In this episode, Dr. Michele McGowan gets real about the state of modern podiatry and shares why independent practitioners have a massive advantage right now.

Michele breaks down:

1. Why regenerative medicine certifications (like ACPPS) are essential for staying competitive
2. The harsh reality of reimbursement changes since the "golden era" of podiatry
3. How 3D printing custom orthotics transformed her practice (and paid for itself in just 4 pairs)
4. The complete workflow for implementing 3D printing in your office for under $2,000
5. Why "being a good doctor" isn't enough anymore—you need to build smarter, not grind harder
6. Real patient stories showing how offering advanced services attracts better patients
7. Work-life balance truths: your kids won't remember your RVUs, they'll remember if you were there

If you're a resident, recent grad, or established podiatrist feeling stuck in the insurance grind, this episode is your wake-up call. Michele shares her journey from opening her own practice (while everyone thought she was crazy) to building a thriving independent practice that prioritizes both patient value and quality of life.

Join the communities mentioned:

1. 3D Custom Orthotics: Revolutionize Your Podiatry Practice (Facebook)
2. Independent Podiatrist Network (Facebook)

Resources discussed:

1. ACPPS Regenerative Medicine Summits
2. 3D printing with OLT (not sponsored)
3. Remi Laser, SoftWave therapy
4. Peptides, PPMX, Liposana

This is an early morning, pajamas-on, unfiltered conversation about the business of podiatry that nobody talks about in residency.