I'm not as familiar with adwords as I want to be. What exactly are the ad groups? Is it the positioning he is referring to? What exactly is suppose to jump out at me?
Adwords accounts are organized differently depending on the industry and/or products being advertised. Generally, one concept or idea will get it's own ad group with an associated array of keywords. An ad group is just a concept or a topic that can be described in different ways by a variety of keywords.
Here's an example to illustrate.
Suppose you were promoting email marketing software for photographers. This is a discreet concept that can be expressed many ways:
email marketing for photographers
email marketing for photographer
email marketing photographer
The single concept, email marketing for photographers would get it's own 'ad group'. Other related concepts such as email list building for photography business are unique enough to merit a seperate ad group.
The reason why Adwords is organized this way is to ensure that advertisers are laser-targeted with relevancy.
It's in both your and Google's best interests to ensure that your Adwords account is generating as many clicks as possible, and by having separate ad groups you can custom tailor the ads within each ad group to be super relevant.
You end up with an army of 'mini sales people' that work 24/7/365. And that's Adwords alone. When you combine Adwords with SEO and email marketing to drive conversions you get a very powerful system indeed.
The top ad group (and its ad) got 1,500 clicks, and #2 got 45 clicks. That's a different of over 40X in performance in terms of clicks which is huge. My time would probably be best spent figuring out how to make the top ad group perform even better - perhaps by A/B split testing 2 ads head to head.