"Don't ask what I would do. Ask what's best for the patient." – Amit Gir, MD In this week's episode, Carol Schultz sits down with Amit Gir — physician, entrepreneur, and CEO of Phox Health — to dig into one of the most underrated leadership challenges: creating a culture where employees take real ownership, instead of waiting to be told what to do. Amit shares how he built a remote-first healthcare logistics company across 12 states and two continents, almost entirely by learning when to let go — and who to let run. Amit explains why the best leaders learn every inch of the business before delegating it, how to tell the difference between micro-feedback and micromanagement, and why he has a strict rule of never taking credit for a good idea. They also get into the messier side of leadership — what happens when someone doesn't show ownership, how fear-based cultures quietly kill companies, and why giving employees "the rope" is the only way to find out who will climb and who won't. The episode closes with Amit's core belief: when the mission is bigger than the manager, ownership stops being a personality trait and starts becoming company culture. Takeaways Learn the business deeply before you hand it off — you can't manage what you don't understand.Hire people who can teach you something, not just execute your ideas.The best hires are the ones who eventually do the job better than you could.Passing ownership means giving a rough playbook — then getting out of the way.Never own a good idea. Only own the bad outcomes.Micro-feedback is about speed, not control — the faster the feedback, the faster the growth.Fear-based leadership creates silence, not performance.When the mission drives decisions — not the founder — ownership becomes instinct.A culture of feedback has to be modeled by the CEO first, every single day.Remote teams can scale — but only when built with intention, not just cost savings. Chapters 00:01 Intro: The real cost of employees who wait for permission 01:27 What Fox Health does and why it exists 02:22 From medical school to startup — Amit's founder origin story 05:20 What ownership actually looks like on Amit's team 08:35 The Atlanta hire — no resume, no healthcare background, full ownership 10:31 Giving employees the rope — risk, trust, and letting go 11:13 Why you should hire people who can replace you 12:24 The one instruction Amit gives every new hire 13:02 When ownership doesn't show up — and how to act fast 14:26 The credit rule: he never owns a good idea 15:06 Micro-feedback vs. micromanagement — where the line is 17:40 Leading by example when no one's watching 18:12 How to build a culture of feedback from the top down 19:21 Love vs. fear — which one actually builds better teams 22:08 Running a global remote team across the US, India, and Scotland 24:52 Gender dynamics in a global workforce 25:10 Why Fox Health ended up 50%+ female — by accident 28:46 Turning time zone gaps into a competitive advantage 32:35 Final thoughts: hire with purpose, not just for price Connect With Host Carol Schultz Find more information about our host Carol Schultz and her company at Vertical Elevation, LinkedIn, YouTube, and Instagram. Want to be our next guest expert? Email cat.gloria@verticalelevation.com with your information. And of course, click "follow" to stay up-to-date on new episodes and leave an honest review/rating letting us know what you thought!