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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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Naomi Osaka. Photo by Peter Menzel. Public Domain, Wikimedia.

July 12, 2021 | 1 min read

Lessons Learned From Naomi Osaka

By Neda Gould, PhD, Johns Hopkins Medicine

Osaka’s decision to withdraw from two major tennis events due to anxiety and depression helps to fight the stigma of mental illness. When caring for patients, make space to allow them to share their experiences with you and support their practice of self-care.

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.

March 29, 2021 | 2 min read

Validating Your Patient’s Experience of Chronic Pain

By Jocelyn Fitzgerald, MD, University of Pittsburgh

We must empathize with our patients who are suffering from chronic pain. Working with them to achieve a better quality of life may be a reasonable shared goal.

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. 

February 11, 2021 | 6 min read

Checklists and Connections

By Neda Frayha, MD, University of Maryland

Take five minutes to connect with a patient with no medical agenda. You may be surprised by how much joy it brings both you and them.

April 15, 2020 | 2 min read

Keeping Older Adults Connected

By Susan Lehmann, MD, Johns Hopkins Medicine

Social distancing can increase loneliness, especially among older adults. Finding ways to stay connected through phone and virtual visits can combat social isolation.

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.

October 26, 2022 | 1 min read

Inquiring About Young Patients’ Social Media Use

By Crystal Favorito, pre-med, Johns Hopkins Medicine

Clinicians can encourage teens to avoid self-comparison by asking about the ways they use online platforms, not just how often.

May 19, 2022 | 2 min read

Recognizing Relapse

By Susan Lehmann, MD, Johns Hopkins Medicine

The earlier that the return of psychiatric symptoms is detected, the more quickly a patient’s mental well-being can be restored. 

October 25, 2022 | 4 min read

Just Breathe

By Jillian Bybee, Michigan State University

When my patients experience pre-procedural anxiety, I normalize the emotion and suggest ways to feel calm. Taking deep breaths together is often mutually beneficial for patients and clinicians.

December 22, 2021 | 3 min read

Coping With Grief During The Holidays

By Ankita Sagar, MD, Brooklyn, New York

Having experienced my cousin’s death before Christmas reminds me that December isn’t a joyous time for everyone. I encourage those struggling to connect with loved ones and limit substance use. 

September 9, 2020 | 1 min read

We’re All in This Together

By Mike Fingerhood, MD, Johns Hopkins Medicine

With the added stress caused by the pandemic, make an extra effort to screen your patients for anxiety and depression. Empathizing about shared concerns may facilitate patient expression.

April 25, 2022 | 1 min read

Showing Empathy to Reduce Patient Anxiety

By Mariana Calleja, MD, Grupo Quirón, Barcelona, Spain 

Smiling, communicating calmly, and avoiding medical jargon can help patients feel more comfortable and relaxed.   

April 14, 2022 | 4 min read

Talking About Climate Change With Patients

By Dean Chien, CLOSLER team, Baltimore, Maryland

Climate change affects the health of everyone. When talking with patients about climate change, meet them where they are and listen nonjudgmentally. 

Often, doomscrolling leads to going down rabbit holes.

April 7, 2022 | 3 min read

Doom Your Gloom

By Crystal Favorito, pre-med, Johns Hopkins Medicine

Ask your patients about their online behaviors. Doomscrolling—consuming large quantities of negative news online—is an often underrecognized cause of anxiety. 

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.

January 12, 2021 | 2 min read

6 Ways to Engage Families to Support Child Mental Health

By Barbara Robles, MD, University of Texas

Strong relationships with clinicians can empower children and their families to engage more fully in their mental health treatment.

A perfectly imperfect brown-eyed Susan.

October 29, 2020 | 2 min read

Embracing Imperfection

By Swathi Raman, MD, MPH, LifeBridge Health, Maryland

To help with imposter syndrome, practice habits that increase your confidence.

June 30, 2021 | 2 min read

Promoting Wellness Through Intergenerational Connections

By Susan Lehmann, MD, Johns Hopkins Medicine

Bridging the generations can enhance emotional well-being for young and old. Encourage patients to reach out to older family members and neighbors!

May 11, 2022 | 2 min read

Enhancing Mental Health Awareness

By Susan Lehmann, MD, Johns Hopkins Medicine

Asking specific questions can be helpful in screening for mental health disorders. A few of my favorites include asking about new difficulties with sleep, changes in appetite or weight, and how much alcohol patients are drinking.

June 6, 2022 | 2 min read

The Weight of Victory

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

Increasing numbers of female collegiate athletes are taking their lives. Athletes, like all patients, need a nonjudgmental environment to help them feel more comfortable sharing their thoughts, feelings, and behaviors. 

Employers must cultivate a nurturing culture that supports the emotional and physical needs of their employees.

February 9, 2021 | 3 min read

How to Support Patients With Chronic Pain and Substance Use Disorder

By Juliette Perzhinsky, MD, MSc, Central Michigan University

All patients must be treated with empathy. Those suffering with chronic pain and addiction may be especially deserving of compassion.

January 11, 2021 | 2 min read

Meditation to Manage Stress

By Wilson Hurley, LCSW

Stress can cause us to be impatient with patients and colleagues. Noticing this and refocusing our attention toward the patient can help us continue to give excellent care.

March 26, 2020 | 2 min read

6 Ways to Stay Calm Amidst the Media Storm

By Neda Gould, PhD, Johns Hopkins Medicine

It is normal to feel anxious during uncertain times. However, there are tools that 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."

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.

July 19, 2018 | 1 min read

Reflections on “Will You Forgive Me for Saving You?”

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

A pediatric intensivist offers reflections on a moving piece from the NEJM.

March 14, 2023 | 2 min read

Laughter is The Best Medicine

By Marion McCrary, MD, Duke Health

A smile, a touch, eye contact, and a jovial laugh can be a lifeline for patients in a stressful situation. 

September 24, 2018 | 1 min read

Healing, Counseling, and Consoling

By Satish Shanbhag, MBBS, MPH, Johns Hopkins University School of Medicine

An essential part of clinically excellent care is empathy with our patients—a trait that can be cultivated by visualizing ourselves as an extension of our patient’s family helping them get through a rough patch in life.

July 16, 2020 | 3 min read

Being Human

By Kamala Tamarisa, MD, Southlake, Texas

When you notice that something is amiss with a patient or your reaction to them feels off, this is a clue to dig deeper. With time and enhanced trust in the doctor-patient relationship, things usually become clear.

November 19, 2020 | <1 min read

Quitting Smoking During The Pandemic

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Remind patients that quitting smoking is hard and takes time. This will help them take a first step toward better health.

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.

Cranberry mocktails at holiday gatherings are a great inclusive drink to serve when hosting.

December 15, 2022 | 2 min read

Supporting Those With AUD Through The Holidays

By Megan Gerber, MD, MPH, Albany Medical College

Find a way to celebrate this holiday season that includes and validates those who may be in recovery. 

October 27, 2021 | 4 min read

Digital Media Addiction: It’s Complicated

By Natalie Gukasyan, MD, Johns Hopkins Medicine

It’s tempting to resort to simple explanations for complex behaviors like digital media use. Deep relationships with patients can help you understand what’s behind the behavior. 

September 14, 2022 | 2 min read

The Hippocratic Oath’s Reminder to be Artful

By Ming-Hsien Wang, MD, Johns Hopkins Medicine

Caring for diverse families, I remember the Hippocratic Oath: “. . . There is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon's knife or the chemist's drug.”

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.

A patient's Maine coon kitten, pug puppy, and knitting project.

September 14, 2020 | 3 min read

The Unexpected Benefits of Seeing Patients Virtually

By Susan Lehmann, MD, Johns Hopkins Medicine

Telemedicine allows patients and clinicians to see and respond to each other’s facial expressions. Plus, clinicians are offered deeper insight into their patient’s world.

May 18, 2022 | 3 min read

A Matter of Interpretation

By Kathleen Page, MD, Johns Hopkins Medicine

Practice, preparation, and intentionality are essential to mastering medical skills, including how to communicate effectively with an interpreter. 

In addition to negatively affecting your relationship with patients, perfectionism can lead to burnout.

June 10, 2021 | 3 min read

Why Perfectionism May Weaken Your Relationships With Patients

By Maureen Flood, NP, Johns Hopkins Medicine

My perfectionist tendencies weakened my relationship with a patient. Being aware of and working to overcome this habit can be helpful for patients and take pressure off healthcare professionals.

November 28, 2018 | <1 min read

Dr. Jim Black, A CLOSLER Look

By Gretchen Miller, Managing Editor

A favorite part of my job is telling patients when they, in fact, do NOT need surgery!

January 12, 2023 | 1 min read

Pain Talk

By Will Frye, PhD, Johns Hopkins All Childrens, St. Petersburg, Florida

Chronic pain is sometimes a challenging topic to discuss with patients. I’ve learned that the most important thing is to validate my patients’ experience of suffering. 

April 14, 2021 | 2 min read

Helping Parents Navigate The Return to School

By Kate Connor, MD, MSPH, Johns Hopkins Medicine, Megan Collins, MD, MPH, Johns Hopkins Medicine, Sara Johnson, PhD, MPH, Johns Hopkins Medicine

As children transition back to in-person learning, encourage parents to monitor their children’s well-being and behaviors to determine if they need more support.

June 22, 2020 | 4 min read

Doing Something or Doing Nothing: Health Disparities, Racial Justice, and the Risk of Failing to Meet This Moment

By Hal Kronsberg, MD, Johns Hopkins University School of Medicine

Truly addressing health disparities and racial justice requires an intense and challenging examination of our own clinical practices and how they may perpetuate inequalities. We must continually hold ourselves and our institutions accountable on the path to building a more just medicine.

September 17, 2019 | 5 min read

Being Human First

By Kultaj Kaleka, MD, RN, Central Michigan University

Family and friends frequently ask medical trainees for their medical advice. Naturally, our recommendations are not based on medical experience, but rather our shared humanity.

April 14, 2022 | 1 min read

Supporting Young Adults Who Use E-Cigarettes

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

When talking with young patients about tobacco dependence, first create a judgment-free zone and ask open-ended questions to understand why they use the product. 

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.

August 31, 2018 | 1 min read

A Walk in the Woods Keeps the Doctor Away

By Rachel Levine, MD, MPH, Johns Hopkins University School of Medicine

The benefits of a walk outside include improved mood, self-awareness, emotional processing and regulation, attentiveness, and sense of well-being, as well as decreased feelings of stress and anxiety. 

March 16, 2022 | 1 min read

How to Support Patients With Autism Post-Pandemic

By Ayman Mukerji Houseman, MS, MSW, New York City

When caring for patients with autism who are moving back to in-person interactions, suggest changes that are gradual with input from patients and their caregivers. 

February 28, 2018 | 4 min read

Asking Patients About Adverse Childhood Experiences

By Brent Beasley, MD, University of Oklahoma

Ask. It's scary. But ask anyway.

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.

July 10, 2018 | <1 min read

Better Dementia Care Through Music

By Michele Bellantoni, MD, Johns Hopkins University School of Medicine

Having your older patients listen to music can be an effective way to reduce dementia-related behavioral disturbances.

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