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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
April 29, 2020 | 3 min read

Connecting Through Shared Vulnerabilities

By Jeffrey Millstein, MD, Penn Medicine

Talking about shared COVID-19 worries allows you to connect more deeply with patients.

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.

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. 

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 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 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. 

July 16, 2019 | 3 min read

3 Lessons in Hospitality From my Patient

By Loveleena Virk, MD, Kaiser Permanente, Oakland Medical Center, California.

Hospitality is a human connection through the gift of attention and care. When hospitality becomes our modus operandi, care is transformed from transactional to sacred.

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 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. 

March 29, 2018 | 1 min read

Top Five Tips For Successful Community Engagement

Part II of II: Five specific strategies to gain the trust of your patient’s community, agree on health goals, and together define what success looks like.

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.

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.  

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.

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.

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.  

May 28, 2019 | 3 min read

Supporting my Patients who Smoke

It's important to make sure that the responsibility for addressing tobacco dependence is placed on the shoulders of clinicians, and off of the shoulders of the afflicted.

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 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.

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.

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. 

February 18, 2026 | 1 min read

How’s Spot doing?

Patients’ lives are often closely tied to their pets. Ask about them in clinic and during follow-ups to build connection.

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.

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.

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.   

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.

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.

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.

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. 

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.

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.

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.

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. 

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.

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.

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.

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 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.

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.  

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.

"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.  

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.

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.

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.

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.

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.

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. 

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?"

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.

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.

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.

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