Explore every episode of the podcast DO.fm

Discover how food, movement, stress management, and everyday habits can play a powerful role in preventing and managing disease. In this episode, Bernadette Riley, Roberteen McCray, and Ronald Torrence discuss practical approaches to culinary and lifestyle medicine and how future family physicians can incorporate nutrition, physical activity, behavior change, and healthy eating strategies into patient care.

Discover how artificial intelligence is transforming clinical practice, medical education, and the day-to-day work of family physicians. This podcast introduces students and residents to practical AI tools, emerging technologies, and real-world applications that can enhance efficiency, support clinical decision-making, and improve patient care.

Learning Objectives

• Explain the current and emerging uses of AI in family medicine, including documentation support, clinical decision tools, and patient engagement technologies.

• Identify opportunities to integrate AI safely and effectively into clinical workflow while maintaining high-quality, patient-centered care.

• Recognize the limitations, ethical considerations, and best practices for using AI in medical training and early practice.

Speaker: Saroj Misra, DO, FACOFP dist.

Feedback is an essential part of medical training and professional growth. Jeremmy Fisher, DO, FACOFP, discusses practical strategies for giving and receiving feedback in clinical settings. Learn how to approach feedback conversations with confidence, apply constructive feedback to improve your performance, and strengthen relationships with preceptors and colleagues throughout your medical education journey.

Speaker: Jeremy Fisher, DO, FACOFP

In this episode, listeners will learn how to:

· Recognize the key components of effective and actionable clinical feedback.

· Seek, receive, and apply feedback to support continuous improvement.

· Develop communication skills that foster productive feedback conversations.

· Build stronger educational and professional relationships through meaningful feedback exchanges.

From his journey into family medicine to his role as ACOFP President, Greg Cohen, DO, FACOFP dist., discusses leadership, rural medicine, and the future of osteopathic family medicine. Dr. Cohen shares the experiences, challenges, and values that have shaped both his career and his passion for serving patients and mentoring future physicians. Hosted by Student Doctor Mercede Hess.

What does it mean to carry OMT forward into the “real world” of family medicine? Samantha Lease, DO, is third-year family medicine resident; she discusses how her relationship with hands-on medicine has evolved and continues to shape the way she practices, connects, and heals. Hosted by Student Doctor Mercede Hess.

Leigh Forbush, DO, a family medicine physician in Maine, explores his journey into Direct Primary Care (DPC). Dr. Forbush breaks down what DPC is, why he chose this model over traditional insurance-based practice, and how it reshapes the physician–patient relationship while staying true to osteopathic principles.

It is important to build self-confidence as a new physician-in-practice. Family Medicine resident Briana Krewson, DO, offers advice for finding a rhythm in clinical settings and adjusting to the independence of residency life.

Looking for honest advice for your first time stepping into a clinical setting? Chen Zeigerson, DO, a PGY-2 resident and member of the ACOFP Resident Council, shares tips for thriving on clinical rotations, including how to build strong relationships with preceptors, balance learning with self-care, and manage expectations. Hosted by Student Doctor Kelsey McKenna.

From blending holistic approaches with evidence-based care to fostering patient-centered wellness, Carol Penn, DO, FACOFP, shares insights, experiences, and the transformative power of integrative medicine in primary care. Hosted by Student Doctor Olivia Pavlich.

Carol Penn, DO, continues her discussion on the healing power of whole-person healthcare through integrative family medicine. Hosted by Student Doctor Olivia Pavlich.

Rebecca D. Szewczak, DO, FACOFP, Chief Medical Officer of St. Mary’s Regional Medical Center, discusses full-spectrum family medicine (FM) with obstetrics. Dr. Szewczak discusses her journey, the impact of OB on FM, and her leadership role within ACOFP. Hosted by Student Doctor Katie Metzler.

The “mechanics of labor” is a concept rooted in the teachings of Dr. Andrew Taylor Still, the founder of osteopathic medicine. Amanda Schoenfuss, DO, breaks down the “mechanics of labor,” highlighting how OMT can ease discomfort and support a smoother labor experience. Hosted by Saba Khan, DO, PGY-3.

OMS-IVs Rebecca Shaneck and Katie Metzler continue to discuss their experiences during their third and fourth years of medical school.

Student Doctor Olivia Pavlich sits down with OMS-IVs Rebecca Shaneck and Katie Metzler for a deep dive into their experiences during their third and fourth years of medical school. They discuss navigating clinical rotations, shelf exams, finalizing a specialty, and applying to sub-internships. Plus, they discuss the factors that went into their decision to take (or skip) the USMLE. They additionally highlight the importance of balance and staying connected to their passions.

Ryan Garbalosa, DO, FACC, is a cardiologist practicing in the Carolina East Health System in New Bern, North Carolina. He discusses cardiovascular disease and Type 2 Diabetes prevention and management.

Looking to incorporate OMT more effectively into your practice? Audrey Byrd, DO, a family medicine resident in Tulsa, OK, shares insights on integrating OMT into acute care visits in a primary care setting. She covers efficient, five-minute OMT techniques for common conditions like headaches, chest pain, abdominal issues, respiratory issues, and pelvic pain, offering tips on patient benefits, billing, coding, and documentation. Dr. Byrd also addresses the business side of medicine, beneficial for both patients and providers.

The Dillon’s Law is a life-saving law in Wisconsin that allows medically trained individuals to obtain and use epinephrine to save a person having a severe allergic reaction. Lenard Markman, DO, discusses his involvement in championing the creation of Dillon's Law and how those efforts are being taken to the national stage.

• Dillon’s Tragedy Becomes Dillon’s Law
• Dillon's Law at OMED '24: Training and Visibility

This transcript was created with the aid of automatic speech recognition technology.

Steve Legault: Hello, and welcome to the ACOFP DO.FM Advocacy podcast. I'm Steve Legault, the Director of Knowledge, Learning and Assessment and host for this episode.

Today, we're going to talk about an impactful story that began with tragedy, but transformed into an advocacy movement which has resulted in Dillon's law in Wisconsin, and with continued advocacy may find its way to the national level.

We're welcoming Lenard Markman, DO onto the podcast today as he was integral in getting this legislation passed.

Dr. Markman is a retired Osteopathic family physician in Wisconsin, and a member of ACOFP, welcome to the podcast Dr. Markman.

Dr. Markman: Thank you. It's great to be here.

Steve Legault: Alright. So for those that don't know about Dillon and why this began, can you give us some background on who he was and what happened to him?

Dr. Markman: Sure, actually, it's almost 10 years to this date. Dillon Mueller was a very healthy 18 year old young man in rural Wisconsin. He was an eagle scout and captain of the football team. He never had any health problems. He was actually helping one of his friends with yard work when he gets stung by a bee, a single bee. He got short of breath. Developed hives. He got weak. He had his friend call 911, and the first responders were there right away. But they did not have epinephrine. They did not have the medication they needed to save his life. By the time paramedics came from the nearby city. It was too late, he did not survive. His parents are very proud that he was an organ tissue donor, and over 30 people have benefited from his final gift.

Steve Legault: Thank you for that recap and background on the story. Can you tell me a little bit about how this evolved from like such a tragedy, and moved into a movement to make sure epinephrine is easily or more easily accessible.

Dr. Markman: Sure Wisconsin, Osteopathic association connected with Dillon's parents and we worked on creating what's called Dillon's law in Wisconsin.

This law lets anybody take an anaphylaxis training course get certified, take their certificate directly to the pharmacist and obtain epinephrine and use it wherever they go, and they're covered under state Good Samaritan law. This has been very popular legislation went through a hundred percent bipartisan.

We then created what's called the do it for Dillon anaphylaxis training program to date. We've trained over 5,000 people in Wisconsin, and 15 lives have been saved by people who've taken our course.

Steve Legault: You mentioned the State Society. How did you personally get involved in, you know, moving that legislation forward?

Dr. Markman: So I was actually president of the Wisconsin Osteopathic Association at that time and we decided we were the 1st professional organization to actually offer full support for to Dillon's parents, and we weren't sure exactly what to do and Dillon's parents actually had been thinking about trying to make epinephrine available over the counter and that didn't seem like a good possibility. We talked and decided that creating a law that simply lets anybody who's trained use. It makes more sense. Currently a school teacher in any state, a teacher, somebody at school who's trained to use epinephrine can save a child's life at school. But that same teacher or trained individual cannot save a child a block away at the city park or the community swimming pool. So we have trained people who aren't able to use their skills. And that doesn't make sense and that's what our state legislators decided. We worked with them. We discussed how we could best prevent these kind of tragedies from happening, and that's how we came up with Dillon's law.

Steve Legault: During the legislative process, did you run into any resistance in trying to get this passed? Did you have to convince any lawmakers why this made sense? And are there any tidbits you can kind of share with the audience?

Dr. Markman: Sure. So we were the 1st state to really create Dillon's law. So we actually had to create 3 separate laws. I call it Dillon's law. But there's Dillon's law, 1.0, 2.0 and 3.0. So we did it in stages because we weren't sure and didn't want any resistance to any part of the law, and a lot of people thought, oh, you can't have epinephrine, It's an injection. And really it just took a lot of educating personally with our legislators; and it makes sense. Almost everybody has somebody in their family or a friend who has anaphylaxis. So once people start really start thinking about it. It's like, Yeah, we can. We can do a lot better. We can get prepared for this.

Steve Legault: This is a great example of physicians being advocates and taking a grassroots movement, and really moving it along and being champions. So is there anything that you've experienced or learned during the process that you can share with other physicians? If they have a passion project or something, they've identified that they would like to solve in their communities? How would how would they go about that?

Dr. Markman: Yeah, actually, it's a lot easier on a state basis than I thought. Once you have a good idea of what you need to accomplish, like getting epinephrine more available, if you sit down and talk with your state legislators they have people who are bill writers. And they'll say, yeah, this is a good idea let's see how we can form this into a law and then it's just getting more people to join on board. Our bill was supported by all the health organizations in Wisconsin. And again, it's nice to be passing a bill that goes a hundred percent bipartisan.

Steve Legault: This is on the state level, I think you're looking to get this into the national conversation as well. Have you run into anything there? Is there anything that somebody listening to this could do to potentially help that effort?

Dr. Markman: Yes. So once we passed our law, one of the Osteopathic physicians from Minnesota knew a senator in Minnesota. It took one phone call to their Senator and Minnesota passed our form of Dillon's law in Minnesota within like 2 months, without any testifying or work at all.

We then shared it with Indiana. The executive director of IOA was the executive director of Indiana and Indiana Osteopathic physicians ran with this, and they got their Dillon's law passed in Indiana also.

So it's something that every State can do. We decided to take it on national level, just so we could get this all done at once. It's kind of like the School Epinephrine Bill. It really is a grant preference law that just says, if States pass Dillon's law then they'll be given higher preference for Federal grants that become available.

So it's nothing where there's any opposition, everybody's really in favor of it. It's just hard to get Congress and the Senate to move forward. So we have companion bills. We have a bill in the House and a bill in the Senate Companion bills that are both bipartisan.

So it just takes a little more push from people in each state to get their Congressmen and their Congresswomen and Senators on board. So in Wisconsin every single Congressman and Congresswoman has co-sponsored Dillon's law, HR. 3910.

This last week Senator Baldwin from Wisconsin co-sponsored Dillon's law, SB. 3575 in the Senate. So we only have one more Senator in Wisconsin, and he's already said when it comes out on a vote he'll definitely vote for it, but we want him to co-sponsor it now.

So it is getting people just to hear about it and talk to their Congressmen, Congresswomen, and Senators, and getting them to sign on to it.

Steve Legault: Well, thank you for sitting down and talking to us. And this is a great story of how physicians can be advocates. You're not only helping patients, but helping the entire country through legislation. So thank you so much for all the work you've done on this.

Dr. Markman: Okay, thank you.

Medical students receive minimal training in diet and exercise, but, according to Julie Brown, MMS, PA-C, RD, diet and exercise are crucial to patient care. Dr. Brown explores the role of nutrition in patient care and shares practical tips and essential facts to help students confidently address these crucial topics with their patients. Hosted by Student Doctor.

Gearing up for the residency match process? Wyatt Eikermann, DO, discusses everything you need to know about preparing for and succeeding in residency interviews. Hosted by Student Doctor Ciara Robb.

What are resolutions, and why are they so important? Members of the ACOFP Resident Council Resolution Committee explore the history of resolutions and advocating for the future of Osteopathic Medicine.

Shirin Doshi, DO, talks about nutrition and how it relates to diabetes technology. Dr. Doshi provides advice on eating habits and eating patterns, team-based approaches to nutrition, and how CGMs can influence eating and behavior.

Embrace your leadership identity where it matters the most. Bruce Williams, DO, FACOFP dist., discusses the essential qualities and strategies that shape effective student leaders in osteopathic medicine. Dr. Williams shares insights and practical advice for navigating leadership challenges. Hosted by Student Doctor Kelsey McKenna.

Understanding the uses and dangers of opioids is essential to patient pain management. Robert Agnello, DO, FACOFP, discusses the integration of opioid analgesics into treatment plans along with patient education, handling patient opioid use outside of prescribed use, and how to talk to patients about incorporating OMT into their treatment plan.

This month, Student Doctor Haley Schuster is joined by Dr. Misra, Dr. Smith, and Dr. Baylis for an insightful discussion on excelling in your third-year medical rotations. They share practical tips, expert advice, and real-life experiences to help you navigate this crucial phase of your medical education. Tune in for valuable strategies to build your knowledge, confidence, and skills to make the most of your rotations.

In celebration of Pride Month, Traci-lyn Eisenberg (she/her), DO, FACOFP, and Student Doctor Jay Wang (he/him) discuss the intersections of LGBTQ+ patients, family medicine, and advocacy. Dr. Eisenberg shares her experiences as a provider for the queer community, and Wang shares his perspectives and resources on how you can support the queer community.

Jay Shubrook, DO, FAAFP, FACOFP, discusses Type 1 diabetes (T1D). He delves into the importance of screening, early intervention, and patient-centered care. He also addresses the increasing prevalence in adults and modern technologies that are aiding T1D treatment.

Dr. Shubrook discloses relationships with Abbott, Bayer, and Novo Nordisk as a non-CE consultant and AstraZeneca, Eli Lilly, and Novo Nordisk as an advisory board member. This podcast has been reviewed by non-conflicted physicians to ensure any potential conflicts are mitigated.

Nicholas Pennings, DO, FACOFP, discusses the impacts of stigma and how to lessen them, new pharmacological therapies, behavioral approaches to treatment, and overcoming barriers to insurance coverage.

Dr. Pennings discloses relationships with Medifast as an independent contractor and Abbott as a consultant. This podcast has been reviewed by non-conflicted physicians to ensure any potential conflicts are mitigated.

How does a DO include OMT into everyday practice? Steven Ferreira, DO, discusses OMT with new patients, time management, and coding tips.

Not all medical career paths look the same. Joel Feder, DO, FACOFP dist., talks about medical mission trips, street medicine, and coming up through the Navy as a DO.

What is direct primary care (DPC)? Harpreet Tsui, DO, discusses DPC and emphasizes its advantages, including decreased administrative workload, adaptable scheduling, and enhanced patient care. Hosted by Student Doctor Katie Metzler.

Lauren Clemmons, DO, FACOFP, certified in the American Osteopathic Association - Family Practice, obtained her medical education at Lincoln Memorial University. Her residency and internship were completed at Manatee Memorial Hospital in Bradenton, Florida. Dr. Clemmons currently serves as assistant professor of Family Medicine and Osteopathic Principles and Practice at the Alabama College of Osteopathic Medicine. Hosted by Student Doctor Paranjaya Pokharel.

OMT is rapidly gaining recognition and popularity. Sara-Bethany Smith Weir, DO, a 2018 graduate of Alabama College of Osteopathic Medicine (ACOM) and assistant professor at ACOM, discusses OMT in daily practice. Hosted by Student Doctor Paranjaya Pokharel.

Jon Torres, DO, FACOFP, FAAO, discusses his experience becoming an advocate for his patients and the profession that set him on a path to run for state legislature. This episode is also captured as an ACOFP blog post, you can read it here.

What does it take to become a leader? Bruce Williams, DO, FACOFP dist., ACOFP Immediate Past President and member of the ACOFP Leadership Development Committee delve into the essentials of leadership, from first steps to the development of sustainable leadership qualities. Dr. Williams shares his wisdom and passion for developing the leaders of tomorrow and the opportunities that ACOFP provides. Hosted by Student Doctor Ciara Robb, the Vice President of the Student Association of ACOFP.

ACOFP's Director of Knowledge, Learning & Assessment, Steve Legault sits down with ACOFP Student Governor George Yang, OSM-II, MPH, to talk about leadership.

Bruce Williams, DO, FACOFP dist., is the current ACOFP President and Associate Dean of Clinical Education at KCU. He discusses what organized medicine means and how and why to get involved.

Student Doctor Sean Poole talks about his journey to family medicine and his experiences as a Black, Spanish-speaking medical student in clinical rotations.

Peter Bidey, DO, MSED, FACOFP, is the Assistant Dean of Clinical Curricular Integration and Assistant Professor and Vice Chair for the Family Medicine Department at Philadelphia College of Osteopathic Medicine. He is also on the Board of Governors for ACOFP. Dr. Bidey discusses his career in both family and academic medicine.

Being a physician is already taxing – how is it possible to balance both clinical and academic medicine? Michael Becker, DO, MS, FACOFP, Associate Dean of Clinical Education at PCOM discusses his path to family medicine, how ACOFP has been a through-line for his career, and how he finds balance. Hosted by Student Doctor Rachel Souza.

Does medical marijuana really offer health benefits? Katherine Galluzzi, DO, MPH, FACOFP dist., is a faculty member of Philadelphia College of Osteopathic Medicine and a family physician board certified in geriatrics, palliative care, and pain management. Dr. Galluzzi discusses her path to palliative care and her current research in medical marijuana.

How can academic medicine make a difference? Joseph Stasio, DO, FACOFP, Chair of the Department of Primary Care Medicine at RVUCOM-SU, explores his career in academic family medicine and how he still incorporates patient care into his work week.

Gratitude is the key to wellness and happiness. Stephanie Aldret, DO, and Gail Feinberg, DO, FACOFP, discuss the practice of gratitude, what it looks like in their lives as family physicians, and memorable moments of gratitude.

In celebration of National Primary Care Week, Johnny Stackhouse, DO, describes his experience in family medicine and the importance of primary care physicians. Hosted by members of the Student Doctors Nicole Green and James Wisdom.

Ronald Only, DO, is a family physician. Dr. Only explores his pathway and specialization in addiction medicine.

ACOFP members Andrew Crow, DO, and Garrett Kirkpatrick, DO, discuss the upcoming ACOFP 2022 Annual Convention and Scientific Seminars.

Where does the leadership ladder start? Jennifer Gwilym, DO, FACOFP, President-Elect for the Ohio Osteopathic Association, discusses what it looks like to climb the rungs of leadership. She describes what leadership looks like at every level, including how to find mentors and network with those that can assist you in your journey. Hosted by Student Doctor Alanna Meadows.

We have entered a new age in medical technology. Donna Baldwin, DO, discusses telehealth, its impact on family medicine, and what the future holds for current medical students. Hosted by Student Doctor Kevin Wolfe and Student Doctor Erin Herbstova, President of RVU's ACOFP Chapter.

Residency interviews can be nerve-wracking, but Garrett Kirkpatrick, DO, is here to help. Dr. Kirkpatrick discusses residency interviews, applications, leadership in Family Medicine, and more. Hosted by Student Doctors Sophia Barber and Megan Slattery.

In celebration of National Primary Care Week, Ethan Berg, DO, discusses the current climate and future of primary care, as well as how obstetrics and OMT fit into family medicine. Hosted by Student Doctors Karen Lai, and Simran Pandey.

Members of the ACOFP Resident Council continue to discuss their journey as osteopathic family medicine residents. The second portion of this two-part podcast covers ranking programs, what to do once you've matched, and managing a work/life balance. Hosted by National Student Executive Board President, Joe Li.