"COSMO isn’t just a course—it’s a framework that helps physicians lead with clarity, build trust through structure, and create momentum in conversations that matter most—with patients, teams, and peers.

This training transformed how I show up—not just as a clinician, but as a leader. It’s helped me pause to identify what needs to come together and reflect on what’s working or not.

Every medical physician and resident should have this course before they are out in final practice."

Jill A. Grant, MD, MS, FACEP

Assoc. Prof. of Emergency Medicine at Indiana University

"COSMO is applicable to all healthcare professionals, in any aspect of their life. I think it may help improve patient satisfaction. The opportunity to practice the concepts we were learning and then receive feedback from peers was so valuable."

Komivi X. Womitso, MD

Ast. Prof. of Clinical Family Medicine at Indiana Univ. Family Med. Physician at IU Health Primary Care

"Every manager in our organization needs to learn this framework! COSMO provides a shared language and structure to organizational thinking and change processes. These courses train leaders to communicate in ways that support their staff and build trust.

Before , when I saw problems on my team, I froze or avoided them. I knew I was failing short, but I didn’t know what to do differently... I now know how to have the needed or hard conversations that invite those issued forward—to help us move forward."

Regina Nuseibeh, MSN, RN, AG, CNS BC, TCRN

Manager of Trauma & Emergency Services, EMS Liaison for Franciscan Health

"Every week I looked forward to the prep and live cohort sessions. Interacting with others in the cohort and having a chance to learn from their experiences was incredibly valuable.

COSMO provides a good bridge for physicians and nurses to communicate with patients and families. Because it is a repeatable and consistent way of thinking, I’ve also found it helpful for communicating with colleagues and med students."

Kyle A. Robertson, PhD

Assist. Prof. at Indiana University

“I see problems. I see solutions. And I want to fix them right away, but often I haven’t provided enough clarity to others and then left people behind. COSMO gave me a structured approach, tools & language to create alignment, bring people through the process & help teams navigate change at a pace they can embrace.”

Shannon, MHA, OTR, CHT

Director Oncology Service Line at Franciscan Health

"Creating buy-in with my team doesn't come from having all the answers or solving problems myself. I use COSMO to ask clarifying questions so people become part of the solution. It creates respect, buy-in & shared ownership.
One thing I'll never be able to unsee is the importance of self-awareness. Learning how to calm myself during stressful situations has made me a better leader for my team."

David Reisman

Director Imaging for Franciscan Health Lafayette East

“Medicine is a team sport, but we aren't taught how to play well or effectively together. We aren't taught how to lead or given a common problem-solving language to use with our teams. The skills I learned through COSMO are what separate good physicians from average or struggling ones.

Every medical student needs COSMO before residency. So many of the leadership problems we encounter could be prevented if people learned this model and received this training.”

Chief Resident

Leading Medical Institution

“I've taken a lot of leadership classes—COSMO brought all the concepts I've learned into perspective. It helped me integrate and apply them in a structured format, in a way no one (and nothing) else has."

I used to feel like I was always ‘pulling things out of the air’ to try to communicate with my staff. Now, I visualize one of the COSMO illustrations and that’s really helped me (mentally track what’s happening) in communicating with them. When I ask a clarifying question, it stops downward spirals in conversations.”

Tracey Anderson, MSN, RN, CFRN

Nursing Manager, ICU, CVICU, Central Telemetry for Franciscan Health

“A lot of us are in change management processes as a leader—you're maybe in 10, 20 different change management projects, each at a different part of that journey. So being able to point to a tool like this (COSMO) to help a team member quickly see where we are at can be really helpful. This training provides tools to communicate with teams and share our work towards a common vision."

Healthcare Director

“Leadership can be hard. You’re often faced with difficult challenges that you’ve never seen before. Instead of feeling lost and ill equipped, COSMO provides a consistent framework for tackling those challenges with confidence and grace. COSMO is an essential tool for leaders.”

Dr. Kenitra Hendrix

Indiana ADDL & Clinical Professor at Purdue University

"When we lost an employee and the thought of training someone new honestly felt overwhelming. I reminded myself 'I don’t have to do this all by myself—we can do this together. Not everything has to be perfect—we are only human.' I leaned into my teammates and we used COSMO to come up with a plan and move things forward.

I've learned to ask better questions that help people find their own solutions. And when they hit a dip or plateau, I now have the language and strategy to help them realign, refocus & keep moving forward."

Marina Plunkett

CAISS, Trauma Registrar for Franciscan Health

"The COSMO scaffolding is more than helpful; it is essential in understanding not only where we are, but where we want to go, in a variety of life's venues. Healthcare professionals at any level of leadership will benefit from this training. These concepts will greatly impact my relationships with colleagues and my non-profit board."

D. Joy Riley, MD, MA

ED at Tennessee Center for Bioethics and Culture

"COSMO works well with both patients and coworkers because it’s consistent and easy to repeat. It helps quickly identify a patient’s misconceptions or disconnects and refocus the conversation."

Dr. Charles Fennie, DO

General Surgeon at Lafayette Surgical Clinic, Indiana

"This framework gave me a way to quickly identify what’s missing or needs attention when problems arise. The relational skills I gained gave me a whole new outlook as a leader. "

I feel more confident and I’m learning to stay curious and ask meaningful questions to gain understanding about my staff so I know how to better support them. I’m showing up more positively and I think they are seeing it—and it’s trickling down to them without them even knowing."

Tisha Biddle, CST, RN

Office Administrator at Unity Healthcare

"This is a must for every leader! I'm using COSMO with my team & because we're all learning the same framework, we're speaking the same language in meetings. It's helping me lead with more clarity.

The relational skills we gained helped me learn to slow down, get my emotions in check & then use COSMO to help me think about what to do next or come up with a plan."

Monette Cochran, RN

Trauma Program Manager

"COSMO is an adaptable framework. As a coach, it helps me take clients through uncomfortable dialogues by clarifying huge concepts or ideas. My husband and I use this approach to future-cast our business, which helps us see important outcomes."

Dr. Erin Bader, RN, LMFT, ACC

"We had lost an employee & I was completely overwhelmed thinking about having to train someone new. What I learned in these courses helped me realize I'm only human—I don't have to do it all myself & it doesn't have to be perfect. COSMO helped me create a plan and move forward with confidence."

Bailey Cunningham, RN

CST at Unity Healthcare

"These classes are absolutely essential for any leader or coach. You will learn a framework that simply yet powerfully sheds light on the complete process to achieve any desired outcome. This is the best training I have taken in many years. It has changed the trajectory of my personal and professional life."

Dr. Sara Barber, DVM

Co-Founder, Foundation Livestock Services

“Two of my biggest take-aways: slow down and stop assuming. What matters to other people isn't always what matters to me & just because I see a problem doesn't mean they see it the same way. I've learned that relationships, understanding different perspectives & keeping people aligned and moving in the same direction are essential to solving problems.”

Medical Resident

"This course came at a really difficult time for me as a leader. Our department was going through a big transition & my team was at a very low point. Through the breakout sessions and talking with other leaders, I realized I wasn't alone, which helped build my confidence back up.
Over the transition, my team is doing better than ever. The positivity is there. The momentum is there. I've learned I need to ask more clarifying questions, be more curious, have more empathy & use those tools to keep the momentum going. This course really helped me see that it's possible—you just have to use the tools to get there. It's been wonderful."

Lori Baker

Respiratory Manager at Franciscan Health

"COSMO provides a framework to get to the heart of the matter whether one is assessing a patient, leading a team, or coaching a client. Using COSMO illuminates gaps and highlights areas of questions that will lead to increased awareness and forward movement.

This content is relevant for all PTs, OTs, SLP, healthcare leaders and administrators, as well as in healthcare programs in universities and continuing education."

Perry Ashley, PT, ACC

Founder of Perry Ashley, LLC

“You'll gain an organized, repeatable method to help you think through any leadership scenario, solve problems & communicate in a way that builds cohesion and improves satisfaction for your team and everyone you interact with.”

Chief Resident

“I wish I had this COSMO framework 20 years ago. It codifies everything I ever did as a leader… I can’t think of a more collaborative way to hold conversations around strategic planning.”

Tom Herrick

Former Senior VP for Fidelity & Founder of XP Leadership

"The COSMO Advantage class was worth more to me than my entire law school education. COSMO rewired my brain to look at every situation through a systematic, adaptive framework. I wish I had taken this class years ago."

Ryan McCarty

Attorney, Founder Zero-Point Coaching