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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
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.

January 18, 2023 | 2 min read

Finding a PCP

By Laura Hanyok, MD, Johns Hopkins Medicine

Finding a primary care physician can take time, but it’s worth it to find a personal physician for longitudinal care. Suggest patients ask their family and friends for PCP recommendations. 

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. 

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.  

September 19, 2019 | 2 min read

The Importance of Partnering With Patients

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

What patients and families need is a clinician advocate who is available to listen, translate complex medical language, and support both the physical and mental health of the patient.

April 21, 2021 | 2 min read

Opioid Monitoring in Primary Care

By Jeffrey Millstein, MD, Penn Medicine

Discussions about opioid use with patients must be approached with curiosity and concern, rather than suspicion. Implemented with sensitivity, opioid monitoring programs can strengthen the clinician-patient relationship.

May 6, 2019 | 3 min read

When I Could not Hear my Patient

By Erin Snyder, MD, University of Alabama School of Medicine

Listening and understanding is what leads to true patient partnership, which is what is going to lead to true health.

April 26, 2018 | 1 min read

Forming True Partnerships In Care: Listen To Your Patient

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Reflecting on caring for a 12-year-old with a complex neurological condition, I was humbled by the parents’ definition of clinically excellent patient care.

June 28, 2019 | 1 min read

How to Improve Outpatient Handoffs

By Laura Hanyok, MD, Johns Hopkins Medicine

Consider performing outpatient handoffs and preparing patients when you will be away. This will make your time away easier for your covering colleagues and for your patients.

June 25, 2018 | 2 min read

The Mission of a Clinician-Educator

By Leah Wolfe, MD, Johns Hopkins University School of Medicine

As a clinician-educator, my mission is to help train and inspire a new generation of internists who are passionate about patient care, are outstanding clinicians, and can provide the leadership needed to change our existing healthcare system into one that better serves the needs of individuals and society.

February 11, 2021 | 6 min read

Checklists and Connections

By Neda Frayha, MD, University of Maryland

Take five minutes to connect with a patient with no medical agenda. You may be surprised by how much joy it brings both you and them.

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.

September 23, 2019 | 3 min read

How to Manage Chronic Pain and Opioids

By Ryan Graddy, MD, AbsoluteCARE Medical Center, Atlanta, Georgia

Safe opioid stewardship is a key objective when managing chronic pain. Combining evidence-based strategies and compassionate care can help you to realize these goals.

February 10, 2020 | 2 min read

Engendering Trust in the Care Team

By Jeffrey Millstein, MD, Penn Medicine

Excellent clinicians help patients expand their circle of trust, beyond their favorite physician, to include more members of the healthcare team.

April 24, 2019 | <1 min read

Dr. Colleen Christmas, A CLOSLER Look

By Gretchen Miller, Managing Editor

Watch a three minute video interview with Dr. Colleen Christmas, who shares the contagious joy of both primary care and geriatrics. Guaranteed to make you smile!

June 25, 2018 | 2 min read

Trust The Diagnostic Process

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Clinicians use a diagnostic process to guide their actions when faced with a medical problem. Hypothesis generation provides an efficient reliable framework to focus the clinical workup and come to the correct diagnosis and treatment plan.

"While we are both subspecialist pediatricians, we are also the parents of an amazing three-year-old boy."

June 14, 2021 | 3 min read

How Trainees Improve The Care of Patients

By Jared Rubenstein, MD, Baylor College of Medicine, Leyat Tal, MD, Texas Children\'s Hospital

While the experience of being a trainee doesn’t always feel impactful, from our perspective as attending physicians and parents of a sick child, know that what you do matters.

April 24, 2018 | 2 min read

Equality v. Equity

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Working towards giving equitable care, not equal care, should be our focus, especially if we’re aiming to shrink the health disparities gap.

July 17, 2020 | 1 min read

Person-Centered LGBTQ Care in the Pandemic Era

By Justin Fontenot, MSN, RN

Patient-centered care requires considering your patients’ wants and needs in their management. ALL patients deserve person-centered care.

October 10, 2018 | <1 min read

Engaging With Patients’ Communities

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Making time to engage with my patients' community has made all the difference in giving clinically excellent care. Enjoy my recent TED Talk, where I tell the story of my journey to connect with my patients' community in Baltimore, Maryland.

March 3, 2018 | 2 min read

Six Steps to Make Wellness Work

By Laura Hanyok, MD, Johns Hopkins Medicine

Our well-being as physicians is an essential part of professionalism. If we aren't well, we can't provide the best care to our patients, who deserve our best.

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 14, 2018 | 2 min read

The Power of Acknowledging Feelings

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Recognizing and acknowledging feelings can diffuse a patient’s anxiety.

September 25, 2018 | 1 min read

Teaching Maintains Clinical Excellence

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Engaging with learners keeps you dedicated to lifelong learning, and teaching helps to maintain clinical excellence and the joy of medicine.

December 26, 2018 | 1 min read

How to Ensure Patient Access During the Holidays

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

The holidays can be a stressful time for both patients and clinicians. Here are a few ideas to ensure stress-free access to care for patients, and tips for everyone to stay healthy and rested.

May 17, 2018 | 2 min read

How To Avoid Complacency in Diagnosis

By Michael Crocetti, MD, MPH, Johns Hopkins Community Physicians

Top tips to avoid complacency when faced with a common clinical presentation that may have an uncommon medical diagnosis.

May 8, 2018 | 3 min read

Compassion is Contagious

By Colleen Christmas, MD, Johns Hopkins Medicine

Patients are observing us while we interact with others in the hospital, and this can have a tremendous impact on the trust they put in our care.

October 16, 2018 | 3 min read

The Heart of Trauma-Informed Care

By Cooper Lloyd, MD, MPH, Johns Hopkins University School of Medicine

Trauma-informed care is care in which we recognize trauma’s prevalence and long-term effects; understand trauma’s effects on patient behavior and engagement in care; prioritize patient choice and collaboration while building trust; and offer education and resources to promote healing.

April 16, 2018 | 2 min read

Giving Humanistic and Empathetic Care

By Michele Manahan, MD, Johns Hopkins University School of Medicine

Dr. Michele Manahan's Clinical Mission & Values Statement on supporting her patients through conversation, active listening, a receptive ear, and an incisive mind.

August 1, 2022 | 1 min read

Keeping Children Safe

By Katherine Hoops, MD, Johns Hopkins Medicine, Monique Burke, MD, President, MD Chapter of the AAP

The new Safer Communities Act helps clinicians connect patients to mental healthcare. Hopefully, this will reduce youth gun violence, including suicide. 

November 23, 2021 | 3 min read

Preventive Care And COVID

By Aline Charabaty, MD, Johns Hopkins Medicine

As a gastroenterologist, I’ve been encouraging people to continue with colon cancer screening through the pandemic. A delay may have serious health consequences.

April 30, 2019 | 5 min read

A Response to “The 5A’s of Firearm Safety Counseling”

By David Madder, DO, Johns Hopkins Medicine

I counsel ALL patients about gun safety, instead of ASKING every patient if they have guns in their home.

July 7, 2020 | 1 min read

Curbside Care

By Marianne Fingerhood, NP, Johns Hopkins Medicine

Whether seeing patients in-person or virtually, one of the most important aspects of care is the human connection.

December 14, 2021 | 1 min read

Supporting Loved Ones of People With Addictions

By Angela Orozco, MD, Johns Hopkins Medicine

The impact of addiction extends beyond the individual. We can offer and introduce resources like Al-Anon to both patients and their loved ones. 

October 23, 2019 | 4 min read

A Tale of Two Stents

By Frank Cacace, MD, North Shore University Hospital

We are all vulnerable to cognitive biases. The clinically excellent clinician takes time to slow down and steps back when working toward the definitive diagnosis.

June 29, 2018 | 1 min read

Getting Into Character

By Scott Wright, MD, Johns Hopkins Medicine

Working as a primary care provider for the last 24 years, I can say without a doubt that reading fiction has expanded my capacity to connect with my patients with a greater level of empathy.

December 11, 2019 | <1 min read

Medication for Opioid Use Disorder

By Mike Fingerhood, MD, Johns Hopkins Medicine

Building a therapeutic relationship with people with substance use disorders is critical when supporting them on their journey to health.

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.

Mattan Schuchman and colleague caring for a patient in her home.

June 21, 2018 | 6 min read

How Home Ventilator Care Helped My Patients

By Mattan Schuchman, MD, Johns Hopkins University School of Medicine

Learning how to work with patients on ventilators at home has been a gratifying challenge.

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.

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.

March 26, 2018 | 1 min read

Knowing and Caring For The Patient As A Person

By Kimberly Peairs, MD, Johns Hopkins University School of Medicine

Medical care extends far beyond simply treating a disease—it involves forging a relationship and offering trust, support, and wisdom. 

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.

October 11, 2021 | 2 min read

Helping Patients Share Disappointing Diagnoses With Loved Ones

By Ambereen Mehta, MD, Johns Hopkins Medicine, Michelle McWhirter, LCSW-C, Johns Hopkins Medicine

Patients often want to share significant health news with loved ones. You can help them choose when and how to disclose this information.

December 2, 2019 | 2 min read

Improving Communication Between Inpatient Teams and PCPs

By Stephen Berry, MD, Johns Hopkins Medicine

While it's not always easy, hospital-based providers need to find a way to connect with the healthcare professionals who will continue their patient's care.

April 14, 2022 | 1 min read

“Don’t Worry”

By Jeffrey Millstein, MD, Penn Medicine

General reassurances are often ineffective when they don’t address patients’ true concerns.

Clouds at sunset, Paliambella, Greece. Photo by the author.

November 6, 2018 | 1 min read

Lessons From Paliambella, Greece

By Panagis Galiatsatos, MD, Johns Hopkins Medicine

Working to cultivate community cohesiveness in the neighborhoods where we work and where our patients live could help community health achieve its fullest potential. Here are a few simple ways to get started.

January 9, 2020 | 3 min read

Top Tips to Support Yourself While Pregnant and Working in Healthcare

By Laura Hanyok, MD, Johns Hopkins Medicine

You yourself or clinician colleagues will undoubtedly take parental leave at some point. Clinically excellent clinicians and practices use this as an opportunity to enhance continuity and ensure high quality care.

"Jazzed about teaching others? Volunteer for a few hours to teach K-12 students about medicine or science."

May 1, 2023 | 2 min read

Choose Your Own Adventure

By Laura Hanyok, MD, Johns Hopkins Medicine

When choosing and leading well-being initiatives, consider what would most meaningfully help you and your colleagues thrive. 

March 1, 2023 | 2 min read

Moving Past Debt 

By Laura Hanyok, MD, Johns Hopkins Medicine

With my student loans forgiven, financial pressures were substantially allayed. With this stress removed, I feel more focused on serving my patients.  

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