
What is Metamorphosis Medicine?
Speaking unfettered truth, fueling personal transformation and reimagining Medicine. By doctors, for doctors.
Metamorphosis Medicine is a toolkit, an ever-expanding collection of original and curated content, points of view, experiences, practices, and strategies, combined with guidance. These resources are a Missing Curriculum, designed to help doctors achieve the most fulfilling expression of our profession, tailored to define a fulfilling, transformative, personal journey.
METAMORPHOSIS MEDICINE BULLETIN BOARD
March 13, 2025
Portland, OR
Today is Day 17 of (paid) administrative leave for Dr. Jennifer Lincoln, an OB-GYN hospitalist in the Providence Healthcare System who went on strike along with other hospitalists and nurses in January 2025 and was an articulate, vocal presence on the strike line and in social media. Not surprisingly, she was placed on leave the day she returned to work after the union successfully negotiated new contracts for nurses and doctors at 8 Oregon Providence facilities. Click on Learn More to connect with her website, which also has links to her social media sites. Her instagram is updated regularly, and you can track the strike activities there to see how that progressed. My Close to the Bone with Lauren Kosinski, MD Substack post predicted that she would face this struggle post-strike.
Upaya Zen Center
ONLINE (from Santa Fe, NM)
March 23, 2025 through July 20, 2025
THE FIVE REMEMBRANCES is a 5-part, online course offered by the Upaya Zen Center and Frank Ostaseski, the offer of the amazing book The Five Invitations that I consider an essential resource for the Missing Curriculum. The program will convene on 5 dates (March 23, April 27, May 18, June 8, and July 20, 2025) online from 10-noon Mountain Daylight Time. The base price of the program is only $200 though contributions above that amount will be gratefully received by the nonprofit Upaya Zen Center. The program is relevant for clinicians, caregivers, and anyone interested in exploring what facing death can teach us about living fully. From the program description: “Embracing their truth encourages and supports us to live with greater intimacy: to act, speak, touch, and love one another in ways that deeply reflect an understanding of constant change, freeing us to be more alive and present.”
Upaya Zen Center
Santa Fe, NM
May 9 to May 16, 2025
BEING WITH DYING is an in-person program offered at the Upaya Zen Center. While this CME-accredited course has a primary focus on skills to help clinicians navigate treating patients with serious illnesses and end of life care, it is so much more than that. It is hands-down the very best instruction in being present to suffering in others and in ourselves and how to be fully aware without tipping into overload. Using multiple experiential modalities, there is ample opportunity to experience and work with building compassion and learning to face difficulty and strong emotions with what Roshi Halifax calls “a soft front and a strong back.” The program is equally about understanding a sensible and kind analysis of the causes of burnout and specific instruction in how to avoid it or recover from it.

Ten Initiatives to Heal Medicine
Published on Close to the Bone with Lauren Kosinski, MD and LinkedIn in January 2025.
Before you write these off as unachievable, consider what practice could look like if these initiatives were realized. We have to imagine what we want to build. To the extent we believe we’re stuck, we are stuck.
1. The difference in income between the lowest paid and the highest paid person in medicine should be no more than 10x.
2. Forgive all medical school debt and establish debt-free medical education.
3. Make residency a sustainable lifestyle.
4. Establish the Functional Medicine model as the foundation for clinical instruction.
5. Every doctor should write and continually update a Personal Practice Prescription at every stage of clinical training and practice.
6. Reframe and restore physician professional accountability.
7. Continual rebalancing of the 3 priorities of medicine: intellectual engagement, prosperity, and meaningful work.
8. The practice of medicine should not make doctors sick or sick at heart; we should thrive because of our practices, not despite them.
9. Establish a single payer system that covers everyone and includes wellness activities.
10. Know your doctor origin story.
2025
Here’s what’s on the table for the coming year
Establishing Metamorphosis Medicine as a nonprofit organization
Continuing to clarify how industrial healthcare is NOT Medicine
Organizing CME credit for Metamorphosis Medicine events
Continuing work as a conscientious objector and an uncensored voice that champions medicine and the healing arts as distinct from industrial healthcare
Coming soon: an untraceable, secure channel for doctors to report their experiences
I’ll be writing more personally (yet still also analytically) about the experience of being a doctor who imagined a very different, soul-centered career and what it has been like to find and be that change. Because of the more explicitly personal nature of this writing, I’m moving it to a different platform:
Hello
I’m Lauren Kosinski, MD, Creator of Metamorphosis Medicine
What I bring to the table:
25+ years in clinical surgery in diverse practice settings, from solo general surgery practice in Alaska to subspecialty academic colorectal surgical practice
Jungian (Analytic) Psychology Training Candidate (over 600 class hours), ISAPZurich (Switzerland)
Certified yoga teacher with 700 hours of yoga teacher and integrative therapy training hours
Creation and management of The Seed House, a wellness center and prototype
Life Atlas Consultant and Gifts Compass Inventory Advisor Certifications
Master’s degree in Health and Medical Sciences
3 years as executive director of a small surgical research foundation
MBA Essentials Certificate from the London School of Economics
My humanity

Are you living the life you imagined when you dreamt of being a doctor?
One-to-One Work
Guided Experiences
Instead of struggling to fit into a profoundly dysfunctional system, make a different choice.
Pick up the thread and power of your Personal Myth.
Map your authentic path.
medicines
Things to support you in your practice
TOOLS, RESOURCES, REMINDERS
Some free, some paid.