Out Of The System
Hosted by Matthew Gillogly, Out of the System is a podcast for healthcare professionals who want to run their practice like a business—and have the freedom of entrepreneurs. Discover how real doctors are breaking free from insurance dependency, bureaucracy, and burnout to create clinics that serve both patients and purpose. Each episode delivers grounded business insight, proven systems, and stories of success from those who refused to stay stuck in the system.
Episodes
In this episode, I sit down with Rebekah Duron, a serial entrepreneur who has built and rebuilt companies across construction, brick-and-mortar, and marketing, to unpack the part of practice growth most doctors ignore: what happens after the lead comes in. Rebekah's take is blunt. Cash flow is the blood in your veins, and most businesses are bleeding out not because they lack leads, but because nobody answers the phone, follows up,...
In this episode, I talk about AI and the medical industry, straight from the floor of the IOF conference in Denver, where it was the topic on everyone's mind. I open with the scene from Primary Colors where John Travolta's character tells a room of factory workers the truth nobody wants to hear: those jobs aren't coming back. Medicine is having its own version of that moment.
I walk through why I'm not worried, and why you shouldn't...
The deepest trap in medicine may not be paperwork, insurance, or burnout, it may be the belief that doctors are wrong for wanting to be paid well.
In this episode of the Out of the System Podcast, Matthew Gillogly exposes what he calls “The Great Gaslight,” the long-running conditioning that makes doctors question their own worth. He walks through how administrators, insurance companies, media narratives, patient conditi...
The strongest teams are often built by people who are willing to do the unglamorous work.
In this Out of the System episode, Steve Govett reflects on his years in lacrosse, from being one of the “grinders” on championship teams to leading organizations from the front office. He shares why great chemistry is not magic, why every role matters, and why leaders have to understand the people behind the performance.
The convers...
Doctors often don’t realize how trapped they are until the system starts breaking them. In this episode of the Out of the System Podcast, Dr. Aimee Duffy shares her journey from family medicine, OB, and hospital-based care into functional medicine and hormone optimization. She opens up about the early years of delivering babies, learning through intense clinical experiences, and eventually questioning the limited, trial-and-e...
Most doctors don’t leave the system because they can’t… they don’t leave because they’re afraid to. In this episode of the Out of the System Podcast, Dr. Tammy Penhollow shares her journey from working inside high-volume, insurance-driven medicine to building her own regenerative practice rooted in patient care and clinical integrity. She opens up about the moment she realized she could no longer prac...
The biggest problem in many medical practices may have nothing to do with marketing at all. In this episode of the Out of the System Podcast, Matthew Gillogly argues that many doctors are trapped inside a structure that rewards exhaustion, dependence, and compliance while leaving them overworked, underpaid, and disconnected from the care they actually want to provide. Using the story of Ned Cobb as a powerful metaphor, he challenge...
The biggest lie in medicine may be the one doctors were trained never to question. In this solo episode of the Out of the System Podcast, Matthew Gillogly reads from his book Out of the System and argues that many providers have been conditioned by medical training, debt, fear, and overwork to become compliant employees inside a system that profits from their license while stripping away autonomy.
He walks through what he calls the ...
Most healthcare providers know the system is broken, but very few are willing to challenge it.
In this episode of the Out of the System Podcast, Dr. Paul Dougherty shares his unconventional journey from struggling chiropractor to working inside hospital systems and regenerative medicine networks. He reveals how early frustrations with insurance, low reimbursements, and volume-driven care pushed him to rethink everything about ho...
Most people spend their lives operating inside systems they never chose… and don’t even realize they’re trapped in.
In this episode of the Out of the System Podcast, Brandon Boyd shares his deeply personal journey following a divorce at age 50 that forced him to confront a powerful question: 'Who am I?' What followed was an exploration into dating, masculinity, sexuality, and identity, and where he began to observ...
Most healthcare providers know the system is broken, but very few are willing to challenge it.
In this episode of the Out of the System Podcast, Dr. Mark Testa shares his unconventional journey from struggling chiropractor to working inside hospital systems and regenerative medicine networks. He reveals how early frustrations with insurance, low reimbursements, and volume-driven care pushed him to rethink everything about how he...
The healthcare system is becoming more expensive while delivering poorer results.
In this episode of the Out of the System Podcast, Matthew Gillogly outlines why insurance-driven medicine is fundamentally broken and how freeing doctors from the system could transform healthcare outcomes.
He explains how administrative bureaucracy, pharmaceutical incentives, and insurance middlemen drive up costs while limiting physicians’...
Most people don’t fail because they lack discipline. They fail because their nervous system reads change as a threat. In this Out of the System Podcast episode, Matthew Gillogly explains why we repeat patterns and why 'trying harder' can backfire when stress chemistry takes over.
He breaks down how high-stress brain states reduce creativity and long-term thinking, then guides a short practice using breath and emotional rehears...
Most doctors do not lose confidence because they lack skill. They lose it because the system slowly replaces judgment with protocol. In this episode of the Out of the System Podcast, Colin Rigney shares his journey from growing up as the son of a small-town physician to becoming a Doctor of Physical Therapy and founder of Advanced Musculoskeletal Ultrasound Center (AMSKU), where he trains clinicians in diagnostic ultrasound and reg...
Insurance didn’t almost break him. Believing he needed it did.
In this episode of the Out of the System Podcast, Dr. Ashu Goyle shares how he went from performing 40 to 50 procedures a day inside a private equity pain practice to opening his own clinic, falling into deep debt, and nearly losing everything. A financial wake-up call forced him to wean off insurance, reset his value, and rebuild around outcomes instead of procedu...
Most people think writing a book is about selling copies, but the real power is what the book unlocks. In this episode of the Out of the System Podcast, Rob Kosberg shares how a single book transformed his business after financial collapse, turning authority into media access, trust, and seven-figure growth without traditional selling.
The conversation explores how books function as credibility engines, why bestsellers matter, and h...
Most doctors think podcasts are about downloads, but that’s not where the real power is. In this Out of the System Podcast episode, Bret Gregory shares how long-form media builds trust, attracts ideal patients, and helps doctors reclaim control of their message, income, and impact.
Podcasting isn’t about fame. It’s about trust and leverage. In this Out of the System Podcast episode, Bret Gregory, founder of DrTalks...
Hair loss isn’t just genetic, and hair transplants don’t solve the real problem. In this episode of the Out of the System Podcast, Dr. Leola Anifowoshe explains why modern hair loss is accelerating, how inflammation and hormonal signaling shut follicles down, and what it takes to regenerate hair by rebuilding the scalp environment.
Hair loss isn’t random, and it isn’t inevitable. In this episode of the Out of...
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 somethin...
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...
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