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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
August 27, 2025 | 2 min read

“Did you have the baby?” 

Self-disclosure by the clinician had long been discouraged in medical training. Often, it can significantly enhance the patient-doctor relationship. 

March 29, 2021 | 2 min read

Validating Your Patient’s Experience of Chronic Pain

By Jocelyn Fitzgerald, MD, University of Pittsburgh

We must empathize with our patients who are suffering from chronic pain. Working with them to achieve a better quality of life may be a reasonable shared goal.

"Chrysantheme und Biene." Hokusai, K. (ca. 1832). Public domain, Wikimedia.

September 22, 2021 | 8 min read

The Role of Visual Thinking Strategies Coaching in Clinical Excellence

By Margaret Chisolm, MD, Johns Hopkins Medicine

Take an appreciative approach when giving feedback to learners. It will not only build clinical skills, but will also foster a healthy community of learning and practice.

April 29, 2024 | 3 min read

A patient’s reflection on connecting with clinicians—what matters most 

By Jennifer Ball, BSJ, MA, Chicago, IL

Empathy and cultural competence are cornerstones of excellent patient care. Prioritizing these values can help each patient feel respected, empowered, and supported. 

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.

August 23, 2022 | 1 min read

Supporting Patients When Their Previous Physician Has Left The Practice 

By Carol Bernstein, MD, Montefiore Medical Center, Jeffrey Millstein, MD, Penn Medicine

Thoughtful communication with new patients whose longtime clinicians have recently left positions can reduce stress and help develop rapport. 

August 26, 2025 | 2 min read

A cultural safety-centric approach 

Ask patients, especially those who have been historically marginalized, if they feel safe, heard, and respected.  Take time to learn about their background and healing practices to deepen trust and improve health outcomes. 

Humility—a graceful bridge over the abyss of self-doubt.

April 7, 2021 | 3 min read

Humility

By Steve Bierman, MD, Del Mar, California

In medicine, all too often the optimal approach for diagnosis or therapy is not entirely clear. Acknowledging uncertainty with your patient is a sign of a humility that can strengthen the connection.

May 9, 2023 | 3 min read

Interpreting Patients’ Goals

By Adela Wu, MD, Stanford Medicine

While caring for a patient who spoke a different language than I, the medical interpreter translated more than words. She also explained cultural differences that proved invaluable.

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. 

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.

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. 

March 15, 2021 | 1 min read

How to talk with patients who are vaccine-hesitant (archives, 2021)

When speaking with patients reluctant to get vaccinated, listen to their concerns, and convey respect and empathy.

"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. 

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.

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. 

April 5, 2021 | 2 min read

Slowing Down at The Bedside

By Sanjana Mathur, MBBS, University of Central Florida

Physically examining your patient takes time and cannot be rushed. Having a methodical approach will help you make accurate assessments when examining patients.

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 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.

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. 

October 30, 2019 | 13 min read

Partnering With Parents—An Appraisal of Familial Feelings

By Monique Webber

The clinically excellent clinician understands that each family responds to and copes with chronic illness or disability differently. Being open-minded when partnering with families, and especially parents, is critical for ensuring a trusting relationship and providing support.

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. 

September 15, 2020 | 3 min read

How to talk with patients about sexual health (archives, 2020)

By Matthew Hamill, MBChB, PhD, Johns Hopkins Medicine

Sexual health can be a sensitive topic to discuss. Asking open-ended questions and allowing time for your patient’s story to unfold can create a safe space for conversations about sexual health.

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.

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. 

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.

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. 

October 29, 2019 | 4 min read

Curiosity, Connection, and Comfort

By Margaret "Molly" Hayes, MD, Harvard Medical School

Curiosity is an essential part of our humanity and a foundation of the doctor-patient relationship. By remaining curious, we remain faithful to the words of Hippocrates: “Cure sometimes, treat often, comfort always.”

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. 

September 9, 2020 | 1 min read

We’re All in This Together

By Mike Fingerhood, MD, Johns Hopkins Medicine

With the added stress caused by the pandemic, make an extra effort to screen your patients for anxiety and depression. Empathizing about shared concerns may facilitate patient expression.

"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.

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. 

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?"

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! 

October 8, 2019 | 4 min read

Can you hear me now?

By Mariah Robertson, MD, Johns Hopkins Medicine

The onus may be on the clinically excellent doctor to overcome a the patient's disability that interferes with care. A pocket talker can make a big difference for patients with hearing impairment.

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.

November 5, 2020 | 3 min read

Cultivating Compassion

By Aidan Crowley, Medical Student, University of Pennsylvania

Compassion—acting on the desire to relieve suffering—is central to giving clinically excellent care to those in need.

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.

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.  

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