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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 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. 

"Wheat Field with Cypresses," Vincent van Gogh, 1889. Metropolitan Museum of Art.

May 7, 2019 | 2 min read

Finding Balance

By Danielle Johnson, MD, Lindner Center of HOPE, University of Cincinnati

Small gestures while supporting patients through trauma and grief can make a big difference.

"Enlightenment," by David Kopacz, 2020.

December 28, 2020 | 6 min read

Medical Activism: A Foundation of Professionalism

By David Kopacz, MD, University of Washington

Clinicians should expand their definition of professionalism to include working for societal change to improve the health of all.

December 6, 2022 | 1 min read

The Helpful Role of Doulas

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Talking with expectant parents about support options can help them make informed decisions about birth plans. Doulas have been associated with a more positive delivery experience.  

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.

September 18, 2018 | 3 min read

No Blushing! How to Talk About Sex With All Patients

By Helene Hedian, MD, Johns Hopkins University School of Medicine

Engaging in open, nonjudgmental discussions about patients’ sexual health provides an opportunity to assess risk, screen for sexual dysfunction, provide counseling, and offer appropriate vaccinations.

September 6, 2018 | 2 min read

The Power of Finding Common Journeys Between You and Your Patients

By Sherita Golden, MD, MHS, Johns Hopkins University School of Medicine

Our patients are deeply impacted by their community experiences outside of the healthcare setting. As physicians it is imperative that we lead by example in understanding our patients’ social challenges so that we can more comprehensively address their medical issues by treating the “whole person” and not just the disease.

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.

July 11, 2022 | 5 min read

Navigating Power Relations in Healthcare

By Hailey Haffey, PhD, University of Utah

We must be aware of the power we have in relation to our patients. This imbalance must only be used in the service of care.   

April 28, 2025 | 3 min read

Spotting victims—human trafficking is not uncommon 

Healthcare professionals have a unique opportunity to identify and help victims of human and labor trafficking. Read on for practical tips for how to recognize and support these patients. 

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.

December 9, 2024 | 2 min read

Unmasking unconscious bias 

By Lillie Shockney, RN, MS, Johns Hopkins Medicine

Healthcare professionals must be vigilant against implicit bias, particularly racial bias, which can lead to delayed diagnosis and poorer outcomes for marginalized patient populations. 

November 8, 2021 | 1 min read

Lessons Learned From 30 Years of Night Shifts

By Kimberly Turner, MD, Johns Hopkins Community Physicians

Patience, stamina, and fortitude are important traits to cultivate in medicine at any and all times.

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.

May 29, 2018 | 2 min read

Love At First Sight

By Margaret Chisolm, MD, Johns Hopkins Medicine

A clinically excellent physician always takes the time to ask his/her patient about the history of substance use in their parents and siblings, as well as aunts, uncles, grandparents, and cousins; and always asks about adoption.

June 3, 2024 | 2 min read

Book review: “Everything I Know About Love” by Dolly Alderton 

By Scott Wright, MD, Johns Hopkins Medicine

This page-turner about friendship reminds readers that relationships are not easy and require sustained care and attention. In medicine and life, this can lead to meaningful and loyal bonds. 

June 29, 2021 | 2 min read

Making Jewelry With my Patients

By Deirdre Johnston, MBBCh, MD, Johns Hopkins Medicine

Some clinicians are lucky enough to interact with patients outside of medical encounters. In such settings, recognition of additional facets of their personalities may become evident, which will strengthen the patient-clinician relationship.

August 19, 2019 | 6 min read

Holding Hope

By Jennifer Goetz, MD, Massachusetts General Hospital and McLean Hospital

By highlighting the strength and courage of our patients, we can sustain hope for our patients and their families.

May 19, 2021 | 3 min read

Clinical Training Translating to Clinical Excellence

By Jennifer Spicer, MD, MPH, Emory University

Bias awareness achieved in teaching/learning can transfer to the clinic. Thus learners can help clinicians become aware of bias toward patients.

rainbow hearts

July 29, 2019 | 1 min read

Book Review of “Tomorrow Will Be Different”

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

Clinicians are well positioned to be advocates for transgender persons and communities. In listening compassionately to our patients' personal narratives, we can understand how to best meet the needs of each individual.

May 6, 2021 | 3 min read

Plus ça Change: The Rise And Rise of Syphilis

By Matthew Hamill, MBChB, PhD, Johns Hopkins Medicine

Syphilis cases have reached an all-time high. To turn the tide, the first thing we need to do is ask patients an open-ended question about sexual activity, like "When was the last time you had sex?"

December 21, 2023 | 2 min read

Night owls

By Sara Benjamin, MD, Johns Hopkins Medicine

When patients say they often feel drowsy during the day, discuss a sleep routine that fits with their schedule. And remember to screen for sleep apnea. 

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.

"New Zealand Landscape," original artwork by the author, 2011.

July 18, 2019 | 4 min read

Circle Medicine: A Holistic Approach to Health for Clinicians and Patients

By David Kopacz, MD, University of Washington

It can be helpful to see the circle path of the hero's journey as the healer's journey, the path that we take through our lifelong medical education. For the true healer, this is not a journey we make just once, but periodically we embark on exploring new depths of the suffering of the world, reaching deep into ourselves to find new resources for healing to bring into our work and world.

"Rebirth," original artwork by the author, Megan Gerber, 2018.

July 8, 2019 | 4 min read

Angry Hope: Moving Towards Healing-centered Engagement After Trauma

Trauma is common in human experience, and clinicians must be cognizant of its impact on past, present, and future health of patients.

March 29, 2024 | 4 min read

Using affirming language with LGBTQIA+ patients

By Christopher Clayton, MD, New York, New York, Lila Flavin, MD, New York, New York

To show respect for patients, consider asking them about their gender identity, sexual orientation, and preferred pronouns.

June 18, 2019 | 2 min read

Navigating the Uncertain: A Book Review of “The Laws of Medicine”

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

Siddhartha Mukherjee, MD, provides a framework to reconcile the uncertainties we constantly experience in our practice of medicine in his book, "The Laws of Medicine."

February 25, 2021 | 2 min read

How You Can Help With Intimate Partner Violence

By Lisa Geller, MPH, Educational Fund to Stop Gun Violence

Intimate partner violence (IPV) is a public health crisis and most deadly when a gun is involved. Clinicians should screen patients for IPV, ask about firearm possession, and refer those at risk of IPV to appropriate services.

May 1, 2018 | 2 min read

How Sweet It Is

By Wilma Ferthler, MD, Rural Country Doctor, Northeast Kingdom, Vermont

We have the responsibility to pay attention to the family members who accompany patients to their visits.

February 8, 2023 | 2 min read

Taking Time For Pizza

By Heather Agee, MD, Johns Hopkins Medicine

When possible, take time to share dinner with colleagues and friends. This is a gift we can give ourselves to help decrease work stress.

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.

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.

March 18, 2019 | 2 min read

The Truth About Sex

By Khalil Ghanem, MD, PhD, Johns Hopkins University School of Medicine

How you phrase questions when obtaining a sexual history can mitigate the impact of social desirability bias and enhance the accuracy of the information that is obtained.

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.

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.

September 3, 2020 | 3 min read

See Something, Say Something

By Kali Cyrus, MD, MPH, Johns Hopkins Medicine

Being an ally for justice to patients and colleagues requires taking action. Doing or saying something, literally anything, when someone is mistreated is better than nothing.

September 2, 2020 | 4 min read

A Call for Advocacy in Medicine

By Sara Wallam, Medical Student, Johns Hopkins Medicine

Systemic racism is prevalent throughout our society. To dismantle disparities in health outcomes for minority patients, clinicians must advocate for their patients at the local level and for communities on a regional and national scale.

September 1, 2022 | 2 min read

“Ticking Time Bomb”

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

If you use a metaphor when speaking with patients, make sure to choose ones that don’t cause unnecessary alarm. 

July 18, 2022 | 2 min read

How to have effective discussions about alcohol 

By Beth McGinty, PhD, Johns Hopkins Medicine, Mike Fingerhood, MD, Johns Hopkins Medicine

Talking with patients about the risks of heavy alcohol consumption and the benefits of change can have a positive impact on their health. 

February 26, 2018 | 3 min read

Creating a welcoming experience for LGBTQ patients and families

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

Doing what has been done before will only lead to more of the same for patients who have been discriminated against in society and in healthcare. Be prepared to enter uncharted territory, seek to educate yourself about the unique healthcare needs of your patients.

April 22, 2025 | 5 min read

Let the language live 

Daily clinical interactions, marked by honest communication and empathy, hold unique power for healing and justice. 

June 4, 2020 | 2 min read

Breaking the Silence—How to be an Active Bystander

By Ashlyn McRae, Medical Student, Johns Hopkins Medicine, Lisa Cooper, MD, MPH, Johns Hopkins Medicine, Matthew Crane, Medical Student, Johns Hopkins Medicine, Rachel Thornton, MD, PhD, Johns Hopkins Medicine

Everyone should speak up when witnessing unprofessional behavior. This supports learners, advances health equity, and improves patient outcomes.

13 Norham Gardens, the Osler's home in Oxford from 1907 until their deaths.

June 6, 2018 | 1 min read

Open Arms: The Welcoming Spirit of the Osler Residence

By Margaret Chisolm, MD, Johns Hopkins Medicine

Although we might not all live in a “substantial Victorian house” like William Osler’s, we can all embrace the welcoming spirit of “The Open Arms,” and invite more of our learners into our homes for informal meetings, mentorship, and maybe even tea.

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.

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.

January 8, 2020 | 1 min read

Medical Overuse: When the Care we Give Doesn’t Help

By Daniel Morgan, MD, University of Maryland

The clinically excellent clinician must commit to reducing overuse.

October 26, 2021 | 3 min read

What is The Scope of a Clinician’s Work?

By Margaret Chisolm, MD, Johns Hopkins Medicine

We must help our patients achieve a state where body, mind, and spirit are working as a whole. We can help them do more than survive. Let’s help them thrive!

July 23, 2024 | 3 min read

The last gaze: witnessing a peaceful death 

By Michael McCarthy, MD, Johns Hopkins Medicine

In Abraham Verghese’s novel “Cutting for Stone” I learned about how to help patients face death. This includes considering the role of spiritual support and ensuring patients feel cared for in their final moments. 

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.

August 1, 2018 | <1 min read

Introducing “A CLOSLER Look”

By Gretchen Miller, Managing Editor

Check out the first video our new weekly series, “A CLOSLER Look,” featuring short and sweet interviews with clinically excellent physicians. On tap today - psychiatrist Dr. Margaret Chisolm.

Our Mission

Stimulating healthcare professionals and trainees to reflect on giving exceptional care to every patient.

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