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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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October 19, 2022 | 2 min read

Do Not Miss

By Matthew McEvoy, MD, Houston, Texas

While volunteering in a chaplain’s office as an undergrad, I learned that patients can gain strength from many sources. As a clinician, I ask all patients, “How can we support your spirituality within the healthcare system?”  

March 5, 2020 | 3 min read

How to Talk About Miracles

By Jonathan Yeh, MD, Johns Hopkins University School of Medicine

Excellent clinicians can learn and practice techniques to boost the power of hope, and to incorporate the wish for a miracle into a more realistic care plan.

August 28, 2025 | 3 min read

Listening for faith

Inquiring about patients’ spiritual lives can help us deliver more compassionate, holistic care. Noting the diversity of religiosity can help us to respect the outlook and perspectives of all patients. 

January 18, 2024 | 1 min read

“Please pray for me” 

By Youngjee Choi, MD, Johns Hopkins Medicine

When my longtime patient with chronic illness asked me to pray for her, I told her I would.  Whether prayer is something one can offer, responding to emotional and spiritual requests can be an important part of care. 

"Shamanic Vision." Original painting by the author. Copyright with the author.

April 2, 2020 | 4 min read

Staying Connected Inside and Out During the Pandemic

By David Kopacz, MD, University of Washington

Finding creative ways to connect to ourselves and to others is more important than ever in these days of social distancing.

Hippocrates featured in the interior of the old town hall in Gõttingen, Niedersachsen, Germany. Public domain, Wikimedia Commons.

February 20, 2020 | 3 min read

“Life is short, and art long”

By Jonathan Yeh, MD, Johns Hopkins University School of Medicine

The art of honest and empathetic communication is fundamental to being an excellent clinician. And, it can be improved with intentional practice.

April 18, 2023 | 2 min read

Caring for patients who are Muslim during Ramadan (archived 2023)

By Zaina Siraj, medical student, Albany Medical College

Learn the basics about this important holiday. Ask your patients if they are fasting and how you can support their practice if medically possible. 

December 7, 2022 | 4 min read

The Road to Aequanimitas

My medical training in the 80s and 90s taught me to be reserved and distant from patients. After many years in practice, I now know that they deserve a personal relationship with their doctor.  

April 24, 2018 | 2 min read

Equality v. Equity

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

June 4, 2025 | 3 min read

Letting the tea leaves breathe 

Kind gestures, like bringing a patient a cup of tea, may help bridge the gap between suffering and solace. Such thoughtfulness can offer comfort as powerful as any medication. 

June 5, 2024 | 2 min read

Near death

By Aurora Grutman, medical student, Johns Hopkins Medicine

Overcoming anxiety about the end of life allows one to explore concerns with empathy and openness. A willingness to learn about patients’ spiritual beliefs can help clinicians provide compassionate and holistic care.

"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.

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.

January 7, 2021 | 4 min read

3 Steps to Develop Your Philosophy of Caring

By Aidan Crowley, Medical Student, University of Pennsylvania

Identifying the principles that guide your care of patients will bring more meaning and purpose to your work. This can bring both you and your patients joy and fulfillment.

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.

July 31, 2019 | 3 min read

The Healing Circle as a Holistic Framework

By David Kopacz, MD, University of Washington

As can be learned from a Native American healer, to heal profoundly, one must holistically integrate mental, emotional, physical, and spiritual aspects of being human.

untitled, by David Kopacz

July 21, 2022 | 7 min read

Building Cultures of Caring

By David Kopacz, MD, University of Washington

We must care for ourselves to care for others. One great place to start is practicing self-compassion.

"You Let Your Magic Tortoise Go," David Kopacz. Copyright with the artist.

August 27, 2020 | 3 min read

Finding Balance During Unbalanced Times

By David Kopacz, MD, University of Washington

Spending time “going into and opening our hearts” is healing and restorative. We can do this for ourselves as healers and guide patients through the practice. It’s as simple as slowing down, putting your hand on your heart, and taking three deep breaths.

"Irises," by Elizabeth “Elsie” Sophia Skorski Kopacz.

August 9, 2023 | 2 min read

To Grandmother’s House We Go

By David Kopacz, MD, University of Washington

Religion and spirituality are part of the human experience. Sometimes, it can improve patient well-being to include these topics in our conversations.

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.

Saint Brides Bay (Bae Sain Ffraid), Pembrokeshire, Wales, Author's Photo.

January 24, 2019 | 4 min read

Cultivating Caring

By David Kopacz, MD, University of Washington

Compassion begins with caring for ourselves and working to grow as full human beings. It is not just the lives of our patients that depend on us learning this component of caring, the quality of our own lives depend upon learning this as well.

October 27, 2020 | 3 min read

Beyond The CV

By Kayla Eboreime, Medical Student, University of Texas Medical Branch

There will always be both accolades and critiques that come your way. Neither define who you are. Nourishing your whole self can maintain balance so that you can flourish professionally and personally.

August 26, 2025 | 2 min read

A cultural safety-centric approach 

Ask patients, especially those who have been historically marginalized, if they feel safe, heard, and respected.  Take time to learn about their background and healing practices to deepen trust and improve health outcomes. 

July 30, 2018 | 2 min read

Stepping Forward

By Dorianne Feldman, MD, MS, Johns Hopkins University School of Medicine

There is no greater reward than the gratitude of a patient you've helped to heal.

July 16, 2020 | 3 min read

Being Human

By Kamala Tamarisa, MD, Southlake, Texas

When you notice that something is amiss with a patient or your reaction to them feels off, this is a clue to dig deeper. With time and enhanced trust in the doctor-patient relationship, things usually become clear.

April 29, 2024 | 3 min read

A patient’s reflection on connecting with clinicians—what matters most 

By Jennifer Ball, BSJ, MA, Chicago, IL

Empathy and cultural competence are cornerstones of excellent patient care. Prioritizing these values can help each patient feel respected, empowered, and supported. 

March 29, 2018 | 1 min read

Top Five Tips For Successful Community Engagement

Part II of II: Five specific strategies to gain the trust of your patient’s community, agree on health goals, and together define what success looks like.

August 30, 2023 | 2 min read

Containing Chaos Through Dance

By Shreya Srivastava, medical student, Albany Medical College

The strength, stamina, emotional understanding, and situational awareness that dancers develop over time can also benefit healthcare professionals.  

"Heart Meditation," original painting by the author. Copyright by the author.

March 19, 2020 | 3 min read

Returning to Medicine of the Heart During a Pandemic

By David Kopacz, MD, University of Washington

How can we practice the kind of medicine that we so desperately need right now? Perhaps it is time to return to a medicine of the heart and of the soul.

July 10, 2023 | 3 min read

Dying With Peace And Joy 

By Lillie Shockney, RN, MS, Johns Hopkins Medicine

Empowering your patient to be the ultimate decision maker about all things related to the end of their life is fulfilling and meaningful for both of you. 

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.

June 22, 2023 | 2 min read

Caring with pride (archives, 2023)

By Corey Tapper, MD, Johns Hopkins Medicine

To ensure nonjudgmental and equitable care of LGBTQ+ patients, call and chart people by their preferred name and pronouns. I also wear a Pride flag lapel pin to show my support. 

February 17, 2020 | 1 min read

Insights From “Dying in the Neurological ICU”

By Ambereen Mehta, MD, Johns Hopkins Medicine

Excellent clinicians are aware of the level of uncertainty in which we practice and empathize with the challenge that patients and families face in the face of that uncertainty.

An example of a trompe l’oeil in a geriatric hospital setting. Copyright by the author.

January 27, 2020 | 3 min read

Ethical Dilemmas in Dementia Care Design

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

Innovative dementia care designs raise moral questions about whether deception of patients is ever ethical. The clinically excellent physician tries to avoid deception at all costs.

March 8, 2023 | 2 min read

Cleaning Dentures

By Becky Sansbury, MDiv, Raleigh, North Carolina

When my patient asked me to get the blackberry seeds out of her false teeth, I was reminded that simple comfort measures can be crucial for patient well-being. 

January 9, 2023 | 2 min read

Questions Raised by “There, There” 

By Mike Fingerhood, MD, Johns Hopkins Medicine

Reflecting on our own “there” (the place where we grew up) can trigger conversation that helps us to understand our patients’ “there.” This can strengthen the patient-clinician relationship.

December 22, 2022 | 2 min read

Bittersweet holidays

By Taryn Schuelke, MS, CT, CCLS, Texas Childrens Hospital

Many experience grief during the holidays. Make sure to acknowledge your patients’ feelings and consider encouraging them to heal through ritual. 

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.

August 13, 2019 | 2 min read

How Does Bullying Relate to Clinical Excellence?

By Scott Wright, MD, Johns Hopkins Medicine

There is no place in medicine for bullying. It interferes with growth of individuals and collaborations among team members – both of these are critical for serving our patients.

June 25, 2018 | 2 min read

On The Professional Formation of Doctors

By Margaret Chisolm, MD, Johns Hopkins Medicine

By getting out of the business of knowledge and skills and returning to the work of professional formation, not only will medical schools and their patients win, but doctors—and the profession of medicine as a whole—will too.

September 29, 2022 | 2 min read

Documenting humanity (archives, 2022)

By Jane Abernethy, MD, MBE, Johns Hopkins Medicine

Clinicians are in a powerful position to advocate for undocumented people, who are among the most vulnerable patients. By acknowledging the courage of this population, we can affirm their strength and resilience.

July 16, 2019 | 3 min read

3 Lessons in Hospitality From my Patient

By Loveleena Virk, MD, Kaiser Permanente, Oakland Medical Center, California.

Hospitality is a human connection through the gift of attention and care. When hospitality becomes our modus operandi, care is transformed from transactional to sacred.

September 13, 2022 | 2 min read

Psychedelics and Health

By Mary Yaden, MD, Johns Hopkins Medicine

Psychedelic therapies have long been feared and avoided. We must acknowledge that there are clinical indications where these treatments are profoundly beneficial.   

June 10, 2019 | 4 min read

Lessons learned from my journey through depression

By Shannon Scott-Vernaglia, MD, Mass General

Being a patient has taught me patience, with myself, with those I care about, and with those I care for as physician. 

"Blue Rider," Franz Marc, 1911.

May 14, 2019 | 4 min read

Review of “Critical Crash”

By Andre Lijoi, MD, York, Pennsylvania

We all have our woundedness, and our own story is important in the context of caring for our patients. These stories and wounds operate in the background of our consciousness and we must recognize and manage them.

"Sunflowers," Vincent van Gogh, 1889. Philadelphia Museum of Art.

May 2, 2019 | 4 min read

Grieving Unexpected Patient Outcomes

By Stacia Dearmin, MD, Akron Children\'s Hospital

Acknowledging and processing grief can bring healing to the clinician.

April 14, 2022 | 3 min read

Equity and Ethical Considerations With The Use of Psychedelics

By Ian Pocock, LICSW, Washington

Psychedelic medicines may help patients suffering with PTSD and treatment-resistant depression. As with many new therapies, ethical considerations and ensuring equal access for everyone are works in progress.

May 15, 2018 | 1 min read

Gratitude as an antidote to burnout 

By Jennifer Janus, MD, Johns Hopkins Community Physicians

By focusing on the positive aspects of medicine, clinicians reduce stress and provide more compassionate care. Happy Thanksgiving! 

February 5, 2019 | 2 min read

Creating a Clear Care Map for Patients

By Chris Myers

Showing patients and their families a clear map of their care plan can help bring awareness and healing to patients and families alike.

May 7, 2018 | 2 min read

The 5 Core Beliefs of a Hospitalist

By Daniel Brotman, MD, Johns Hopkins Medicine

As a hospitalist, I'm in a position to establish intense relationships with patients. Here are my five core beliefs, values, and premises that govern my approach to clinical care in this setting.

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