This phrase is borrowed from Michael Gerber's classic, "The e-Myth". Originally written for business owners (entrepreneurs), the idea applies to physicians also.

Physicians are the leaders of healthcare. But the traditions of medicine teach you to work IN their practice instead of also ON your practice. This means that while you are busy busy busy healing patients, other parties have usurped and intercepted your spot and put regulations and other handcuffs on you.

This episode introduces a bigger picture so that you can engage on a higher level if you so choose.