This describes a medical provider who cannot find land employment due to incompetence, personality or addiction, so they must seek work in a less desirable location in shipping or remote prisons.
Made popular by comedian Joey ''Coco'' Diaz. It's a step above like a boss. When you have total disregard for rules and SOP and just do whatever the fuck you want. A doctor could drive in oncoming traffic because they have to get to surgery, without reprocussions.
the carpool lane is for two or more people only but I used it the whole way toSeattle, like a doctor.