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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
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.

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 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.

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. 

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.

March 22, 2021 | 2 min read

Why I Care About The Costumes in “Little Women”

By Leslie Miller, MD, Johns Hopkins Medicine

We can build deeper relationships with our patients by talking with them about their passions—from Broadway to zinnias.

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.

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. 

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. 

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. 

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!

"My patient dreamed of walking with me at the seashore and staying up late chatting. That dream was an escape, a mental vacation, and a balm for her wounds."

April 19, 2021 | 2 min read

Let Your Patient Dream

By Zeina Moukarzel, MD, MPH, Beirut, Lebanon

From my young patient about to have all of her limbs amputated, I learned about compassion and courage.

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.

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. 

April 5, 2022 | 1 min read

Playing “Out of Book”

By Jeffrey Millstein, MD, Penn Medicine

Unexpected statements from patients can force clinicians to improvise. As in chess, it helps to view these as challenges with potential rewards.   

March 3, 2025 | 2 min read

The power of small gestures

Actions speak louder than words. Small gestures like listening closely to patients, getting tissues, adjusting the lights, and helping them get comfortable in bed is part of giving holistic care.

Vibraphone. Copyright Chris Dingman.

December 5, 2019 | 2 min read

Peace—Music to Live

By Chris Dingman, vibraphonist and composer

Music with intention and sensitivity can be a powerful tool for helping the terminally ill—and others—cope with physical and emotional pain in order to find peace. Recommending this form of therapy to patients can be a valuable gift.

March 29, 2024 | 4 min read

Using affirming language with LGBTQIA+ patients

By Christopher Clayton, MD, New York, New York, Lila Flavin, MD, New York, New York

To show respect for patients, consider asking them about their gender identity, sexual orientation, and preferred pronouns.

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.

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.  

April 8, 2022 | 1 min read

“Better”

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

Using precise language can help us partner with patients in hoping for the best, without causing confusion. 

February 28, 2018 | 4 min read

Asking patients about adverse childhood experiences (archives, 2018)

By Brent Beasley, MD, University of Oklahoma

Ask. It's scary. But ask anyway.

March 14, 2018 | 2 min read

The Power of Acknowledging Feelings

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

Recognizing and acknowledging feelings can diffuse a patient’s anxiety.

February 11, 2021 | 6 min read

Checklists and Connections

By Neda Frayha, MD, University of Maryland

Take five minutes to connect with a patient with no medical agenda. You may be surprised by how much joy it brings both you and them.

January 12, 2023 | 1 min read

Pain Talk

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

Chronic pain is sometimes a challenging topic to discuss with patients. I’ve learned that the most important thing is to validate my patients’ experience of suffering. 

October 10, 2018 | <1 min read

Engaging With Patients’ Communities

Making time to engage with my patients' community has made all the difference in giving clinically excellent care. Enjoy my recent TED Talk, where I tell the story of my journey to connect with my patients' community in Baltimore, Maryland.

Many of the anti-vaccine messages aim to bring forth emotion in the public, especially fear. Remain calm when talking with patients, friends, family, and neighbors.

May 26, 2021 | 1 min read

Talking with those opposed to vaccines (archives, 2021)

When speaking with people who respond to scientific information in a challenging manner, the most critical thing to remember is to stay calm. Refrain from simply "talking over" those with whom you're in conversation.

"When a patient is riding the wave of anger, instead of defensively explaining your kind intention and clinical justification for decisions, validate their experience."

March 3, 2022 | 1 min read

Listening to my Patient’s Anger

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When encountering an angry patient, validate feelings rather than becoming defensive.  

March 13, 2018 | 2 min read

Reading Your Patient and Changing Your Plan

By Mike Fingerhood, MD, Johns Hopkins Medicine

We usually already have an agenda set when we see patients. However, we have to be ready to improvise by reading the patient, and be open to changing our plan.

January 14, 2021 | 2 min read

3 Strategies For Responding to Your Patient’s Experience of Loss

By Mollie Marr (she/her), MD/PhD student, Oregon Health & Science University

Even if you don’t fully understand your patient’s experience of loss, you can always listen, honor feelings, and show compassion.

November 20, 2023 | 2 min read

Honoring indigenous culture amid serious illness

By Katie Nelson, PhD(c), MSN, RN, Johns Hopkins University School of Nursing

We must seek to understand the beliefs, rituals, and ceremonies of all patients and communities. Failing to honor these may erode trust.

October 1, 2018 | 2 min read

Listening to Build Trust

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

When I'm helping a patient who's angry about an aspect of care, the most important thing I do is listen, just sit quietly and listen. Often patients just want to be heard. Listening and repeating back their concerns lets them know they've been heard.

May 20, 2021 | 2 min read

Alleviating Your Patients’ Worries

By April Sharp, MD, Johns Hopkins Medicine

During hospitalizations, patients and families have lots of time to worry. Asking about the concerns and empathizing may be especially helpful.

March 1, 2022 | 1 min read

What to Expect When You’re Expecting (to See The Doctor)

By Jeffrey Millstein, MD, Penn Medicine

A journey through a doctor’s office visit is all too familiar to clinicians and staff, but patients may not know what to expect. Managing expectations provides reassurance and may improve the patient experience.

February 24, 2025 | 2 min read

Listening to find answers 

By Michael Albert, MD, Johns Hopkins Medicine

To more accurately arrive at the diagnosis, it is generally wise to believe patients’ recounting of their symptoms and experiences. This can result in uncovering medical conditions that are sometimes labeled as being more generalized—like anxiety—and lead to improved patient outcomes.

November 6, 2019 | 3 min read

Songs From Hospice

By J Lind, Dale Fellow and touring songwriter, Nashville, Tennesse

It's the details of the patient's story that transforms them into a person.

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 25, 2018 | 2 min read

Identity Part II: Knowing Your Own Past

I’m not a doctor who engages with the community; rather, I’m a community member who became a doctor. This identity has helped me strengthen and maintain my relationships with my patients.

September 13, 2018 | 2 min read

The Core of Compassionate Care

By Ayelet Kuper, MD, University of Toronto

When I have trouble bringing my focus back to the patient, I remind myself that this patient was once a baby that someone held as I have held my own babies.

November 6, 2023 | 2 min read

Believing Patients

By Chloe Lee, MD, MPH, University of Rochester

When patients share their traumatic experiences, trust that they are almost always telling the truth. We must be empathic and compassionate to build therapeutic connections.  

February 17, 2022 | <1 min read

Throw The Heart Machine Out The Window

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

In serving patients, it is sometimes best just to listen, show respect, and withhold judgement.     

August 14, 2018 | 3 min read

Seeing Your Patients Through New Perspectives

By Patrick Hemming, MD, Duke University

We can enhance our patient care if we incorporate the perspectives of life story and behavior.

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