The & symbol in a C++ variable declaration means it’s a reference.
It happens to be a reference to a pointer, which explains the semantics you’re seeing; the called function can change the pointer in the calling context, since it has a reference to it.
So, to reiterate, the “operative symbol” here is not *&, that combination in itself doesn’t mean a whole lot. The * is part of the type myStruct *, i.e. “pointer to myStruct“, and the & makes it a reference, so you’d read it as “out is a reference to a pointer to myStruct“.
The original programmer could have helped, in my opinion, by writing it as:
void myFunc(myStruct * &out)
or even (not my personal style, but of course still valid):
void myFunc(myStruct* &out)
Of course, there are many other opinions about style. 🙂