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The Early Hires

The Early Hires

著者: Helen Tanner
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Most clinicians who join early-stage healthcare startups are expected to operate in complex business environments they were never trained to navigate. The Early Hires equips clinician leaders for these pivotal roles through a community of shared experience and collective insight so they can lead with clarity, confidence, and thrive in healthcare startups. Hosted by clinician and healthcare leader, Helen Tanner. Learn more and join the conversation at The Early Hires website.

© 2026 The Early Hires Podcast
マネジメント・リーダーシップ リーダーシップ 出世 就職活動 経済学 衛生・健康的な生活 身体的病い・疾患
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  • From the ER to Zero Gravity: How Space Medicine Teaches Clinicians to Build in Startups with Dr. Marsh Cuttino
    2026/06/17
    From ER to Space Medicine: How Clinicians Create Systems Where None ExistDr. Marsh Cuttino is an emergency physician who turned curiosity into systems impact. Trained at Kennedy Space Center, he raised his hand early and became one of the few clinicians to support shuttle launches and conduct zero‑gravity medical research.He founded Orbital Medicine to solve problems no one had addressed, including how to treat a collapsed lung in microgravity. His work secured NASA grants and was successfully tested aboard Blue Origin.Beyond aerospace, he helped build the VCU Emergency Medicine Residency from scratch, proving clinicians can create systems where none exist.This conversation explores the translation of lessons of clinicians from extreme environments to startup life. Navigating innovation, building from scratch, and raising your hand before you even feel ready.This episode is for clinicians stepping into early-stage companies who want to understand how to balance strict protocols with startup creativity, how to create opportunity by showing up early, and how to reframe clinical expertise for innovation in healthcare and beyond.Must-Hear Insights and Key MomentsTraining at NASA and supporting 34 shuttle launches showed how clinicians can step into industries without precedent.Founding Orbital Medicine proved that clinicians can design solutions for problems no one has solved, including collapsed lungs in microgravity.Emergency medicine built resilience under pressure, a skill that translates directly into startup leadership.Navigating strict NASA protocols revealed why systems discipline matters, even when building new ventures from scratch.Flight hours in zero gravity highlighted the importance of adaptability and collaboration when others could not continue.Building the ER residency at VCU mirrored startup life, showing how clinicians create systems where none exist.Learning “engineer speak” demonstrated how clinicians must cross disciplines to lead innovation.Raising your hand early created opportunities that shaped his career, reinforcing the value of stepping in before you feel ready.About Dr. Marsh Cuttino Dr. Marsh Cuttino is a Board-Certified Emergency Physician who is experienced in aerospace medicine, disaster, and mass casualty medicine. He has an undergraduate BS degree in Chemistry from James Madison University, attended medical school and an internship in Internal Medicine at Virginia Commonwealth University and completed his Residency in Emergency Medicine at the University of Florida (Jacksonville) in 1998. He was a founding faculty at Virginia Commonwealth University for the start of the Emergency Medicine Residency. He provided bedside clinical training for US Special Operations Medics while at Virginia Commonwealth University. He has lectured extensively on mass casualty medicine and terrorism response for emergency departments. He continues to be a regular reviewer for the Elsevier journal Resuscitation on Emergency Medicine and resuscitation research and Wilderness and Environmental Medicine on parabolic microgravity.He is the medical advisor to the Commercial Spaceflight Federation on the SARG (Space Applications Research Group) advisory board. He has assisted with the programs for the Next Generation Suborbital Researchers Conference since 2013. In 2020 he began to work for ZeroG corporation as medical advisor and flight coach, providing flight services for the parabolic microgravity flights with a focus on research flights and medical support. He also founded Orbital Medicine, a space medicine startup that secured grants with NASA, and successfully tested a novel device to treat collapsed lungs in microgravity aboard Blue Origin.Follow Dr. Marsh CuttinoLinkedInFollow The Early HiresLinkedInWebsiteFollow Helen Tanner LinkedInJoin The Early Hires CommunityAre you a clinician navigating startup life? The only way to access our private Slack community is by visiting www.theearlyhires.com.Head to the website to request access and join clinicians who are building, leading, and navigating the realities of early-stage healthcare companies.Share your challenges. Share your wins. Ask your questions.Start at www.theearlyhires.com.The conversation continues there.
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    38 分
  • What It Looks Like to Join a Series A Healthcare Startup as One of the First Clinical Hires with Andrew Shiflett
    2026/06/03

    From Primary Care to Startup Leadership: Why Clinicians Matter Most in Early Chaos

    Andrew Shiflett, PA-C, brings more than a decade of experience in complex primary care and was one of the first clinical hires at a Series A mobile primary care startup. Joining within the first months of the company’s life, Andrew stepped into patient homes without playbooks. He had no formal title, but a role as the clinician others trusted to navigate uncertainty and advocate for their needs.

    In this conversation, Andrew reflects on leaving a stable practice for the unpredictability of startup life, weighing risk against opportunity while raising a young family. He shares candid stories of knocking on doors with nothing but a stethoscope and a printed schedule, building trust with patients in underserved communities, and learning to translate clinical realities into business language.

    Helen and Andrew revisit pivotal moments, including advocating against a productivity-based compensation model that threatened clinician retention and patient outcomes. The importance of clinician voices in shaping startup culture, the responsibility of early hires to smooth the path, and the leadership that emerges when clinicians step into uncharted territory.

    This episode is for clinicians considering the leap into startups, leaders building early teams, and anyone curious about how frontline expertise drives innovation.

    Must-Hear Insights and Key Moments

    • Andrew was one of the earliest clinical hires at a Series A mobile primary care startup, stepping into patient homes without established systems.
    • Leaving a secure practice in Richmond for startup chaos, he weighed risk against stability while raising a young family.
    • Clinician leadership emerged without a formal title, as colleagues relied on him to navigate uncertainty and raise concerns to leadership
    • Knocking on doors with no playbook showed the realities of startup medicine and the physical demands of home‑based care.
    • Dog years of startup life meant each month felt like a year in traditional practice.
    • Trust before titles became the foundation for patient care and clinician advocacy in early chaos.
    • Partnering with Helen Tanner, he pushed back against productivity‑based compensation models that threatened retention and outcomes.
    • Building the plane while flying captured the challenge of asking patients to trust a system still being created
    • From Series A chaos to a $13B Series E Medicare Advantage startup, Andrew’s journey shows how clinicians shape healthcare innovation.

    Follow The Early Hires

    • LinkedIn
    • Website

    Follow Helen Tanner

    • LinkedIn


    Join The Early Hires Community

    Are you a clinician navigating startup life? The only way to access our private Slack community is by visiting www.theearlyhires.com.

    Head to the website to request access and join clinicians who are building, leading, and navigating the realities of early-stage healthcare companies.

    Share your challenges. Share your wins. Ask your questions.

    Start at www.theearlyhires.com.
    The conversation continues there.

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    36 分
  • "Is It Just Me?" The Inner Critic of Startup Leadership with Executive Coach Lupe Prado
    2026/05/20

    Leading Without a Playbook: Why Executive Coaching Matters in Early-Stage Startups

    Lupe Prado is an executive coach who works with leaders across startups, private equity, and corporate organizations. For over seven years, she has helped high-performing professionals navigate leadership growth, career transitions, and complex workplace dynamics. Lupe built her career in accounting, and financial reporting. After experiencing burnout early in her career, she sought out coaching herself. Ultimately led her to pursue a master’s degree in leadership, and organizational development with concentration in executive coaching and to launch her own coaching practice.

    Lupe explores with Helen what executive coaching is behind the scenes, particularly for leaders operating in a fast paced startup environment. She shares the common themes in startup leaders seeking support, including self-doubt, and the loneliness that often accompanies senior roles. They cover the practical approaches leaders use to seek meaningful feedback, and build support systems as responsibility grows.

    Lupe explains how leaders can sustain performance by strengthening foundational habits by developing tools to manage pressure and internal criticism.

    For clinicians moving into startup leadership roles, these insights offer a clearer understanding of how coaching can provide perspective, strengthen decision-making, and support leadership development in environments where the structure is still evolving.

    About Lupe

    Lupe Prado is an executive coach who has worked with leaders across startups, private equity, consulting, and corporate for more than 7 years. Her work focuses on supporting high-performing professionals as they navigate leadership growth, career transitions, and complex environments.

    Before becoming a coach, she began her career in accounting and financial reporting. After experiencing burnout early in her career, she sought out coaching herself. It was an experience that led her to pursue a master’s degree in leadership and organizational development with executive coaching.

    Lupe now works with leaders across industries, helping build perspective, and navigate the pressures that often accompany senior leadership roles. Her coaching frequently supports startup leaders in a fast-paced environments, where expectations evolve quickly and structures are developing.

    Follow Lupe Prado

    • LinkedIn
    • Website
    • Instagram
    • Facebook

    Follow The Early Hires

    • LinkedIn
    • Website

    Follow Helen Tanner

    • LinkedIn


    Join The Early Hires Community

    Are you a clinician navigating startup life? The only way to access our private Slack community is by visiting www.theearlyhires.com.

    Head to the website to request access and join clinicians who are building, leading, and navigating the realities of early-stage healthcare companies.

    Share your challenges. Share your wins. Ask your questions.

    Start at www.theearlyhires.com.
    The conversation continues there.

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    39 分
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