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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
Passion in the Medical Profession
Lifelong Learning in Clinical Excellence
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Art For Hope

  By William Stoehr – Artist – Boulder, Colorado My art focuses on eliminating the stigma of substance use disorder and its related mental health issues. My sister died of an opioid overdose. She might still be alive if it were not for prescription opioids and the stigma which suffocates discussion, blocks action and causes pain. The first…

March 2, 2025 | 1 min read

Art for hope

By William Stoehr, artist, Boulder, Colorado

My artwork portrays the pain and loss experienced by those affected by substance use disorders. I hope it helps clinicians gain a deeper understanding of the human cost of stigma, prompting more empathetic and nonjudgmental patient interactions.

July 9, 2019 | 5 min read

Pain, Opioids, and the Constant Shadow of Stigma

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

When a patient reports pain, their words need to be met with listening, compassion, and a discussion of how best to address the pain.

May 16, 2018 | 2 min read

The Stigma of Opioid Use Disorder

By Margaret Chisolm, MD, Johns Hopkins Medicine

Building a strong therapeutic alliance between patient and clinician—via open communication, mutual respect, and trust—is a lifeline for the individual patient with an Opioid Use Disorder.

Asking about stress levels, mood, sleep quality, and coping strategies in routine medical discussions can provide insight into a patient’s emotional well-being and open the door for further discussion. 

March 31, 2025 | 2 min read

Care of the mind 

By Paige Seegan, PhD, Johns Hopkins Medicine

By proactively discussing mental health, using non-stigmatizing language, and having a list of resources on hand, healthcare professionals can help patients get the support they need. 

February 28, 2018 | 3 min read

Sacred or Stigma? A New Realm of Expression

By David Efron, MD, Johns Hopkins University School of Medicine

In 2018, do not resuscitate options are broad—distillation of the letters DNR do not provide enough guidance, and tattoos have yet to be validated as a definitive expression of this wish.

March 10, 2022 | 2 min read

Balanced conversations about weight

By Colleen Schreyer, PhD, Johns Hopkins Medicine

Clinicians can treat weight as simply one more piece of health information that they incorporate into a holistic care plans. This can mitigate stigma and foster empathy. 

February 18, 2025 | 3 min read

Screening for, diagnosing, and treating OCD 

By Ghida Kassir, MD, University of Toronto, Canada

To accurately diagnose OCD, clinicians must move beyond general inquiries about "unwanted thoughts" and instead ask specific, sensitive questions about the diverse ways obsessions and compulsions can manifest. Effective treatment often includes a combination of medication and psychotherapy—specifically Exposure and Response Prevention (ERP). 

August 3, 2020 | 1 min read

Book Review of “Elderhood”

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

Ageism is a form of discrimination that contributes to poor health outcomes. To mitigate its effects, we must enact policies that address biases in ourselves, our workplaces, and our communities.

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.

January 27, 2021 | 2 min read

Gin And Tonic—Cultural Footprints of Disease

By Kittane "Vishnu" Vishnupriya, MBBS, Johns Hopkins Medicine

To mitigate incorrect assumptions about patients who have been infected with COVID-19, we must work to spread truths and to minimize inaccuracies—particularly those that may be shameful or demeaning.

Trichomonas vaginalis

December 12, 2024 | 3 min read

Home testing: a new era in sexual health      

By Scott Wright, MD, Johns Hopkins Medicine

At-home sexually transmitted illness (STI) testing allows easier patient access. It’s crucial for healthcare professionals to talk with patients about the limitations of these tests and discuss when follow-up care is needed.  

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. 

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. 

August 25, 2020 | 4 min read

A Real Hero and a Real Human Being

By Andrew Philip, PhD, Primary Care Development Corporation

The pandemic has created more stress for everyone, including healthcare professionals. Finding a relaxing activity to practice regularly can help you persevere.

December 9, 2021 | 4 min read

3 Lessons From Coach Ted Lasso

By Claire Crawford, MSW, PhD, Texas Childrens , Jared Rubenstein, MD, Baylor College of Medicine, pediatric

Apple TV’s “Ted Lasso” shares a simple message—be kind. We can never truly know what it’s like to walk in another person’s shoes. Curiosity, instead of judgment, helps us give better patient care.

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.

August 9, 2021 | 4 min read

Hiding in Plain Sight: Just Ask, or You’ll Miss Most Eating Disorders

By Angela Guarda, MD, Johns Hopkins Medicine

Although five percent of the population has a clinically significant eating disorder, most aren't detected because clinicians don’t ask. Simply asking,“What is the MOST you would be comfortable weighing?” can help identify a restrictive eating disorder.

Naomi Osaka. Photo by Peter Menzel. Public Domain, Wikimedia.

July 12, 2021 | 1 min read

Lessons Learned From Naomi Osaka

By Neda Gould, PhD, Johns Hopkins Medicine

Osaka’s decision to withdraw from two major tennis events due to anxiety and depression helps to fight the stigma of mental illness. When caring for patients, make space to allow them to share their experiences with you and support their practice of self-care.

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.

February 6, 2020 | 2 min read

Navigating Masculinity in Medicine

By Kultaj Kaleka, MD, RN, Central Michigan University

The clinically excellent physician understands that male patients may need support sharing their perspectives.

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.

Dr. Carl Streed and Jacob Tobia. Photo by Dr. Carl Streed.

January 6, 2020 | 2 min read

Book Review of “Sissy: A Coming of Gender Story”

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

Recognizing and validating the diversity of gender identities and expressions positively affects the health of our patients and our communities.

Many healthcare professionals make the sacrifice of quarantining from their families during the pandemic.

March 3, 2021 | 3 min read

Understanding the Sacrifices we Make in Medicine

By James Aluri, MD, Johns Hopkins Medicine

Giving excellent care to every patient requires you to make significant sacrifices. Acknowledging this can help you understand, and even accept, these sacrifices.

"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.

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.

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 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.

March 12, 2019 | 2 min read

Physician Burnout: The Pressure Continues to Grow

By Colin West, MD, PhD, Mayo Clinic

Support for physician mental health must be made more widely available. We must remove the stigma associated with accessing this support.

November 6, 2024 | 2 min read

Artful healing

By Sujal Manohar, medical student, Baylor College of Medicine

When I was working in an epilepsy center, I learned the value of understanding the patient’s lived experience. Art and storytelling can provide a unique window into patient concerns and dreams.

June 25, 2024 | 2 min read

Lessons from an earlier life: Latin dance

By Neha Santucci, MD, Cincinnati Childrens

My experiences with both dancing and patient care have taught me that connection and passion are key. In medicine, like in dance, I focus on building strong relationships and finding joy. 

June 11, 2024 | 2 min read

From pizza pans to pain plans 

By Christle Nwora, MD, Johns Hopkins Medicine

For young adults transitioning to adult care, building trust and rapport is crucial. With permission, it may be helpful to continue involving parents in care plans to improve health outcomes.  

March 21, 2024 | 2 min read

Young LGBTQ+ patients deserve more 

By Brady Hanshaw, medical student, Harvard Medical School, Thara Nagarajan, MD, UCSF

36% of LGBTQ+ youth are unsure they’ll live until the age of 35. These mental health outcomes are even more severe for LGBTQ+ youth of color. It’s critical that clinicians create a safe space to talk about anxiety, depression, self-harm, and suicidal ideation. 

"Letter to myself at age 12," copyright with the artisit.

January 22, 2024 | 1 min read

Letter to myself at age 12

By Ashley Minner Jones, PhD, MFA, Baltimore, MD

When I shared a work of my art at an exhibition, I was surprised how deeply people connected with it. This helped me have even more empathy and understanding for others. We all sometimes struggle with being human.

September 13, 2023 | 1 min read

Firearm Suicides on The Rise

By Katherine Hoops, MD, Johns Hopkins Medicine, Paul Nestadt, MD, Johns Hopkins Medicine

To stem the increase in self-inflicted gun deaths, we must work toward early and accurate diagnosis of mental illness, as well as advocate for better firearm laws.

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.

June 12, 2023 | 3 min read

Art Makes Us Healthier And Happier 

By Susan Magsamen, MAS, Johns Hopkins Medicine

The arts yield measurable benefits to physical and mental health. They provide a way to slow down, experience our emotions and become more whole.

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. 

November 29, 2022 | 2 min read

A Weighty Matter

By Colleen Schreyer, PhD, Johns Hopkins Medicine

Weight bias is common, harms patients, and may contribute to poor health outcomes.  

September 20, 2022 | 2 min read

When And How to Self-disclose

By Meher Kalkat, medical student, Johns Hopkins Medicine

Sharing our own mental health experiences is often discouraged. Sometimes, disclosure may help you connect more deeply with others. 

May 2, 2022 | 3 min read

The Alarming Rise in Pediatric Suicide

By Elizabeth Reynolds, PhD, Johns Hopkins Medicine

Rates of childhood suicide have been rising steadily and this is now the second leading cause of death for youth. It's critical to screen children for suicidal thoughts and behaviors.   

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