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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
February 10, 2020 | 2 min read

Engendering Trust in the Care Team

By Jeffrey Millstein, MD, Penn Medicine

Excellent clinicians help patients expand their circle of trust, beyond their favorite physician, to include more members of the healthcare team.

August 4, 2022 | 2 min read

Processing The ICU Experience  

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When my patient felt overwhelmed from an ICU stay, I realized what she needed most was to have her feelings validated after this near-death experience. 

July 1, 2025 | 3 min read

Dancing back to himself 

Caring for patients with delirium requires coordinated medical management—like early mobilization, minimizing sedation, and consistent re-orientation. Integrating familiar activities, like listening to music, may aid their recovery. 

December 1, 2020 | 4 min read

When Patients Trust Only You

By Howard Chang, Medical Student, Johns Hopkins Medicine

Through empathic listening, all members of the healthcare team can build rapport with patients in their most vulnerable moments.

April 12, 2023 | 1 min read

Still Working After All These Years

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When I empathized with my older patient about the hardships of colon cancer, she began sharing many of the good things in her life, like still being able to work. 

February 7, 2019 | 3 min read

8 Tips From a Psychiatric Emergency Nurse

By Andrea Strawther, RN, Johns Hopkins Medicine

We are all patients. The golden rule of treating others as you would like to be treated can help patients and healthcare providers build more trusting relationships.

The author with Imam Hassan A. Aman, Johns Hopkins Ministry Advisory Board, sharing ideas about diversity.

May 23, 2018 | 2 min read

Identity: Knowing How Our Patients Describe Themselves Matters

The complexity of identity is what makes “getting to know your patient” important, and allows for deeper cultural engagement, exchange, understanding, and, ultimately, helps us to create a culturally competent health plan with our patients.

February 27, 2024 | 1 min read

Anybody but the Chiefs

By Benjamin Vipler, MD, MEd, University of Colorado

Was Osler a sports fan? I don’t know, but I do know that connecting over a shared love of sports has helped me be “closler” to my patients. Maybe it can for you too! 

February 5, 2020 | 2 min read

A Picture’s Worth a Thousand Words

By Rafael Llinas, MD, Johns Hopkins Medicine

The clinically excellent physician knows that sometimes talking isn't enough. When possible, sharing information with patients visually can enhance their understanding.

July 25, 2022 | 2 min read

Think Positive!

By Joan Naidorf, DO

Reframing negative thoughts about my inebriated patient would have helped me to care for him with more compassion.    

February 26, 2018 | 3 min read

Creating a welcoming experience for LGBTQ patients and families

By Carl G. Streed Jr., MD, MPH, Boston Medical Center

Doing what has been done before will only lead to more of the same for patients who have been discriminated against in society and in healthcare. Be prepared to enter uncharted territory, seek to educate yourself about the unique healthcare needs of your patients.

November 25, 2020 | 2 min read

Naming Chickens

By Claire Crawford, MSW, PhD, Texas Childrens

Incorporate laughter and joy where you can, giving yourself, your patients, and their families, moments of respite.

April 5, 2023 | 2 min read

Big “S” And Not Much “OAP” 

By Emily Rodriguez, medical student, Johns Hopkins Medicine

I could offer no medicine, but I was able to give my patient the best treatment possible just by listening and validating.  

March 21, 2019 | 3 min read

Sitting with suffering

By Margaret "Molly" Hayes, MD, Harvard Medical School

Sometimes just our presence is all we can do to comfort a grieving family. It never feels like enough and it never will be, but it is something. Silence is powerful and doesn’t need to be filled with empty words. Sit with suffering and silence.

August 12, 2021 | 1 min read

Beyond Language—Closing the Gaps 

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

Caring for a patient who didn’t speak English showed me that all patients can benefit from a compassionate facial expression, eye contact, and a soothing tone.

February 6, 2020 | 2 min read

Navigating Masculinity in Medicine

By Kultaj Kaleka, MD, RN, Central Michigan University

The clinically excellent physician understands that male patients may need support sharing their perspectives.

July 13, 2022 | 2 min read

“Sorry About That Football Game!”

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Talking about sports with patients and colleagues is one fun way to build interpersonal connections. 

June 11, 2025 | 1 min read

What questions do you have?  

New medical information can be hard for patients to process, especially if it is bad news. Taking time to assess the impact of newly delivered information is an important step in clinical conversations. 

November 18, 2020 | 1 min read

She’s Only 24

By Rakesh Patel, MD, University of Nottingham

Listening to patients’ fears and concerns builds understanding about the potential impact of disease on their long term goals. This may be especially important for younger patients.

April 3, 2023 | 5 min read

“Get Well Soon”

By Aidan Crowley, Medical Student, University of Pennsylvania

In the extra minutes I spent getting to know my patient, she shared a secret that allowed me to help her follow care recommendations.  

January 9, 2019 | 1 min read

The Disease of Loneliness

By Shannon Scott-Vernaglia, MD, Mass General

In an environment pushing us ever faster, making the time to listen will often lead to better patient outcomes and greater clinician fulfillment.

August 10, 2021 | 2 min read

Cancer, Combat, And Patient-Centered Care

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

While caring for a pregnant soldier diagnosed with cancer, I was reminded that learning patients’ stories is vital. Doing so facilitates patient-centered care and meaningful relationships.

January 24, 2024 | 2 min read

Grief in the season of joy 

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

After the holidays, I think back on patients who passed in December, an especially hard time to lose a loved one. At this time of year, I make an extra effort to help loved ones process their feelings. 

January 29, 2020 | 2 min read

How to Give Patients Presence

By Aidan Crowley, Medical Student, University of Pennsylvania

Leaving your own worries at the door, sitting at eye level, and listening attentively are three important ways to connect meaningfully with your patients.

June 13, 2022 | 1 min read

The Crooner And The Waltz

By Frank Cacace, MD, North Shore University Hospital

Music can convey feelings that are otherwise inexpressible. It can benefit the health, wellness, and healing of both patients and clinicians.

June 4, 2025 | 3 min read

Letting the tea leaves breathe 

Kind gestures, like bringing a patient a cup of tea, may help bridge the gap between suffering and solace. Such thoughtfulness can offer comfort as powerful as any medication. 

Maintain eye contact with your patient if and when you're typing in the electronic medical record (EMR).

December 15, 2020 | 1 min read

Embracing the EMR

By Alice Rothchild, MD, Seattle, WA

The best gift we can give our patients is our undivided attention. Maintain eye contact with your patient if and when you’re typing in the electronic medical record during the encounter.

Can I have some?

March 28, 2023 | 2 min read

A Prevention Partnership

By Eliana Perrin, MD, MPH, Johns Hopkins Medicine

Obesity is a complex disease that can be hard to treat. Promoting healthy lifestyles while preserving and honoring cultural and family traditions can start with newborns.    

December 19, 2018 | <1 min read

Dr. Michael Carducci, A CLOSLER Look

By Gretchen Miller, Managing Editor

Patients with cancer are vulnerable. There are a lot of emotions associated with this diagnosis, and I want to make patients feel that they are not the disease.

August 3, 2021 | 1 min read

Patient-Family Conflict

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When your patient and their family disagree about medical decisions or goals of care, remember that your primary responsibility is to the patient. Skillful facilitation of family meetings may be necessary, and allowing each person to voice their concerns may be helpful.

January 18, 2024 | 1 min read

“Please pray for me” 

By Youngjee Choi, MD, Johns Hopkins Medicine

When my longtime patient with chronic illness asked me to pray for her, I told her I would.  Whether prayer is something one can offer, responding to emotional and spiritual requests can be an important part of care. 

January 13, 2020 | 4 min read

You are my Sunshine

By Lingsheng Li, MD, MHS, University of California, San Franscisco

The clinically excellent clinician understands that what we say and do may matter more than what we know.

June 8, 2022 | 1 min read

I Wonder…

By Jeffrey Millstein, MD, Penn Medicine

“I wonder . . .” is a phrase that triggers curiosity and empathy. It can help us support patients instead of labeling them as “difficult.” 

May 1, 2025 | 2 min read

Avoiding medical gaslighting 

Actively listen to and validate patients' experiences, recognizing their unique knowledge of themselves. Providing thoughtful support can earn patients' trust and help them feel better about their circumstances. 

November 4, 2020 | 3 min read

It’s All Relative

By Elisabeth Marsh, MD, Johns Hopkins Medicine

It's essential that we approach each patient with a fresh outlook. Bringing emotions, positive or negative, from a previous clinical interaction can adversely affect the next patient.

March 23, 2023 | 2 min read

5 questions I ask every patient (archives 2023)

By Lillie Shockney, RN, MS, Johns Hopkins Medicine

I talk with patients who have metastatic breast cancer about their hopes and worries at every visit. This allows me to give better, whole-person care.  

December 20, 2018 | 9 min read

You’re not getting my f-ing box cutter: paradoxical ways kids ask for limits

By Hal Kronsberg, MD, Johns Hopkins University School of Medicine

The most important lesson I’ve learned as a child psychiatrist is how badly kids want limits when they’re struggling, even when they keep that wish to themselves. Kids are smart, and when we catch them breaking a rule, we need to be curious about why it happened.

July 14, 2021 | 1 min read

How to Respond to Off-putting Comments from Patients

By Elizabeth Steuber, MD, Johns Hopkins Medicine

Sometimes comments from patients are rooted in their own unmet fears or needs. Instead of reacting to your own discomfort in the face of such comments, remaining curious and asking open-ended questions may help you understand what’s behind such unpleasant remarks.

January 16, 2024 | 2 min read

“Too maternal”

By Kimberlee Parker, DO, MPH, Baylor College of Medicine

Being a mother has helped me to be a better doctor. Both roles require empathy, which I express toward my children and patients.  

January 14, 2020 | 3 min read

A Relationship Between Equals

By Madeline Rodriguez, MD, Johns Hopkins University School of Medicine

The clinically excellent practice is centered on core humanistic values rather than on efficiency or productivity.

June 2, 2022 | 2 min read

‘68 Chevy Camaro

By Jennifer Eitingon, MD, Johns Hopkins Medicine

If we limit the way we view our patients, we will miss out on what makes them who they are. By taking time to learn more about them as people, we can connect and offer better care. 

April 29, 2025 | 2 min read

Soul gym

Our culture frequently celebrates physical strength. In healthcare, the power of emotional fortitude is regularly called upon when encountering patients’ frustration or anger. 

September 30, 2020 | 2 min read

Perspective-taking Through Poetry

By Howard Chang, Medical Student, Johns Hopkins Medicine

Creative writing may enhance our ability to recognize and understand conflicting perspectives in order to better empathize with our patients.

March 20, 2023 | 4 min read

Lazy gardening

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. 

Infectious disease physician Amash Adalja, MD, often uses car analogies to concretize abstract concepts for his patients.

December 17, 2018 | 1 min read

How to Make Abstract Concepts Concrete

By Amesh Adalja, MD, Johns Hopkins Bloomberg School of Public Health

To explain complex subjects to patients, you take an abstract concept and concretize it. This is important for patient counseling, and as a method to check your own knowledge.

June 29, 2021 | 2 min read

Making Jewelry With my Patients

By Deirdre Johnston, MBBCh, MD, Johns Hopkins Medicine

Some clinicians are lucky enough to interact with patients outside of medical encounters. In such settings, recognition of additional facets of their personalities may become evident, which will strengthen the patient-clinician relationship.

January 3, 2024 | 4 min read

Make a good stack

By Kyle Glienke, MD, Buena Vista Regional Medical Center, Iowa

Like baling hay, connecting with patients on a personal level requires intentionality and consistency.

December 12, 2019 | 2 min read

When to Consider Making a House Call

By Mattan Schuchman, MD, Johns Hopkins University School of Medicine

House calls can offer insights and create opportunities that are not possible in the office. Go for it when you can!

May 12, 2022 | 2 min read

The “Uninterested” Mom Who Wept

By Precious Ndukwe, MD, Howard University

When caring for an overweight infant as a medical student, I wrongly assumed the mother was overfeeding the baby. This experience will remind me in the future to leave my suppositions at the door. 

April 16, 2025 | 1 min read

Shared decision making 2.0

We need a new shared decision-making paradigm where all possibilities for care are out on the table, including unconventional ones. A clinician’s humility and openness are especially important now that patients are more emboldened to question the opinions of experts.

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

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