
The VP of Sales Hiring Decision That Keeps CEOs Up At Night
Stage-appropriate experience is the single most overlooked variable in executive hiring. Most early-stage MSK companies find that out the hard way.
Candid perspectives on the orthopedic and spine industry — from executive leadership and talent strategy to market dynamics and career development.

Stage-appropriate experience is the single most overlooked variable in executive hiring. Most early-stage MSK companies find that out the hard way.

Hospitals are killing innovation, and the strategics are willing accomplices. Hospital purchasing departments used to just process paperwork. Now they control everything through exclusive sole- and dual-source contracts.

The scrappy leader who got you from $0 to $8M — why do so many of them flame out when you hit $10–30M? Same paradox, different direction.

1997. I walked away from 10 years at Zimmer. Fifth President's Club award. Top performer. Comfortable territory. That decision changed everything I understand about what drives exceptional performers.

J&J Spine Budget 2024: $2.1B. Your entire company valuation: $10M. The secret isn't about outspending them — it's about out-executing them with the RIGHT commercial leader.

"I'm a top performer, why am I not getting promoted?" Because your individual performance by itself will not get you promoted. An essential part of establishing yourself as a leader is learning how to manage up.