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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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Evening Star, Number III, Georgia O'Keefe, 1917, Museum of Modern Art

November 21, 2018 | 1 min read

Asking Difficult Questions

By Julia Ross, MD, Johns Hopkins University School of Medicine

Asking probing questions is difficult, but can make a difference in understanding your patient.

February 24, 2022 | 3 min read

New dad and healthcare professional

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

Placing my child’s and my patients’ needs before my own gives me purpose. These responsibilities help mitigate burnout and allow me to give excellent care.

November 7, 2022 | 2 min read

Suggestions For Coping With Grief

By Justin Jeffers, MD, MEHP, Johns Hopkins Medicine

When you or others are grieving, give permission to be vulnerable and accept help. It may sometimes be helpful to work with a therapist. 

May 1, 2024 | 2 min read

The patient’s voice: a doctor’s song

By Sujay Pathak, MD, Johns Hopkins Medicine

A clinician who heals truly listens without judgment and sees things from the patient's perspective.

If a patient doesn’t appear to understand what you’re saying despite repeated efforts, ask how they learn best. Perhaps draw a diagram and/or use an analogy.

March 20, 2025 | 3 min read

Falling up 

By Emily Ma, medical student, Johns Hopkins Medicine

The transition from pediatric to adult care poses significant challenges for patients with disabilities. Healthcare professionals can help by seeking to improve access and continuity of care. 

A crowd organized by the Student Non-Violent Coordinating Committee sang “We Shall Overcome” in Farmville, Virginia, in 1966, after a speech by Stokely Carmichael.

January 18, 2019 | 9 min read

From Clinic to Senate

By Kali Cyrus, MD, MPH, Johns Hopkins Medicine

Advocacy does not have to mean changing legal precedents; it can also be taking a mentee out for coffee, giving feedback about your colleague’s stereotyping of a patient, or not patronizing restaurants with unfair wage practices.

January 9, 2025 | 2 min read

Caution: red tape ahead  

By Katharine Russo, PharmD, Johns Hopkins Medicine

Holistically caring for patients includes helping them navigate healthcare systems. Take time to support already stressed patients through the frustrating and opaque processes of insurance and prior authorizations. 

January 4, 2024 | 1 min read

Searching for the solution

By Scott Wright, MD, Johns Hopkins Medicine

Improving clinical reasoning skills is a career-long journey where we feel like an expert one day and a novice the next. Commitment to growth and learning from mistakes are absolutely required.  

March 17, 2021 | 3 min read

Making Unconscious Bias Training Work

By Verna Monson, PhD, Minneapolis, Minnesota

To be an antiracist, you must be aware of your own biases and learn from your missteps. And remember that unconscious bias training is only a starting point for dismantling discrimination.

January 11, 2024 | 2 min read

Book review of “Changing how we think about ‘difficult’ patients”  

By Jennifer Lycette, MD, rural oncologist in the Pacific Northwest

When caring for a patient whom I found challenging, I reminded myself that my negative reaction had less to do with the patient and more to do with me.  

December 14, 2020 | 2 min read

Lessons From a Zoom Thanksgiving Applied to Patient Care

By Ambereen Mehta, MD, Johns Hopkins Medicine

Zoom made it possible for me to connect with many friends and family for Thanksgiving. Patient video visits that include family members from far away may enhance goals of care discussions.

December 23, 2020 | 5 min read

Holiday Rounds

By Samuel Durso, MD, Johns Hopkins Medicine

If you're called on to work through Christmas and New Year’s, there's a bright side. This is typically a quieter period and may allow more time to learn from clinically excellent role models.

March 23, 2023 | 2 min read

5 questions I ask every patient 

By Lillie Shockney, RN, MS, Johns Hopkins Medicine

I talk with patients who have metastatic breast cancer about their hopes and worries at every visit. This allows me to give better, whole-person care.  

October 13, 2020 | 3 min read

Attending to the Story

By Mollie Marr (she/her), MD/PhD student, Oregon Health & Science University

It’s important to approach each patient with a fresh perspective. While prior diagnoses should be considered, anchoring to them introduces bias that may cloud your vision.

July 30, 2020 | 2 min read

Taking a Moment to Pause

By Jareatha Abdul-Raheem, Med Student, Johns Hopkins Medicine

When hearing disappointing news or encountering stress, making time to step back and reassess may help with coping and gaining perspective.

June 14, 2018 | 1 min read

AI and the Art of Medicine

By Souvik Chatterjee, MD, Johns Hopkins Medicine

Exploring the new challenge of combining the art of healing with the new science of machine learning.

March 1, 2022 | 1 min read

What to Expect When You’re Expecting (to See The Doctor)

By Jeffrey Millstein, MD, Penn Medicine

A journey through a doctor’s office visit is all too familiar to clinicians and staff, but patients may not know what to expect. Managing expectations provides reassurance and may improve the patient experience.

"Planting The Seed of The Heart," by David Kopacz.

September 21, 2021 | 7 min read

How are you . . . really?

By David Kopacz, MD, University of Washington

A helpful practice to connect and understand your patient is to ask, "How are you doing . . . really?” If they’re hesitant to respond, consider sharing something you’ve found stressful lately to open the conversation.

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. 

December 17, 2019 | 4 min read

Stop, Look, and Listen

By Chase Webber, DO, Vanderbilt University Medical Center

From a young age, children learn to “Stop, Look, and Listen” when crossing the street. Clinicians would do well to live by these words in the realm of clinical reasoning.

September 9, 2019 | 6 min read

Patient Interviewing Gems

By Thomas Gracie, Medical Student, Johns Hopkins University School of Medicine

Excellent clinicians make the time to learn about their patients as people and connect on a personal level, building relationships that can last years, decades, or even a lifetime.

September 15, 2020 | 3 min read

How to talk with patients about sexual health

By Matthew Hamill, MBChB, PhD, Johns Hopkins Medicine

Sexual health can be a sensitive topic to discuss. Asking open-ended questions and allowing time for your patient’s story to unfold can create a safe space for conversations about sexual health.

August 21, 2024 | 2 min read

Confessions of a non-flosser 

By Kyra Reu, medical student, University of Pennsylvania

When I told my dentist I didn’t floss regularly, it reminded me of a patient who shared she was not taking her medication as directed. Careful questioning of how the patient is actually taking their medication should be done before modifying the treatment. 

September 18, 2023 | 3 min read

Do you “need” to say it that way? 

By Gina Piscitello, MD, MS, University of Pittsburgh Medical Center

Using the word “need” to describe a treatment option may mislead patients and loved ones into believing it should be pursued. Prioritizing patient values and preferences may help reduce this risk.  

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.

January 28, 2019 | 3 min read

Reflections on “Healing Alone”

By Helen Bradshaw, MD, Johns Hopkins University School of Medicine

In defense of the practice of pimping, though the term is a regrettable word choice, I learned from having questions directed at me. And my frequently incorrect responses were usually met with thoughtful explanations.

"Couple in the Park," John Russell Clift, 1961, Museum of Fine Arts, Boston.

January 17, 2019 | 5 min read

Do You See? The Power of Pictures

By Elizabeth Gundersen, MD, University of Colorado

Photographs capture the essence of who we are. When we ask to see pictures, patients and families are reassured that we value the wholeness of their lives.

August 20, 2020 | 2 min read

2 Minutes of Presence

By Zara Latif, MD, Beth Israel Deaconess Medical Center

When talking with your patient, dedicate at least two minutes to pure listening. During that time, try to not think about the next question you want to ask and just hear your patient’s perspective.

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.

January 4, 2022 | 2 min read

Welcome to The No-Judgment Zone

By Rebekah Fenton, MD, Northwestern University

After lying to my own doctor because I feared her judgment, I learned to invite all patients to be open and honest. Earning the patient’s trust will allow us to give the best care. 

September 23, 2024 | 3 min read

The rabbit hole 

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

Through my own experience as a patient, I was reminded that ordering diagnostic tests should be approached with caution and careful consideration of the potential implications. These include the likelihood of additional testing and increased anxiety. 

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.

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.

January 16, 2019 | 8 min read

An Ode to the Herculean Heart

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

"Heart: A History," elevates our appreciation of how our predecessors worked to better patient lives, as well as the psychosocial aspects of heart disease.

August 5, 2020 | 2 min read

Discomfort as Your Internal Compass

By Preetha Hebbar, MPH, medical student, Medical University of South Carolina

There are situations that can make us feel uncomfortable when caring for patients. Acknowledging these feelings may result in deeper and more meaningful relationships with patients.

November 16, 2022 | 2 min read

Supporting Patients During Medication Shortages

By Bradley Grant, DO, Johns Hopkins Medicine

When drugs are scarce, reassure patients that you’ll help them navigate this challenge. If you can’t find the medicine after searching, consider rationing when clinically appropriate. 

September 27, 2022 | 2 min read

When?

By Shreya Srivastava, medical student, Albany Medical College

When my friend was struggling with her mother’s new diagnosis, she listened to the popular French song about cancer entitled, “Quand c’est?” It gave her a sense of support, empathy, and solidarity with others.

"The Persistence of Memory," Salvador Dali, 1931, The Museum of Modern Art.

November 19, 2018 | 2 min read

Learning from Learners

By Margaret Chisolm, MD, Johns Hopkins Medicine

Teaching is the best way to learn. In the end, I am not only a teacher and my residents are not only learners, but we are both a little of each.

February 19, 2020 | 1 min read

Seeking Delight

By Mariah Robertson, MD, Johns Hopkins Medicine

Taking note of the small "delights" that are around us can make each day more joyful. Doing so can enhance your sense of well-being and gratitude.

February 26, 2020 | 2 min read

How to Process Emotions as a Team

By Peter Heikkinen, MDiv, Johns Hopkins Medicine

Excellent clinical teams support each other by reflecting on patient encounters and sharing their emotions.

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. 

July 8, 2021 | 1 min read

Reaching Out to Your Patient’s Family When Death is Imminent

By Jeffrey Millstein, MD, Penn Medicine

When my friend died of pancreatic cancer recently, I saw how valuable it was for her family to hear from the treating physician. Going forward, I will emulate this inspiring practice.

February 15, 2024 | 1 min read

Ears were made for listening 

By Oscar Li, medical student, Johns Hopkins Medicine

My mentor taught me to let my innate curiosity about the patient sitting in front of me drive my questions. I hope to bring this valuable perspective through my career and beyond.

November 13, 2023 | 2 min read

How clinicians can address housing insecurity

By Craig Pollack, MD, MHS, Johns Hopkins Medicine

For patients with housing insecurity, clinicians can connect them with a social worker and share a list of community-based resources. We must also advocate for policies that increase access to safe and affordable housing.

June 13, 2019 | 6 min read

How to Talk With a Vaccine Skeptic

By Dharushana Muthulingam, MD, Yale School of Medicine

You cannot treat those who challenge you with contempt. Conversations must be navigated with respect and compassion.

December 12, 2022 | 5 min read

Room 441

By Alicia Zellmer, MD, George Washington University

Although humanized care can sometimes be more time-consuming, sharing detailed information and ensuring patient’s understanding is essential for clinical excellence. 

Portrait of Dr. Abhay Moghekar, by Crystal Favorito.

September 15, 2022 | 1 min read

The Gift of a Great Mentor

By Crystal Favorito, pre-med, Johns Hopkins Medicine

My undergraduate neurology mentor showed me how to view patients as teachers. I know I’ll take this valuable lesson with me throughout my medical education and training.

August 23, 2018 | 4 min read

How To Incorporate Students Effectively Into Clinic

By Rachel Salas, MD, Johns Hopkins Medicine

Making the time and effort to integrate students into clinic cohesively can be associated with both improved clinical productivity and educational value.

"Chrysantheme und Biene." Hokusai, K. (ca. 1832). Public domain, Wikimedia.

September 22, 2021 | 8 min read

The Role of Visual Thinking Strategies Coaching in Clinical Excellence

By Margaret Chisolm, MD, Johns Hopkins Medicine

Take an appreciative approach when giving feedback to learners. It will not only build clinical skills, but will also foster a healthy community of learning and practice.

March 7, 2022 | 3 min read

How to Help Patients Navigate Complex Medication Regimens

By Howard Chang, Medical Student, Johns Hopkins Medicine

Open-ended questions can help clinicians better understand the challenges faced by patients on complex medication regimens.   

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