About Lauren

A physician. A medical educator. A founder. A TEDx speaker. And now, a coach who helps people choose what comes next.

Every pivot Lauren guides others through is one she has lived herself. That is not a tagline. It is the work.

Lauren Fine, MD: physician, medical educator, TEDx speaker, and decision coach

"I gave myself permission to add to the work, not abandon it. Now I help others do the same."

Lauren Fine, MD, FAAAAI

It started in medicine

A physician, first.

Lauren trained as a physician and became a board-certified allergist and immunologist. She built a clinical career, treated patients, and earned fellowship in the American Academy of Allergy, Asthma & Immunology. She still sees patients one day a week.

Medicine is not the chapter she left. It is the foundation everything else is built on.

A turn toward education

Then a question kept showing up.

The question was about teaching. Not what to teach, but how. How do you help a clinician learn not just what to know, but how to think? Lauren moved into medical education to follow that question. She is now Associate Professor and Assistant Dean of Clinical Skills Education at Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, faculty at the Harvard Macy Institute, and serves on national committees including the USMLE Test Material Development Committee at the NBME and the question writing committee for the American Board of Allergy and Immunology.

The teaching has been recognized: three Golden Apple Teaching Awards from her students, a Research Mentor of the Year recognition, and a Creativity and Innovation Award nomination from her faculty colleagues.

Building something new

Then she built a platform.

That same question, how do you teach reasoning rather than recall, became the seed of ReasonDx, an AI-powered clinical reasoning education platform Lauren founded. Building it taught her something she had not been taught in medical training: how to make a decision before the path is clear, how to hold uncertainty long enough for the right answer to arrive, and how to leave the script when the script no longer fits.

That experience, more than any single credential, is what she draws on as a coach.

The TEDx talk and the coaching practice

Then she started giving herself permission.

In January 2026 Lauren delivered a TEDx talk titled "Permission to Change" at TEDx New River. The talk grew out of a Substack newsletter of the same name, which grew out of conversations she kept having with friends, colleagues, and former trainees who were quietly stuck at their own inflection points.

What she heard, over and over, was not a problem of motivation or intelligence or even courage. It was a problem of permission. People knew what they wanted. They did not believe they were allowed to want it.

"I gave myself permission. Now I help others do the same."

That work is now the coaching practice. Decision coaching. Transition coaching. Personal statement coaching for the high-stakes story. Speaking and workshops on permission, pivots, and the power of knowing your own story. Lauren is currently completing ICF coach training.

What ties it together

The thread is the same.

Each pivot was a decision about what mattered, not just what was possible. That is the work Lauren helps others do now. Clarify the inputs. Map the trade-offs. Build the story that lets you choose, and live with the choice.

She is not a coach who talks about transitions from the sidelines. She has lived every pivot she guides others through, and she has not abandoned any of them along the way.

For the record

A few of the things that got her here.

Medicine

  • MD, board-certified allergist and immunologist
  • FAAAAI, Fellow of the American Academy of Allergy, Asthma & Immunology
  • Practicing clinician, one day a week
  • Question Writing Committee, American Board of Allergy and Immunology
  • Test Material Development Committee, NBME (USMLE)

Medical education

  • Associate Professor and Assistant Dean of Clinical Skills Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine
  • Faculty, Harvard Macy Institute
  • Three Golden Apple Teaching Awards (2023, 2024, 2025)
  • Research Mentor of the Year (2024)
  • Founder, ReasonDx (AI-powered clinical reasoning education platform)

Coaching, speaking, and writing

  • ICF Coaching Training in Progress
  • TEDx speaker, "Permission to Change" (TEDx New River, 2026)
  • Author, Permission to Change: Finding Your Ikigai (Substack)

Selected publications

  • New England Journal of Medicine, Letter (accepted 2026)
  • Academic Medicine (2025)
  • Diagnosis (2025)
  • Medical Science Educator (2025)
  • Journal of Clinical Hypertension (2025)

Want to talk about your next chapter?

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