Koshin has served as the co-director of Contemplative Care Services of the Department of Integrative Medicine and as the chaplaincy supervisor for the Pain and Palliative Care Department at Mount Sinai Beth Israel Medical Center, where he also served on the Medical Ethics Committee for eighteen years. With his husband, Chodo Campbell, he co-founded the New York Zen Center for Contemplative Care, an educational non-profit dedicated to integrating contemplative approaches to care with contemporary medicine.

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