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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
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March 17, 2021 | 3 min read

Making Unconscious Bias Training Work

By Verna Monson, PhD, Minneapolis, Minnesota

To be an antiracist, you must be aware of your own biases and learn from your missteps. And remember that unconscious bias training is only a starting point for dismantling discrimination.

December 9, 2024 | 2 min read

Unmasking unconscious bias 

By Lillie Shockney, RN, MS, Johns Hopkins Medicine

Healthcare professionals must be vigilant against implicit bias, particularly racial bias, which can lead to delayed diagnosis and poorer outcomes for marginalized patient populations. 

January 30, 2025 | 3 min read

If bias is unconscious, what can I do about it? 

By Som Saha, MD, MPH, Johns Hopkins Medicine

We all have biases that are mostly unresectable. By practicing mindfulness, being self-aware, and building connections with patients, we can reduce the harm they might otherwise cause. 

January 16, 2020 | 2 min read

The Danger of Reinforcing Negative Biases

By Yolonda Wilson, PhD, 2019-2020 Fellow at the National Humanities Center and 2019-2020 Encore Public Voices Fellow

The way clinicians talk about patients publicly reinforces biases about race, gender, class, etc.

May 19, 2021 | 3 min read

Clinical Training Translating to Clinical Excellence

By Jennifer Spicer, MD, MPH, Emory University

Bias awareness achieved in teaching/learning can transfer to the clinic. Thus learners can help clinicians become aware of bias toward patients.

November 9, 2021 | 3 min read

Giving Exceptional Care Without Exception

A one-liner works in comedy but leads to biases in medicine. Listening, getting to know, and learning from each patient will allow you to serve them best.

October 23, 2019 | 4 min read

A Tale of Two Stents

By Frank Cacace, MD, North Shore University Hospital

We are all vulnerable to cognitive biases. The clinically excellent clinician takes time to slow down and steps back when working toward the definitive diagnosis.

Serena Williams playing mixed doubles at Wimbledon, 2019. Public domain, Wikipedia. Photo by Brian Minkoff, London Pixels.

June 24, 2020 | 1 min read

3 Things You Can do to Fight Racism

By Christle Nwora, MD, Johns Hopkins Medicine

We must each take personal responsibility for educating ourselves about racism. Increasing our understanding will allow us to improve health outcomes for all of our patients.

November 17, 2020 | 4 min read

Allyship and Upstanding

By Geoff Stetson, MD, UCSF

It’s critical to promote a culture of emotional safety in your clinical setting. Offer support and speak up when you witness hurtful incidents.

May 2, 2023 | 2 min read

Treating all patients with compassion (archives, 2023)

By Keisha Ray, PhD, McGovern Medical School

Physician bias is one driver of poor health outcomes among Black patients. A commitment to compassion and active listening can combat this trend. 

March 27, 2023 | 10 min read

Ever forward: caring for patients who are transgender and gender-expansive

By Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Treat all patients with dignity and respect and ask how they’d like to be addressed. 

Newly Renamed Black Lives Matter Plaza NW, Washington, D.C., June 2020.

June 30, 2020 | 1 min read

Learning to be Antiracist

By Ashlyn McRae, Medical Student, Johns Hopkins Medicine

We must acknowledge the ways in which we have been, and are racist. This will allow us to provide the most equitable care to all of our patients.

September 7, 2022 | 2 min read

“Hysteria”

By Tina Zhang, MD, Johns Hopkins Medicine

We need to be aware of our own gender biases that could adversely affect women. To combat this, engage in shared decision-making with patients and be a lifelong learner of female health topics.   

November 29, 2022 | 2 min read

A Weighty Matter

By Colleen Schreyer, PhD, Johns Hopkins Medicine

Weight bias is common, harms patients, and may contribute to poor health outcomes.  

November 5, 2019 | 3 min read

A Series of Biases: Murphy’s Law at Play

By Sonal Gandhi, MBBS, MD, Johns Hopkins Medicine

Biases get in the way of our clinical reasoning. When the data doesn't fit, clinically excellent providers re-examine their assumptions.

June 3, 2020 | 2 min read

COVID-19 Hospital Visitor Restrictions May Fuel Obstetric Disparities

By Alexandra Norton, MS3, Johns Hopkins Medicine, Marielle Gross, MD, Johns Hopkins Berman Institute of Bioethics, Tenisha Wilson, MD, PhD, Johns Hopkins Medicine

Clinicians must ensure that visitor restrictions do not exacerbate racial disparities in health outcomes during the pandemic. Now more than ever—without family at the bedside—listening to and advocating for your patients is essential.

October 12, 2021 | 2 min read

Unshackle The Mind

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

When caring for a man in handcuffs, I was reminded that every patient must be shown empathy and compassion.

March 11, 2021 | 1 min read

How to Create Sanctuaries for Patients

By Michelle Ogunwole, MD, Johns Hopkins Medicine

To create safe spaces for historically marginalized patients, slow down and gather more information when conflicts arise. Be aware of your biases and give patients the benefit of the doubt.

December 29, 2020 | 4 min read

Lessons From “Diary of a Med Student”

By Howard Chang, Medical Student, Johns Hopkins Medicine

Working in healthcare, we interact with people who can be offensive. A med student reflects on how best to respond to patients who are demeaning.

December 17, 2020 | 4 min read

Racial Discrimination And Larger Bodies

By Kristal Brown, PhD, MSPH, Johns Hopkins Medicine

We must be aware of our own biases and prejudices in order to give excellent care to every patient.

June 9, 2022 | 3 min read

Gender And Sexual History 2.0 

By Rebekah Fenton, MD, Northwestern University

To help LGBTQIA+ individuals feel more welcome, I introduce myself with the pronouns I use. This seems to invite them to do the same.  

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.

April 20, 2021 | 3 min read

Listening to Every Patient

By Pringl Miller, MD, San Francisco, California

To give clinically excellent care to the patient in front of you, ask yourself: “Am I carefully listening to what the patient is telling me? Am I incorporating what I’ve heard into the care plan?”

February 14, 2023 | 3 min read

Caring For Patients by Listening

By Shari Lawson, MD, Johns Hopkins Medicine

Treat every patient with respect and address all their concerns.

April 22, 2025 | 5 min read

Let the language live 

Daily clinical interactions, marked by honest communication and empathy, hold unique power for healing and justice. 

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 16, 2020 | 2 min read

The Danger of Stereotyping Specialties

By Sarah Temkin, MD, Greater Baltimore Medical Center

Clinicians must critically evaluate the stereotypes that they assign to one another. A diversity of training and backgrounds is beneficial to patient care.

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. 

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. 

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.

July 19, 2021 | 3 min read

Diversifying the clinician workforce (archives 2021)

By Pringl Miller, MD, San Francisco, California

Diversifying the clinician workforce is associated with improved patient satisfaction and outcomes. So, what are we waiting for?

February 22, 2021 | 3 min read

Giving Respectful Care to All

By Danielle Prentice, DO, Penn State

Respecting patients' stories, leaving preconceived notions at the door, and avoiding insensitive comments are expected professional norms in healthcare.

December 30, 2020 | 4 min read

Grateful For #MedTwitter in 2020 

By Chase Anderson, MD, University of California San Francisco

Despite physical distancing during the pandemic, Twitter is a platform where clinicians around the world can connect. This reduces feelings of isolation and gives support to many.

November 24, 2020 | 2 min read

Women clinicians and women’s bodies (archives, 2020)

By Colleen Christmas, MD, Johns Hopkins Medicine

Constant critiques on women’s bodies and dress means physicians who identify as female must spend energy ensuring they look as they “should” to patients and colleagues. This energy is better focused on giving clinically excellent care.

August 26, 2020 | 6 min read

How to Discuss Minority Stress With Patients

By Chase Anderson, MD, University of California San Francisco

If your patient identifies as part of a minority group, it could be helpful to ask if they’ve experienced stress because of this. Doing so may allow you to better understand your patient’s story.

July 1, 2020 | 3 min read

How to Support Immigrant Communities During the Pandemic

By Amelie Meltzer, Medical Student, University of Pittsburgh, Reuben Mathew, MPH, Medical Student, St. George University, Zackary Berger, MD, PhD, Johns Hopkins Medicine

All people, including immigrants in the U.S., need comprehensive care at this time. Clinicians should be aware of the resources to help immigrant patients obtain medication, food, housing, and mental health 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.

December 19, 2022 | 2 min read

Dismantling ableism in medicine

By Kerry Devlin, MMT, LPMT, MT-BC (she/her), Johns Hopkins Medicine

What does it mean to co-construct a plan of care with disabled patients? Their desires may not be what you expect.

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 31, 2022 | 2 min read

A Lesson in Cultural Humility

By Mengyi "Zed" Zha, MD, Othello, Washington

Working at a community health clinic serving migrant workers from Mexico, I was confronted with a pervasive stereotype that the female patients were “dramatic.” I learned how important it was for patients’ concerns to be taken seriously.   

March 23, 2022 | <1 min read

Keeping The Readers in Mind

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

When documenting in the medical record, we must use respectful language. Both our patients and colleagues will appreciate and benefit from our thoughtfulness. 

American Huey military helicopter formation flying over the jungle at sunset during the Vietnam War.

November 19, 2024 | 2 min read

Fellow humans: lessons from Dr. White’s “Seeing patients” 

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Providing humanistic, equitable care benefits patients, medical practitioners, and society.  Reminding ourselves that we are all in this together may help decrease stigma and bias in clinical settings.

I love the question “What can you tell me about what your disease means to you?” Every experience of illness is different, and this question gives the patient a chance to tell us what their life is like. How would I know, without asking the question, that my 70-year-old patient values the opportunity to re-enact the Civil War and is an aficionado of historical swordplay, and that his shortness of breath makes it hard to carry the heavy ornamental swords?

October 4, 2018 | 4 min read

Intellect, Integration, and Interaction

By Zackary Berger, MD, PhD, Johns Hopkins Medicine

Taking good care of patients requires openness, curiosity, and honesty about all the dimensions of a patient’s life. This helps us navigate the different, intersecting domains that affect health, and achieve a measure of self-knowledge that motivates our improvement as physicians.

December 19, 2022 | 2 min read

Female Leaders in Surgery

By Ming-Hsien Wang, MD, Johns Hopkins Medicine

More women surgeons will increase the diversity of ideas and perspectives needed for excellent patient care. 

March 19, 2024 | 2 min read

Caring for transgender and gender-expansive patients, Part 2

By Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Transgender and gender-expansive patients often feel uncomfortable in healthcare settings and avoid care. Be sure to use every patient’s chosen name/pronoun and take care not to misgender.

September 30, 2019 | 1 min read

Practicing Non-Judgement

By Sophie Lanzkron, MD, MDH, Johns Hopkins University School of Medicine

A key to persuading patients to make healthy choices is a strong therapeutic relationship.

June 4, 2020 | 2 min read

Breaking the Silence—How to be an Active Bystander

By Ashlyn McRae, Medical Student, Johns Hopkins Medicine, Lisa Cooper, MD, MPH, Johns Hopkins Medicine, Matthew Crane, Medical Student, Johns Hopkins Medicine, Rachel Thornton, MD, PhD, Johns Hopkins Medicine

Everyone should speak up when witnessing unprofessional behavior. This supports learners, advances health equity, and improves patient outcomes.

March 18, 2019 | 2 min read

The Truth About Sex

By Khalil Ghanem, MD, PhD, Johns Hopkins University School of Medicine

How you phrase questions when obtaining a sexual history can mitigate the impact of social desirability bias and enhance the accuracy of the information that is obtained.

Anchoring bias occurs when we rely too heavily on information received up front and too little on information received later when making a judgement about the most likely diagnosis. 

November 26, 2024 | 4 min read

Lessening the chances of making diagnostic errors 

By Elizabeth Fracica, MD, MPH, Johns Hopkins Medicine

To minimize common mistakes in diagnoses, clinicians must be mindful of cognitive and anchoring biases. Regularly seeking alternative explanations is one way to accomplish this. 

September 18, 2018 | 3 min read

No Blushing! How to Talk About Sex With All Patients

By Helene Hedian, MD, Johns Hopkins University School of Medicine

Engaging in open, nonjudgmental discussions about patients’ sexual health provides an opportunity to assess risk, screen for sexual dysfunction, provide counseling, and offer appropriate vaccinations.

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