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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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May 23, 2019 | 1 min read

The Thinking of a Clinical Problem Solver

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

We aren't expected to know everything. Identifying the salient features of a case can lead you to the diagnosis.

"My book knowledge will allow me to recognize the pattern leading to a medical diagnosis, but I must also move beyond the mnemonic and to make time for the person seated in front of me."

July 28, 2022 | 2 min read

Passing Tests And Failing my Family

By Emily Rodriguez, medical student, Johns Hopkins Medicine

Book knowledge about addiction offered me little to support my family members and others affected by this illness. To holistically serve, we need to take the time to connect and genuinely understand each person.

March 25, 2024 | 1 min read

Graphic medicine: a picture is worth a thousand words 

By Benjamin Vipler, MD, MEd, University of Colorado

Pictures can often be a more effective way to explain complex medical concepts to trainees and patients than words alone. 

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! 

December 20, 2021 | 1 min read

What Patients With Serious Illness Want to Know Most

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

After receiving a terminal diagnosis, many patients especially want to know how long they have to live, what symptoms to expect, and how to cope with impending decline.  

January 16, 2020 | 2 min read

The Danger of Reinforcing Negative Biases

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

The way clinicians talk about patients publicly reinforces biases about race, gender, class, etc.

October 3, 2024 | 2 min read

Patient time 

By Katherine Majzoub Morgan, MD, Brigham and Womens Hospital

Ask patients if they are concerned about the amount of time it takes to engage with health care systems. For those who are, include time as a factor in shared decision-making conversations. 

May 2, 2018 | 1 min read

Top Tips To Improve Your Webside Manner

By Joshua Wadlin, MD, Johns Hopkins University School of Medicine

You might think your bedside manner is excellent, but how’s your webside manner?

January 10, 2019 | 3 min read

How to Improve Your Physical Diagnostic Skills With a Digital Database

By Samuel Durso, MD, Johns Hopkins Medicine

To sharpen diagnostic skill, take a minute to cross check the physical exam against images and lab results in the electronic record - if not congruent, then why?

August 12, 2020 | 2 min read

Chief Complaint: Racism

By Syeachia Dennis, MD, University of Oklahoma

Patients are increasingly recognizing the impact of racism on their health. We should be prepared to help patients confront this and consider this core to our work to systemically address this public health crisis.

September 7, 2023 | 2 min read

“Wild Problems” Book Review

By Margaret Chisolm, MD, Johns Hopkins Medicine

When it comes to the big decisions in life, abandoning a rational, algorithmic approach—and going back to guiding principles—may be the secret to happiness. 

July 15, 2021 | 1 min read

Honoring Patients’ and Families’ Goals of Care

By Shireen Heidari, MD, Stanford University

When supporting critically ill or dying patients, keep their care goals at the forefront of conversations and planning.

June 10, 2019 | 4 min read

Lessons learned from my journey through depression

By Shannon Scott-Vernaglia, MD, Mass General

Being a patient has taught me patience, with myself, with those I care about, and with those I care for as physician. 

June 19, 2018 | 2 min read

Sleep solutions (archives, 2018)

People see sleep as a luxury, but it's a basic human need. As clinicians, we should ask patients how they're sleeping. Here are nine things you can recommend to help them feel more rested.

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. 

November 10, 2025 | 1 min read

Takeaways from the book “Bankroll your mind”  

Attention invested in small moments—like a few screen‑free minutes at the start of a patient encounter—can compound into a trusting patient-clinician relationship. 

December 7, 2021 | 3 min read

A Window Into a Patient’s World

By Deirdre Johnston, MBBCh, MD, Johns Hopkins Medicine

Visiting a patient’s home environment, either virtually or in person, may shed light on the source of their distress.

August 23, 2018 | 4 min read

How To Incorporate Students Effectively Into Clinic

Making the time and effort to integrate students into clinic cohesively can be associated with both improved clinical productivity and educational value.

February 25, 2021 | 2 min read

How You Can Help With Intimate Partner Violence

By Lisa Geller, MPH, Educational Fund to Stop Gun Violence

Intimate partner violence (IPV) is a public health crisis and most deadly when a gun is involved. Clinicians should screen patients for IPV, ask about firearm possession, and refer those at risk of IPV to appropriate services.

January 7, 2019 | 2 min read

Helping Your Patient Get Better Sleep During Hospital Stays

Sleep is important during hospitalization, and we need to maximize quality and quantity the best we can for our patients. Asking about your patient’s sleep and identifying ways to improve it when possible is one way to start.

May 2, 2022 | 3 min read

The Alarming Rise in Pediatric Suicide

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Rates of childhood suicide have been rising steadily and this is now the second leading cause of death for youth. It's critical to screen children for suicidal thoughts and behaviors.   

"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.

August 30, 2023 | 2 min read

Containing Chaos Through Dance

By Shreya Srivastava, medical student, Albany Medical College

The strength, stamina, emotional understanding, and situational awareness that dancers develop over time can also benefit healthcare professionals.  

"The Starry Night," Vincent Van Gogh, 1889, Museum of Modern Art.

May 16, 2019 | 5 min read

Starry, Starry Night

By Juliette Perzhinsky, MD, MSc, Central Michigan University

There are times that as clinicians we become patients ourselves, needing compassionate care for injuries entirely unrelated to our chief complaint.

July 26, 2022 | 2 min read

Sharing One More Pint

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When caring for a cancer patient who lived days longer than expected, I learned to be humble in my prognostications and to help patients receive “extra” moments of life as gift. 

March 19, 2024 | 2 min read

Caring for transgender and gender-expansive patients, Part 2

By Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Transgender and gender-expansive patients often feel uncomfortable in healthcare settings and avoid care. Be sure to use every patient’s chosen name/pronoun and take care not to misgender.

November 4, 2025 | 2 min read

The way we live 

Lifestyle medicine involves co-creating plans with patients for diet, physical activity, sleep, stress, and social connection. This can have an impact on both prevention and treatment of disease.

November 23, 2021 | 3 min read

Preventive Care And COVID

By Aline Charabaty, MD, Johns Hopkins Medicine

As a gastroenterologist, I’ve been encouraging people to continue with colon cancer screening through the pandemic. A delay may have serious health consequences.

January 28, 2020 | 3 min read

Racism From Patients—an Ethical Dilemma

By Sonal Gandhi, MBBS, MD, Johns Hopkins Medicine

A cornerstone of clinical excellence is treating all patients with respect and dignity. This is true even when treating those patients who are not respectful to you.

February 2, 2023 | 2 min read

We Just Disagree

By Eric Last, DO, Northwell Health, Wantagh, New York

When colleagues offer a conflicting opinion, remember to always put the patient first, check your facts, and be open to learning.  

October 2, 2024 | 1 min read

Pain management: a perspective from a doctor in Kuwait 

Pain and suffering are ubiquitous. Observing approaches and practices in the U.S. highlighted for me the importance of open dialogue, patient empowerment, and multimodal approaches.   

April 26, 2022 | 1 min read

The Power of Beliefs

By Stephanie Trudeau, PhD, The Thrive Center For Human Development

Explore your patient’s beliefs that invite healing, as well as those that are causing them to suffer. By understanding this, you can guide them to do more of the former and less of the latter. 

Juneteenth Flag

July 2, 2020 | 4 min read

3 Tips for Dismantling Anti-Black Racism in Academic Medicine

By LaShyra Nolen, Medical Student, Harvard University

White educators and learners must commit to doing the work and educating themselves on how to be antiracist. Black colleagues should not be responsible for educating those around them.

August 29, 2023 | 1 min read

Music and Medicine: The Same Melody 

By Tara Rajendran, MBBS, MFA, Annamalai University, Annamalai Nagar, Chidambaram, Tamil Nadu, India 

My training in classical Indian music helped me to become better at focused listening and recognizing the importance of teamwork in medicine. 

July 6, 2021 | 2 min read

CARE: Connect, Assess, Respond, Evaluate

By Cheryl Barnes-Neff, PhD, MDiv, RN, President, Laurel Oak Group, Online Education & Training

To understand and better care for your patients, be curious about their life stories. Reflect on what you hear and consider the extent to which you are truly connecting.

"L'Atelier au mimosa," Pierre Bonnard.

May 13, 2019 | 7 min read

April Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

Slow looking can enable clinicians to see more deeply, think more critically, and engage more meaningfully in patient care. Time spent in a museum supports clinician wellness and nurtures student professional identity formation.

July 20, 2022 | 2 min read

“I’ll do your abortion.”

By Jill Edwardson, MD, MPH, Johns Hopkins Medicine

We enter every patient encounter with our own unique experiences, judgements, and values, as do our patients. Only when we acknowledge this can we truly connect with compassion.

March 18, 2024 | 2 min read

Caring for transgender and gender-expansive patients, Part 1 

By Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Clinicians must be aware that transgender and gender-expansive patients face widespread discrimination in healthcare settings, including harassment and denial of care, and work to mitigate this disturbing trend. 

October 28, 2025 | 2 min read

Far from routine  

What feels run of the mill to clinicians can be life-changing for patients. A focused moment of empathic presence may alter the course of their life. 

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.

March 21, 2018 | 2 min read

İnsan Olmak—Being Human

By Ezgi Ozalp Akın, MD, Ankara University

Developmental pediatrician Ezgi Ozalp Akın, MD, shares insights gleaned from "İnsan Olmak" on being human.

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. 

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. 

December 17, 2020 | 4 min read

Racial Discrimination And Larger Bodies

By Kristal Brown, PhD, MSPH, Johns Hopkins Medicine

We must be aware of our own biases and prejudices in order to give excellent care to every patient.

"Nighthawks," Edward Hopper, 1942.

January 2, 2019 | 3 min read

The Human Experience of Illness

By Tina Zhang, MD, Johns Hopkins Medicine

Paintings, photographs, and poems can foster dialogue about the human experience of illness and allow learners to approach challenging topics in a more comfortable way.

April 14, 2022 | 3 min read

Afraid to Tell The Truth

By Kirsten Elin Smith, PhD, National Institute on Drug Abuse

When I shared with my clinician that I had previously been a heroin user, she made me feel ashamed. This taught me the importance of listening to patients with nonjudgmental curiosity. 

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.

August 28, 2023 | 2 min read

Travelers on an Unfamiliar Road

By Daniel Pomerantz, MD, Montefiore New Rochelle Hospital, New York

A rabbi once taught me the distinction between curing and caring. As I accompany patients on the rough road of illness, I consider ways to make their journey a little smoother. 

July 7, 2021 | 1 min read

Lessons Learned During my Palliative Care Rotation

By Rayah Sawaya, MD, American University of Beirut

In the wake of disaster, I witnessed the value of palliative care firsthand. This service prioritizes patient comfort and end-of-life preferences.

"Blue Rider," Franz Marc, 1911.

May 14, 2019 | 4 min read

Review of “Critical Crash”

By Andre Lijoi, MD, York, Pennsylvania

We all have our woundedness, and our own story is important in the context of caring for our patients. These stories and wounds operate in the background of our consciousness and we must recognize and manage them.

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