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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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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.

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.

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 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.

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.

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. 

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.

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 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. 

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.

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.

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.    

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.

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.

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.

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.

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.

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.

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.

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. 

"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.

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’!

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.

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.  

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.

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.

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.     

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.

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.

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.

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. 

November 16, 2020 | 5 min read

Breaking Bad on Video

By Mark Taubert, MD, Cardiff University, Wales

Traditionally, grave medical news is shared in person; we're now having to do so virtually. During such conversations, try to infuse as much warmth and compassion as possible.

February 19, 2025 | 3 min read

Respecting boundaries  

By Sarah Kim, medical student, Cooper University

Earning and maintaining patient trust can be accomplished through consistent check-ins to ensure they feel heard and understood. Equally important is clear communication related to all aspects of the physical examination. 

July 12, 2018 | 1 min read

Storytelling in Medicine

By Susan Lehmann, MD, Johns Hopkins Medicine

The ability to learn your patient’s story from their words is the essential skill for developing a comprehensive understanding. This is crucial for accurate diagnosis and for establishing a therapeutic bond with each patient.

Now is the perfect time to seek collaborators for an idea you’ve had brewing. While your idea might not result in a masterpiece like da Vinci's "Vitruvian Man" (~1490), it will reduce feelings of social isolation.

April 9, 2020 | 3 min read

Mentoring While Social Distancing

By Ruth Gotian, EdD, MS, Weill Cornell Medicine, Weill Cornell Mentoring Academy

The pandemic is a critical time for clinically excellent role models to continue mentoring. Separation creates opportunities to connect in new ways.

August 29, 2018 | <1 min read

Interview With Dr. Geetha: A CLOSLER Look

By Gretchen Miller, Managing Editor

On the importance of meaningful long-term patient-physician partnerships: enjoy a 3-minute video interview with Dr. Duvuru Geetha.

April 22, 2021 | 2 min read

Making Condolence Calls

By Maria Carney, MD, Northwell Health, New York

When a patient dies, reaching out to the family can help them with closure. It may also be beneficial for clinicians.

October 27, 2022 | 2 min read

Connections Accelerated

By Jamie Schwartz, MD, Johns Hopkins Medicine

Some clinical encounters require establishing a patient-doctor connection quickly. Providing emotional support may improve your ability to create trusting relationships. 

January 4, 2022 | 2 min read

Welcome to The No-Judgment Zone

By Rebekah Fenton, MD, Northwestern University

After lying to my own doctor because I feared her judgment, I learned to invite all patients to be open and honest. Earning the patient’s trust will allow us to give the best care. 

October 21, 2020 | 3 min read

Show Me

By Jared Rubenstein, MD, Baylor College of Medicine

Asking patients to share photos and videos can give clinicians a deeper understanding of their lives. This may allow us to give better person-centered care.

October 19, 2022 | 2 min read

Do Not Miss

By Matthew McEvoy, MD, Houston, Texas

While volunteering in a chaplain’s office as an undergrad, I learned that patients can gain strength from many sources. As a clinician, I ask all patients, “How can we support your spirituality within the healthcare system?”  

March 5, 2020 | 3 min read

How to Talk About Miracles

By Jonathan Yeh, MD, Johns Hopkins University School of Medicine

Excellent clinicians can learn and practice techniques to boost the power of hope, and to incorporate the wish for a miracle into a more realistic care plan.

January 14, 2025 | 3 min read

The vinyl sessions 

Uncover and leverage patient passions—from Abba to Zappa—to enhance treatment. Personalizing care fosters deeper patient engagement and improved outcomes. 

January 7, 2025 | 3 min read

“Hope is the thing with feathers” 

By Karen Abernathy, CRNP, MSN, Johns Hopkins Medicine

By acknowledging patient emotions and actively listening without judgement, clinicians can improve communication barriers. This can build trust and may be especially important for those who are resistant to our care recommendations. 

April 6, 2021 | 2 min read

How to Respond to Unexpected Things Your Patient Tells You

By Shireen Heidari, MD, Stanford University

When a patient shares something that really catches you by surprise, listen closely and ask open-ended questions to fully understand their perspectives.

November 18, 2021 | 3 min read

Adequate Bandwith

By Jennifer Eitingon, MD, Johns Hopkins Medicine

Recently, a patient dying of cancer requested CPR despite many clinicians advising against it. When it feels challenging to understand a patient’s decision, I remind myself to consider the situation from a different perspective.

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.

Our Mission

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

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