CLOSLER

CLOSLER CLOSLER's MISSION
Stimulating healthcare professionals and trainees to reflect on giving exceptional

When caring for patients at the end of life, discuss the expected trajectory early on so they can take informed choices....
04/18/2026

When caring for patients at the end of life, discuss the expected trajectory early on so they can take informed choices. Your guidance may help patients and families align treatment with their values and spend time where it matters most.

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My experience with melanoma and subsequent autoimmune illness is a stark reminder for us all to validate patients’ exper...
04/12/2026

My experience with melanoma and subsequent autoimmune illness is a stark reminder for us all to validate patients’ experiences. This can help us avoid dismissing patient concerns.

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“Is a drug truly safe if the patient can’t manage the regimen at home? It’s time to move beyond the prescription.” - Rea...
03/27/2026

“Is a drug truly safe if the patient can’t manage the regimen at home? It’s time to move beyond the prescription.” -

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When supporting patients with weight management, focus on improving quality of life through sustainable habits instead o...
03/20/2026

When supporting patients with weight management, focus on improving quality of life through sustainable habits instead of just the number on the scale-

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Perhaps the most healing act was to be fully present—to listen, bear witness, and acknowledge his reality. Read more fro...
03/09/2026

Perhaps the most healing act was to be fully present—to listen, bear witness, and acknowledge his reality.

Read more from “The Last Appointment” at closler.org

When caring for older adults, limit tests and interventions where possible, spot cognitive red flags, and create clear a...
02/28/2026

When caring for older adults, limit tests and interventions where possible, spot cognitive red flags, and create clear and pragmatic care plans.

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Caring for patients with delirium requires coordinated medical management—like early mobilization, minimizing sedation, ...
07/02/2025

Caring for patients with delirium requires coordinated medical management—like early mobilization, minimizing sedation, and consistent re-orientation. Integrating familiar activities, like listening to music, may aid their recovery. 

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Finding professional flow requires assessing your inner values and the work environment. Finding harmony between who you...
06/30/2025

Finding professional flow requires assessing your inner values and the work environment. Finding harmony between who you are and what you do may help to prevent burnout and restore your joy in medicine. 

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To ensure nonjudgmental and equitable care of LGBTQ+ patients, call and chart people by their preferred name and pronoun...
06/27/2025

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. 

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Our words and actions, rooted in kindness, are powerful tools for healing. We can use them to mend what is broken in pat...
06/26/2025

Our words and actions, rooted in kindness, are powerful tools for healing. We can use them to mend what is broken in patients, colleagues, and ourselves.   

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The presence of loved ones at the bedside can anchor and orient older patients. In their absence, the medical team shoul...
06/26/2025

The presence of loved ones at the bedside can anchor and orient older patients. In their absence, the medical team should collaborate thoughtfully with the interprofessional team to provide social and emotional support. 

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When caring for patients who are unhoused, addressing food and housing insecurity is just as important as providing medi...
06/25/2025

When caring for patients who are unhoused, addressing food and housing insecurity is just as important as providing medical treatment. Prioritize building trust and ensuring psychological safety through trauma-informed interactions and a nonjudgmental approach. 

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CLOSLER: MOVING US CLOSER TO OSLER

CLOSLER was created by the Miller Coulson Academy of Clinical Excellence (MCACE), at Johns Hopkins University School of Medicine, as a place to share insight, inspiration, wisdom, new thinking, and resources regarding clinical excellence from and for healthcare professionals around the world.

Our mission

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

A tribute to Dr. William Osler