Dixie J. Tooke-Rawlins, DO, FACOFP, discusses what it takes to lead a college of osteopathic medicine as a president and provost, the changes she has seen in osteopathic family medicine and education, what her greatest accomplishments have been thus far and what advice she has for the next generation of leaders in osteopathic family medicine. This is the second podcast in the DO.fm Women in Leadership podcast series, hosted by ACOFP President Nicole Bixler, DO, MPH, FACOFP dist.