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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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July 8, 2024 | 2 min read

Suturing stories 

By Andrea Merrill, MD, Boston Medical Center

By using writing to process patient care experiences, I'm able to learn from challenging events at work and find more meaning in medicine. 

November 10, 2021 | 5 min read

Reading Between The Lines

We don’t always say what we’re thinking, particularly in difficult conversations. Sharing and exploring unspoken thoughts can lead to stronger connections with our patients and better care.

March 25, 2024 | 1 min read

Graphic medicine: a picture is worth a thousand words 

By Benjamin Vipler, MD, MEd, University of Colorado

Pictures can often be a more effective way to explain complex medical concepts to trainees and patients than words alone. 

"Macy uses personal stories to follow the threads of the opioid crisis that has blanketed Appalachia."

April 29, 2021 | 2 min read

Book Review of “Dopesick”

By Suchita Sata, MD, Duke University

Treatment for opioid use disorder is often inaccessible and unaffordable. Nevertheless, clinicians must connect patients to available services while advocating for improved systems of care.

"Odysseus in front of Scylla and Charybdis." Henry Fuseli. 1794-1796. Public domain.

November 7, 2019 | 4 min read

Responsible Opioid Prescribing

By Travis Rieder, PhD, Johns Hopkins Berman Institute of Bioethics

Responsible opioid prescribing requires navigating between the Scylla of over-prescribing and the Charybdis of under-prescribing. Clinicians can work toward this goal by initiating prescriptions when (and only when) appropriate, managing them over the long-term, and knowing how to compassionately deprescribe when the time comes.

February 7, 2023 | 2 min read

“Now-right And Future-wrong”

By Drea Burbank, MD, Putumayo, Colombia

Clear communication about uncertainty can help clinicians and patients better cope with unexpected or undesirable outcomes. 

February 13, 2024 | 3 min read

Unsent letters from a palliative care doctor to a patient and her dog 

By Lingsheng Li, MD, MHS, University of California, San Franscisco

Sometimes we never get the chance to tell a patient what we admire about them. After my patient died, I realized I’d been inspired by the inner strength she showed by caring for her dog despite health and life challenges. 

"Granulation," by Dr. Megan Gerber. Copyright with the artist.

February 1, 2021 | 4 min read

Processing Emotions Through Art

By Megan Gerber, MD, MPH, Albany Medical College

Writing or drawing after a challenging patient encounter may help you work through your feelings and mitigate burnout.

February 20, 2019 | 2 min read

From Film School to Medical School (Part 1 of 3)

By Margaret Chisolm, MD, Johns Hopkins Medicine

The arts and humanities might be the perfect preparation for medical school.

March 7, 2023 | 6 min read

When The Doctor Becomes The Patient

By David Kopacz, MD, University of Washington

Cancer interrupted my personal and professional lives. Being a patient is an invitation to be human, something we often don’t have much time for in medicine. I am working to bring together the best of being a doctor, being a patient, and being a human being.

August 20, 2024 | 2 min read

Wounded healer

By David Kopacz, MD, University of Washington

Clinician burnout can erode compassion, which is at the heart of healthcare. To reignite a passion for healing, clinicians must tend to their own souls in addition to mind and body.

Natya Dhrami Foundation for Performing Arts. Copyright with Eswar Avidi.

August 10, 2022 | 3 min read

Storytelling With Hands

By Shreya Srivastava, medical student, Albany Medical College

Exploring Non-Western art forms–like Indian classical dance–can diversify our understanding of the cultural and spiritual roles that body parts can play in healing.

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. 

February 11, 2019 | 5 min read

The Dots We Connect – An Interview with Dan Pink

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

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

WWI Battle of Verdun Cemetery, Verdun, France.

March 23, 2020 | 4 min read

Finding the Right Words—Lessons From Nurse Mary Borden

By Iro Filippaki, PhD, Johns Hopkins University School of Medicine

WWI Nurse Mary Borden's autobiography provides inspiration to search for the right words to describe our experience, and perhaps, find solace as we face the challenges of medicine.

August 1, 2019 | 3 min read

Mindset and the Power of Yet: A Conversation With Dr. Gurpreet Dhaliwal

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

Excellent clinicians are also thoughtful mentors. Mentors are like beacons as we navigate our path forward.

June 30, 2022 | 2 min read

Life is Short

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

Give yourself the same kindness and compassion that you give to others. 

December 11, 2018 | 3 min read

Five Lessons From Architectural Design

By Diana Anderson, MD, MArch, Clincial Geriatrics Fellow, University of California, San Francisco

Architects are taught to respect context and design for the experience of being in a place. As providers, learning the context of our patients and their social determinants of health is key to the biopsychosocial model of care.

January 26, 2023 | 2 min read

The Things You Don’t Say

By Drea Burbank, MD, Putumayo, Colombia

Writing poetry, like other forms of creative self-expression, can be a way to process distressing events in clinical care.   

October 31, 2022 | 2 min read

Dinner Table Wisdom

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Our mealtime companions can be a source of strength, support, and motivation. My childhood dinner table provided the roots for my compassion and dedication to serving patients.  

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. 

July 22, 2020 | 4 min read

Virtue Ethics

By Awais Aftab, MD, Case Western Reserve University

Virtue ethics emphasizes the importance of self-knowledge and can help us to understand our patients in the context of the totality of their whole lives.

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.

November 8, 2023 | 2 min read

Memory is a poor monument

By David Kopacz, MD, University of Washington

Healthcare professionals often witness challenging events, like the death of a patient. Writing and other artistic expression may help us process emotions. 

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.  

May 15, 2023 | 3 min read

Ode to Joy

By Joanne Shay, MD, Johns Hopkins Medicine

When I look for reasons to smile at work, I find them. Simple things like a hug from a colleague or listening to a patient share their story can brighten our days.

September 5, 2019 | 2 min read

Book Review of “In Pain”

By Traci Speed, MD, PhD, Johns Hopkins University School of Medicine

Clinicians need to understand that patients' pain is real to build rapport and reassurance, which will help patients be open to the full range of treatment options.

June 20, 2019 | 2 min read

Be Brave Enough to Start Conversations That Matter

By Manasa Ayyala, MD, Rutgers New Jersey Medical School

"Between the World and Me" is a must read. At 152 pages, it's a small investment of time that leaves a large impact. I invite you to read this book with the intent to ask curious questions, to be ok feeling uncomfortable, and to continue this important dialogue.

October 24, 2019 | 1 min read

The Art of Talking About Death

By Michelle Gyenes, MS, Columbia Mailman School of Public Health

The clinically excellent clinician engages in honest conversations about death and dying with patients and their families.

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. 

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.

December 10, 2018 | 3 min read

Immigrants Should Not Have to Choose Between Health and a Green Card

By Lochan Shah, Neha Anand, Priyal Gandhi

We urge you to leverage your voice as an agent of change by submitting a comment opposing the proposed rule to the U.S. Department of Homeland Security before the deadline, TODAY, December 10, 2018. Make your voice heard so that families across the country do not have to choose between their health and their immigration status.

October 17, 2018 | 1 min read

When?

By Scott Wright, MD, Johns Hopkins Medicine

Timing is everything! Daniel Pink's book, "When," will make you a believer!

April 30, 2018 | 4 min read

The 15 Values of a Pediatric Anesthesiologist

By Ivor Berkowitz, MBBCh, MBA, Johns Hopkins Medicine

A pediatric anesthesiologist shares the 15 values that have guided his career.

September 17, 2019 | 5 min read

Being Human First

By Kultaj Kaleka, MD, RN, Central Michigan University

Family and friends frequently ask medical trainees for their medical advice. Naturally, our recommendations are not based on medical experience, but rather our shared humanity.

"Tjulpu wiltja: bird nest basket," 2017, Ilawanti Ungkutjuru Ken, as part of "The Art of Healing: Australian Indigenous Bush Medicine," King’s College London.

July 11, 2019 | 7 min read

June Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

Art captures both the ordinary and extraordinary moments of human lives throughout history, and offers insights into how to heal ourselves and one another.

"L'Atelier au mimosa," Pierre Bonnard.

May 13, 2019 | 7 min read

April Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

Slow looking can enable clinicians to see more deeply, think more critically, and engage more meaningfully in patient care. Time spent in a museum supports clinician wellness and nurtures student professional identity formation.

Window at St. Leopold’s Church, depicting the seven corporal works of mercy. Photograph by Margaret S. Chisolm

September 18, 2019 | 7 min read

August Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

Clinical learning and practice are not removed from cultural and political realities. As clinical educators, it is our responsibility to create both humanistic learning environments that inculcate respect for the ultimate purpose of healthcare: the well-working of the human being as a whole.

June 27, 2022 | 3 min read

Caring for people and their gender stories

By Hailey Haffey, PhD, University of Utah

To care for people is to care for the stories that shape them. Clinicians can enhance patients’ confidence in the healthcare system by skillfully engaging with their stories of gender and sexual orientation.

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 26, 2022 | 1 min read

The Power of Beliefs

By Stephanie Trudeau, PhD, The Thrive Center For Human Development

Explore your patient’s beliefs that invite healing, as well as those that are causing them to suffer. By understanding this, you can guide them to do more of the former and less of the latter. 

July 9, 2024 | 3 min read

Takeaways from the book “Progress Notes” 

By Abraham Nussbaum, MD, Denver Health

Excellent clinicians understand patients not just as bodies, but also as individuals within a community. Healthcare professionals should be trained in both for a more holistic approach to patient care. 

June 10, 2020 | 2 min read

6 Lessons Learned From One Month as a Journalist

By Heather Kagan, MD, Johns Hopkins Medicine

Clinicians—like journalists— must communicate in an open and straightforward manner.

February 13, 2020 | 2 min read

Takeaways from “Long Walk out of the Woods”

By Shannon Scott-Vernaglia, MD, Mass General

Sometimes sharing our own struggles with patients can highlight our shared humanity and provide them with hope.

rainbow hearts

July 29, 2019 | 1 min read

Book Review of “Tomorrow Will Be Different”

By Carl G. Streed Jr., MD, MPH, Boston Medical Center

Clinicians are well positioned to be advocates for transgender persons and communities. In listening compassionately to our patients' personal narratives, we can understand how to best meet the needs of each individual.

August 26, 2020 | 6 min read

How to Discuss Minority Stress With Patients

By Chase Anderson, MD, University of California San Francisco

If your patient identifies as part of a minority group, it could be helpful to ask if they’ve experienced stress because of this. Doing so may allow you to better understand your patient’s story.

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.  

November 22, 2021 | 4 min read

Noticing What We’ve Seen Without Seeing

By Ekene Ojukwu, MD, Johns Hopkins Medicine

Carefully observing our patients can lead to clinically relevant insights. Sometimes what seems inconsequential at first glance may be surprisingly significant.

May 19, 2021 | 3 min read

Clinical Training Translating to Clinical Excellence

By Jennifer Spicer, MD, MPH, Emory University

Bias awareness achieved in teaching/learning can transfer to the clinic. Thus learners can help clinicians become aware of bias toward patients.

February 22, 2021 | 3 min read

Giving Respectful Care to All

By Danielle Prentice, DO, Penn State

Respecting patients' stories, leaving preconceived notions at the door, and avoiding insensitive comments are expected professional norms in healthcare.

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