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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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December 2, 2024 | 4 min read

An intriguing paradox 

By Ghida Kassir, MD, University of Toronto, Canada

Because anorexia is not uncommon, it is likely that we will all encounter a patient who is suffering from this life-threatening condition. Although it may be difficult to understand self-starvation, empathy and compassion must be prioritized to establish a trusting patient-clinician relationship. 

October 26, 2023 | 1 min read

Silent Walking

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Take time for a mindful stroll. Instead of multitasking, untether from electronic devices, tune into the senses, and allow space for thoughts.

May 8, 2018 | 3 min read

Compassion is Contagious

By Colleen Christmas, MD, Johns Hopkins Medicine

Patients are observing us while we interact with others in the hospital, and this can have a tremendous impact on the trust they put in our care.

April 4, 2022 | 4 min read

Lessons From Puppies About Life And Medicine

By Ankita Sagar, MD, Brooklyn, New York

Adopting a pandemic puppy has reminded me of the value of play, curiosity, listening, perseverance, and vulnerability. This helps me be a better human and give better patient care. 

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. 

February 23, 2021 | 3 min read

Tips For Giving Medical Updates to Families

By Joshua Budhu, MD, Mass General

A physician’s disappointment in hearing surprises about his loved one’s condition sparked new insights on the value of regularly updating families about the patient.

"Each person is a universe."

November 13, 2024 | 2 min read

Cada persona es un Mundo 

All clinicians need to spend more time listening to patients. Not doing so limits our ability to understand patients’ perspectives and needs. 

October 18, 2023 | 2 min read

Have you done this before?

By Scott Lifchez, MD, Johns Hopkins Medicine

Listen for a patient’s anxiety when they ask questions about treatment. Addressing all concerns builds a trusting relationship and helps them better tolerate procedures that may initially be painful. 

April 2, 2018 | 2 min read

Being a Guide on the Journey to Health

By Manisha Loss, MD, Johns Hopkins University School of Medicine

As a guide on this journey with our patients to health, we must serve as an example of hope, understanding, and direction.

"Art and Surgery," by Janina Cerbetowitzc, Royal Liverpool Hospital. 

September 23, 2025 | 3 min read

Keeping humanity at the heart of surgery 

Exceptional care means seeing—and honoring—the patient behind every procedure. A few ways to achieve this can include compassionate communication, gentle touch, and taking time to clarify anything that is poorly understood. 

September 27, 2023 | 1 min read

Guardrails And Ambulances 

By Mike Fingerhood, MD, Johns Hopkins Medicine

Over 100,000 Americans die every year from overdoses, and most are preventable. Discuss with patients and loved ones the dangers of having old prescription or counterfeit pills, as well as the importance of keeping naloxone on hand.

Illustration from "Jasper and Tabitha Play a Trick on the Coronas." Copyright by the author.

May 6, 2020 | 1 min read

Talking With Children About COVID-19 Using Stories

By Taylor Purvis, MD, St. Vincent Medical Center, Bridgeport, CT

In times of heightened anxiety for children, parents turn to clinicians for help. Sharing COVID-19 resources for children, including stories, can help them make sense of the pandemic.

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. 

September 4, 2025 | 2 min read

To comfort always 

Providing compassionate companionship to patients can be as healing as any medicine when a cure is no longer possible. 

August 23, 2023 | 1 min read

Navigating the wait (archives, 2023)

By Jennifer Katzenstein, PhD, Johns Hopkins Medicine

Accessing timely mental healthcare can be challenging. While waiting to see a mental health professional, lean on support networks and seek emergency care if needed. 

January 14, 2021 | 2 min read

3 Strategies For Responding to Your Patient’s Experience of Loss

By Mollie Marr (she/her), MD/PhD student, Oregon Health & Science University

Even if you don’t fully understand your patient’s experience of loss, you can always listen, honor feelings, and show compassion.

May 19, 2020 | 1 min read

Faith Over Fear

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Scientific knowledge paired with faith, grit, and perseverance will help us weather the pandemic.

October 8, 2024 | 4 min read

Trust is a must

By Samuel Durso, MD, Johns Hopkins Medicine

Patient trust is built through eye contact, active listening, and conveying empathy. These actions demonstrate caring and respect which may promote positive health experiences. 

January 26, 2022 | 1 min read

Talking With Older Patients About Winter Hazards

By Shaista Ahmed, MBBS, MPH, Johns Hopkins Medicine

Be sure your geriatric patients are aware of winter hazards and provide guidance on how to avoid the risk of falls and hypothermia.    

August 1, 2023 | 2 min read

Psychological First Aid

By Albert Wu, MD, MPH, Johns Hopkins Medicine, Matt Norvell, DMin, Johns Hopkins Medicine

Healthcare professionals experience traumatic events that may exceed their ability to cope. Timely emotional support can help maintain their well-being. 

"Granulation," by Dr. Megan Gerber. Copyright with the artist.

February 1, 2021 | 4 min read

Processing Emotions Through Art

By Megan Gerber, MD, MPH, Albany Medical College

Writing or drawing after a challenging patient encounter may help you work through your feelings and mitigate burnout.

September 11, 2024 | 1 min read

Would you like to share a photo?  

By Jeffrey Millstein, MD, Penn Medicine

Asking patients to show photos of family, pets, or other meaningful things can help them feel more thoroughly known and cared for. This can sometimes make a visit more productive and meaningful for everyone. 

January 10, 2022 | 2 min read

Being Present During The Dying Process

By Shireen Heidari, MD, Stanford University

It’s the job of all clinicians to guide patients and their loved ones through the experience of death. Offering support and being present can help them navigate the end of life. 

January 6, 2022 | 1 min read

Celebrating The Wonderful Throughout The Year

By Susan Lehmann, MD, Johns Hopkins Medicine

Reinforcing our ties with family and friends (including coworkers) is more important than ever. These connections can be an antidote to despair and anxiety. 

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. 

December 23, 2020 | 5 min read

Holiday Rounds

By Samuel Durso, MD, Johns Hopkins Medicine

If you're called on to work through Christmas and New Year’s, there's a bright side. This is typically a quieter period and may allow more time to learn from clinically excellent role models.

Pregnancy loss ribbon.

July 7, 2025 | 5 min read

Hemorrhaging trust 

Being a physician wasn’t enough for my symptoms to be taken seriously during a life-threatening miscarriage. It was a stark reminder that any patient—especially those without privilege—can be dangerously dismissed. Remember to acknowledge a patient’s distress and validate their experience. 

September 9, 2019 | 6 min read

Patient Interviewing Gems

By Thomas Gracie, Medical Student, Johns Hopkins University School of Medicine

Excellent clinicians make the time to learn about their patients as people and connect on a personal level, building relationships that can last years, decades, or even a lifetime.

December 2, 2021 | 3 min read

TikTok: The Good, The Bad, And The Ugly

By Colleen Schreyer, PhD, Johns Hopkins Medicine

For patients who are on social media, encourage them to engage with pro-mental health content on TikTok by watching, liking, and sharing.

The autism ribbon.

June 12, 2025 | 2 min read

The strengths of neurodiverse healthcare professionals 

Neurodivergent healthcare professionals bring unique attributes to a medical team that can enhance patient care. We can foster inclusive environments that actively support these diverse ways of thinking and working.

February 23, 2023 | 3 min read

Embracing Care Partners

By Ariel Green, MD, PhD, MPH, Johns Hopkins Medicine

When caring for older adults, collaborate with and support their care partners – their loved ones. Their vital roles are often overlooked. 

August 29, 2019 | 2 min read

Mindful Doctoring in the EHR Era

By Irene Estores, MD, University of Florida College of Medicine

Mindfulness is essential in clinical excellence. Consider these five tips while working with the EHR.

An example of a trompe l’oeil in a geriatric hospital setting. Copyright by the author.

January 27, 2020 | 3 min read

Ethical Dilemmas in Dementia Care Design

By Diana Anderson, MD, MArch, Clincial Geriatrics Fellow, University of California, San Francisco

Innovative dementia care designs raise moral questions about whether deception of patients is ever ethical. The clinically excellent physician tries to avoid deception at all costs.

August 1, 2024 | 3 min read

Prescribing art 

By Anna Krotinger, MBE, medical student, Harvard Medical School

I’ve taught dance to patients with Parkinson’s and have seen great impact. By integrating the arts into clinical care, healthcare professionals can better support patients navigating their journey. 

February 20, 2023 | 2 min read

Responding to Rejection

By Joseph Carrese, MD, MPH, Johns Hopkins Medicine

Ultimately, patients with adequate decision-making capacity decide about their course of treatment. When patients choose not to follow our recommendations, find the best possible “plan B” together. 

July 24, 2019 | 3 min read

Time, Talent, and Treasure

By Jennifer Foster, MD, MBA, Florida Atlantic University

Excellent clinicians always strive to make human connections with their patients. This creates the foundation of trust and respect essential to healing.

December 3, 2020 | 4 min read

The Other Side of the Glass

By Michelle Sharp, MD, MSH, Johns Hopkins Medicine

Having a loved one in the ICU is one of the hardest things someone can experience. Timely and compassionate communication from clinicians to families is invaluable.

December 16, 2019 | 4 min read

Top 10 Tips to be a Great Consultant

By Aline Charabaty, MD, Johns Hopkins Medicine

Read these 10 tips so that next time your pager goes off, you can be an outstanding consultant!

July 29, 2024 | 2 min read

Becoming a lifeline 

By Joanna Cohen, MD, Johns Hopkins Medicine

Clinicians must proactively identify patients at risk of suicide. A multi-faceted approach includes regular screenings for depression, anxiety, and suicidal thoughts, and ensuring all patients and caregivers have access to a crisis hotline.

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.

June 9, 2025 | 3 min read

When care hurts 

Patients’ past healthcare experiences influence their ability to engage in care. Taking time to learn about their life stories builds trust and empowers them to participate in their healing. 

January 17, 2023 | 2 min read

Finding Meaning

By Jaime Jump, DO, Texas Childrens Hospital

When my seven-month-old-patient suffered severe neurological damage, despite having little to offer medically, I remembered I could still support her mother through this tragedy. Taking solace in this helps me to be present for my other patients. 

July 16, 2019 | 3 min read

3 Lessons in Hospitality From my Patient

By Loveleena Virk, MD, Kaiser Permanente, Oakland Medical Center, California.

Hospitality is a human connection through the gift of attention and care. When hospitality becomes our modus operandi, care is transformed from transactional to sacred.

Vibraphone. Copyright Chris Dingman.

December 5, 2019 | 2 min read

Peace—Music to Live

By Chris Dingman, vibraphonist and composer

Music with intention and sensitivity can be a powerful tool for helping the terminally ill—and others—cope with physical and emotional pain in order to find peace. Recommending this form of therapy to patients can be a valuable gift.

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. 

November 3, 2021 | 2 min read

Diagnosing And Treating Pain

By Rebekah Fenton, MD, Northwestern University

Always listen to your patients and make sure that they understand that you believe their experience of pain.

June 17, 2019 | 2 min read

Seeking the Silver Lining

By Alin Gragossian, DO, Drexel University

If you seek positivity, you will find it.

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