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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
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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.

March 29, 2018 | 1 min read

Top Five Tips For Successful Community Engagement

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

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.

December 27, 2018 | 2 min read

“Charm City” Movie Review

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

The upcoming film "Charm City" emphasizes that the struggles of each patient who comes to clinic extend far beyond a medical diagnosis. We must be conscious of our patients' many challenges and mindful to address them. Making time to ask about your patient's day-to-day concerns, worries, and fears about their homes, neighborhoods, and communities can help you to get a fuller perspective of their medical and social determinants of health. This will allow you to reach relevant goals of care together.

October 10, 2018 | <1 min read

Engaging With Patients’ Communities

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

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 8, 2018 | <1 min read

Book Review: Building Healthy Communities Through Medical-Religious Partnerships

By Roy Ziegelstein, MD, Johns Hopkins Medicine

This book helps health professionals understand and appreciate how medical-religious partnerships can be developed, sustained, and used to improve the health of communities and the individuals who live in them.

July 1, 2020 | 3 min read

How to Support Immigrant Communities During the Pandemic

By Amelie Meltzer, Medical Student, University of Pittsburgh, Reuben Mathew, MPH, Medical Student, St. George University, Zackary Berger, MD, PhD, Johns Hopkins Medicine

All people, including immigrants in the U.S., need comprehensive care at this time. Clinicians should be aware of the resources to help immigrant patients obtain medication, food, housing, and mental health support.

"Community," acrylic on canvas, copyright with the artist.

March 5, 2024 | <1 min read

Community support

By Carolyn Im, medical student, Johns Hopkins Medicine

This painting celebrates that individuality of every patient and also highlights the help they can receive from their community in times of need.

October 11, 2022 | 6 min read

Learning About Your Patients And Their Communities

By Hailey Haffey, PhD, University of Utah

Receiving patient and community stories with thoughtful attention can help serve the aims of equity in healthcare. 

February 12, 2020 | 1 min read

Agents of Change—Learning From Gen Z Healthcare Students

By Kevin Pan, Medical Student, Ohio University School of Medicine

Excellent clinicians are committed to reducing health inequity.

June 22, 2020 | 4 min read

Doing Something or Doing Nothing: Health Disparities, Racial Justice, and the Risk of Failing to Meet This Moment

By Hal Kronsberg, MD, Johns Hopkins University School of Medicine

Truly addressing health disparities and racial justice requires an intense and challenging examination of our own clinical practices and how they may perpetuate inequalities. We must continually hold ourselves and our institutions accountable on the path to building a more just medicine.

Clouds at sunset, Paliambella, Greece. Photo by the author.

November 6, 2018 | 1 min read

Lessons From Paliambella, Greece

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Working to cultivate community cohesiveness in the neighborhoods where we work and where our patients live could help community health achieve its fullest potential. Here are a few simple ways to get started.

August 12, 2020 | 2 min read

Chief Complaint: Racism

By Syeachia Dennis, MD, University of Oklahoma

Patients are increasingly recognizing the impact of racism on their health. We should be prepared to help patients confront this and consider this core to our work to systemically address this public health crisis.

January 13, 2022 | 3 min read

How Being Foster Parents Has Improved Our Care of Patients

By Lindsay Terrell, MD, Duke University, Patrick Hemming, MD, Duke University

Fostering children reminds us of the foundational impact of genuine empathy and compassion on the well-being of those we care for.  

May 26, 2022 | 3 min read

Who Was Trayvon Martin?!

By Victor Ekuta, visiting medical student, Penn Medicine

We must pay attention to current events that may be significant to our patients. Staying curious may help us to connect and build rapport with those we serve.   

November 2, 2020 | 4 min read

Prescription for a healthy future—vote!

By Deanna Behrens, MD, Advocate Children\'s Hospital, Elizabeth Mack, MD, Jenna Miller, MD, Katherine Hoops, MD, Johns Hopkins Medicine

Clinicians have a responsibility to advocate for policies that can improve the health of all. We must take our civic responsibility seriously and make a plan to vote. 

June 26, 2019 | <1 min read

Dr. Panagis Galiatsatos, A CLOSLER Look

By Gretchen Miller, Managing Editor

We need to think of ourselves as community members who happen to be clinicians.

July 5, 2023 | 3 min read

What brought you in today?

By Hailey Haffey, PhD, University of Utah

Asking my patients open-ended questions about how they physically traveled to the appointment can reveal important information.

August 1, 2022 | 1 min read

Keeping Children Safe

By Katherine Hoops, MD, Johns Hopkins Medicine, Monique Burke, MD, President, MD Chapter of the AAP

The new Safer Communities Act helps clinicians connect patients to mental healthcare. Hopefully, this will reduce youth gun violence, including suicide. 

April 26, 2018 | 1 min read

Forming True Partnerships In Care: Listen To Your Patient

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

Reflecting on caring for a 12-year-old with a complex neurological condition, I was humbled by the parents’ definition of clinically excellent patient care.

July 26, 2023 | 3 min read

Small Change = Big Impact

By Jennifer Katzenstein, PhD, Johns Hopkins Medicine

Ideally, healthcare professionals model healthy habits. In doing so, they can inspire others and influence the health of communities.

May 7, 2020 | 5 min read

Captivity and COVID-19

By Cesar Lopez, MD-PhD student, University of North Carolina at Chapel Hill, Zackary Berger, MD, PhD, Johns Hopkins Medicine

Severely ill incarcerated individuals will be hospitalized at disproportionately high rates during this pandemic. As always, healthcare professionals should treat them with dignity and respect. Better care of those who are imprisoned may help with our public health efforts and response.

September 24, 2024 | 1 min read

The “afterglow” 

By Alexis Coslick, DO, MS, Johns Hopkins Medicine, Carey Roesler, PA-C, Johns Hopkins Medicine

Offering free sports physical exams for high school students reconnected us to our purpose. Consider doing a community service project like this to remember why you chose a career in medicine. 

May 13, 2020 | 2 min read

Flattening the Inaccessibility Curve

By Bonnielin Swenor, PhD, Johns Hopkins Medicine

There's been limited attention addressing the disability perspective during the pandemic. Finding creative solutions to accessibility challenges during this time is critical.

September 15, 2020 | 3 min read

How to talk with patients about sexual health

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.

December 16, 2024 | 2 min read

Navigating vaccine discussions  

By Erica Prochaska, MD, Johns Hopkins Medicine

By understanding and addressing patients' concerns about vaccination, healthcare professionals can foster trust and promote informed decision-making. Every conversation is a chance to educate and empower. 

June 28, 2018 | 1 min read

Reciprocating At Esperanza

By Randy Barker, MD, Johns Hopkins Medicine, retired

Making an effort to learn words in the patient's first language can make a huge difference in the physician-patient connection.

May 17, 2022 | 1 min read

Word Choice Related to Substance Use Disorders

By Beth McGinty, PhD, Johns Hopkins Medicine

Words matter; calling patients with a substance use disorder an “addict” defines them by their addiction. We need to ensure that our patients feel comfortable and supported so that they will engage in treatment.  

March 31, 2022 | 2 min read

A Lesson in Cultural Humility

By Mengyi "Zed" Zha, MD, Othello, Washington

Working at a community health clinic serving migrant workers from Mexico, I was confronted with a pervasive stereotype that the female patients were “dramatic.” I learned how important it was for patients’ concerns to be taken seriously.   

September 2, 2020 | 4 min read

A Call for Advocacy in Medicine

By Sara Wallam, Medical Student, Johns Hopkins Medicine

Systemic racism is prevalent throughout our society. To dismantle disparities in health outcomes for minority patients, clinicians must advocate for their patients at the local level and for communities on a regional and national scale.

May 21, 2020 | 1 min read

The Importance of Writing For Popular Media Outlets

By Koushik Kasanagottu, MD, Johns Hopkins Medicine

In this era of misinformation, we have a moral responsibility as physician-citizens to write for media outlets that our patients read. Sharing accurate health information with the general public can inform decision-making and improve health.

May 14, 2020 | 3 min read

Stay at Home When Possible as Restrictions Ease

By Nina Shapiro, MD, University of California Los Angeles

It’s important to remind patients and loved ones that avoiding unnecessary socialization and travel can save lives.

November 8, 2022 | 1 min read

Brown Girl Narratives

By Kristal Brown, PhD, MSPH, Johns Hopkins Medicine

Art can be healing. With this in mind, I brought together the community to paint an uplifting mural. 

October 21, 2021 | 2 min read

Be a Team Player: Get Vaccinated

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

Be a teammate to everyone in your community. Get vaccinated and encourage others to do so.

November 14, 2022 | 2 min read

The Benefits of Overdose Prevention Centers (OPCs)

By Bennett Allen, PhD, New York University, Noa Krawczyk, PhD, New York University

Supervised injection facilities prevent death and do not encourage drug use. Sharing this information can keep our patients safer. 

January 12, 2021 | 2 min read

6 ways to engage families to support child mental health

By Barbara Robles, MD, University of Texas

Strong relationships with clinicians can empower children and their families to engage more fully in their mental health treatment.

Original painting by Laurel Stewart. Photo copyright by the author.

June 9, 2020 | 2 min read

A Clinic Transformed by Art

By Margot Kelly-Hedrick, MD, University of Washington

Making clinical spaces beautiful enhances the climate for patients and the healthcare team alike. One way to do this is to explore local partnerships with artists.

April 24, 2025 | 5 min read

Time machine

I recently cared for a patient labeled as “difficult” and struggled. Learning more about his life story would have allowed me to serve him more effectively. 

August 18, 2021 | 2 min read

Helping Students Transition to Wards

By Howard Chang, Medical Student, Johns Hopkins Medicine

I was nervous taking care of my first patient as a student on the medical wards. I felt more comfortable when I realized that even experienced clinicians don’t know everything, and of course they did not expect me to have all the answers.

May 8, 2019 | <1 min read

Dr. Cynthia Rand, A CLOSLER Look

By Gretchen Miller, Managing Editor

"It's our responsibility to speak up for patients who don't have a voice."

January 27, 2025 | 2 min read

The green hospital 

By Nick Dalesio, MD, MPH, Johns Hopkins Medicine

Recognize the significant environmental impact of your healthcare practices. Advocate for and implement sustainable solutions, such as optimizing workflow to reduce waste and improve resource utilization. 

June 15, 2020 | 1 min read

Getting CLOSLER: A Note to Our Readers

By Margaret Chisolm, MD, Johns Hopkins Medicine, Scott Wright, MD, Johns Hopkins Medicine

For two years, CLOSLER has been stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

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.

September 22, 2020 | 1 min read

Voting as part of clinical excellence

By Margot Kelly-Hedrick, MD, University of Washington

Voting is a way you can advocate for your patients and improve health outcomes.

December 19, 2024 | 1 min read

In the aftermath  

By Jeffrey Millstein, MD, Penn Medicine

The murder of a health insurance company CEO has drawn attention to a swell of frustration with America’s healthcare system. Clinicians can extend empathy to patients who suffer simply trying to receive care. 

June 12, 2024 | 3 min read

Getting serious about citrus 

By Maureen Flood, NP, Johns Hopkins Medicine

In patients with chronic conditions and socially determined health risks, remember to consider vitamin C deficiency. 

Dr. William Greenough teaches about best practice in homecare.

June 20, 2018 | 1 min read

Home Care: A Better Way To Care For Ventilator Patients

By William Greenough, MD, Johns Hopkins University School of Medicine

Using portable ventilator technologies in the patient’s home can provide a higher quality of life.

December 5, 2018 | <1 min read

“A CLOSLER Look,” Dr. Rosalyn Stewart

By Gretchen Miller, Managing Editor

When helping vulnerable urban populations, sometimes the biggest challenge is to understand where the patient is at. Then we have to work together with the patient on walking towards wellness, particularly focusing on lifestyle modifications.

June 7, 2023 | 1 min read

Reflections on Candles

By Joanne Shay, MD, Johns Hopkins Medicine

Consider how we are beacons of hope for our patients and their loved ones as they navigate a potentially dark time in their lives. 

November 8, 2021 | 1 min read

Lessons Learned From 30 Years of Night Shifts

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Patience, stamina, and fortitude are important traits to cultivate in medicine at any and all times.

"Letter to myself at age 12," copyright with the artisit.

January 22, 2024 | 1 min read

Letter to myself at age 12

By Ashley Minner Jones, PhD, MFA, Baltimore, MD

When I shared a work of my art at an exhibition, I was surprised how deeply people connected with it. This helped me have even more empathy and understanding for others. We all sometimes struggle with being human.

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