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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
Topic Search
August 27, 2019 | 3 min read

Letting the Laughter In

By Michelle Gyenes, MS, Columbia Mailman School of Public Health

Excellent clinicians know that laughter can be a powerful tool in enhancing communication and building trust, particularly when working with older patients.

October 10, 2022 | 3 min read

“What Else?”

By Matthew McEvoy, MD, Houston, Texas

Asking these simple two words and showing genuine concern can bring out a richer story and promote healing. 

July 5, 2023 | 3 min read

What brought you in today?

By Hailey Haffey, PhD, University of Utah

Asking my patients open-ended questions about how they physically traveled to the appointment can reveal important information.

The author with teammates.

August 30, 2018 | 1 min read

The Importance and Psychology of Facial Expression

By Patrick Byrne, MBA, MD, Johns Hopkins University School of Medicine

Carefully noting your patient's facial expression consciously helps you "be" with your patient more effectively, to meet them where they are in their emotional state.

February 4, 2021 | 2 min read

The Clinician as Patient

By Neha Pidatala, MD, New York, New York

When you’re a patient, use your medical knowledge to clearly communicate your goals of care. When treating a patient who works in healthcare, consider their unique perspective to facilitate meaningful discussions.

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. 

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.

November 11, 2022 | 2 min read

Is that so?

By Sarah Radtke, PhD, Johns Hopkins Medicine

Patients and families may share experiences that we feel are inaccurate, improbable, or impossible. Discussing their statements nonjudgmentally helps to form trusting relationships.  

Painting by David Kopacz, copyright with the artist.

July 11, 2023 | 5 min read

Partial Listening is Partial Medicine

By David Kopacz, MD, University of Washington

Sometimes we hear only what we're listening for, and if we divide attention, we can miss critical information. We must strive to Iisten with the "third ear" to hear not only what's said, but also what's unsaid. 

July 21, 2025 | 5 min read

Listening past the barriers 

When caring for veterans in civilian healthcare settings, recognize that stoicism, brief answers, or emotional distance often reflect military culture—not disengagement. Building trust starts with patience and listening, opening the door to better understanding and care. 

November 13, 2019 | 4 min read

The Art of Scaffolding Conversations

By Robert Trevino, MD, PhD, Medical College of Wisconsin

Scaffolding when communicating is meeting the other person where they are in their understanding. This is essential for healthcare discussions to best meet the needs of our patients.

"Many of us made unfair assumptions about the ability or willingness of older patients to embrace telemedicine, and have been humbled in recognizing our biases."

August 11, 2020 | 3 min read

Insights From Practicing Telemedicine

By Jeffrey Millstein, MD, Penn Medicine

To make the most of video visits, stay attuned to your patients' nonverbal cues and avoid any background distractions in your environment.

June 22, 2018 | 2 min read

Ars Medica: The Art of Medicine

By Javier de la Maza, MD, Johns Hopkins University

Storytelling is a powerful tool that can be used to shape our reality and reconnect with our patients. Building meaningful relationships with our patients reminds us the importance of the human experience in providing clinically excellent care.

June 8, 2023 | 3 min read

The Swiss Army Knife

By Cory Rohlfsen, MD, University of Nebraska Medical Center

Sometimes clinicians’ wellspring of empathy runs dry. Unfolding a few simple tools—like mirroring patients’ nonverbal communication—can improve therapeutic relationships and allow us to provide compassionate care even when we are not at our best.

The author's pediatrician was an early role model in her development as a neurologist.

October 15, 2018 | 1 min read

Respect, Empathy, and Communciation

By Andrea Corse, MD, Johns Hopkins University School of Medicine

My approach to care is to provide the kind of care you would want for yourself and your family.

June 10, 2020 | 2 min read

6 Lessons Learned From One Month as a Journalist

By Heather Kagan, MD, Johns Hopkins Medicine

Clinicians—like journalists— must communicate in an open and straightforward manner.

August 22, 2019 | 3 min read

Leveraging Your Patient’s Strength

By Keri Bischoff, MA, WellBeing Coach partnering with Johns Hopkins

Excellent clinicians discover their patients talents to best deliver both recommendations and personalized care.

June 20, 2024 | 2 min read

Don’t touch me 

While caring for a patient who was agitated, I witnessed the power of communicating gently and compassionately. In helping a patient to feel safe and respected, healthcare professionals can gain a more complete understanding of patients’ needs. 

August 26, 2021 | 1 min read

Destigmatizing Addiction: The Power of Words

By Namrata Walia, MD, Baylor College of Medicine

Please use the term 'person with substance use disorder’ instead of ‘addict’!

February 28, 2023 | 1 min read

Mitigating social isolation

By Mfon Umoh, MD, PhD, Johns Hopkins Medicine

All medical specialties need to screen for isolation. Asking patients who their social supports are and who they feel close to is a good starting point.  

August 6, 2019 | 2 min read

3 Lessons From Your Patient’s Impatience

By Iro Filippaki, PhD, Johns Hopkins University School of Medicine

The excellent clinician acknowledges their patient's impatience and frustration. In doing so, relationships with patients and clinical outcomes may be improved.

A shared client-therapist drawing created in a teletherapy session on Zoom whiteboard. Copyright with the authors.

May 4, 2020 | 2 min read

Connecting With Teens Via Telemedicine

By Michelle Munson, LMSW, PhD, Nadia Jenefsky, MPS, LCAT

Suspending judgement is critical to building a trusting relationship, especially with teens.

January 20, 2021 | 3 min read

How to Repair Patient-Clinician Relationships

By Shara Nauth, MD, Western University, Ontario, Canada

To rebuild a patient-clinician relationship, apologize and acknowledge your patient’s feelings.

October 22, 2025 | 3 min read

Coordination with compassion 

To build an exceptional care team: foster psychological safety, model humility, and solicit input from every person. Daily rituals of respect can sustain excellent patient care. 

After a clinic visit with a Black girl and her father, the dad asked where I went to college. When I told him Stanford, he said, “I knew it!” Then, he looked at his daughter and said, “If she can do it, you can too!”

April 13, 2022 | 2 min read

The Role of Disclosure in Medicine

By Rebekah Fenton, MD, Northwestern University

Carefully considered clinician self-disclosure can forge a more personal connection between patients and healthcare professionals.     

The Baltimore Museum of Art. Wikipedia.org. Photograph by Eli Pousson, 2018 March 25.

April 7, 2020 | 3 min read

The Personal Responses Tour in Medical Education

By Howard Chang, Medical Student, Johns Hopkins Medicine

Arts-based medical education improves fundamental clinical skills, including ambiguity tolerance, reflective ability, bias awareness, and empathy. It can also enhance the well-being of healthcare professionals.

November 21, 2022 | 3 min read

The Angry Daughter

By Bill Bachman, MD, Albany Medical College

When working with patients or loved ones who are confrontational, recognize your own feelings, try to understand theirs, and know when to ask for help from colleagues. 

February 18, 2020 | 3 min read

4 negotiating tips from “Never Split the Difference”

By Scott Wright, MD, Johns Hopkins Medicine

We regularly negotiate with patients en route to shared decision making. Tips from Voss' book "Never Split the Difference" can improve your communications with patients.

September 28, 2020 | 2 min read

Practicing the Art of Listening

By Jeffrey Millstein, MD, Penn Medicine

Listening is essential for humanistic patient care. Listening without interrupting may strengthen the patient-clinician relationship.

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.

September 17, 2020 | 3 min read

5 Tips for Talking About Autopsy Results With Your Patient’s Family

By J. Stephen Nix, MD, Johns Hopkins Medicine

Managing loved ones’ expectations before the autopsy is critical. Ensuring there's ample time to privately review and explain the results can help bring meaning and closure to their loss.

January 11, 2022 | 1 min read

How to Share Disappointing News

By Simone Lescott, MD, Johns Hopkins Medicine

When sharing bad news with patients, acknowledge their response and validate their emotions. Allow for time to address concerns and answer questions.    

October 1, 2020 | 3 min read

3 Tips to Improve Your Body Language

By Adam Koenig, Medical Student, University of Toledo

To build a strong patient-clinician relationship, position your body with an open posture and make good eye contact.

February 27, 2018 | 2 min read

On Discrimination, Transparency, and Mutual Respect

By Anika Hines, PhD, MPH, Johns Hopkins University School of Medicine

Patients' past experience with discrimination may influence how they interact with you. Acknowledging this may improve communication and patient care.

March 4, 2021 | 2 min read

Clear is Compassionate

By Jillian Bybee, Michigan State University

Always be honest and transparent when talking with patients, even when sharing bad news.

November 10, 2021 | 5 min read

Reading Between The Lines

We don’t always say what we’re thinking, particularly in difficult conversations. Sharing and exploring unspoken thoughts can lead to stronger connections with our patients and better care.

September 24, 2020 | 2 min read

Using Non-judgmental Language

By Nat Mulkey (they/them), Medical Student, Boston University Medicine

In order to minimize bias, it’s critical to use non-judgmental language when describing patients, both orally and in the medical record.

June 28, 2023 | 3 min read

Dad’s End-of-Life Lessons

By Eric Last, DO, Northwell Health, Wantagh, New York

As my father was dying, it became clear that he had many misconceptions. This reminded me of how important it is to explore each patient’s understanding of palliative care and hospice.

November 14, 2018 | 2 min read

How Clinicians can use “Wait, what?”

By Scott Wright, MD, Johns Hopkins Medicine

Asking good questions is fundamental for learning about our patients. Five great questions, assembled by University of Virginia President James Ryan, can help you to connect with, understand, and serve patients better.

September 6, 2022 | 3 min read

Photographs at The Bedside

By Charlotte Grinberg, MD, Tufts Medicine Care at Home

Asking to see videos and memorabilia from a patient’s past may help us connect with each person in a more personal and complete way. 

May 28, 2025 | 2 min read

A shared decision to cancel a colonoscopy  

Providing holistic care often involves deviating from the standard of care to honor the patient’s preferences. 

June 22, 2023 | 2 min read

Caring with pride (archives, 2023)

By Corey Tapper, MD, Johns Hopkins Medicine

To ensure nonjudgmental and equitable care of LGBTQ+ patients, call and chart people by their preferred name and pronouns. I also wear a Pride flag lapel pin to show my support. 

October 19, 2021 | 2 min read

Asking About Your Patient’s Pet

By Elizabeth Steuber, MD, Johns Hopkins Medicine, Todd Brenner, MD, Johns Hopkins Medicine

Ask patients about their pets. This can build a bridge to talking about topics like functional status, home life, and family dynamics.

September 1, 2022 | 2 min read

“Ticking Time Bomb”

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

If you use a metaphor when speaking with patients, make sure to choose ones that don’t cause unnecessary alarm. 

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.

How can we make hospital care even more patient-centered?

March 2, 2021 | 2 min read

Patient-Centeredness in The Hospital

By Patrick McMurray, RN, North Carolina

One way to demonstrate patient-centered care is creating spaces in which patients feel less vulnerable. A space that is safe, calm, and private is ideal for healing.

October 16, 2019 | 2 min read

How to Show Empathy When Patients Express Anger

By Zainab Obaidi, MBBS, Johns Hopkins Medicine

There are strategies that can be used effectively when patients express anger.

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.”

The author, far right, with colleagues.

October 23, 2018 | 2 min read

Master Clinicians – The Early Years

By Vivek Murthy, MD, Johns Hopkins University School of Medicine

It’s no surprise that it takes hard work to become a great clinician. This is a glimpse of what the first steps on that road might look like.

October 3, 2019 | 4 min read

The Fault in our EHRs

By Jeffrey Millstein, MD, Penn Medicine

The clinically excellent clinician makes an effort to know each patient’s unique story, moving beyond the confines of the content within the EHR.

Our Mission

Stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

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