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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
January 25, 2023 | 2 min read

All in The Family

By Laura Hanyok, MD, Johns Hopkins Medicine

In my general internal medicine practice, I’ve learned that getting to know a patient’s family gives a unique window into their lives.  

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 23, 2020 | 4 min read

Lessons From an Elective in Narrative Medicine

By Jade Cobern, MD, Johns Hopkins Bloomberg School of Public Health

Reflection reconnects you with yourself, opens opportunities for mentorship, and brings greater empathy to patient care.

March 27, 2025 | 1 min read

“Breaking bad news”: a poem

By Miriam Colleran, MD, St. Brigids Hospice & Naas General Hospital, Ireland

I wrote this poem to explore sharing and receiving challenging news from the perspective of both clinician and patient. Reflecting on situations from multiple points of view enhances my ability to empathize.

September 20, 2018 | 2 min read

Review of ‘Attending: Medicine, Mindfulness, and Humanity’

By Scott Wright, MD, Johns Hopkins Medicine

Dr. Ronald Epstein's book, "Attending," offers insights into mindfulness and connecting with our patients.

June 5, 2019 | <1 min read

Dr. David Hellmann, A CLOSLER Look

By Gretchen Miller, Managing Editor

The greatest joy is to know your patients as people.

August 15, 2023 | 2 min read

The Importance of Humanities in Medicine

By Mike McCarthy, MD, Johns Hopkins Medicine

Engaging with and studying the humanities can help us give better patient care. Literature, art, and history remind us that patients are whole persons with lives that exist beyond medical problems. 

March 12, 2020 | 4 min read

What I learned from my primary care mentors

By Colleen Farrell, MD, New York University

All of us can learn from primary care clinicians, who know that listening, compassion, and connection are the foundations of clinical excellence.

"Couple in the Park," John Russell Clift, 1961, Museum of Fine Arts, Boston.

January 17, 2019 | 5 min read

Do You See? The Power of Pictures

By Elizabeth Gundersen, MD, University of Colorado

Photographs capture the essence of who we are. When we ask to see pictures, patients and families are reassured that we value the wholeness of their lives.

The author having fun ice skating with colleagues at Patterson Park, Baltimore, Maryland.

February 25, 2019 | 5 min read

General Internal Medicine: An Opportunity to Engage Holistically

By Paul O'Rourke, MD, MPH, Johns Hopkins University School of Medicine

General internal medicine focuses on the importance of knowing and treating the whole patient. The entire patient, in their biopsychosocial context, must always be considered to provide high-quality, patient-centered care.

October 16, 2023 | 1 min read

Clinging to Hope

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine, Nitin Narayan, medical student, Gujarat, India

A patient’s family wasn’t ready to accept that their loved one wouldn’t recover. From the encounter, I learned that sometimes it may be appropriate to delay such conversations for a little while. 

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 17, 2025 | 7 min read

Caring and uncaring in medicine and beyond 

By David Kopacz, MD, University of Washington

Every moment in medicine, and in life, we have the choice to base our actions in caring.  

November 14, 2019 | 3 min read

Medicine, Music, and Ministry

By Kimberly Turner, MD, Johns Hopkins Community Physicians

With the demands of healthcare, it is essential that you practice the ministry of self-care. Remember to nurture your passion for something you love, something you do, and something that’s bigger than you.

November 6, 2024 | 2 min read

Artful healing

By Sujal Manohar, medical student, Baylor College of Medicine

When I was working in an epilepsy center, I learned the value of understanding the patient’s lived experience. Art and storytelling can provide a unique window into patient concerns and dreams.

June 18, 2019 | 2 min read

Navigating the Uncertain: A Book Review of “The Laws of Medicine”

By Sam Kant, MD, Johns Hopkins University School of Medicine

Siddhartha Mukherjee, MD, provides a framework to reconcile the uncertainties we constantly experience in our practice of medicine in his book, "The Laws of Medicine."

March 14, 2022 | 1 min read

A Woman of Faith in Medicine

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Having faith in something helps me mitigate burnout and give empathic care to all patients. 

November 5, 2024 | 1 min read

From ICU to canvas

By Zeina Moukarzel, MD, MPH, Beirut, Lebanon

Art is a form of reflection on my career as an ICU physician. Through this painting, I wanted to capture the contrast between the technical aspects of medicine and the emotional reality of losing a loved one.

February 13, 2025 | 2 min read

“Facul-tea” 

By Laura Tafe, MD, Dartmouth-Hitchcock

To deepen relationships with colleagues, intentionally cultivate community by establishing regular, shared experiences—like a tea—that encourage connecting. Such gatherings may improve the overall well-being of the team. 

"Critical care unit," drawing by the author.

October 29, 2024 | 1 min read

“Critical care unit”—a visual reflection

By Sujal Manohar, medical student, Baylor College of Medicine

In the face of devastating diagnoses and uncertain prognoses, pediatric patients and their loved ones need to feel heard and understood. 

April 3, 2024 | 2 min read

Military kids serve too 

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

April is the Month of the Military Child. Clinicians caring for military family members should understand their history and stressors specific to the armed service to give the best possible care.    

August 22, 2018 | <1 min read

Dr. Goldstein: A CLOSLER Look

By Gretchen Miller, Managing Editor

Check out our 4-minute YouTube interview with pediatric emergency physician Dr. Mitchell Goldstein, who shares how he's guided by the Golden Rule.

Wye Valley, Wales, by Taylor Purvis, October 2018.

February 28, 2019 | 2 min read

From Film School to Medical School, (Part 2 of 3)

By Margaret Chisolm, MD, Johns Hopkins Medicine

Using both words and images, John Berger and Jean Mohr's photo-essay, "A Fortunate Man," provides an intimate glimpse into the role of the doctor: "To cure sometimes, to relieve often, and to comfort always."

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.

December 9, 2019 | 1 min read

Presence in Final Moments

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Traditionally, we have "protected" families from witnessing abrupt or unexpected death in our hospitals. This assumption may be incorrect; offering families the chance to be present can be what is wanted and needed.

David and John Launer in North Wales. Photo author's own.

January 7, 2020 | 3 min read

Like Father, Like Son—or Possibly Not

By John Launer, MD, London, United Kingdom

Would you advise young people to become a doctor? Reflection from a father and son below.

March 26, 2021 | 5 min read

“The Danger of a Single Story”

By Jade Cobern, MD, Johns Hopkins Bloomberg School of Public Health, Margaret Hannah, MD, MPH, Johns Hopkins Medicine, Rosemary Hawkins, MS, CCLS, Johns Hopkins Medicine

A single narrative creates biases, reinforces stereotypes, and can prevent us from seeing the full potential in ourselves and others. Appreciating multiple stories can deepen and broaden our perspectives.

Stories and laughter over dinner are a wonderful way to bond together. Photo by the author.

August 20, 2019 | 5 min read

How to Make Family Dinner Happen at Least Once a Week

By David Cohen, MD, Rutgers Health, Mital Patel-Cohen, MD, Summit Medical Group

Excellent clinicians have to make time for wellness and family bonding. Prioritizing a family dinner at least once a week is one way to do this.

October 20, 2021 | 3 min read

Rethinking the Routine in the Pursuit of Inclusion

Interprofessional team members bring a rich variety of perspectives about patients that can lead to better whole person care. Using first names among our team helps minimize power differentials.

May 18, 2020 | 2 min read

Remembering Our Call to Medicine

By Aidan Crowley, Medical Student, University of Pennsylvania

Remembering why we chose a career in medicine can perhaps bolster our sense of well-being and mitigate burnout.

July 15, 2021 | 1 min read

Honoring Patients’ and Families’ Goals of Care

By Shireen Heidari, MD, Stanford University

When supporting critically ill or dying patients, keep their care goals at the forefront of conversations and planning.

July 8, 2021 | 1 min read

Reaching Out to Your Patient’s Family When Death is Imminent

By Jeffrey Millstein, MD, Penn Medicine

When my friend died of pancreatic cancer recently, I saw how valuable it was for her family to hear from the treating physician. Going forward, I will emulate this inspiring practice.

August 4, 2020 | 2 min read

3 Tips for Talking With Patients About Advance Directives

By Ambereen Mehta, MD, Johns Hopkins Medicine

ALL clinicians can and should encourage patients to document their wishes regarding medical decisions in case they’re unable to make these decisions for themselves.

August 26, 2024 | 2 min read

The Argentinian way

By M. Carolina Musri, MD, Johns Hopkins Medicine

In Argentina, I learned that relationship-building in medicine is paramount. With patients, talking about anything non-medical can deepen a connection. With coworkers, sharing lunch every day can help reduce stress and improve well-being.

May 23, 2019 | 1 min read

The Orchid

By Susan Aucott, MD, Johns Hopkins Medicine

The orchid: each time I see the growth of a new leaf, it reminds me of the hope that can come even in the midst of sorrow. And when a blossom appears, it reminds me of the hope and caring that I have the privilege of sharing with every family I have the honor to encounter.

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.

April 1, 2019 | 3 min read

Practicing Medicine and Having a Ball

By Wilma Ferthler, MD, Rural Country Doctor, Northeast Kingdom, Vermont

Hope our 2019 April Fool's piece makes you chuckle!

February 23, 2022 | 1 min read

Why we Must be Mentors

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Mentoring is essential to supporting trainees. Helping learners find their passion and grow will ultimately allow them to find happiness and meaning in their work.   

August 20, 2018 | 1 min read

Giving Family-Centered Care

By Richard Redett, MD, Johns Hopkins University School of Medicine

Taking care of children means giving family-centered care, where we nurture a partnership between the family, patient, and healthcare team. 

Jeffrey H. Millstein, MD, FACP

Born, raised, and medical schooled in Syracuse, New York, I’m currently at the University of Pennsylvania, having just missed Osler when he left in 1889 (to move on to Johns Hopkins). As an internist, member of Penn Medicine’s Academy of Master Clinicians, and clinical assistant professor of medicine at the Perelman School of Medicine, I’m honored to enter…

January 11, 2023 | 3 min read

Joy in Primary Care 

By Jane Abernethy, MD, MBE, Johns Hopkins Medicine

Meaningful longitudinal primary care relationships with patients are fulfilling and rewarding. Modeling for trainees that this career path can be gratifying and fun is vital. 

January 28, 2021 | 3 min read

Purple Nail Polish

By Shauna Maty, MPH, Medical Student, St. George University

Always remember that your patient is a person with a family, friends, and a unique story. Your first responsibility as a healthcare professional is to heal your patient and your second is to learn.

January 3, 2019 | 1 min read

Post-Holiday Reflections

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Throughout the entirety of the year, placing emphasis on humanity and connecting with patients is paramount.

"My book knowledge will allow me to recognize the pattern leading to a medical diagnosis, but I must also move beyond the mnemonic and to make time for the person seated in front of me."

July 28, 2022 | 2 min read

Passing Tests And Failing my Family

By Emily Rodriguez, medical student, Johns Hopkins Medicine

Book knowledge about addiction offered me little to support my family members and others affected by this illness. To holistically serve, we need to take the time to connect and genuinely understand each person.

Operationalizing basic systems like a phone call home following a hospitalization can make a meaningful difference for patients.

March 25, 2025 | 3 min read

Operationalizing empathy

By Steve Meth, JD, MS, Johns Hopkins Medicine

Small systemic adjustments can have a significant impact on care quality. Examples that have been impactful recently include post-discharge phone calls, AI scribing, and better integration of bedside EHR.

January 24, 2022 | 3 min read

What I Learned About Medicine from “The Price is Right”

By Tyler Mains, MD, University of California, San Francisco

A childhood dream was fulfilled when I won my favorite gameshow. The joy I experienced in that moment is something that I strive to share with patients each day. 

Many healthcare professionals make the sacrifice of quarantining from their families during the pandemic.

March 3, 2021 | 3 min read

Understanding the Sacrifices we Make in Medicine

By James Aluri, MD, Johns Hopkins Medicine

Giving excellent care to every patient requires you to make significant sacrifices. Acknowledging this can help you understand, and even accept, these sacrifices.

April 2, 2018 | 2 min read

Being a Guide on the Journey to Health

By Manisha Loss, MD, Johns Hopkins University School of Medicine

As a guide on this journey with our patients to health, we must serve as an example of hope, understanding, and direction.

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.

June 14, 2018 | 1 min read

AI and the Art of Medicine

By Souvik Chatterjee, MD, Johns Hopkins Medicine

Exploring the new challenge of combining the art of healing with the new science of machine learning.

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