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
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.   

July 17, 2020 | 1 min read

Person-Centered LGBTQ Care in the Pandemic Era

By Justin Fontenot, MSN, RN

Patient-centered care requires considering your patients’ wants and needs in their management. ALL patients deserve person-centered care.

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.

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. 

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.

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.

September 23, 2019 | 3 min read

How to Manage Chronic Pain and Opioids

By Ryan Graddy, MD, AbsoluteCARE Medical Center, Atlanta, Georgia

Safe opioid stewardship is a key objective when managing chronic pain. Combining evidence-based strategies and compassionate care can help you to realize these goals.

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.  

June 11, 2020 | 2 min read

The Power of Accompaniment

By Aidan Crowley, Medical Student, University of Pennsylvania

When there are no further treatment options available, healthcare professionals can still compassionately accompany their patients until the very end.

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.

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 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.

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.

September 19, 2019 | 2 min read

The Importance of Partnering With Patients

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

What patients and families need is a clinician advocate who is available to listen, translate complex medical language, and support both the physical and mental health of the patient.

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. 

"Facilitate finding new ways of having fun and staying busy. Recovery is not punishment."

April 3, 2018 | 1 min read

10 tips to support patients with a substance use disorder

By Mike Fingerhood, MD, Johns Hopkins Medicine

I’ve devoted my entire career to supporting patients with substance use disorders (SUD). Here are the top 10 tips that I’ve learned over the past few decades.

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.

February 4, 2026 | 1 min read

Spring at the bedside

A small, concrete gesture—bringing a bouquet of lilies to a patient—prompted her to share her history of trauma, enabling me to provide better care.

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.

hearts

September 10, 2019 | 1 min read

3 Reasons why Shared Decision-making Matters

By Minas Chrysopoulo, MD, PMRA Plastic Surgery

When patients and clinicians arrive at a treatment plan together, patients feel more involved, confident, and satisfied with their care.

"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.  

July 9, 2020 | 1 min read

The Return of House Calls

By Sajida Chaudry, MD, MPH, Johns Hopkins Medicine

Listening and looking closely when visiting with patients virtually in their homes can give us a more holistic picture of their lives and support systems.

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.

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.

May 17, 2021 | 1 min read

Validating my Patient’s Despair

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

When my young patient was struggling to accept the diagnosis of leukemia, I was reminded how important validating emotions is in the giving excellent care.

September 3, 2019 | 2 min read

“Hand-holding”

By Colleen Leavitt, MD, Johns Hopkins Community Physicians

Personalized care softens the edges of a one-size-fits-all medical system that perpetuates inequities. For some, clinicians and the healthcare system need to be able to step-up and take actions that support their patients' health.

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.  

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.

July 7, 2020 | 1 min read

Curbside Care

By Marianne Fingerhood, NP, Johns Hopkins Medicine

Whether seeing patients in-person or virtually, one of the most important aspects of care is the human connection.

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.

December 14, 2022 | 1 min read

Choosing The Right Words

By Jeffrey Millstein, MD, Penn Medicine, Lori Jia, medical student, Penn Medicine

Using connecting language to seek deeper understanding of patients’ concerns may add richness to clinical encounters and help them feel safe. 

May 18, 2021 | 2 min read

A Question That Transformed my Care of Patients

By Rebekah Fenton, MD, Northwestern University

Asking patients, “What are you most worried about?” can bring to light unspoken concerns and allow fears to be addressed.

August 19, 2019 | 6 min read

Holding Hope

By Jennifer Goetz, MD, Massachusetts General Hospital and McLean Hospital

By highlighting the strength and courage of our patients, we can sustain hope for our patients and their families.

October 18, 2023 | 2 min read

Have you done this before?

By Scott Lifchez, MD, Johns Hopkins Medicine

Listen for a patient’s anxiety when they ask questions about treatment. Addressing all concerns builds a trusting relationship and helps them better tolerate procedures that may initially be painful. 

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 | 2 min read

Have Guitar – Will Travel

By David Shih Wu, MD, Johns Hopkins Medicine

Consider how you might use your creative gifts—and your imagination—to connect more deeply with your patients and bring them joy.

December 7, 2022 | 4 min read

The Road to Aequanimitas

My medical training in the 80s and 90s taught me to be reserved and distant from patients. After many years in practice, I now know that they deserve a personal relationship with their doctor.  

January 6, 2026 | 2 min read

The sacred art of care 

Let compassion guide your words and touch in every encounter. Kindness and empathy earn trust while facilitating patients’ healing. 

"If I die, tell my mother I love her. If I get better, I'm going to visit her in Tennessee. She has ten acres and a farmhouse."

May 11, 2021 | 1 min read

Empathy at The End of Life

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

At the end of life, clinicians who are present and listen compassionately may be entrusted with patients’ final wishes. Attempting to honor these requests is one way to serve.

July 24, 2019 | 3 min read

Time, Talent, and Treasure

By Jennifer Foster, MD, MBA, Florida Atlantic University

Excellent clinicians always strive to make human connections with their patients. This creates the foundation of trust and respect essential to healing.

October 12, 2023 | 1 min read

A Lesson Emphasized in Brazilian Medical Training

By Thiago Mendes, MD, University of Pittsburgh

In my medical training in Brazil, I learned to live by Theodore Roosevelt’s quotation, “Nobody cares how much you know until they know how much you care." 

February 10, 2022 | 1 min read

How to Express Empathy With Humility

By Rebekah Fenton, MD, Northwestern University

To show we care, we can simply say something like, “I can’t imagine how hard this must be.”

Illustration from "Jasper and Tabitha Play a Trick on the Coronas." Copyright by the author.

May 6, 2020 | 1 min read

Talking With Children About COVID-19 Using Stories

By Taylor Purvis, MD, St. Vincent Medical Center, Bridgeport, CT

In times of heightened anxiety for children, parents turn to clinicians for help. Sharing COVID-19 resources for children, including stories, can help them make sense of the pandemic.

December 23, 2024 | 1 min read

Beyond the Grinch’s grump 

By Heather Agee, MD, Johns Hopkins Medicine

Patients exhibiting "Grinch-like" behaviors may be masking underlying trauma and vulnerability. Try an empathetic "Cindy Lou" approach to foster trust and facilitate healing. 

December 5, 2022 | 2 min read

The “List”

By Jeffrey Millstein, MD, Penn Medicine

Reviewing patients’ lists of concerns is an opportunity to build trust and partnership. It may also make visits more productive and satisfying for both patients and clinicians. 

December 16, 2025 | 1 min read

Check box vs. check-in  

Medical visits today often involve care gap inquiries. The way we ask patients about them can help transform a rote task into a curious and satisfying conversation. 

May 10, 2021 | 2 min read

Bearing Witness

By Jennifer Caputo-Seidler, MD, University of South Florida

During the pandemic healthcare professionals have often been the only ones present with patients at the end of life. It’s ok if you struggle to find the right words—sitting with a patient so they're not alone is enough.

August 14, 2019 | 3 min read

What Physics Taught me About Patient Stories

By Jeffrey Millstein, MD, Penn Medicine

As in physics, the answers are usually in plain sight. Listening to our patients with curiosity and humility will usually lead to understanding.

October 2, 2023 | 4 min read

Exclamation Points And Exhalations

By Ajibike Lapite, MD, MPHTM, Texas Childrens Hospital

Even when lab results are normal, some patients may still have concerns. Take time to address their fears and worries.

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

©2026 Miller Coulson Academy of Clinical Excellence,  Johns Hopkins Medicine.  All Rights Reserved.  Privacy Policy