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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
September 14, 2021 | 3 min read

The Healing Power of Music

By Brian Garibaldi, MD, Johns Hopkins Medicine

Connecting with a patient around a shared interest can be mutually fulfilling. For me, my guitar helps me to be present and give excellent care to patients.

April 18, 2024 | 1 min read

Anger: a sign of trauma

By Lucia Ponor, MD, MBA, Johns Hopkins Medicine

Healthcare professionals can move beyond simply treating the physical condition by creating a safe space for patients to share traumatic experiences. 

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.

August 17, 2022 | 2 min read

Listening to The How Can Reveal The Why

By Jeffrey Millstein, MD, Penn Medicine, Meshulam Twerski, medical student, Penn Medicine

The way patients express their reluctance to pursue screening can help uncover truths that guide meaningful conversations and build trust.   

August 6, 2025 | 1 min read

A better way to care 

A patient’s anger showed me I needed to recognize his suffering and not simply offer a diagnosis. True care means moving beyond technical skill to connect with the whole person. 

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.

"A return to 'normalcy' may be a return to challenging situations–school or workplace bullying, for example."

May 8, 2023 | 1 min read

“How are you?”

By Rheanna Platt, MD, MPH, Johns Hopkins Medicine

When asking patients and others how they are doing post-pandemic, consider opening with, “I know the transition back to ‘normal’ hasn’t been easy for everyone.” Then leave time for responses other than “fine.”  

August 31, 2021 | 1 min read

Finding Common Ground

By Faisal Nawaz, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, UAE

Connecting with patients through shared interests or hobbies can help to strengthen and deepen relationships. For many, this adds to the joy of medicine.

April 10, 2024 | 1 min read

Toxic positivity

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

A stage 4 cancer patient taught me how constant encouragement can be emotionally draining for someone facing their mortality. Presence, love, and understanding may be better received. 

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.

August 11, 2022 | 2 min read

A Mother’s Death

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

Including a patient’s words in your empathic response is affirming and creates connection.

July 14, 2025 | 2 min read

Patient-directed discharge  

When a patient decides to leave the hospital earlier than advocated for by the medical team, many factors may drive their decision. Understanding their perspective and partnering on care plans can help them feel safe to stay and complete treatment. 

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.

May 4, 2023 | 2 min read

The Power of Stories

By Flora Kisuule, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

A recent grand rounds by Dr. Kimberly Manning illuminated how stories give meaning to why we do what we do.

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.

March 27, 2024 | 1 min read

Deepening connections: takeaways from David Brooks’ “How to Know a Person” 

By Gretchen Miller, Managing Editor

Healthcare professionals can enhance their connections with patients and coworkers by truly understanding others. Looking beyond the surface, cultivating empathy, and mastering the art of paying attention can help clinicians build deeper relationships. 

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.

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 2, 2025 | 2 min read

Lead with listening   

When a patient’s fears and misinformation create barriers to care, start with listening and validating concerns rather than beginning with facts. Shifting the conversation to what matters to them builds trust and can open the door to effective treatment. 

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.

April 27, 2023 | 1 min read

Love Lessons

By Jennifer Plotkin, MD, Los Angeles VA

I was afraid to connect on a deep level with my patients, concerned that my heart would overpower my head. Such relationships are what make practicing medicine meaningful. 

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 28, 2024 | 1 min read

Socks and ties (archives, 2024)

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

Something as simple as wearing a unique article of clothing, like colorful socks, can help build connections with patients. 

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.

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.    

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. 

Bagels & Cream Cheese

April 28, 2020 | 2 min read

Cream Cheese and Kindness

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

“I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” -Maya Angelou

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. 

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.

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! 

July 22, 2019 | 5 min read

5 Lessons From Visible Ink

By Anoushka Sinha, MD, Columbia University

It is humbling to remember we are merely characters in our patients' stories. We are neither the author nor the narrator, and certainly not the lead.

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. 

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.

April 30, 2020 | 4 min read

Letting go of Your Agenda

By Allison Chrestensen, MPH, OTR/L

Compassionate care requires that we trust our patients to guide us.

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.  

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.

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.

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.

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 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. 

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.

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.  

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.

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 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. 

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.

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.” 

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. 

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.

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.    

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