Skip to content
C L O S L E R
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • Topic Search
  • About Us
  • Our Team & Partnerships
  • Contact
  • Add Your Voice
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
Subscribe
C L O S L E R
Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
Johns Hopkins Medicine Logo
Creative Arts in Medicine
Connecting with Patients
Passion in the Medical Profession
Lifelong Learning in Clinical Excellence
Topic Search

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 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. 

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.

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. 

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.

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.  

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.

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.     

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.

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. 

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.

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.

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.

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.    

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.

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.

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.

July 1, 2024 | 3 min read

The power of honesty

By Keshav Khanijow, MD, Johns Hopkins Medicine

Prioritizing clear communication with patients and using plain language to explain clinical information helps to build trust.

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. 

January 21, 2021 | 1 min read

Lost in Translation

By Sonal Gandhi, MBBS, MD, Johns Hopkins Medicine

When you and your patient don’t speak the same language, clear communication is critical. When an interpreter is unavailable, reach out to staff and others for help.

March 20, 2023 | 5 min read

Lazy gardening (archives, 2023)

By Ken Koon Wong, MD, Cleveland Clinic, Naomi Tyree, MD, Summa Health, Ohio

Talking about shared interests, such as gardening, is a wonderful way to deepen relationships with patients. 

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 6, 2024 | 2 min read

Attention please 

By Carol Vidal, MD, PhD, Johns Hopkins Medicine

To connect more meaningfully, clinicians need to be more interesting than a young person’s phone. Finding creative ways to engage these patients will improve the relationship. 

January 26, 2021 | 2 min read

How to Talk With Patients About Misinformation

By Stephanie McGann Jantzen, Strategic & Crisis Communications Professional

Educating yourself about misinformation circulating on social media will help you talk with your patients about false claims. This may prevent dangerous behaviors and promote health.

A patient's Maine coon kitten, pug puppy, and knitting project.

September 14, 2020 | 3 min read

The Unexpected Benefits of Seeing Patients Virtually

By Susan Lehmann, MD, Johns Hopkins Medicine

Telemedicine allows patients and clinicians to see and respond to each other’s facial expressions. Plus, clinicians are offered deeper insight into their patient’s world.

"I learned that she didn't prepare full meals. Instead, she usually snacked on food between classes and rehabilitation."

August 17, 2021 | 2 min read

There’s More to The Story

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

While treating a college athlete who wasn’t recovering as expected, taking the time to understand her story uncovered new details that informed her care.

April 9, 2019 | 1 min read

Being Yourself as a Professional

By Kim Stokes, MHS, PA-C, East Carolina University

Be kind, be humble - and be yourself!

April 25, 2022 | 1 min read

Showing Empathy to Reduce Patient Anxiety

By Mariana Calleja, MD, Grupo Quirón, Barcelona, Spain 

Smiling, communicating calmly, and avoiding medical jargon can help patients feel more comfortable and relaxed.   

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. 

April 24, 2025 | 5 min read

Time machine

I recently cared for a patient labeled as “difficult” and struggled. Learning more about his life story would have allowed me to serve him more effectively. 

April 19, 2018 | 3 min read

Becoming a Mindful Clinician

By Patricia Dobkin, PhD, McGill University Department of Medicine

Most healthcare professionals maintain high standards, perfectionistic tendencies, and critical minds. This appears to be an advantage in a high stakes-high risk work environment. However, these habits of mind may backfire when held too tightly and lead to emotional exhaustion. Being mindful can offset this problem.

August 2, 2021 | 1 min read

How to Support Patients Facing an Upsetting Diagnosis

By Steve Kravet, MD, MBA, Johns Hopkins Community Physicians

In medicine, we often inform patients of new diagnoses that are life-altering—sometimes overwhelmingly so. At these times, we must show empathy and check-in frequently with them.

January 12, 2021 | 2 min read

6 ways to engage families to support child mental health

By Barbara Robles, MD, University of Texas

Strong relationships with clinicians can empower children and their families to engage more fully in their mental health treatment.

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.

Pyramid Lake, Jasper National Park, Alberta, Canada.

January 4, 2021 | 2 min read

No Patient is an Island

By Biosha Jones, MD, Loma Linda University

Acknowledging and engaging with patients’ support system in the clinic or hospital may improve health outcomes.

January 24, 2023 | 2 min read

Blueberry Bushes

By Marcus Maier, PA, University of Wisconsin-Madison

A patient’s main concern is sometimes not medical. It can be helpful to ask, “Is there anything we didn’t cover that you’d like to talk about?”  

Our Mission

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

C L O S L E R
  • Twitter
  • Facebook
  • LinkedIn
  • Instagram
  • YouTube
  • Creative Arts in Medicine
  • Connecting with Patients
  • Passion in the Medical Profession
  • Lifelong Learning in Clinical Excellence
  • About Us
  • Our Team & Partnerships
  • Contact
  • Add Your Voice
  • Subscribe
  • Donate

©2025 Miller Coulson Academy of Clinical Excellence,  Johns Hopkins Medicine.  All Rights Reserved.  Privacy Policy