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Moving Us Closer To Osler
A Miller Coulson Academy of Clinical Excellence Initiative
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Creative Arts in Medicine
Connecting with Patients
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Lifelong Learning in Clinical Excellence
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September 17, 2020 | 3 min read

5 Tips for Talking About Autopsy Results With Your Patient’s Family

By J. Stephen Nix, MD, Johns Hopkins Medicine

Managing loved ones’ expectations before the autopsy is critical. Ensuring there's ample time to privately review and explain the results can help bring meaning and closure to their loss.

February 5, 2025 | 1 min read

Pathological hiccups

Sometimes benign symptoms can herald more serious problems. Being ready and willing to reconsider initial impressions is crucial for accurately discovering the underlying etiology.

October 30, 2023 | 2 min read

Drawing Connections 

By Laura Tafe, MD, Dartmouth-Hitchcock

As a pathologist who rarely interacts directly with patients, I was thrilled to see my patient’s drawing in a hospital publication. All clinicians should seek out opportunities to gain a more complete “picture” of their patients’ lives. 

June 3, 2019 | 1 min read

Every Piece of Data Matters

By Rabih Geha, MD, University of California San Francisco

Bolded, flagged, or typed in a different color, an abnormal result demands the mind’s eye in many modern EMRs, but it is equally important to direct our gaze to the quietly normal labs; not uncommonly, they may be screaming a powerful clue.

November 12, 2019 | 2 min read

The Early Bird Special

By Rebecca Hamburger, Medical Student, Central Michgan University College of Medicine

Timing is everything. Doing our best to optimize access to healthcare is a first step to serving our patients.

September 25, 2019 | 1 min read

Promises

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

Be thoughtful about promises that you make to patients. When you do make a promise, make sure that you can keep it.

August 30, 2019 | 1 min read

The Gatekeepers of “Fairness”

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Excellent clinicians spend time listening to patients, acknowledging concerns, and empathizing with feelings that life is not fair.

June 11, 2019 | 2 min read

Burnt out on Burnout: how to understand what burnout means to you

By Hannah Wilson, MBBS, Harvard Medical School

In order to truly understand and prevent burnout, we must first define what it is that burnout means to each of us.

January 14, 2025 | 3 min read

The vinyl sessions 

Uncover and leverage patient passions—from Abba to Zappa—to enhance treatment. Personalizing care fosters deeper patient engagement and improved outcomes. 

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. 

Evelyn in her nursing uniform.

December 18, 2018 | 4 min read

Evelyn’s Story

By Mariah Robertson, MD, Johns Hopkins Medicine

Keeping in touch with patients and their families in the days, weeks, and months following an encounter makes the practice of medicine meaningful and rewarding.

August 31, 2023 | 4 min read

You Are Safe With Me

By Alia Bodnar, MD, Johns Hopkins Medicine

We must create safe spaces for all patients by listening closely and viewing their feedback as an opportunity to learn and give better 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.

"Enlightenment," by David Kopacz, 2020.

December 28, 2020 | 6 min read

Medical Activism: A Foundation of Professionalism

By David Kopacz, MD, University of Washington

Clinicians should expand their definition of professionalism to include working for societal change to improve the health of all.

August 21, 2019 | 1 min read

Circle Medicine

By David Kopacz, MD, University of Washington

To care for the whole person we need human-based models of medicine that complement our protocol-based medicine.

"New Zealand Landscape," original artwork by the author, 2011.

July 18, 2019 | 4 min read

Circle Medicine: A Holistic Approach to Health for Clinicians and Patients

By David Kopacz, MD, University of Washington

It can be helpful to see the circle path of the hero's journey as the healer's journey, the path that we take through our lifelong medical education. For the true healer, this is not a journey we make just once, but periodically we embark on exploring new depths of the suffering of the world, reaching deep into ourselves to find new resources for healing to bring into our work and world.

Sketch of Carl Rogers, Wikimedia Commons, public domain.

June 27, 2019 | 5 min read

Lessons From “Empathic: An Underappreciated Way of Being”

By Leslie Ordal, MSc, CGC

Reading Carl Rogers' 1975 essay can help you cultivate the skill of listening without judgement.

February 26, 2019 | 4 min read

On “Great” Diagnoses

By Nathan Douthit, MD, Brookwood Baptist Health, Birmingham, Alabama

Making an accurate diagnosis and giving a name to our patient's illness is a crucial component of acceptance and healing for the patient and their family.

The author's drawing of her heart utilizing the technique of defamiliarization.

February 14, 2019 | 3 min read

Defamiliarization

By Sarah Walser, , Penn State College of Medicine

Incorporating defamiliarization into practice builds empathy and broadens our worldview. It challenges us to expand and find confluence between different frameworks through which an experience, such as a disease, can be interpreted.

April 2, 2019 | 5 min read

Connecting to Historical Roots

By Lee Akst, MD, Johns Hopkins University School of Medicine

There are a number of important physicians in history, and an appreciation of our past can further our quest for clinical excellence in the present.

November 1, 2018 | 2 min read

Lessons From ‘The Giving Body’

By Adam P. Stern, MD, Harvard Medical School

Little by little, chronic disease can eat away at a patient’s sense of self. The best antidote can be a doctor who empathizes with the patient’s subjective experience.

September 10, 2018 | 2 min read

Defusing Patients’ Emotional Stress

By James Black, MD, Johns Hopkins Medicine

I believe it's my first responsibility to recognize my patients' emotional stress and start to defuse it. I do this by framing the ongoing issue in a way that is understandable to the patient and their family.

"Before I studied Zen, mountains were just mountains and rivers just rivers. When I started studying Zen, mountains were no longer mountains and rivers no longer rivers. But now that I’ve gained some understanding of Zen, mountains are once again mountains and rivers are once again rivers."

January 3, 2025 | 5 min read

Zen and the art of physician-maintenance 

By David Kopacz, MD, University of Washington

Healthcare professionals can help counteract "sustained inattentional blindness" and faulty clinical reasoning by integrating Zen principles into their practice. This may allow clinicians to more fully perceive the patient’s reality, as well as avoid overlooking crucial details. 

July 1, 2024 | 3 min read

The power of honesty

By Keshav Khanijow, MD, Johns Hopkins Medicine

Prioritizing clear communication with patients and using plain language to explain clinical information helps to build trust.

December 20, 2023 | 3 min read

Unhappy holidays

By Larkin Corrigan, MSW, Portland, Oregon

During “the most wonderful time of the year,” we can remind patients, loved ones, and ourselves, that grief often sits side by side with joy at the holiday table, and that’s ok.  

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. 

October 19, 2023 | 2 min read

Healthcare for every body

By Stephanie Pham Van, MD, Johns Hopkins Medicine

To make healthcare more welcoming, be sensitive to how patients prefer to be described. Also, find out what tools they might need to access information, for example, voice to text transcriptions. 

April 14, 2022 | 3 min read

Afraid to Tell The Truth

By Kirsten Elin Smith, PhD, National Institute on Drug Abuse

When I shared with my clinician that I had previously been a heroin user, she made me feel ashamed. This taught me the importance of listening to patients with nonjudgmental curiosity. 

January 5, 2022 | 1 min read

Bringing my Nursing Pearls to my Doctoring

By Nina Wagner-Johnston, MD, Johns Hopkins Medicine

From my experience as a nurse, I always remember the importance of engaging the whole team. Each team member provides unique insights that can optimize the care of the patient. 

December 20, 2021 | 1 min read

What Patients With Serious Illness Want to Know Most

By Avani Prabhakar, MBBS, MPH, Johns Hopkins Medicine

After receiving a terminal diagnosis, many patients especially want to know how long they have to live, what symptoms to expect, and how to cope with impending decline.  

September 1, 2021 | 2 min read

What’s The Problem?

By Ben Roberts, CRNP, AGACNP-BC, ACHPN, Johns Hopkins Medicine

Systematically formulating a clear statement of the patient’s problem can be incredibly helpful. This may improve your diagnostic reasoning and ability to formulate more effective therapeutic plans.

May 24, 2021 | 2 min read

In Sickness and in Wealth

By Eric Last, DO, Northwell Health, Wantagh, New York

When traveling to Denmark, I learned how much the Danes appreciate and value equitable access to care within their healthcare system. Countries can learn from one another, and clinicians can be impactful advocates for change.

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