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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 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 28, 2019 | 6 min read

Integrating Psychology and Primary Care

By Benjamin Bensadon, PhD, University of Florida College of Medicine

Person-centeredness holds great potential to maximize healing in the way Osler envisioned more than a century ago. But to translate this concept clinically, psychology and medicine must come closer together. The closer we can come together, the closer we can come to Osler.  

Saint Brides Bay (Bae Sain Ffraid), Pembrokeshire, Wales, Author's Photo.

January 24, 2019 | 4 min read

Cultivating Caring

By David Kopacz, MD, University of Washington

Compassion begins with caring for ourselves and working to grow as full human beings. It is not just the lives of our patients that depend on us learning this component of caring, the quality of our own lives depend upon learning this as well.

untitled, by David Kopacz

July 21, 2022 | 7 min read

Building Cultures of Caring

By David Kopacz, MD, University of Washington

We must care for ourselves to care for others. One great place to start is practicing self-compassion.

Ask your patients, "Are you concerned about how expensive the treatment is?" You don't need to know your patients' income or out-of-pocket costs, but you can think about starting with less expensive but effective treatments.

March 16, 2021 | 3 min read

Best Practices in Shared Decision-Making

By Kevin Frick, PhD, Johns Hopkins Carey Business School

Giving exceptional care includes honoring your patient’s goals and addressing any challenges they might have with the care plan. Be mindful of the financial costs that your patients may face and discuss alternatives when possible.

November 5, 2018 | 2 min read

Providing Holistic Care

By Nancy Hutton, MD, Johns Hopkins University School of Medicine

Excellence in clinical care requires intellectual rigor, keen observation, empathic communication, an understanding of the context in which the patient lives, and consideration of the individual patient as the center of care. 

February 10, 2025 | 2 min read

The weight of words, the power of presence 

Effective care includes explicitly communicating empathy and compassion. This includes overcoming language barriers between patient and clinician by collaborating with a medical interpreter.

March 19, 2025 | 3 min read

Lessons from caring for Syrian refugees 

By Nagina Khan, PhD, University of Kent

Seek to understand the unique cultural context of patients who have undergone trauma. This is paramount to building trust and providing effective care—especially for vulnerable populations, like refugees. 

March 27, 2023 | 10 min read

Ever forward: caring for patients who are transgender and gender-expansive

By Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Treat all patients with dignity and respect and ask how they’d like to be addressed. 

November 15, 2018 | 3 min read

You’re Always a Provider, Even in the Coffee Line

By Ishwaria Subbiah, MD, MS, The University of Texas MD Anderson Cancer Center

Opportunities to ease distress extend beyond the bedside and outside of the clinic to every interaction with our patients and also their caregivers.

July 17, 2025 | 3 min read

Cricket and the cadence of care  

Like playing cricket, the art of medicine demands patience, teamwork, and a willingness to redefine victory—not every win is a cure. Sometimes success is helping a patient find comfort and dignity. 

October 17, 2023 | 1 min read

Partnering With Pharmacists in Ambulatory Care

By Heather Folz, PharmD, Notre Dame of Maryland University

Clinicians and pharmacists can work together to give holistic and comprehensive patient care. This requires understanding each other’s expertise. 

April 20, 2020 | 3 min read

Gender-Affirming Care During the Pandemic

By Carl G. Streed Jr., MD, MPH, Boston Medical Center, Liam Hein, PhD, RN, University of South Carolina, College of Nursing, Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Postponing procedures safeguards public health but can be distressing, particularly for transgender patients. Be proactive and transparent about access limitations during the pandemic.

August 1, 2024 | 3 min read

Prescribing art 

By Anna Krotinger, MBE, medical student, Harvard Medical School

I’ve taught dance to patients with Parkinson’s and have seen great impact. By integrating the arts into clinical care, healthcare professionals can better support patients navigating their journey. 

March 22, 2018 | 7 min read

Fundamentals for Caring for Transgender Patients

By Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Improve your skills as you work to support your transgender patients and interact with your transgender colleagues.

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.

December 9, 2021 | 4 min read

3 Lessons From Coach Ted Lasso

By Claire Crawford, MSW, PhD, Texas Childrens , Jared Rubenstein, MD, Baylor College of Medicine

Apple TV’s “Ted Lasso” shares a simple message—be kind. We can never truly know what it’s like to walk in another person’s shoes. Curiosity, instead of judgment, helps us give better patient care.

Encourage caregivers to get support.

September 8, 2021 | 2 min read

How to Mitigate Caregiver Burnout

By Simone Lescott, MD, Johns Hopkins Medicine

Caring for a loved one can be emotionally exhausting. Remind caregivers to prioritize self-care and encourage them to seek support from others.

Clinically excellent healthcare professionals maintain a growth mindset.

January 6, 2025 | 2 min read

Defining exemplary care 

By Kristopher Keppel, medical student, Johns Hopkins Medicine

Exceptional patient care requires "pragmatic empathy"—the artful blend of compassion and candor—combined with a holistic approach that considers the patient's broader life context. 

"Sun Rise," by David Kopacz.

August 8, 2019 | 2 min read

The Circle of Re-Humanizing Medicine

By David Kopacz, MD, University of Washington

We need human-based medicine in conjunction with evidence-based medicine. If we only identify as scientists and not as healers, we risk dehumanizing our patients and ourselves.

The koru is a spiral shape based on the appearance of a new unfurling silver fern frond. It's an integral symbol in Māori art, carving and tattooing, where it symbolizes new life, growth, strength and peace. Photo by David Kopacz.

October 18, 2022 | 7 min read

A New Paradigm For Growth 

By David Kopacz, MD, University of Washington, Lucinda Houghton, PhD

As with other traumas, burnout, viewed as an opportunity for personal and professional development, offers a way to expand ourselves as wholehearted healers.

"Studies of the Fetus in the Womb," Leonardo da Vinci, c. 1511, Royal Collection of the British Royal Family, United Kingdom, public domain.

June 18, 2019 | 5 min read

Stepping Away From Stories

By Nadia Jajja, MBBS

Journalism and medicine have both taught me the privilege of having a voice and knowing when to use it.

March 3, 2025 | 2 min read

The power of small gestures

Actions speak louder than words. Small gestures like listening closely to patients, getting tissues, adjusting the lights, and helping them get comfortable in bed is part of giving holistic care.

"While cranberry products may help prevent UTIs in some people, they’re not a cure. If your patient suspects a UTI, encourage them to seek a medical evaluation for proper treatment."

February 3, 2025 | 3 min read

Debunking women’s health and menopause myths 

Women's health, especially menopause, is rife with misinformation. Addressing patients’ needs with empathy and evidence will help empower them to make choices in line with their goals for care. 

August 15, 2019 | 1 min read

The Circle of Whole Health

By David Kopacz, MD, University of Washington

You can use the Circle of Health to support veterans in coming home in heart, mind, body, and spirit.

November 12, 2018 | 3 min read

Insights From “A Whole New Mind”

Daniel Pink's "A Whole New Mind" highlights the importance of cultivating empathy, humor, and the ability to create meaning.

August 5, 2024 | 2 min read

Shaping great clinicians

To ensure the next generation of healthcare professionals is outstanding, clinicians need to role model clinical excellence. Asking open-ended questions and listening to patient concerns are two ways to demonstrate patient-centered care. 

May 12, 2021 | 2 min read

“To Comfort Always”

By Anna Berry, MS4, Baylor College of Medicine

When curing the disease is not possible, showing compassion for the patient is especially important.

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. 

July 28, 2020 | 4 min read

Transitional Objects During Physical Isolation

Encourage patients to identify items that remind them of people and places that they love but cannot be near right now. This may help ease feelings of loneliness and longing.

Gardening creates an opportunity to take a mini-rest from the world, connect with nature, and experience the healing power of plants.

April 12, 2021 | 4 min read

Making the Most of Your Daily “Nervous Breakdown”

By David Kopacz, MD, University of Washington

A century ago, a “nervous breakdown” was a socially acceptable way to just take a break and recharge. Now, it’s not. In order to refresh yourself and mitigate burnout, consider scheduling regular time off.

Brighstone sunrise, Isle of Wight, England. Stock photo.

June 13, 2023 | 3 min read

Reflections on “A Fortunate Woman,” by Polly Morland 

By Jonathan McFarland, Medical Humanist, Autonomous University of Madrid & University of Pompeu Fabra, Theodora Tseligka, MA, PhD, University of Ioannina, Greece

The patient-clinician relationship is at the core of medicine. Morland shares the story of a country doctor to illustrate how healthcare has evolved from doctor- to relationship-centered care. 

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.

May 23, 2024 | 3 min read

Beyond the zip code

By Kaila Holloway, MD, Johns Hopkins Medicine

Many patients in the suburbs face financial hardship and limited access to healthcare. Regardless of geographic location, it is necessary to identify patients who need additional support. 

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 11, 2025 | 6 min read

“The Tao of Medicine” 

By David Kopacz, MD, University of Washington

The clinician's mindful presence and understanding of the patient's full humanity are as crucial to healing as technical skill. Let go of using language to define your experience; instead focus on the wisdom that can be found in the empty spaces between thoughts. 

February 11, 2019 | 5 min read

The Dots We Connect – An Interview with Dan Pink

Dan Pink distills pearls of wisdom for health professionals from his bestselling books "A Whole New Mind" and "When."

January 22, 2025 | 2 min read

The ulcer: a window into a patient’s emotional distress 

By Margret Nassuuna, DCP, Innerspark Recovery, Naalya, Uganda

The body, a masterful storyteller, often reveals insights into a patient’s mental state. By deciphering its narratives, clinicians may also be able to better address both the mental and emotional aspects of care.

November 21, 2024 | 2 min read

Building bridges with patients through writing

By Roshni Beeharry, MBBS, Kings College London

Reflective journaling can be used to help us step into our patient’s shoes to understand their unique challenges. Consider experimenting with this and other forms of writing.

December 19, 2023 | 3 min read

Spinoza and 21st-century medicine

By Jonathan McFarland, Medical Humanist, Autonomous University of Madrid & University of Pompeu Fabra

I learned about the mind-body connection from the philosopher Spinoza. A holistic clinical approach emphasizes the relationship between mental well-being and physical health. 

December 8, 2021 | 2 min read

Hitting Home Runs in Healthcare

By Colin West, MD, PhD, Mayo Clinic

Clinicians often struggle with errors and imposter syndrome. Just like in sports, coaching helps clinical performance and promotes well-being.

October 27, 2021 | 4 min read

Digital Media Addiction: It’s Complicated

By Natalie Gukasyan, MD, Johns Hopkins Medicine

It’s tempting to resort to simple explanations for complex behaviors like digital media use. Deep relationships with patients can help you understand what’s behind the behavior. 

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