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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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March 22, 2018 | 7 min read

Fundamentals for Caring for Transgender Patients

By Paula Neira, JD, MSN, RN, CEN, FAAN, Johns Hopkins Medicine

Improve your skills as you work to support your transgender patients and interact with your transgender colleagues.

March 11, 2025 | 4 min read

When sex isn’t binary 

Providing exceptional care to intersex patients requires us to shed the outdated idea of sex as a binary. Instead, we should normalize diversity in sex presentation and encourage families to unconditionally love, support, and listen to their loved one. 

August 20, 2018 | 1 min read

Giving Family-Centered Care

By Richard Redett, MD, Johns Hopkins University School of Medicine

Taking care of children means giving family-centered care, where we nurture a partnership between the family, patient, and healthcare team. 

October 24, 2023 | 6 min read

Hoping

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

Even when a cure is not possible, I try to show patients and their loved ones that there are other things for which to hope. 

May 24, 2018 | 2 min read

My Professional Totem

By Margaret Chisolm, MD, Johns Hopkins Medicine

A psychiatrist shares her story of how a painting by Raphael has reminded her of of why she wanted to become a doctor and what the profession of medicine is all about.

"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.

July 17, 2023 | 3 min read

Choreographing Clinical Care

By Hanghang Wang, MD, PhD, Johns Hopkins Medicine

Exceptional patient care is akin to a ballet performance. Synergistic team interactions, thoughtful decisions, and deliberate actions are all critical steps in the dance of patient care. 

Wye Valley, Wales, by Taylor Purvis, October 2018.

February 28, 2019 | 2 min read

From Film School to Medical School, (Part 2 of 3)

By Margaret Chisolm, MD, Johns Hopkins Medicine

Using both words and images, John Berger and Jean Mohr's photo-essay, "A Fortunate Man," provides an intimate glimpse into the role of the doctor: "To cure sometimes, to relieve often, and to comfort always."

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.

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.

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.

February 23, 2021 | 3 min read

Tips For Giving Medical Updates to Families

By Joshua Budhu, MD, Mass General

A physician’s disappointment in hearing surprises about his loved one’s condition sparked new insights on the value of regularly updating families about the patient.

March 7, 2023 | 6 min read

When The Doctor Becomes The Patient

By David Kopacz, MD, University of Washington

Cancer interrupted my personal and professional lives. Being a patient is an invitation to be human, something we often don’t have much time for in medicine. I am working to bring together the best of being a doctor, being a patient, and being a human being.

May 30, 2024 | 1 min read

Transparency and trust 

By Justin Colleran, patient, Ireland, Miriam Colleran, MD, St. Brigids Hospice & Naas General Hospital, Ireland

The delayed diagnosis of my brother's appendicitis highlighted the importance of honesty and accountability when medical errors occur. By openly acknowledging mistakes, doctors can rebuild trust. 

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.

May 14, 2020 | 3 min read

Stay at Home When Possible as Restrictions Ease

By Nina Shapiro, MD, University of California Los Angeles

It’s important to remind patients and loved ones that avoiding unnecessary socialization and travel can save lives.

May 18, 2020 | 2 min read

Remembering Our Call to Medicine

By Aidan Crowley, Medical Student, University of Pennsylvania

Remembering why we chose a career in medicine can perhaps bolster our sense of well-being and mitigate burnout.

August 17, 2022 | 2 min read

Listening to The How Can Reveal The Why

By Jeffrey Millstein, MD, Penn Medicine, Meshulam Twerski, medical student, Penn Medicine

The way patients express their reluctance to pursue screening can help uncover truths that guide meaningful conversations and build trust.   

March 6, 2024 | 2 min read

Both sides 

By Joanne Shay, MD, Johns Hopkins Medicine

I realized that I didn’t truly understand my patients’ pain until I experienced pain myself. This has allowed me to give even better care. 

May 3, 2022 | 5 min read

10 Pearls From Clinician Exemplars

By Ralph Hruban, MD, Johns Hopkins Medicine

We have much to learn from those who came before us. One example is working toward equity in healthcare, including fighting sexism and racism. 

August 28, 2018 | 4 min read

6 things you need to know about geriatric psychiatry

By Susan Lehmann, MD, Johns Hopkins Medicine

In older adults, as in younger people, poor mental health undermines general health, quality of life, and overall functioning. Given the dearth of specialty-trained geriatric psychiatrists and geriatricians, it is crucial for all clinicians to have skills in the diagnosis and management of common mental health conditions affecting older adults.

Independence Monument on the Maidan Nazalezhnosti. Kyiv, Ukraine.

March 17, 2022 | 1 min read

Hope in Times of Despair

By Eugene Shenderov, MD, DPhil, Johns Hopkins Medicine

As citizens we must work toward peace; as clinicians we must strive to heal and provide hope in the despair of illness. 

August 14, 2018 | 3 min read

Seeing Your Patients Through New Perspectives

By Patrick Hemming, MD, Duke University

We can enhance our patient care if we incorporate the perspectives of life story and behavior.

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.

July 17, 2018 | 4 min read

Being a True Patient Advocate

By Deborah Freeland, MD, Johns Hopkins University School of Medicine

Sometimes being an advocate for your patient means fighting for a decision that you don’t fully agree with and respecting their decision; in so doing, you are fulfilling your duty to protect and honor patient autonomy.

February 11, 2025 | 6 min read

“The Tao of Medicine” 

By David Kopacz, MD, University of Washington

The clinician's mindful presence and understanding of the patient's full humanity are as crucial to healing as technical skill. Let go of using language to define your experience; instead focus on the wisdom that can be found in the empty spaces between thoughts. 

December 15, 2021 | 1 min read

The Power of Humor

By Jennifer Eitingon, MD, Johns Hopkins Medicine

My dying patient taught me that laughter can sometimes normalize difficult situations. Finding humor in the problem lightened the mood and allowed us to devise a care plan that preserved her dignity.  

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.

January 27, 2025 | 2 min read

The green hospital 

By Nick Dalesio, MD, MPH, Johns Hopkins Medicine

Recognize the significant environmental impact of your healthcare practices. Advocate for and implement sustainable solutions, such as optimizing workflow to reduce waste and improve resource utilization. 

November 3, 2021 | 2 min read

Diagnosing And Treating Pain

By Rebekah Fenton, MD, Northwestern University

Always listen to your patients and make sure that they understand that you believe their experience of pain.

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.

July 16, 2018 | 2 min read

Commitment, Integrity, and Humility

By Luca Vricella, MD, Johns Hopkins University School of Medicine

Humility is what allows us to approach clinical challenges. Thus we should behave with humility to all of those around us: patients, families, and co-workers.

December 3, 2024 | 3 min read

Musical rounds

By Melanie Ambler, medical student, Stanford University

Music is healing. Ask patients about favorite songs or listen to a streaming service together and sing along. If you play an instrument, bring it to work to perform for patients.

October 28, 2021 | 2 min read

Dropping my Pen

By Howard Chang, Medical Student, Johns Hopkins Medicine

Excellent clinicians implement colleagues’ feedback to improve their care of patients and offer guidance to support the growth of others. 

Ruth and Carl J. Shapiro Gallery (Gallery 232), Museum of Fine Arts, Boston, featuring "Daughters of Edward Darley Boit," by John Singer Sargent (American, 1856–1925). Photograph by Flora Smyth Zahra.

June 6, 2019 | 7 min read

May Art Museum Challenge

By Flora Smyth Zahra, MA Clin Ed, DRestDent RCS, FHEA, Kings College London, Margaret Chisolm, MD, Johns Hopkins Medicine

The art museum is a space that has lessons to teach about clinical excellence, and fosters both the personal development and professional identity formation of clinicians.

September 28, 2023 | 1 min read

Out of Body 

By Jeffrey Millstein, MD, Penn Medicine

Even when clear and without excessive jargon, explanations of body processes can be confusing for some patients. Real world, non-medical analogies may be enlightening. 

Anchoring bias occurs when we rely too heavily on information received up front and too little on information received later when making a judgement about the most likely diagnosis. 

November 26, 2024 | 4 min read

Lessening the chances of making diagnostic errors 

By Elizabeth Fracica, MD, MPH, Johns Hopkins Medicine

To minimize common mistakes in diagnoses, clinicians must be mindful of cognitive and anchoring biases. Regularly seeking alternative explanations is one way to accomplish this. 

August 18, 2021 | 2 min read

Helping Students Transition to Wards

By Howard Chang, Medical Student, Johns Hopkins Medicine

I was nervous taking care of my first patient as a student on the medical wards. I felt more comfortable when I realized that even experienced clinicians don’t know everything, and of course they did not expect me to have all the answers.

September 11, 2023 | 2 min read

AI And Humanistic Care

By Daniel Brotman, MD, Johns Hopkins Medicine

In a clinical world that is increasingly algorithmic, what AI can NOT do is truly understand human emotions. Computers will never appreciate the joy and privilege of connecting with patients. 

November 21, 2024 | 2 min read

Building bridges with patients through writing

By Roshni Beeharry, MBBS, Kings College London

Reflective journaling can be used to help us step into our patient’s shoes to understand their unique challenges. Consider experimenting with this and other forms of writing.

"I learned that she didn't prepare full meals. Instead, she usually snacked on food between classes and rehabilitation."

August 17, 2021 | 2 min read

There’s More to The Story

By Alexis Coslick, DO, MS, Johns Hopkins Medicine

While treating a college athlete who wasn’t recovering as expected, taking the time to understand her story uncovered new details that informed her care.

April 16, 2019 | 2 min read

4 Lessons From 12 Years as a Patient-Doctor

By Julia Michie Bruckner, MD, MPH, Children\'s Hospital Colorado, University of Colorado School of Medicine

Our white coats are not shields; they could be traded in for a flimsy hospital gown at any moment. Keeping this in mind, we can think of how we want to be cared for when our time comes, and then give this level of care to others. We can honor our shared humanity and vulnerability in our practice.

August 10, 2021 | 2 min read

Cancer, Combat, And Patient-Centered Care

By Richard Schaefer, MD, MPH, Johns Hopkins Medicine

While caring for a pregnant soldier diagnosed with cancer, I was reminded that learning patients’ stories is vital. Doing so facilitates patient-centered care and meaningful relationships.

March 20, 2019 | 4 min read

Social History as Story

By Colleen Farrell, MD, New York University

We cannot understand our patients’ bodies if we do not understand something about who they are as human beings,

August 17, 2023 | 3 min read

The Hospital Playlist 

By Kerry Devlin, MMT, LPMT, MT-BC (she/her), Johns Hopkins Medicine

Consider the hospital soundscape and how it may impact patients’ well-being. To create a more soothing stay, silence or turn down monitors if possible. 

November 18, 2024 | 3 min read

Starting from scratch  

By Erica Richards, MD, Johns Hopkins Medicine

Eliciting detailed stories about patients’ experiences is invaluable in healthcare. Approaching history-taking in a thorough manner allowed me to discover that a brain tumor was causing a patient’s psychiatric symptoms. 

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.  

April 27, 2021 | 2 min read

Lessons Learned From Cancer During COVID

By Catherine Ling, PhD, Johns Hopkins Medicine

Encourage and support patients to schedule preventative screenings delayed during the pandemic. These are critical to ensure your patients’ health.

May 9, 2018 | 2 min read

Applying the Coaching Model to Medical Education

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

Coaching—direct observation of learners with feedback geared toward skills development—is an important way to teach individualized medical education. Outstanding coaches across disciplines share characteristics that can be applied in clinical coaching encounters.

May 30, 2023 | 2 min read

Artificial Intelligence: Artificial? Intelligent? Neither or Both?

By Matthew Peters, MD, Johns Hopkins Medicine

AI can complement the work of mental health professionals, in addition to performing clerical tasks and analyzing big data for insightful trends.

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