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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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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.  

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.

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.

May 21, 2019 | 3 min read

Telling People Terrible Things

By Amy Caruso Brown, MD, SUNY Upstate Medical University

Learning to break bad news gently takes time and practice, with the goal of telling the most terrible things to our patients a little bit less terrible.

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. 

December 21, 2020 | 3 min read

Lessons From a Kitten

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

Pets can prompt reflection about what it means to be human. This may strengthen our connections with patients and improve care.

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 15, 2020 | 2 min read

Keeping Older Adults Connected

By Susan Lehmann, MD, Johns Hopkins Medicine

Social distancing can increase loneliness, especially among older adults. Finding ways to stay connected through phone and virtual visits can combat social isolation.

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. 

March 15, 2023 | 1 min read

Einstein’s Relativity And Patient Care

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

Conversations about the passing of time can stimulate meaningful reflections during patient visits.  

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.

June 25, 2021 | 3 min read

“Tell me About Yourself”

By Aidan Crowley, Medical Student, University of Pennsylvania

During my recent experiences interviewing for med school, I learned that the best interviewers, like the best clinicians, focused on my comfort and let our conversation flow naturally. Such prioritizations promote deeper human connections

The author enjoying time with her beautiful family. Photo credit to the author, and used with permission.

April 18, 2019 | 1 min read

Patients Are Partners, Not Consumers

By Hala Durrah, MTA, Patient Family Engagement Advocate & Consultant, Washington, DC

My hope is that physicians, patients, and families, consider each other as partners, with mutual respect, trust, compassion, understanding, and empathy guiding and facilitating interactions and relationships.

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.  

December 14, 2020 | 2 min read

Lessons From a Zoom Thanksgiving Applied to Patient Care

By Ambereen Mehta, MD, Johns Hopkins Medicine

Zoom made it possible for me to connect with many friends and family for Thanksgiving. Patient video visits that include family members from far away may enhance goals of care discussions.

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. 

March 28, 2018 | 2 min read

The Physician-Citizen—Making Health Accessible to All

Part I of II: Why being “bedside” in our patients’ communities matters.

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. 

March 14, 2023 | 2 min read

Laughter is The Best Medicine

By Marion McCrary, MD, Duke Health

A smile, a touch, eye contact, and a jovial laugh can be a lifeline for patients in a stressful situation. 

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.

June 24, 2021 | 2 min read

How to Emotionally Support Patients Through Challenging Moments

By Rebekah Fenton, MD, Northwestern University

When I was a med student, I tried to “fix” how my patient was feeling. I learned that many patients need time to sit with their feelings and that listening empathically can be the best approach.

May 6, 2019 | 3 min read

When I Could not Hear my Patient

By Erin Snyder, MD, University of Alabama School of Medicine

Listening and understanding is what leads to true patient partnership, which is what is going to lead to true health.

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.

April 26, 2018 | 1 min read

Forming True Partnerships In Care: Listen To Your Patient

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Reflecting on caring for a 12-year-old with a complex neurological condition, I was humbled by the parents’ definition of clinically excellent patient care.

April 27, 2022 | 2 min read

Listening to Your Patient’s Grief

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

By listening to a patient’s story of loss, we bear witness and affirm their experience. 

March 10, 2020 | 1 min read

Observing and Acknowledging Family Dynamics

By Kimberly Zeren, NP, Johns Hopkins Community Physicians

During your next patient encounter, take the time to observe the family dynamics. Don't be afraid to ask the difficult questions.

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.

March 2, 2023 | 2 min read

Meaningful Chords

By Ben Roberts, CRNP, AGACNP-BC, ACHPN, Johns Hopkins Medicine

When my patient’s wife brought his guitar to the hospital, I realized it’s impossible to overestimate the impact of reuniting patients with what matters most to them. Do what you can to make this happen. 

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 21, 2021 | 2 min read

Seen But Not Heard

By Nick Sawyer, MD, MBA, University of California, Davis

Some patients sense that their stories aren’t appreciated. Taking the time to sit and listen to patients can build trust and begin to restore their faith in the healthcare system.

April 3, 2019 | <1 min read

Dr. Lee Akst: A CLOSLER Look

By Gretchen Miller, Managing Editor

When meeting a new patient, Dr. Akst asks himself, "How can I educate and empower my patient to work with me as a team?"

December 18, 2023 | 1 min read

The healing power of story

By Shwetha Mudalegundi, medical student, Johns Hopkins Medicine

I used a narrative medicine technique when caring for a patient who mistrusted the healthcare system. By writing his story and reading it back to him, he understood that the care team was truly listening. 

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 14, 2022 | 1 min read

“Don’t Worry”

By Jeffrey Millstein, MD, Penn Medicine

General reassurances are often ineffective when they don’t address patients’ true concerns.

March 11, 2020 | 3 min read

Saturdays With Mr. Hargett

By Yolonda Wilson, PhD, 2019-2020 Fellow at the National Humanities Center and 2019-2020 Encore Public Voices Fellow

Loneliness is an epidemic. Being aware of this, asking about it, and empathizing can make a world of difference.

April 7, 2025 | 2 min read

The connective cure 

By Allison Pugh, PhD, Johns Hopkins Univeristy

The art of genuine human interaction is a vital clinical skill that no algorithm can replicate. This building of connection can foster trust, enable healing, and facilitate holistic care. 

February 15, 2023 | 2 min read

Speaking from my heart

By Leslie Miller, MD, Johns Hopkins Medicine

When deeply worried about the mental health of patients, make sure they feel heard, validated, and empowered.  

"An Orchid," Georgia O'Keefe, 1941, Museum of Modern Art.

November 13, 2018 | 2 min read

Seeing the Unseen

By Lauren Small, PhD

To start seeing the unseen, carving out five minutes to sit down and just listen to your patient can make a difference.

June 10, 2021 | 3 min read

Why Perfectionism May Weaken Your Relationships With Patients

By Maureen Flood, NP, Johns Hopkins Medicine

My perfectionist tendencies weakened my relationship with a patient. Being aware of and working to overcome this habit can be helpful for patients and take pressure off healthcare professionals.

April 26, 2019 | 2 min read

Building Authentic Rapport

By Leslie Ordal, MSc, CGC

Building rapport is about meeting patients where they are and showing that you’re putting their concerns first. Strong rapport transforms a clinical interaction into a human interaction, which is the heart of patient-partnered care.

December 6, 2023 | 1 min read

Reality bites 

By Carolina Saldanha, MD, Massachusetts General Brigham Salem Hospital 

I constructed what I thought was a great care plan for my patient with diabetes. I later learned that he wasn’t allowed lunch breaks and had nowhere to store his insulin. I now ask the patient about their daily routine to create a realistic plan. 

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 14, 2022 | 1 min read

Supporting Young Adults Who Use E-Cigarettes

When talking with young patients about tobacco dependence, first create a judgment-free zone and ask open-ended questions to understand why they use the product. 

Encourage parents to support their teens in connecting with friends in physically-distanced ways.

March 3, 2020 | 3 min read

The Power of the “Ordinary”

By Gaye Cunnane, MD, PhD, Trinity College Dublin

Excellent clinicians recognize that sometimes the opportunity to make a difference in the lives of patients comes in the most unexpected moments.

March 13, 2025 | 1 min read

Wearing many hats 

By Jessica Park, MD, Johns Hopkins Medicine

Sharing parts of your identity, for example being a parent, may help you to connect with patients on a deeper level. Shared humanity can create a deeper relationship, which is essential for trust and service. 

February 1, 2023 | 1 min read

Patience With Patients

By Will Frye, PhD, Johns Hopkins All Childrens, St. Petersburg, Florida

Consider the challenges you experience when trying to make changes in your daily habits. Remember to praise your patient’s progress no matter how small. 

September 30, 2019 | 1 min read

Practicing Non-Judgement

By Sophie Lanzkron, MD, MDH, Johns Hopkins University School of Medicine

A key to persuading patients to make healthy choices is a strong therapeutic relationship.

June 9, 2021 | 2 min read

How to Support Patients When Transitioning Back to “Normal”

As we move through phases of the pandemic, understanding patients’ goals and asking about their worries is paramount.

January 22, 2020 | 2 min read

How to Help Patients who Feel Angry

By Leslie Miller, MD, Johns Hopkins Medicine

Asking your patient open-ended questions about how they're doing can lead to a much deeper conversation that not only illuminates the origin of their anger and suggests treatment strategies, but can also be therapeutic in itself.

November 27, 2023 | 2 min read

When the truth (literally) hurts

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

When our patients are facing surgery or other procedures, thoughtful questions can help allay their worries.  

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