Most business leaders follow one of two paths. Some go to business school and learn strategy from the ground up. Others become leaders, not through formal education, but through experience and learning by doing. Both paths come with their own challenges, but for those of us in the second group, the learning curve can feel especially overwhelming.
Some of the most successful companies are founded by non-traditional leaders who start with a passion, not a business plan. Bill Bowerman, Founder of Nike, was a track-and-field coach at the University of Oregon who wanted to help his athletes perform better. This passion led him to create lightweight running shoes with better traction, an idea that would eventually grow into one of the biggest athletic brands in the world.
Over time, I learned that being an expert in your field is only half the equation. The other half is learning how to lead.
These are the doctors, creatives and engineers who pour their energy into mastering their craft, only to find that running a business requires an entirely different skill set. I know, because I am one of them. When I first became a chiropractor, I was ready to treat patients, not to lead a practice. Over time, I learned that being an expert in your field is only half the equation. The other half is learning how to lead.
Mastery is a gift, but it can also be a trap. Many professionals spend years perfecting their technical abilities, only to find themselves boxed in by their own expertise. In healthcare, for example, we are trained to focus on the patient in front of us. We are not trained to think like entrepreneurs or to build structures that allow our impact to reach more people.
Being great at your craft doesn’t automatically make you great at running a business.
When I opened my first clinic, I made every decision myself. I answered the phones, handled billing and tried to manage a growing team without a road map. I thought being involved in every detail meant I was being a good leader. What I eventually realized is that I was holding my business back. I had to learn to think beyond the treatment room.
Being great at your craft doesn’t automatically make you great at running a business.
On the flip side, not coming from a traditional business background can also be an advantage. For me, healing was where it all started. Working with patients taught me how to listen, notice patterns and look for the root cause of a problem.

When I began applying that same approach to my business, everything started to shift. I began to see my practice as a living system that needed care and consistency, just like the patients I treat. Over time, my single clinic grew into three practices across California. With clear systems and a strong team in place, I had the freedom to step back from daily operations and focus on what I do best: caring for patients and working on our next stage of growth.
Unusual leadership is not about trying to fit into a mold. It is about using what you already have and committing to learn what you don’t yet know.
If you find yourself in a similar place, here are a few tips that helped me grow from a practitioner to a leader:
1. Be a lifelong learner: Mastery is not about a finish line. The moment you stop learning, your business stops evolving. I like to step outside of my industry every once in a while to think outside the box. Some of the best lessons come from observing fields completely different from your own. A doctor might learn about storytelling from a writer. An engineer might learn about human motivation from a psychologist. Whatever you do, make learning part of your routine, not an afterthought.
2. Turn your strengths into strategy: It never hurts to learn a new skill, but your competitive advantage can also come from what you already do well. Yet it can often be difficult to look outside yourself and see those strengths clearly. We tend to underestimate what comes naturally because it feels effortless. It can be so helpful to ask someone who knows you well what they see as your strengths and think about how to apply them intentionally to your leadership. If you’re a healer, you might lean into your empathy. If you’re a creative, you might use your imagination to see possibilities others miss.
3. Build systems that outlast you: Your business should not depend on your constant presence to survive. When you create systems that allow your mission to keep moving without you, you give your company room to grow. This is exactly what inspired me to create my ‘business in a box’ model. It’s a framework that combines the essentials of running a thriving practice into one adaptable system to help other clinicians grow with confidence. It allows us to extend our impact far beyond our own practices in a way that’s sustainable and scalable. So start by asking yourself: How can you capture your vision in a way others can carry forward?
Every industry has its experts, but only a few turn that expertise into great leadership. The difference is not luck; it’s intention. Choose to keep learning, to lead with purpose and to build something that lasts beyond your own skill set.
Brigitte Rozenberg
Contributor Collective Member
Brigitte Rozenberg is the Founder and Clinical Director behind one of the United States’ most innovative models in non-surgical spinal care. With over 30 years of clinical experience, she has built Spinatomy Spine & Disc Centers into a multi-location practice with three centers and a growing business license model. Her proprietary treatment protocol, Advanced Spinal Restoration Therapy, has helped thousands of patients find lasting relief from chronic pain, without surgery, drugs and compromise. For more information, visit https://www.spinatomycenters.com/about/meet-the-doctor/