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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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January 9, 2023 | 2 min read

Questions Raised by “There, There” 

By Mike Fingerhood, MD, Johns Hopkins Medicine

Reflecting on our own “there” (the place where we grew up) can trigger conversation that helps us to understand our patients’ “there.” This can strengthen the patient-clinician relationship.

June 25, 2018 | 2 min read

Trust The Diagnostic Process

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Clinicians use a diagnostic process to guide their actions when faced with a medical problem. Hypothesis generation provides an efficient reliable framework to focus the clinical workup and come to the correct diagnosis and treatment plan.

July 18, 2022 | 2 min read

How to have effective discussions about alcohol 

By Beth McGinty, PhD, Johns Hopkins Medicine, Mike Fingerhood, MD, Johns Hopkins Medicine

Talking with patients about the risks of heavy alcohol consumption and the benefits of change can have a positive impact on their health. 

Plato, Greek philosopher. A disciple of Socrates and the teacher of Aristotle, he founded the Academy in Athens. This is his statue, located before the Academy of Athens, Greece.

June 29, 2022 | 3 min read

Being PerfecT in Healthcare 

By Mike Fingerhood, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

Moral questions often arise in healthcare. Contemplating how our efforts might translate into the most good deserves our thoughtful consideration. 

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. 

September 21, 2022 | 1 min read

Finding Passion, Purpose, and Meaning

By Carisa Parrish, PhD, Johns Hopkins Medicine

When experiencing burnout on the job, enjoying activities outside of work may lead to greater happiness and life satisfaction, until your passion for work returns. 

November 8, 2018 | 2 min read

How Maintaining Fitness Can Enhance Your Clinical Practice

By Mike Rucker, PhD, Active Wellness

Maintaining your fitness may prevent burnout, and can be viewed as a gift to yourself, your patients, and your clinical practice.

January 23, 2025 | 1 min read

Only 13.9%?! 

By Edward Slipek, MD, St. Paul, Minnesota

Every patient encounter provides an opportunity to have a conversation about their physical activity levels—recognizing its profound impact on both mental and physical health outcomes. 

The courtyard within the Isabella Stewart Gardner Museum, Boston, Massachusetts. Photograph by Flora Smyth Zahra.

November 26, 2019 | 7 min read

October Art Museum Challenge

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

Students appreciate the opportunity to engage with one another in the sanctuary of an art museum; the setting itself fosters well-being.

January 5, 2026 | 3 min read

Nurture your spark   

Scheduling time for things you love—like being in nature or volunteering—may help restore vitality and mitigate burnout. Identify what renews you, put it on your calendar, and protect it like any other commitment.  

A Reversed Retrogress: Scene 1 (The Purple Shall Govern) (2013), Mary Sibande. Courtesy of the artist and Somerset House London. Photograph by Flora Smyth Zahra.

October 28, 2019 | 5 min read

September Art Museum Challenge

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

By providing a creative space in which healthcare professionals can build skills integral to clinical practice, while also expressing their vulnerabilities and humanity, art museum-based education can humanize healthcare and provide an antidote to burnout.

August 22, 2023 | 4 min read

HeART And Soul

By Jonathan McFarland, Medical Humanist, Autonomous University of Madrid & University of Pompeu Fabra

Incorporating the arts into patient care may be a step toward infusing compassion into what can be a dehumanizing healthcare environment. 

July 18, 2024 | 2 min read

The French secret 

By Alisha Dziarski, MS, Johns Hopkins Medicine

Clinicians might consider recommending interactive recreational activities to some patients rather than non-specific exercise guidelines. These endeavors provide exercise, community, and social interaction all in one. 

July 26, 2023 | 3 min read

Small change = big impact (archives, 2023)

By Jennifer Katzenstein, PhD, Johns Hopkins Medicine

Ideally, healthcare professionals model healthy habits. In doing so, they can inspire others and influence the health of communities.

March 9, 2023 | 2 min read

Latticeworks

By Zaina Siraj, medical student, Albany Medical College

The more we learn and grow, the better we can understand ourselves, our patients, and our world. 

February 4, 2025 | 2 min read

Sweet dreams 

By Molly Atwood, PhD, Johns Hopkins Medicine

By understanding the interplay of environmental factors, physiological responses, and cognitive habits, clinicians can help patients cultivate personalized routines that should result in more restful nights. 

October 26, 2020 | 1 min read

8 Ways to Manage Election Stress

By Neda Gould, PhD, Johns Hopkins Medicine

Mindfulness strategies can help clinicians and patients alike to ease election-related anxiety and promote positive mental health.

November 30, 2023 | 1 min read

STD knows not your DOB (archives, 2023)

By Jeffrey Millstein, MD, Penn Medicine

Sex can be an important part of life in older age. My patient reminded me to address STD prevention and other intimacy concerns consistently in all sexually active adults. 

December 18, 2024 | 1 min read

Finding calm in a divided landscape 

By Neda Gould, PhD, Johns Hopkins Medicine

Vitriolic political discourse can affect patient well-being. Clinicians can acknowledge this and offer practical coping strategies.

April 18, 2019 | 2 min read

The Importance of Rest

By Gretchen Miller, Managing Editor

Make time for rest in order to lead a good life! This includes not working around-the-clock, prioritizing both work and non-work activities equally, and using your vacation time!

Brushing your teeth each morning and night can be a great time to practice being mindful - instead of checking your phone!

December 3, 2018 | 2 min read

Attitudinal Foundations of Mindfulness

By Neda Gould, PhD, Johns Hopkins Medicine

In mindfulness meditation, we are not trying to change anything. We are simply becoming aware of what is going on without judging it as good or bad. When we bring our awareness to the present moment, a natural by-product is often relaxation.

March 8, 2022 | 3 min read

Tips For Assessing The Intensity of Pain

By Brian Lee, MD, PhD, Johns Hopkins Medicine, David Madder, DO, Johns Hopkins Medicine

When assessing pain, we often ask patients to assign it a number between 0 and 10. Asking about the effect of pain on behavior and functional status can often give us a more meaningful understanding. 

June 1, 2021 | 2 min read

The Lifelong Journey in Professional Identity Formation

By Margot Kelly-Hedrick, MD, University of Washington

We must work toward defining our identities throughout our careers as we strive to give excellent care to every patient.

July 14, 2020 | 5 min read

Top 10 Tips For Great Sleep During the Pandemic

By Logan Schneider, MD, Stanford Medicine

Great sleep is a foundation of health—both for healthcare professionals and our patients. Because sleep can be disturbed with the stress of the pandemic, it's important to commit to sleep-promoting habits and routines.

"Untitled," by David Kopacz.

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.

March 24, 2020 | 1 min read

Exercising for Wellness During the Pandemic

By Erica Leonard, MD, Johns Hopkins University School of Medicine

With the drastic changes to our lives due to COVID-19, we can still stay active. Exercise during this challenging time can help improve everyone's emotional well-being and physical health.

August 30, 2021 | 3 min read

TIPPS For Reducing Patients’ Anxiety

By Elizabeth Steuber, MD, Johns Hopkins Medicine

Helping patients engage in paced breathing and progressive muscle relaxation can be calming when they are feeling stressed.

December 12, 2023 | 2 min read

“CARE”

By Kelly Buckholdt, PhD, Veterans Health Administration, William Laurento II, MEdL

There’s no more dramatic way to understand patient-centered care than being a patient. 

"An Infinity Room Installation," Yayoi Kusama. Wikivisually.com. Public Domain.

December 19, 2019 | 5 min read

November Art Museum Challenge

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

The reality of clinical practice can be complex and uncertain and these sessions away from the clinics in and around the art museum space allow students through haptic exploration to become more comfortable with ambiguity.

January 3, 2023 | 3 min read

Having fun can change your life

By Mike Rucker, PhD, Active Wellness

Lack of time and minimal control of your schedule can be significant sources of burnout. Discover simple ways to reclaim your time and integrate pleasurable experiences.

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.    

September 18, 2023 | 3 min read

Do you “need” to say it that way? 

By Gina Piscitello, MD, MS, University of Pittsburgh Medical Center

Using the word “need” to describe a treatment option may mislead patients and loved ones into believing it should be pursued. Prioritizing patient values and preferences may help reduce this risk.  

July 30, 2024 | 3 min read

Unplug to recharge 

By Jennifer Katzenstein, PhD, Johns Hopkins Medicine

When I engaged in a personal digital detox, I noticed my ability to focus on patients improved. Two ideas to try are setting screen-time limits and establishing tech-free zones. 

December 22, 2021 | 4 min read

Maintaining well-being during the holidays 

The holidays can intensify feelings of sadness. Ask patients about mood, sleep, and social support. Offer concrete guidance like maintaining regular sleep and exercise routines and limiting substance use.

June 10, 2024 | 2 min read

Let’s talk about sex and aging 

By Mariah Robertson, MD, Johns Hopkins Medicine

Open and inclusive questions during routine visits with older patients can improve their sexual health outcomes. 

November 24, 2021 | 4 min read

What I Learned When I Deleted my Social Media

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

When I stopped checking Twitter, Instagram, and Facebook, I created a boundary between myself and the never-ending stream of noise and emotion. I now have more bandwidth to empathize with my patients’ feelings.

May 25, 2023 | 2 min read

Fighting The Feed

By Colleen Schreyer, PhD, Johns Hopkins Medicine

Limiting social media use and being selective about what you view can help cultivate a positive body image. 

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. 

June 18, 2018 | 7 min read

Treating Every Patient How I Would Want To Be Treated

By Mitchell Goldstein, MD, Johns Hopkins University School of Medicine

A pediatric emergency department physician shares his inspiring clinical mission and values statement.

March 14, 2024 | 3 min read

Why sexual orientation and gender identity in the EMR matters 

By Tyler Cornell, MSN/MPH, CRNP (she/her), Johns Hopkins Medicine  

Always ask patients about their gender identity, preferred name, pronouns, and how they define their sexual orientation. This builds trust and helps your patients feel safe to return for follow-up. 

Colorectal Cancer Awareness

February 19, 2024 | 2 min read

Mitigating colon cancer in young patients

By Ekta Gupta, MBBS, Johns Hopkins Medicine

There's and increasing risk of colon cancer in younger patients. Clinicians need to be diligent in considering the possibility of colon cancer.

March 11, 2019 | 2 min read

Know Your Resources to Combat Burnout

By Anne Walsh, MD, Johns Hopkins Medicine

Burnout can feel overwhelming, but the first steps in approaching this growing problem are recognizing the symptoms and being aware of available resources to manage them.

“We often jump to reassure, fix, and plan. If we can be still for a moment, we can remain present and let compassion guide our actions.”

December 8, 2020 | 3 min read

The Messy

By Cassie Ferguson, MD, Medical College of Wisconsin

Caring for children in the pediatric ED is both rewarding and exhausting. Cultivating compassion for patients and ourselves can help to sustain our practice and our well-being.

March 7, 2023 | 6 min read

When The Doctor Becomes The Patient

By David Kopacz, MD, University of Washington

Cancer interrupted my personal and professional lives. Being a patient is an invitation to be human, something we often don’t have much time for in medicine. I am working to bring together the best of being a doctor, being a patient, and being a human being.

"While cranberry products may help prevent UTIs in some people, they’re not a cure. If your patient suspects a UTI, encourage them to seek a medical evaluation for proper treatment."

February 3, 2025 | 3 min read

Debunking women’s health and menopause myths 

Women's health, especially menopause, is rife with misinformation. Addressing patients’ needs with empathy and evidence will help empower them to make choices in line with their goals for care. 

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. 

December 21, 2023 | 2 min read

Night owls

By Sara Benjamin, MD, Johns Hopkins Medicine

When patients say they often feel drowsy during the day, discuss a sleep routine that fits with their schedule. And remember to screen for sleep apnea. 

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. 

"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.

September 15, 2020 | 3 min read

How to talk with patients about sexual health (archives, 2020)

By Matthew Hamill, MBChB, PhD, Johns Hopkins Medicine

Sexual health can be a sensitive topic to discuss. Asking open-ended questions and allowing time for your patient’s story to unfold can create a safe space for conversations about sexual health.

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