Skip to content
C L O S L E R
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • Topic Search
  • About Us
  • Our Team & Partnerships
  • Contact
  • Add Your Voice
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
Subscribe
C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
Johns Hopkins Medicine Logo
Creative Arts in Medicine
Connecting with Patients
Passion in the Medical Profession
Lifelong Learning in Clinical Excellence
Topic Search
May 24, 2022 | 2 min read

The Reflexive Practitioner

By Corliss Wong, MS4, The University of Hong Kong

Our own biases and judgements inevitably affect our care of patients. Deep introspection can help us overcome our prejudices and improve clinical practice. 

If a patient doesn’t appear to understand what you’re saying despite repeated efforts, ask how they learn best. Perhaps draw a diagram and/or use an analogy.

March 20, 2025 | 3 min read

Falling up 

By Emily Ma, medical student, Johns Hopkins Medicine

The transition from pediatric to adult care poses significant challenges for patients with disabilities. Healthcare professionals can help by seeking to improve access and continuity of care. 

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.  

July 21, 2021 | 2 min read

Talking With Patients About Safe Summer Swimming

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

Swimming is a summertime joy, but it is not without risk. Before patients take the plunge, they should be reminded to always swim with a buddy (never alone) and to apply sunscreen.

January 11, 2024 | 2 min read

Book review of “Changing how we think about ‘difficult’ patients”  

By Jennifer Lycette, MD, rural oncologist in the Pacific Northwest

When caring for a patient whom I found challenging, I reminded myself that my negative reaction had less to do with the patient and more to do with me.  

August 21, 2025 | 2 min read

Academic medical departments can learn much from Department Q

Warning, if you begin the “Dept Q” series, you won’t be able to stop! By the time you finish reading these books, you’ll be a more compassionate person and a better healthcare professional. 

October 10, 2019 | 2 min read

Our Greatest Teachers

By Vivek Murthy, MD, Johns Hopkins University School of Medicine

To find meaning in your clinical work, search for the words and moments that affirm your shared humanity with patients.

June 25, 2018 | 2 min read

On The Professional Formation of Doctors

By Margaret Chisolm, MD, Johns Hopkins Medicine

By getting out of the business of knowledge and skills and returning to the work of professional formation, not only will medical schools and their patients win, but doctors—and the profession of medicine as a whole—will too.

January 5, 2022 | 1 min read

Bringing my nursing pearls to my doctoring (archives, 2022)

By Nina Wagner-Johnston, MD, Johns Hopkins Medicine

From my experience as a nurse, I always remember the importance of engaging the whole team. Each team member provides unique insights that can optimize the care of the patient. 

July 26, 2018 | 1 min read

A Taste of Their Own Medicine

By Scott Wright, MD, Johns Hopkins Medicine

Videos spreading misinformation to patients, promoting unproven therapies, can spread like wildfire on social media. We are sharing another video to fight fire with fire.

"The Persistence of Memory," Salvador Dali, 1931, The Museum of Modern Art.

November 19, 2018 | 2 min read

Learning from Learners

By Margaret Chisolm, MD, Johns Hopkins Medicine

Teaching is the best way to learn. In the end, I am not only a teacher and my residents are not only learners, but we are both a little of each.

May 26, 2020 | 1 min read

Accelerating Adaptation in Healthcare

By Lia Logio, MD, Drexel University College of Medicine

Efficiency erodes our ability to respond to the uncertainty of life. The messy world of clinical care requires time, patience, and creative experimentation.

February 3, 2021 | 3 min read

How to Cultivate a “Friendtorship”

By Jared Rubenstein, MD, Baylor College of Medicine, Liz Salmi, OpenNotes Communications, Beth Israel Deaconess Medical Center

A “friendtorship” is an informal peer-mentor relationship between two people with shared interests but different careers. “Friendtorships” can help you develop new perspectives and ideas about your own field.

July 18, 2023 | 1 min read

Can a chatbot be a clinician’s friend?

By Adam Poliak, PhD, Bryn Mawr College, Eric Leas, PhD, Mark Dredze, PhD, Johns Hopkins University

ChatGPT can draft seemingly empathic answers to patient questions on medical portals. This may help clinicians respond more efficiently to their patients’ concerns. 

May 17, 2022 | 1 min read

Word Choice Related to Substance Use Disorders

By Beth McGinty, PhD, Johns Hopkins Medicine

Words matter; calling patients with a substance use disorder an “addict” defines them by their addiction. We need to ensure that our patients feel comfortable and supported so that they will engage in treatment.  

March 10, 2025 | 2 min read

The B12 fix

By Selvi Rajagopal, MD, MPH, Johns Hopkins Medicine

Clinicians should remember to watch for fatigue in patients shifting to plant-based diets; a B12 test can reveal a significant, reversible cause of feeling poorly. 

July 20, 2021 | 2 min read

3 lessons on clinical excellence from the oncology clinic

By Sajya Singh, Medical Student, Johns Hopkins Medicine

While shadowing clinicians in cancer care, I learned the importance of spending time to gather the family history, building trusting relationships, and balancing treatment plans with quality-of-life considerations.

January 9, 2024 | 3 min read

Dust and distrust

By Matthew Kelly, PhD, MPH, Johns Hopkins Medicine

Infection-related epidemics, like AIDS and COVID, teach us much about caring. To provide humanistic care, clinicians must continuously endeavor to assess and build trust with patients. 

August 14, 2025 | 2 min read

Rose, bud, and thorn 

Try starting your next team meeting with an icebreaker activity. Rituals like this can jumpstart connections with colleagues and build healthier care teams. 

October 31, 2019 | 1 min read

A Physician, a Zombie, and a Patient Walk into a Bar

By Michelle Gyenes, MS, Columbia Mailman School of Public Health

We are more like zombies than you might think. This fact reminds us that we should be able to find commonalities with all of our patients and colleagues. Happy Halloween!

November 2, 2022 | 2 min read

Psychedelics to Quit Smoking?

By Matthew Johnson, PhD, Johns Hopkins Medicine

Patients may ask about using psilocybin to stop smoking. While being actively studied, please remind them that it’s still illegal and not necessarily risk-free. 

December 21, 2021 | 4 min read

How to Make New Habits Stick, Part 2 

By Howard Chang, Medical Student, Johns Hopkins Medicine

We can build good habits in our own lives and help patients do the same by implementing the four laws of behavior change: make it obvious, make it attractive, make it easy, and make it satisfying. 

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. 

November 1, 2018 | 2 min read

Lessons From ‘The Giving Body’

By Adam P. Stern, MD, Harvard Medical School

Little by little, chronic disease can eat away at a patient’s sense of self. The best antidote can be a doctor who empathizes with the patient’s subjective experience.

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 1, 2021 | 2 min read

The Emperor’s New Curtains

By Charlotte Squires, MBChB, Borders General Hospital, Scotland

Clinically excellent physicians consider the setting of private conversations with patients and families. Quiet rooms with a door that closes are ideal for sensitive discussions.

July 17, 2023 | 3 min read

Choreographing Clinical Care

By Hanghang Wang, MD, PhD, Johns Hopkins Medicine

Exceptional patient care is akin to a ballet performance. Synergistic team interactions, thoughtful decisions, and deliberate actions are all critical steps in the dance of patient care. 

May 9, 2022 | 2 min read

Talking With Patients About Their Online Research

By Rebekah Fenton, MD, Northwestern University

Patients’ online research may leave them wondering if they have a particular disease. Listen to their concerns, normalize their fears, and provide reputable resources. And remember, sometimes they’re right.  

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. 

Guanyin, Bodhisattva of Compassion, Honolulu Museum of Art. Photo by Margaret Chisolm, MD.

March 7, 2019 | 5 min read

On Looking: February Museum Visit

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

The more lessons on clinical excellence we look for in art, the more we find.

July 22, 2021 | <1 min read

Responding Instead of Reacting

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When confronted publicly by a colleague, I learned that it is helpful to respond calmly instead of reacting defensively. This strategy will allow us to move forward.

Treponema pallidum Syphilis bacterium, the bacterium responsible for the dangerous sexually transmitted infection, syphilis.

January 8, 2024 | 3 min read

Combatting the syphilis epidemic 

By Zach Lorenz, MD, Johns Hopkins Medicine

Rates of syphilis and other sexually transmitted infections are skyrocketing. It’s imperative that we have candid conversations with patients about their sexual behaviors. 

August 12, 2025 | 2 min read

Safe and sound care   

Now more than ever, create an affirming healthcare environment for LGBTQIA+ patients by using respectful language and addressing unique care needs.  

October 2, 2019 | 2 min read

Partnering With Patients to Prevent Diabetes

By Eva Tseng, MD, MPH, Johns Hopkins Medicine

Clinically excellent clinicians effectively counsel and motivate patients to prevent diabetes. Setting specific goals for lifestyle changes, referring to evidence-based Diabetes Prevention Programs, and scheduling timely follow-up visits are among the tips outlined.

October 17, 2022 | 2 min read

Working With The Media For The Public Good

By Maria Simbra, MD

Clinicians can communicate health messages effectively by using memorable stories to share the main message and understanding the reporter’s constraints.  

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.  

July 10, 2024 | 2 min read

Lessons from earlier in life: bagging groceries 

The service industry principles I learned while working in a grocery store apply to medicine. These include prioritizing customer needs, actively listening, and appreciating colleagues. 

The author, far right, with colleagues.

October 23, 2018 | 2 min read

Master Clinicians – The Early Years

By Vivek Murthy, MD, Johns Hopkins University School of Medicine

It’s no surprise that it takes hard work to become a great clinician. This is a glimpse of what the first steps on that road might look like.

June 29, 2020 | 2 min read

Lessons From the AIDS Epidemic

By Melinda Kantsiper, MD, Johns Hopkins Medicine

In times of crisis, it can be helpful to listen and learn from the stories of those who have come before us.

January 27, 2021 | 2 min read

Gin And Tonic—Cultural Footprints of Disease

By Kittane "Vishnu" Vishnupriya, MBBS, Johns Hopkins Medicine

To mitigate incorrect assumptions about patients who have been infected with COVID-19, we must work to spread truths and to minimize inaccuracies—particularly those that may be shameful or demeaning.

July 13, 2023 | 2 min read

5 More Ways Social Workers Can Help Patients

By Abbey Becker, LMSW, Johns Hopkins Medicine

Hospital social workers can gather missing information essential to patient care. They can also assist patients in completing advance directives.  

May 5, 2022 | 1 min read

Lessons From Choosing a Specialty

By Howard Chang, Medical Student, Johns Hopkins Medicine

Deciding on an area of practice during medical school reminded me to ask for help when needed and to be comfortable with uncertainty. These skills will help me when I care for patients in the future.    

February 12, 2025 | 1 min read

Insights from the book “Decoding Greatness”

By Scott Wright, MD, Johns Hopkins Medicine

Achieving greatness in any field is not only about talent or practice; it’s also about studying the successes of those who are exemplary. In medicine, observing and analyzing the approaches of admirable colleagues can allow us to grow and evolve toward being more clinically excellent. 

March 5, 2019 | 3 min read

From Film School to Medical School (Part 3 of 3)

By Margaret Chisolm, MD, Johns Hopkins Medicine

Using both words and images, John Berger and Jean Mohr's photo-essay, "A Fortunate Man," provides an intimate glimpse into the role of the doctor: "To cure sometimes, to relieve often, and to comfort always."

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.

January 4, 2024 | 1 min read

Searching for the solution

By Scott Wright, MD, Johns Hopkins Medicine

Improving clinical reasoning skills is a career-long journey where we feel like an expert one day and a novice the next. Commitment to growth and learning from mistakes are absolutely required.  

September 24, 2019 | 1 min read

Counseling Patients on the Dangers of E-cigarettes

E-cigarettes pose unique health risks. Screening and informing our patients of these concerns is imperative.

October 12, 2022 | 1 min read

Equity and Inclusion: Beyond The Recognition Phase

By Vivian Altiery De Jesus, MD, MBE, Johns Hopkins Medicine

Increasing the diversity of minority clinicians is a first step in combatting racism in medicine. We must also ensure that curricula are free of stereotypes and bias. 

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.

July 9, 2024 | 3 min read

Takeaways from the book “Progress Notes” 

By Abraham Nussbaum, MD, Denver Health

Excellent clinicians understand patients not just as bodies, but also as individuals within a community. Healthcare professionals should be trained in both for a more holistic approach to patient care. 

Our Mission

Stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

C L O S L E R
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • About Us
  • Our Team & Partnerships
  • Contact
  • Add Your Voice
  • Subscribe
  • Donate

©2025 Miller Coulson Academy of Clinical Excellence,  Johns Hopkins Medicine.  All Rights Reserved.  Privacy Policy