read

Avoiding “scapegoat diagnoses”  

Recognize gender biases that may lead to premature psychological diagnoses in women presenting with physical symptoms. Prioritize thoughtful clinical investigation of the patient before considering labeling symptoms with mental health explanations. 

August 1, 2023 | 2 min read

Psychological First Aid

By Albert Wu, MD, MPH, Johns Hopkins Medicine, Matt Norvell, DMin, Johns Hopkins Medicine

Healthcare professionals experience traumatic events that may exceed their ability to cope. Timely emotional support can help maintain their well-being. 

"Deliberate practice is needed."

January 19, 2022 | 2 min read

Cognitive Psychology And Patient-Clinician Connections

By Christine Ko, MD, Yale University

To foster warmth toward patients, first be aware of how you’re feeling. If you're feeling burned out, you can intentionally practice cultivating a more caring attitude. 

February 7, 2022 | 2 min read

How to Improve Clinician-Patient Connections, Part 2

By Christine Ko, MD, Yale University

I almost always run late in clinic. By having a growth mindset, I’ve reframed this as an opportunity to improve.  

August 23, 2023 | 1 min read

Navigating the wait (archives, 2023)

By Jennifer Katzenstein, PhD, Johns Hopkins Medicine

Accessing timely mental healthcare can be challenging. While waiting to see a mental health professional, lean on support networks and seek emergency care if needed. 

January 19, 2021 | 2 min read

How to Mitigate Compassion Fatigue

By Dimitrios Tsatiris, MD, Cleveland, Ohio

Prioritizing self-care and making an effort to connect with others may prevent burnout and allow us to continue to give clinically excellent care to patients.

September 1, 2020 | 2 min read

How to Help When Home Isn’t Safe

By Galina Portnoy, PhD, Yale School of Medicine, Jessica Keith, PhD, University of Central Florida, Kelly Buckholdt, PhD, Veterans Health Administration

The pandemic has resulted in everyone spending more time at home, which has increased the potential for being physically, sexually, and psychologically harmed by others. After ensuring that patients feel safe during telehealth appointments, clinicians must directly ask if they are experiencing intimate partner violence and develop a safety plan.

September 8, 2025 | 2 min read

Breaking the cycle 

With the constant barrage of negative news, our brains can get caught in unhelpful thought patterns. We can share tools with patients to instill more adaptive ways of thinking. 

June 10, 2025 | 2 min read

Reflections on the Netflix series “Adolescence” 

In the course of patient care, clinicians are often witness to powerful, emotion-filled stories. To continue to do this work, we must find ways to replenish ourselves and reach out for support when needed. 

April 13, 2020 | 3 min read

Social Distancing, Not Emotional Distancing

By Loveleena Virk, MD, Kaiser Permanente, Oakland Medical Center, California.

Creating space to recognize and manage feelings of helplessness is critical to prevent burnout and maintain wellness during the pandemic. We share strategies in this piece to help you cope during these challenging times.

February 8, 2022 | 2 min read

How to Improve Patient-Clinician Connections, Part 3

By Christine Ko, MD, Yale University

Starting each visit with a centering exercise focused on the patient may allow one to be fully present.    

July 15, 2020 | 5 min read

5 Steps to Regulate Our Emotions

By William Wright, DO, MPH, Johns Hopkins Medicine

Sometimes our feelings are difficult to manage. When working with patients and colleagues, recognizing, understanding, and labeling our emotions can help us to respond more thoughtfully.

July 22, 2020 | 4 min read

Virtue Ethics

By Awais Aftab, MD, Case Western Reserve University

Virtue ethics emphasizes the importance of self-knowledge and can help us to understand our patients in the context of the totality of their whole lives.

July 31, 2019 | 3 min read

The Healing Circle as a Holistic Framework

By David Kopacz, MD, University of Washington

As can be learned from a Native American healer, to heal profoundly, one must holistically integrate mental, emotional, physical, and spiritual aspects of being human.

Asking about stress levels, mood, sleep quality, and coping strategies in routine medical discussions can provide insight into a patient’s emotional well-being and open the door for further discussion. 

March 31, 2025 | 2 min read

Care of the mind 

By Paige Seegan, PhD, Johns Hopkins Medicine

By proactively discussing mental health, using non-stigmatizing language, and having a list of resources on hand, healthcare professionals can help patients get the support they need. 

April 13, 2023 | 5 min read

Navigating Conversations About Psychedelics With Patients

By Natalie Gukasyan, MD, Johns Hopkins Medicine

There’s been growing interest in the therapeutic potential of psychedelics. This requires that healthcare professionals be well informed and prepared to discuss this experimental therapy.

March 21, 2022 | 1 min read

Coping With Disturbing Headlines

By Jennifer Knetig, PhD, VA Northeast Ohio Healthcare, Julia Rose, LISW, Veterans Health Administration, Kelly Buckholdt, PhD, Veterans Health Administration

Many are feeling overwhelmed by the news of the war in Ukraine. Advise patients to find comfort in normal routines, including sleeping, eating, and physical activity. 

"I tend to think I'm above average in singing, but my family isn’t shy in telling me that I’m unskilled and unaware."

February 9, 2022 | 2 min read

How to Improve Clinician-Patient Connections, Part 4

By Christine Ko, MD, Yale University

My “fast” thoughts about a patient may not truly represent their experience. “Slow” thinking may give a more accurate picture.  

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.

"Enlightenment," by David Kopacz, 2020.

December 28, 2020 | 6 min read

Medical Activism: A Foundation of Professionalism

By David Kopacz, MD, University of Washington

Clinicians should expand their definition of professionalism to include working for societal change to improve the health of all.

November 18, 2020 | 1 min read

She’s Only 24

By Rakesh Patel, MD, University of Nottingham

Listening to patients’ fears and concerns builds understanding about the potential impact of disease on their long term goals. This may be especially important for younger patients.

A drive-in BINGO game during the pandemic,

November 9, 2020 | 2 min read

Supporting Older Patients’ Emotional Health During The Pandemic

By Art Walaszek, MD, University of Wisconsin

We can support our patients’ well-being by encouraging safe social interactions and addressing psychiatric illness.

"Helping Hands," by David Kopacz. Copyright with the artist.

November 3, 2020 | 4 min read

Beyond Resilience: Fighting the Causes of The Burnout Pandemic

By David Kopacz, MD, University of Washington

Clinician wellness should be a shared responsibility between individuals and institutions. Beyond facilitating clinician resilience, institutional transformation is needed.

"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.

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.

July 28, 2020 | 4 min read

Transitional Objects During Physical Isolation

Encourage patients to identify items that remind them of people and places that they love but cannot be near right now. This may help ease feelings of loneliness and longing.

Usain Bolt breaking the 100 meter world and Olympic records at the 2008 Beijing Olympics. Public domain, wikipedia.org.

July 27, 2020 | 3 min read

Mental Models

By John Corsino, PT, Cape Cod Hospital

Healthcare professionals face myriad challenges regularly. Empowering ourselves to think creatively and advocate for our patients’ best interests will lead to professional fulfillment and better care for patients.

June 8, 2020 | 4 min read

How to manage difficult emotions

By Howard Chang, Medical Student, Johns Hopkins Medicine

Sometimes the intensity of our thoughts and emotions can be difficult to manage, especially during stressful times like these. To cope, it can be helpful to recognize, allow, and reflect on our feelings.

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.

"Shamanic Vision." Original painting by the author. Copyright with the author.

April 2, 2020 | 4 min read

Staying Connected Inside and Out During the Pandemic

By David Kopacz, MD, University of Washington

Finding creative ways to connect to ourselves and to others is more important than ever in these days of social distancing.

March 26, 2020 | 2 min read

6 ways to stay calm in these uncertain times

By Neda Gould, PhD, Johns Hopkins Medicine

It's normal to feel anxious during uncertain times. However, there are tools we can practice so that our anxieties don't overwhelm us. Remind yourself to come back to the present using a phrase such as "This moment is the only reality" or "One moment at a time."

"Heart Meditation," original painting by the author. Copyright by the author.

March 19, 2020 | 3 min read

Returning to Medicine of the Heart During a Pandemic

By David Kopacz, MD, University of Washington

How can we practice the kind of medicine that we so desperately need right now? Perhaps it is time to return to a medicine of the heart and of the soul.

March 11, 2020 | 3 min read

Saturdays With Mr. Hargett

By Yolonda Wilson, PhD, 2019-2020 Fellow at the National Humanities Center and 2019-2020 Encore Public Voices Fellow

Loneliness is an epidemic. Being aware of this, asking about it, and empathizing can make a world of difference.

"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.

"New Zealand Landscape," original artwork by the author, 2011.

July 18, 2019 | 4 min read

Circle Medicine: A Holistic Approach to Health for Clinicians and Patients

By David Kopacz, MD, University of Washington

It can be helpful to see the circle path of the hero's journey as the healer's journey, the path that we take through our lifelong medical education. For the true healer, this is not a journey we make just once, but periodically we embark on exploring new depths of the suffering of the world, reaching deep into ourselves to find new resources for healing to bring into our work and world.

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.

March 4, 2019 | 2 min read

Non-Judging

By Neda Gould, PhD, Johns Hopkins Medicine

What happens when you see your patient through a broader, non-judgmental lens?

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.

October 9, 2025 | 2 min read

When anxiety steals the spotlight

Performance anxiety is common, and healthcare providers are sometimes the first people patients turn to for help. Clinicians can normalize it, offer coping strategies, and refer when appropriate to reduce distress and improve well-being. 

October 2, 2025 | 2 min read

Don’t sleep on it  

Insomnia is a common condition that increases the risk of physical and mental health problems. Screening for it is an important part of patient care, and it can be quick and easy. 

September 18, 2025 | 3 min read

Continuity in ADHD care

Life transitions, such as starting college, can be especially challenging for patients with ADHD. Ensuring continuity of care during these times is essential.

August 25, 2025 | 4 min read

Reset, refocus, relieve  

Mindfulness can be a simple yet powerful tool for patients, especially those feeling anxious or stressed. Here are some tips on how to introduce brief practices to get them started. 

The author with teammates.

August 30, 2018 | 1 min read

The Importance and Psychology of Facial Expression

By Patrick Byrne, MBA, MD, Johns Hopkins University School of Medicine

Carefully noting your patient's facial expression consciously helps you "be" with your patient more effectively, to meet them where they are in their emotional state.

May 6, 2025 | 2 min read

Healing from the emotional toll of a medical error  

Mistakes in patient care are not uncommon. Clinicians can lean on their support systems to recover from stressful events at work. Taking care of yourself enables you to continue giving compassionate care. 

May 5, 2025 | 3 min read

Pause. Process. Proceed.

To navigate the emotional aftermath of traumatic patient encounters, clinicians can utilize the ALL-CLEAR framework: Accept the event, Label emotions, Learn from it, take a moment to pause for breath, and CLEAR your mind. This may enable you to bring your whole self to the next patient while honoring your emotions. 

March 26, 2025 | 1 min read

Calm minds in uncertain times 

By Neda Gould, PhD, Johns Hopkins Medicine

The polarization of politics in 2025 is causing many to feel anxious. Healthcare professionals can prioritize patient and personal mental well-being by promoting and practicing mindful information consumption.  

December 4, 2024 | 2 min read

The complexities of middle age 

By Alicia Arbaje, MD, MPH, PhD, Johns Hopkins Medicine

Mid-life is a period marked by multifaceted challenges, including physical, emotional, and social stressors. By adopting a holistic approach that addresses the whole patient healthcare professionals can provide more comprehensive and effective care. 

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. 

October 1, 2024 | 2 min read

Supporting parents before they break 

By Mackenzie Sommerhalder, PhD, Johns Hopkins Medicine

Many patients experience distress because of their role as parents and caregivers. It is a pediatrics “best practice” to screen parents and offer resources for mental health support.  

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