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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
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. 

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.

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. 

May 3, 2021 | 6 min read

Why we Must Learn About Our Patients’ Communities

By Daniel Thomas, MD, Johns Hopkins Medicine

Make time to learn about and invest in the community you serve to deepen your connection 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.  

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.

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.

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. 

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.

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.

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. 

April 26, 2021 | 2 min read

Embrace Your Vulnerability

By Jennifer Huang, MD, Oregon Health & Science University

Sometimes sharing personal details about yourself helps forge a deeper connection with your patient.

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.    

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.

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.

January 18, 2024 | 1 min read

“Please pray for me” 

By Youngjee Choi, MD, Johns Hopkins Medicine

When my longtime patient with chronic illness asked me to pray for her, I told her I would.  Whether prayer is something one can offer, responding to emotional and spiritual requests can be an important part of care. 

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.” 

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.

May 1, 2025 | 2 min read

Avoiding medical gaslighting 

Actively listen to and validate patients' experiences, recognizing their unique knowledge of themselves. Providing thoughtful support can earn patients' trust and help them feel better about their circumstances. 

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.

March 23, 2023 | 2 min read

5 questions I ask every patient (archives 2023)

By Lillie Shockney, RN, MS, Johns Hopkins Medicine

I talk with patients who have metastatic breast cancer about their hopes and worries at every visit. This allows me to give better, whole-person care.  

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 16, 2024 | 2 min read

“Too maternal”

By Kimberlee Parker, DO, MPH, Baylor College of Medicine

Being a mother has helped me to be a better doctor. Both roles require empathy, which I express toward my children and patients.  

June 2, 2022 | 2 min read

‘68 Chevy Camaro

By Jennifer Eitingon, MD, Johns Hopkins Medicine

If we limit the way we view our patients, we will miss out on what makes them who they are. By taking time to learn more about them as people, we can connect and offer better care. 

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.

April 29, 2025 | 2 min read

Soul gym

Our culture frequently celebrates physical strength. In healthcare, the power of emotional fortitude is regularly called upon when encountering patients’ frustration or anger. 

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.

March 20, 2023 | 4 min read

Lazy gardening

By Ken Koon Wong, MD, Cleveland Clinic, Naomi Tyree, MD, Summa Health, Ohio

Talking about shared interests, such as gardening, is a wonderful way to deepen relationships with patients. 

June 29, 2021 | 2 min read

Making Jewelry With my Patients

By Deirdre Johnston, MBBCh, MD, Johns Hopkins Medicine

Some clinicians are lucky enough to interact with patients outside of medical encounters. In such settings, recognition of additional facets of their personalities may become evident, which will strengthen the patient-clinician relationship.

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?"

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.

May 12, 2022 | 2 min read

The “Uninterested” Mom Who Wept

By Precious Ndukwe, MD, Howard University

When caring for an overweight infant as a medical student, I wrongly assumed the mother was overfeeding the baby. This experience will remind me in the future to leave my suppositions at the door. 

Encourage parents to support their teens in connecting with friends in physically-distanced ways.

March 3, 2020 | 3 min read

The Power of the “Ordinary”

By Gaye Cunnane, MD, PhD, Trinity College Dublin

Excellent clinicians recognize that sometimes the opportunity to make a difference in the lives of patients comes in the most unexpected moments.

April 16, 2025 | 1 min read

Shared decision making 2.0

We need a new shared decision-making paradigm where all possibilities for care are out on the table, including unconventional ones. A clinician’s humility and openness are especially important now that patients are more emboldened to question the opinions of experts.

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.

March 15, 2023 | 1 min read

Einstein’s Relativity And Patient Care

By Steve Kravet, MD, MBA, Johns Hopkins Community Physicians

Conversations about the passing of time can stimulate meaningful reflections during patient visits.  

June 25, 2021 | 3 min read

“Tell me About Yourself”

By Aidan Crowley, Medical Student, University of Pennsylvania

During my recent experiences interviewing for med school, I learned that the best interviewers, like the best clinicians, focused on my comfort and let our conversation flow naturally. Such prioritizations promote deeper human connections

April 26, 2019 | 2 min read

Building Authentic Rapport

By Leslie Ordal, MSc, CGC

Building rapport is about meeting patients where they are and showing that you’re putting their concerns first. Strong rapport transforms a clinical interaction into a human interaction, which is the heart of patient-partnered care.

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 27, 2022 | 2 min read

Listening to Your Patient’s Grief

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

By listening to a patient’s story of loss, we bear witness and affirm their experience. 

February 24, 2020 | 1 min read

“StoryCorps” Moments

By Sharon Solomon, MD, Johns Hopkins Medicine

Taking the time to listen to patients' stories validates the humanity that is integral in the practice of medicine. It also can create meaning and bring joy within the patient-clinician dyad.

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. 

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.

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. 

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 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 22, 2020 | 2 min read

How to Help Patients who Feel Angry

By Leslie Miller, MD, Johns Hopkins Medicine

Asking your patient open-ended questions about how they're doing can lead to a much deeper conversation that not only illuminates the origin of their anger and suggests treatment strategies, but can also be therapeutic in itself.

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 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.

February 10, 2020 | 2 min read

Engendering Trust in the Care Team

By Jeffrey Millstein, MD, Penn Medicine

Excellent clinicians help patients expand their circle of trust, beyond their favorite physician, to include more members of the healthcare team.

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