He built a wildly successful medical practice… and realized it wasn’t the life he wanted. In this episode of the Out of the System Podcast, Dr. Tracy Gapin shares how identity, trauma, and business design shaped his journey from hands-on physician to visionary leader building scalable systems that free both doctors and patients.

He achieved what most physicians are taught to chase. Status, revenue, mastery. Yet something still felt off. In this episode of the Out of the System Podcast, Dr. Tracy Gapin opens up about how becoming a doctor was originally an escape from childhood trauma, and how that identity later shaped the way he built, overcontrolled, and ultimately reimagined his practice.

Our conversation explores the shift from being the bottleneck to becoming the visionary, the power of systems and delegation, and why true scaling requires trust, both in your team and yourself. We also dive into health optimization, hormones, peptides, longevity myths, and why better outcomes come from structured foundations, not silver bullets.

Dr. Tracy Gapin is a board-certified physician, former urologic surgeon, and founder of Peak Launch and the Gapin Institute. After leaving traditional medicine, he built a precision health optimization practice focused on hormones, metabolic health, data-driven care, and scalable systems.

Today, Dr. Gapin works primarily as a visionary leader, training and licensing physicians to deliver structured, high-impact programs without burnout. His work bridges medicine, entrepreneurship, and personal transformation, helping doctors reclaim autonomy while improving patient outcomes.

Websites:

https://peaklaunch.com/

https://drtracygapin.com/

https://gapininstitute.com/

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He did everything medicine told him to do… and it nearly cost him his life. In this episode of the Out of the System Podcast, Dr. Joshua Schacter joins us to share how burnout, loss of autonomy, and a broken insurance model pushed him to rebuild medicine around time, integrity, mindset, and truly patient-centered care.

He reached the top of his profession… and realized something was deeply wrong. In this episode of the Out of the System Podcast, Dr. Joshua Schachter shares how years inside hospital-based medicine quietly stripped autonomy, connection, and meaning from his work.

We explore what happened when he stepped outside the system and began rebuilding care around time, mindset, and patient-first decisions. Our conversation also delves into why burnout isn’t a personal failure, how inherited training shapes physician behavior long after residency, and what becomes possible when doctors reclaim agency over how they practice and how they heal.

Dr. Joshua Schacter is an orthopedic surgeon and the founder of Pinnacle Integrative Orthopedics and Sports Medicine. After more than a decade in a hospital-employed role, performing thousands of surgeries and holding multiple leadership positions, he reached a breaking point with burnout, loss of autonomy, and volume-driven care.

Today, Dr. Schacter practices integrative, cash-based orthopedics focused on time, mindset, functional medicine, and patient-centered healing. He has built a practice rooted in integrity, joy, and sustainable outcomes for both patients and physicians.

Website: https://pinnaclesportsmedicine.com/

Instagram: https://instagram.com/drjoshuaschacter/?hl=en

LinkedIn: https://linkedin.com/in/joshua-schacter-do-faaos

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From the court to the green, one coach shares the lessons that go far beyond the game. In this episode of the Out of the System Podcast, Bob Regnerus shares his journey from coaching basketball to golf, exploring personal growth, purpose, and the importance of connection. He discusses overcoming trauma, embracing discomfort, and helping others reconnect with their true selves.

From the basketball court to the golf course, one coach reveals the lessons no playbook can teach. In this episode of the Out of the System Podcast, Bob Regnerus joins us to share a decades-long coaching journey, from youth basketball to high school and eventually golf, highlighting the lessons learned along the way and reflecting on how personal experiences, loss, and grief shaped his approach to coaching and leadership. He also explores the importance of embracing discomfort, understanding one’s true purpose, and fostering meaningful connections. Bob shares insights on breaking free from generational trauma, navigating limiting beliefs, and finding fulfillment by helping others reconnect with their authentic selves. Our conversation also highlights the distinction between building an empire and creating a lasting legacy, emphasizing awareness, gratitude, and service as keys to personal and professional growth. Tune in to hear his story, gain practical insights, and discover how you can create impact both on and off the field.

Bob Regnerus is a coach, mentor, and entrepreneur with over three decades of experience guiding high performers in life, business, and sport. He coached basketball for nearly four decades and now serves as Head Golf Coach at his high school alma mater, blending personal growth with athletic development.

As a marketing strategist and author, he has helped thousands tell their stories through Facebook advertising and video marketing. He also created SPARK Sessions™ and SPARK Tee Time™, coaching approaches that foster clarity, awareness, and transformation. Bob’s mission is to help people see themselves clearly, trust what they know, and approach life with a lighter grip and a more joyful heart.

Website: BobRegnerus.com

LinkedIn: Linkedin.com/in/bobregnerus

X: X.com/BobRegnerus 

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He had done everything ‘right’—until burnout forced him to question the entire system. In this episode of the Out of the System Podcast, Dr. Rowan Paul shares why he left insurance-based orthopedics, how time with patients transformed outcomes, and what regenerative medicine, data, and human connection are teaching him about real healing.

He followed the traditional path until burnout forced him to confront what medicine had become. In this episode of the Out of the System Podcast, Dr. Rowan Paul shares the moment he realized the system was preventing him from being the doctor he set out to be.

We explore his shift from insurance-based orthopedics to a regenerative, cash-based practice built on time, data, and connection. Dr. Paul explains why patient outcomes improve when doctors slow down, how tracking real-world data transformed regenerative medicine, and why healing requires more than procedures—it requires listening, trust, and restoring the art of medicine.

Dr. Rowan Paul is an orthopedic surgeon and regenerative medicine specialist with over two decades of experience. Trained at Brown University, Albany Medical College, Stanford, and the University of Utah, he spent years in high-volume orthopedic practice before stepping away from insurance-based medicine.

He is the founder of RegenCore Method, co-founder of Launch Regenerative, a board member of multiple regenerative medicine organizations, and a leader in outcomes-based research through Data Biologics. His work focuses on restoring the art of medicine through time, data-driven care, and patient-centered healing.

Website: LaunchRegenerative.com

Website: RegenCoreMethod.com/ 

LinkedIn: Linkedin.com/in/rowanpaulmd/

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He sat inches from the man who murdered his mother—and stayed calm enough to listen. In this episode of Out of the System, Dean Smith shares how forgiveness, grief, and daily inner work transformed revenge fantasies into freedom, and why making forgiveness a priority reshaped his life, his family, and his coaching.

He boarded a plane to meet the man who murdered his mother—not with rage, but with forgiveness. In this episode of the Out of the System Podcast,  Dean Smith shares the story behind that day and the choice that altered the course of his life. Sitting face-to-face with his mother’s killer, he had already done the inner work that kept the moment from turning violent. Dean explores how forgiveness unfolded over time—rooted in early influences, tested in adulthood, and built through imperfect but intentional practices. He reframes forgiveness as a daily way of living, not a single decision, and reveals how it transformed how he loves, leads, and coaches others. The conversation closes with a moment few believe is possible: a family once consumed by anger choosing forgiveness—and showing what it looks like when it’s lived out in the real world.

Dean Eric Smith is a coach, speaker, and author. His work is shaped by a life-changing journey: after his mother was murdered when he was 12, Dean spent years wrestling with anger, grief, and the weight of unforgiveness—until he committed to making forgiveness a priority.

He is the author of ‘The Forgiveness Habit’ and was featured in the documentary ‘Live to Forgive’, which follows his decision to meet the man who killed his mother and pursue a path of freedom, healing, and purpose.

Today, Dean helps leaders and couples build healthier mindsets, stronger relationships, and greater presence through intentional daily practices.

Dean Smith

Website: http://deansmithcoaching.com

Instagram: http://instagram.com/dean_eric_smith

YouTube: http://youtube.com/@livetoforgivetoday

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Some doctors talk about integrity. Dr. Don Buford lives it. In this episode of the Out of the System Podcast, Dr. Buford, founder of Texas Orthobiologics, joins us to open up about the early influences that shaped his relentless commitment to truth, continuous improvement, and bringing clarity to the often-confusing world of orthobiologics.

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Some careers are built in classrooms while others are forged through lived experience, discipline, and a deep sense of personal responsibility. In this episode of the Out of the System Podcast, Dr. Don Buford joins us to share how the values that guide his work today were formed long before he ever entered medicine.

Growing up in a popular baseball family, he learned accountability, continuous improvement, and the importance of doing things the right way. Combined with years of competitive sports, these lessons shaped his mindset as a surgeon and leader in orthobiologics. Through personal stories, he shows how truth-seeking, humility, and a refusal to cut corners guide his mission to educate, elevate standards, and help practitioners make patient-centered decisions.

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Dr. Don Buford is an orthopedic surgeon and leading educator in orthobiologics whose career is built on a foundation of integrity, discipline, and a relentless commitment to doing what’s right for patients. He is the founder of Texas Orthobiologics, a clinic where patients can get an unbiased orthopedic diagnosis and a complete discussion of their nonsurgical and surgical treatment options. Long before entering medicine, the values that guide his work today were shaped by his upbringing in a prominent baseball family and years of competitive sports, where accountability and continuous improvement were non-negotiable.

Dr. Buford focuses on helping clinicians cut through hype, understand what truly works, and elevate their practice with clarity and confidence. His work blends technical expertise with a grounded personal philosophy rooted in honesty, humility, and the pursuit of excellence.

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Don Buford, MD

Website: texasorthobiologics.com/

LinkedIn: linkedin.com/in/donbufordmd

YouTube: youtube.com/user/donbufordmd

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PODCAST

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Most doctors are one great front desk hire away from a completely different practice. In this episode of the Out of the System Podcast, Tom Jackobs shares how nearly going broke in his fitness business forced him to master scripts, sales, and appointment setting, and how those same skills now help concierge and functional medicine doctors build cash-pay practices, train their phones team, and finally get over their fear of ‘being salesy.’

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Most doctors don’t have a sales problem. They have a front desk and a money mindset problem. In this episode of the Out of the System Podcast, Tom Jackobs tells his story of opening a fitness and nutrition center in 2008, blowing through his savings, borrowing money from his dad at interest just to make payroll, and realizing he had no idea how to sell. He walks through how a coaching program and a simple scripted consultation turned a ‘$60 per session’ offer into a $5,500 100-session package and how that one moment led to 95% close rates and the quadrupling of his business.

Tom highlights the critical role of the person answering the phones, why hiring for warmth and personality beats call center ‘experience,’ and how to pay appointment setters so they’re motivated and loyal. We explore common pitfalls—letting doctors overteach, turning the front desk into mini-clinicians, abandoning scripts after one complaint, and clinging to upper limits around income. Tom also shares his HEART framework for selling with integrity, the webinar follow-up questions that can double show-up and booking rates, and why he believes doctors have a duty to sell patients into programs that can change their lives instead of letting them drift back into the broken insurance system.

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Tom Jackobs is a sales and appointment-setting expert who learned his craft the hard way—by nearly going broke after leaving corporate America to open a fitness and nutrition center. A $10,000 loan from his dad, a $1,200 sales course, and one $5,500 package sale showed him the power of simple scripts, clear offers, and asking confidently for the sale, leading to a 95% close rate and a quadrupled business.

Today, Tom runs an appointment-setting and sales coaching company for cash-pay and functional medicine practices, helping turn webinar registrants and inbound leads into committed patients. He’s the author of Selling with Heart, based on his HEART framework (Hugs, Engage, Ask, Refer, Testimonial), and is passionate about helping doctors view sales as service, not sleaze, so they can help more people outside the insurance system.

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Tom Jackobs

Website: tomjackobs.com

Instagram: instagram.com/impactpilot/

LinkedIn: linkedin.com/in/tomjackobs

YouTube: youtube.com/@TomJackobs

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PODCAST

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A multi-location gym business, a million-dollar bottom line, and then a complete collapse when the pandemic hit. Hear how entrepreneur Trevor Buccieri faced shame, debt, and addiction, and what it really takes to rebuild your life and identity after losing everything.

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What would you do if everything you built disappeared overnight? In this episode of the Out of the System Podcast, Trevor Buccieri joins us to share how he went from running four thriving gyms to overextending to eight locations, just in time for the pandemic shutdowns to wipe out his business and finances. He opens up about shame, comparison, addiction, and the grind of ‘whiteboarding’ his way through rock bottom, and how that season reshaped his identity as a provider, husband, and leader.

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Trevor Buccieri is an exercise physiologist, weight-loss expert, and founder of The Stay Young Center, where he has helped more than 25,000 patients lose over 500,000 pounds through sustainable, lifestyle-driven transformation. With nearly three decades of experience, he combines behavioral psychology, plant-based nutrition, and targeted fat-loss strategies to help people achieve what he calls their ‘dream body,’ the version of themselves that unlocks confidence, vitality, and possibility.

A best-selling author and creator of the Transform 1 Program, his approach is built on mastering the fundamentals: nutrition, movement, mindset, and habits. His work empowers clients to simplify their routines, redefine their relationship with food, and create results that last. As both a coach and a lifelong student of transformation, he brings a blend of expertise, humility, and lived experience to every conversation.

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Trevor Buccieri

Website: thestayyoungcenter.com

Instagram: instagram.com/stayyoungcenter

LinkedIn: linkedin.com/in/trevor-a-buccieri

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Discover how Dr. Marc Pietropaoli left traditional medicine to create a patient-first model that restores trust, freedom, and innovation in healthcare.

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In this episode of Out of the System, host Matthew Gillogly sits down with Dr. Marc P. Pietropaoli, founder of Victory Sports Medicine & Orthopedics, to talk about what it really means to break free from traditional healthcare.

Dr. Pietropaoli shares how he moved beyond a volume-based system to one built on trust, patient outcomes, and regenerative innovation. From rejecting insurance dependency to mastering PRP, BMAC, and laser therapies, he reveals how true healing starts when doctors take back control—and put patients first.

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Dr. Marc P. Pietropaoli is the founder and orthopedic surgeon behind Victory Sports Medicine & Orthopedics in Skaneateles, New York. After years of practicing within traditional healthcare systems, he built a patient-centered clinic focused on advanced regenerative medicine, personalized care, and long-term recovery.

A lifelong advocate for empowering both patients and practitioners, Dr. Pietropaoli integrates cutting-edge therapies—like platelet-rich plasma (PRP), bone marrow concentrate (BMAC), and laser treatments—to reduce pain, restore mobility, and help patients return to active living without unnecessary surgery.

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Marc Pietropaoli, MD

Website: https://victoryinmotion.com/ 

LinkedIn: https://www.linkedin.com/in/marc-pietropaoli-md-b246473/

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Discover how Mark Mollenkopf built a 25-year success story helping doctors escape burnout, embrace innovation, and thrive beyond the healthcare system.

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In this episode of Out of the System, host Matthew Gillogly sits down with Mark Mollenkopf, President and COO of Cutting Edge Laser Technologies, to talk about risk, reinvention, and 25 years of entrepreneurial lessons. From surviving 9/11 to leading through the AI revolution, Mark shares how curiosity, courage, and the right partnerships helped him build a business that empowers doctors to deliver better medicine—and build better lives.

Mark Mollenkopf is the President and Chief Operating Officer of Cutting Edge Laser Technologies, a company specializing in high-value laser systems for medical and veterinary applications.

He co-founded the business in 2001, guiding it through early challenges—including launching just after 9/11—and helping it grow into a trusted U.S. distributor of Italian-engineered laser technology.

Over more than two decades, Mark has focused on building strong partnerships, supporting doctors and veterinarians in delivering advanced, evidence-based care, and leading a team known for long-term relationships and technical expertise.

Mark Mollenkopf

Website: ⁠https://celasers.com/resources/⁠ 

LinkedIn: ⁠https://www.linkedin.com/in/mark-mollenkopf-a58287a/⁠ 

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