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December 5, 2025 | 2 min read

Backyard medicine

After my health crisis, spending time outdoors—identifying birdsong from my deck, hiking, and growing native plants—helped restore my health and mood. With patients, consider recommending regular walks in parks to reduce stress.

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.

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.

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.

September 18, 2024 | 2 min read

“My cotton-wool-spotted coat”

By Victoria Holm, medical student, California University of Science and Medicine

Along with disease-knowledge, effective care for patients always requires empathy and compassion. In patients with diabetes, it’s important to recognize the unique challenges they face and the impact the disease has on their lives.

August 24, 2021 | 2 min read

5 Lessons From my Nonlinear Career in Medicine

By Thelben Mullett, MD, Seattle, Washington

Instead of asking medical students what specialty they intend to pursue, we should help them reflect on their natural strengths and values in planning their career.

March 17, 2020 | 3 min read

Medicine is Like Poker

By Scott Wright, MD, Johns Hopkins Medicine

In medicine, uncertainty abounds. Poker can teach us how to make smarter decisions when we don’t have all the facts.

November 4, 2025 | 2 min read

The way we live

Lifestyle medicine involves co-creating plans with patients for diet, physical activity, sleep, stress, and social connection. This can have an impact on both prevention and treatment of disease.

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.

June 2, 2025 | 2 min read

Weight bias

Obesity is a common, complex, chronic metabolic disease with myriad etiologies. Taking steps to combat stigma can improve the care experience and health outcomes for patients.

June 27, 2024 | 2 min read

Lessons from earlier in life: from public school teaching to doctoring

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

I apply the principles I learned as a public school teacher to patient care: asking insightful questions, seeing the whole person, and fostering motivation for positive change.

September 25, 2025 | 2 min read

Healing words

By using respectful, person-first language and recognizing the complex realities behind type 2 diabetes, clinicians can avoid stigma. This may also foster trust, empower patients, and improve outcomes.

May 22, 2025 | 3 min read

Rolling the dice

What may start as casual gambling can quickly escalate into a dangerous addiction with severe mental health consequences, particularly for young men. Healthcare professionals can recognize the signs of gambling-related distress, integrate screening into routine care, and offer support and resources.

December 8, 2023 | 1 min read

Supporting those with AUD through the holidays

By Megan Gerber, MD, MPH, Albany Medical College

Find a way to celebrate this holiday season that includes and validates those who may be in recovery.

November 22, 2024 | 2 min read

The challenges of alcohol use disorder during the holidays

By Megan Gerber, MD, MPH, Albany Medical College

Find a way to celebrate this holiday season that includes and validates those who may be in recovery.

May 7, 2024 | 1 min read

Shifting careers

By Zeina Moukarzel, MD, MPH, Beirut, Lebanon

As healthcare professionals, there are multiple ways to have a positive impact on the world. If and when you step away from patient care, thoughtfully consider what will bring fulfillment and purpose.

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.

October 14, 2024 | 2 min read

Beyond the bike lane

By Chris Tiplady, MD, Northumbria Healthcare, England

Healthcare professionals can be strong advocates for communities. This can include working to improve cycling infrastructure, affordable housing, and access to education.

April 2, 2025 | 2 min read

“Alchemy”—book review

By Scott Wright, MD, Johns Hopkins Medicine

Sprinkling a little bit of magic into whatever you are doing can make it better and more fun. The world, in general, and healthcare are both in need of plenty of magical transformation—read on for ways to get started yourself.

October 25, 2021 | 1 min read

Helping Patients Practice Healthy Habits

By Sajida Chaudry, MD, MPH, Johns Hopkins Medicine

Imagining a healthier lifestyle is the first step toward wellness. You can then help patients to make small changes to their daily routine.

March 10, 2025 | 2 min read

The B12 fix

By Selvi Rajagopal, MD, MPH, Johns Hopkins Medicine

Clinicians should remember to watch for fatigue in patients shifting to plant-based diets; a B12 test can reveal a significant, reversible cause of feeling poorly.

October 10, 2023 | 1 min read

Back on Track

By Zoobia Chaudhry, MBBS, Johns Hopkins Medicine

By encouraging patients and supporting their self-efficacy, we can empower them to take charge of their health.

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.

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.

September 15, 2021 | 5 min read

Being Grateful for a Difficult Physician-Patient Experience

By Margaret Chisolm, MD, Johns Hopkins Medicine

A frustrating experience as a patient taught me how to be a better doctor. Lesson #1: Always take an interest in your patient as a person.

April 14, 2022 | 4 min read

Talking About Climate Change With Patients

By Dean Chien, CLOSLER team, Baltimore, Maryland

Climate change affects the health of everyone. When talking with patients about climate change, meet them where they are and listen nonjudgmentally.

October 2, 2019 | 2 min read

Partnering With Patients to Prevent Diabetes

By Eva Tseng, MD, MPH, Johns Hopkins Medicine

Clinically excellent clinicians effectively counsel and motivate patients to prevent diabetes. Setting specific goals for lifestyle changes, referring to evidence-based Diabetes Prevention Programs, and scheduling timely follow-up visits are among the tips outlined.

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.

July 26, 2023 | 3 min read

Small change = big impact (archives, 2023)

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 16, 2022 | 1 min read

Sharing Mental Health Diagnoses With Patients

By Leslie Miller, MD, Johns Hopkins Medicine

For some patients, a mental health diagnosis brings relief. For others, it doesn’t. Regardless, we must take the time to educate patients and caregivers about symptoms, what to expect during the course of illness, and warning signs that suggest the need for attention.

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.

Photo by David Kopacz.

March 9, 2022 | 6 min read

Being a naturalist to improve the health of all

By David Kopacz, MD, University of Washington

Listening and closely observing patients, in the way we appreciate and notice nature, can promote humanistic care and clinician well-being.

September 18, 2018 | 3 min read

No Blushing! How to Talk About Sex With All Patients

By Helene Hedian, MD, Johns Hopkins University School of Medicine

Engaging in open, nonjudgmental discussions about patients’ sexual health provides an opportunity to assess risk, screen for sexual dysfunction, provide counseling, and offer appropriate vaccinations.

October 8, 2025 | 3 min read

Don’t forget to cycle!

Regular bike riding reduces stress and lowers dementia risk. Do it daily and routinely ask patients, “What does your typical daily movement look like?”

January 21, 2025 | 2 min read

Mood fuel

By Ashli Greenwald, MS, RDN, LDN, Johns Hopkins Medicine

Healthful dietary choices can be a valuable component of managing symptoms of seasonal affective disorder. By prioritizing foods that support brain health and overall well-being, individuals can better navigate the darker months with more light in their lives.

July 29, 2024 | 2 min read

Becoming a lifeline

By Joanna Cohen, MD, Johns Hopkins Medicine

Clinicians must proactively identify patients at risk of suicide. A multi-faceted approach includes regular screenings for depression, anxiety, and suicidal thoughts, and ensuring all patients and caregivers have access to a crisis hotline.

July 18, 2024 | 2 min read

The French secret

By Alisha Dziarski, MS, Johns Hopkins Medicine

Clinicians might consider recommending interactive recreational activities to some patients rather than non-specific exercise guidelines. These endeavors provide exercise, community, and social interaction all in one.

June 13, 2024 | 2 min read

Lightening the load

By Susan Lehmann, MD, Johns Hopkins Medicine

Clinicians can prioritize patient well-being by discussing the burden of engaging in care. Collaborate with patients to ensure recommendations are feasible and consider alternative approaches if necessary.

April 16, 2024 | 1 min read

Changing gears (archives, 2024)

By Chris Tiplady, MD, Northumbria Healthcare, England

At the start of the pandemic, I permanently switched my commute from car to bike. I'm now passionate about motivating patients to be more active.

Colorectal Cancer Awareness

February 19, 2024 | 2 min read

Mitigating colon cancer in young patients

By Ekta Gupta, MBBS, Johns Hopkins Medicine

There's and increasing risk of colon cancer in younger patients. Clinicians need to be diligent in considering the possibility of colon cancer.

July 4, 2018 | 1 min read

Recipe for the Salad Bowl of Happiness

By Vani Rao, MD, Johns Hopkins University School of Medicine

A tried and true recipe for happiness: in a large bowl of individuality, mix spoonfuls of family and friends, add whisks of peers and acquaintances, and dress it with a generous helping of core values.

July 25, 2018 | 2 min read

The Joy of Realizing You Were Wrong and the Importance of Believing in Recovery for All

By Angela Guarda, MD, Johns Hopkins Medicine

Helping patients change unhealthy behaviors can feel challenging, but what feels like today’s failure can be tomorrow’s story of recovery.

September 1, 2022 | 2 min read

“Ticking Time Bomb”

By Kittane "Vishnu" Vishnupriya, MBBS, Johns Hopkins Medicine

If you use a metaphor when speaking with patients, make sure to choose ones that don’t cause unnecessary alarm.

May 15, 2019 | 3 min read

Prescribing Less Screen Time

By Mark Lewis, MD, Intermountain Medical Oncology, Murray, Utah

We need to turn our attention away from our screens and toward the people we serve.

February 28, 2023 | 1 min read

Mitigating social isolation

By Mfon Umoh, MD, PhD, Johns Hopkins Medicine

All medical specialties need to screen for isolation. Asking patients who their social supports are and who they feel close to is a good starting point.