March 6, 2018 | 2 min read

With Respect to Clinical Excellence, Age is Only a Number

By Roy Ziegelstein, MD, Johns Hopkins Medicine

With respect to clinical excellence, compassion, knowledge, diagnostic reasoning, and clinical skill are far more important than age—age is only a number.

June 14, 2023 | 1 min read

Is it safe to breathe?

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Wildfires are worsening in intensity and frequency due to global warming. When the air quality is poor, encourage those with underlying cardiopulmonary conditions to stay inside if possible, and to wear a well-fitted mask outdoors. 

October 23, 2023 | 3 min read

Sharing in Caring

By Anne Walsh, MD, Johns Hopkins Medicine

Connecting with a patient’s other doctors improves health outcomes. Effective communication with colleagues is one key to successful comanagement. 

August 13, 2020 | 3 min read

Exploring Professional Identity Through Art

By Angelica Kene Ezeigwe, Medical Student, Johns Hopkins Medicine

Reflecting periodically on why you chose medicine as a career may help you to reconnect with your passion and rekindle the joy of serving patients.

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. 

January 8, 2019 | 1 min read

Book Review of “Wolf Constellation”

By Deirdre Johnston, MBBCh, MD, Johns Hopkins Medicine

This novel prompts us to consider a family's story across generations and its influence on the emergence, manifestation, diagnosis, and treatment of illness in an individual. We routinely inquire about, and document, every patient's family history, but the simple listing of a diagnosis in other family members does not tell the whole story. We need to be curious about that story, because it can tell us much about our patients' strengths and vulnerabilities.

August 9, 2018 | 4 min read

Becoming a better ally

By Mariah Robertson, MD, Johns Hopkins Medicine

LGBTQ seniors are at a significantly higher risk for health disparities and frequently withhold their gender identity or sexual orientation from their physician due to fear of being turned away or discriminated against. It is up to each of us to educate ourselves so we can be empowered to routinely ask about the sexual health of our aging patients.

September 12, 2019 | 3 min read

Connecting climate change to patient care

By Bailey Miles, MD, Johns Hopkins Community Physicians

Clinicians must confront the health threats posed by climate change. To safeguard the health of all humanity, we should take a leadership role in addressing this critical issue.

June 21, 2018 | 6 min read

How Home Ventilator Care Helped My Patients

By Mattan Schuchman, MD, Johns Hopkins University School of Medicine

Learning how to work with patients on ventilators at home has been a gratifying challenge.

May 10, 2022 | 2 min read

Supporting Underrepresented Trainees

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

When witnessing racism, we must support those affected to foster an environment of safety and respect.

September 23, 2024 | 3 min read

The rabbit hole 

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

Through my own experience as a patient, I was reminded that ordering diagnostic tests should be approached with caution and careful consideration of the potential implications. These include the likelihood of additional testing and increased anxiety. 

July 29, 2021 | 2 min read

Lessons From Duke Ellington

By Jeffrey Millstein, MD, Penn Medicine

Listening to The Duke, I realized that I care for patients best when my clinical encounters are like jazz duets—lots of listening and imbued with improvised spontaneous interplay.

December 18, 2018 | 4 min read

Evelyn’s Story

By Mariah Robertson, MD, Johns Hopkins Medicine

Keeping in touch with patients and their families in the days, weeks, and months following an encounter makes the practice of medicine meaningful and rewarding.

May 3, 2022 | 5 min read

10 Pearls From Clinician Exemplars

By Ralph Hruban, MD, Johns Hopkins Medicine

We have much to learn from those who came before us. One example is working toward equity in healthcare, including fighting sexism and racism. 

July 26, 2021 | 2 min read

How to Reduce Clinician Turnover

By Steve Kravet, MD, MBA, Johns Hopkins Community Physicians

When patients lose the clinician with whom they have an established relationship, they may suffer a relapse in their physical and/or mental illness. To retain valued healthcare professionals, employers must create a work culture that supports their needs.

April 28, 2022 | 2 min read

Clinical Pearls From Sarah Lewis’ Book “The Rise”

By Scott Wright, MD, Johns Hopkins Medicine

The journey to mastery is long and full of setbacks. In clinical medicine, a commitment to excellence is a worthy goal; missteps represent growth opportunities, not failures. 

September 16, 2024 | 3 min read

What healthcare professionals can learn from Clover, the death doula 

By Scott Wright, MD, Johns Hopkins Medicine

A novel reminded me about best practices in caring for the dying. “The Collected Regrets of Clover” repeatedly stressed to acknowledge the emotional complexities surrounding death and to never look away from someone’s pain. 

April 8, 2019 | 5 min read

On Looking: March Museum Visit

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

Visual Thinking Strategies and the Personal Response Tour are two examples of museum-based pedagogical practice that build critical thinking skills, foster empathy, and allow for reflective space away from the clinic.

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 15, 2019 | 1 min read

The Circle of Whole Health

By David Kopacz, MD, University of Washington

You can use the Circle of Health to support veterans in coming home in heart, mind, body, and spirit.

December 22, 2020 | 3 min read

The New “Normal” For Mental Health in 2021

By David Kopacz, MD, University of Washington

Let patients know that it’s ok to feel abnormal in abnormal times.

December 13, 2018 | 2 min read

Interprofessional Collaboration Improves Care

By Vineet Arora, MD, University of Chicago Medicine

Improving teamwork in hospitals is key to giving clinically excellent care to our patients.

April 25, 2019 | 3 min read

Diagnostic Humility

By Nathan Douthit, MD, Brookwood Baptist Health, Birmingham, Alabama

Self-awareness is critical in making accurate diagnoses.

April 1, 2020 | 4 min read

Strength in Vulnerability

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

There is strength in acknowledging our fears individually and facing them collectively.

January 23, 2023 | 2 min read

Young People And Mental Health Concerns

By Mackenzie Sommerhalder, PhD, Johns Hopkins Medicine

The decision to bring a young patient to the ER for mental health concerns versus what can wait is challenging. As a general rule, a young person should be taken to the ER if the caregiver has any concern about their safety and/or the safety of others. 

July 1, 2021 | 3 min read

Micro-judgements Hurt

By Tyler Mains, MD, University of California, San Francisco

Critical comments about colleagues contribute to burnout. To mitigate this, strive to be as empathetic and compassionate with coworkers as you are with patients.

February 23, 2018 | 2 min read

Mindfulness and Diagnostic Acumen: Inversely Related?

By Sharon Solomon, MD, Johns Hopkins Medicine

Far from being inversely related, physician mindfulness provides the foundation upon which diagnostic acumen is built.

July 6, 2018 | 1 min read

Music and Coffee

By Scott Wright, MD, Johns Hopkins Medicine

If you get the sense that one of your patients is isolated or alone, ask about their support network. If they have none, ask if they would like help in being connected to community resources.

April 14, 2022 | 3 min read

Equity and Ethical Considerations With The Use of Psychedelics

By Ian Pocock, LICSW, Washington

Psychedelic medicines may help patients suffering with PTSD and treatment-resistant depression. As with many new therapies, ethical considerations and ensuring equal access for everyone are works in progress.

March 25, 2019 | 2 min read

Movie Review of “End Game”

By Barry Bryant, MD, Johns Hopkins Medicine

The documentary "End Game" includes honest and reflective conversations with patients about what dying might be like, and investigation into what patients want the end of their life to look like.

August 29, 2024 | 1 min read

Where do you live?  

Clinicians must go beyond medical diagnoses and address social determinants of health, such as housing instability. Finding the best hospital discharge solution may require creativity and team collaboration. 

December 10, 2019 | 2 min read

No Patience for Patient Violence

By Che Harris, MD, Johns Hopkins University School of Medicine

The clinically excellent clinician prepares before intervening to de-escalate patients who may be behaving aggressively.

March 20, 2019 | 4 min read

Social History as Story

By Colleen Farrell, MD, New York University

We cannot understand our patients’ bodies if we do not understand something about who they are as human beings,

February 12, 2024 | 2 min read

Recognizing and treating substance use disorders in healthcare professionals 

By Gregory Hobelmann, MD, MPH, President of Ashley Addiction Treatment

Healthcare professionals are at least just as vulnerable to substance use disorders as the general public. It never occurred to me that I may be among those numbers, but I am. 

February 1, 2024 | 3 min read

Remembering your why during challenging times 

By Vee Balendra, medical student, Saint James School of Medicine, Illinois

Working in healthcare can sometimes feel overwhelming. During times of stress, recalling why you chose your career may help to inspire and rejuvenate.

September 12, 2022 | 2 min read

The Medical Interview And All That Jazz 

By Jeffrey Millstein, MD, Penn Medicine

Like learning to play jazz, medical interviewing skills can grow and develop through close observation and imitation of mentors. 

December 4, 2018 | 3 min read

Just the Facts: A Book Review of “Factfulness”

By Sam Kant, MD, Johns Hopkins University School of Medicine

This book is full of examples showing that we are actually doing well as a species, despite constant pronouncements to the contrary. It also reminds us that we need to be mindful of our own instincts and the biases that can influence our decisions.

July 23, 2020 | 3 min read

Stepping Back Before Moving Forward

By Moises Auron, MD, Cleveland Clinic

Considering multiple diagnostic possibilities and not anchoring on the incoming diagnosis may increase the chance of getting it right.

August 7, 2024 | 1 min read

The rat

Soliciting diverse perspectives and considering unexpected etiologies can improve diagnostic accuracy. Answers to clinical puzzles may be rooted in cultural and geographic specificities. 

August 6, 2019 | 7 min read

July Art Museum Challenge

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

The skills required in the clinic are the same as those in the art gallery: to examine, investigate, embrace ambiguity, consider multiple interpretations, reflect, collaborate, and learn.

October 28, 2021 | 2 min read

Dropping my Pen

By Howard Chang, Medical Student, Johns Hopkins Medicine

Excellent clinicians implement colleagues’ feedback to improve their care of patients and offer guidance to support the growth of others.