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In this episode of Startup RealTalk, host Kristina Karcic-Ehret sits down with Ellen Smolko, known as The Marketing Medic® and founder of Foresight Performance, to unpack what fractional leadership really means and why it’s becoming a critical part of how modern companies scale. As startups move faster, operate leaner, and face increasing pressure to perform with less margin for error, fractional executives are stepping in to provide senior-level impact without the overhead of full-time hires. But not all fractional leaders deliver the same value. Ellen shares her firsthand experience as a seasoned CMO who has been doing fractional work long before it became a trend. Together, Kristina and Ellen explore: • How fractional leadership has evolved and where it goes wrong • What a true fractional executive should actually do for a business • The difference between strategic advisors and real operational builders • When companies should bring in a fractional leader (and when they shouldn’t) • Why fractional leadership is here to stay and how founders can get real ROI from it • What fractional CxOs must do to stay relevant, credible, and impactful in a crowded market This conversation is a must-watch for founders, operators, and executives navigating growth, transition, or scale, and for fractional leaders who want to operate at the highest level.