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C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
The Journal of Hopkins' Center for Humanizing Medicine
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Creative arts in medicine
Connecting with patients
Passion in the medical profession
Lifelong learning in clinical excellence
Topic Search
June 30, 2026 | 3 min read

Chronic fatigue—17 minutes can change a life

Orthostatic intolerance—when the body struggles to maintain blood flow to the brain while standing—is a common, treatable cause of chronic fatigue that is often missed. A methodical standing test combined with listening carefully to the patient's story can provide an accurate diagnosis.

August 22, 2025 | 2 min read

Beyond prescriptions 

Take the time to listen and validate your patients’ pain experiences. Learning how the pain affects their daily activities may more precisely direct therapy.  

October 2, 2025 | 2 min read

Don’t sleep on it  

Insomnia is a common condition that increases the risk of physical and mental health problems. Screening for it is an important part of patient care, and it can be quick and easy. 

October 24, 2024 | 2 min read

The heat is on: How to keep patients cool and safe (archives, 2024)

Rising temperatures due to climate change affect patients of all ages, particularly those with chronic health conditions. Counsel patients on strategies to prevent heat-related medical complications. 

Central Park, New York City

November 24, 2025 | 3 min read

Nature Rx 

For improved mood and lower stress, consider prescribing exposure to nature—urban parks and leafy sidewalks are free, accessible options. Try spending time there yourself, too. 

March 10, 2025 | 2 min read

The B12 fix

By Selvi Rajagopal, MD, MPH, Johns Hopkins Medicine

Clinicians should remember to watch for fatigue in patients shifting to plant-based diets; a B12 test can reveal a significant, reversible cause of feeling poorly. 

"Melanoma 9," by David Kopacz.

March 31, 2026 | 4 min read

Illness as teacher 

My experience with melanoma and subsequent autoimmune illness is a stark reminder for us all to validate patients’ experiences. This can help us avoid dismissing patient concerns. 

January 5, 2021 | 5 min read

Seeing and Healing Social Isolation

By Katherine Otto Chebly, MD, New York University

Social isolation and loneliness are established risk factors for disease and early death. Routinely asking about patients about their social support system (or lack thereof) allows us to give more effective care.

October 21, 2019 | 4 min read

Stepping Up to Climate Change

By Evans Brown, MD, Johns Hopkins Medicine

The climate crisis is directly relevant to our work in healthcare. Healthcare professionals must step up and get involved.

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. 

October 16, 2025 | 4 min read

Prescribing humility 

Standard of care is provisional—reassess therapies as evidence evolves. Be open to changing your thinking and practice as new data emerge. 

January 22, 2025 | 2 min read

The ulcer: a window into a patient’s emotional distress 

By Margret Nassuuna, DCP, Innerspark Recovery, Naalya, Uganda

The body, a masterful storyteller, often reveals insights into a patient’s mental state. By deciphering its narratives, clinicians may also be able to better address both the mental and emotional aspects of care.

August 9, 2021 | 4 min read

Hiding in Plain Sight: Just Ask, or You’ll Miss Most Eating Disorders

By Angela Guarda, MD, Johns Hopkins Medicine

Although five percent of the population has a clinically significant eating disorder, most aren't detected because clinicians don’t ask. Simply asking,“What is the MOST you would be comfortable weighing?” can help identify a restrictive eating disorder.

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