About

25+ years of clinical practice, now working one deal ahead.

A skillset built on innovation, collaboration, and knowing when a good idea needs a clinical guardrail before it becomes a liability.

The Short Version

I stop good clinical ideas from failing over bad business decisions.

I didn’t set out to work with VCs. I set out to stop watching well-intentioned mental health products launch without real clinical guardrails. Years in clinical practice and leadership led to one conclusion: the highest-leverage place to fix that is earlier at the investment stage, not after launch. That’s the short version of how “Fractional Chief Clinical Officer” became my job title.

Today I work as a Clinical Operations Partner / Fractional Chief Clinical Officer with Intelligent Testing LLC and with venture-backed mental health and education startups from pre-seed through scale — opening channels, removing blockers, and building the clinical processes and procedures (risk assessments, crisis protocols, staff handbooks) that let founders and investors move with confidence.

“Dr. Kirby is a change agent for Educational & Social Imotional Innovation”

Dr. Gabrielle Kirby

The Framework

Five Areas of Expertise

Not five separate skills one working method, applied wherever clinical judgment and business decisions meet.

01

Illuminating Blind Spots

Surfacing the innovator biases and unexamined assumptions built into a mental healthcare business model before they get expensive, not after.

02

Strategic Workflow Design

Building operational processes that hold clinical excellence and business efficiency to the same standard, instead of trading one for the other.

03

Accessible Program Design

Developing clinical and SEL programs that remove real barriers to care for children and young adults  not just the easy ones to solve for.

04

Stakeholder Culture

Creating environments where founders, clinicians, and leadership treat clinician growth and well-being as a driver of outcomes, not a line-item cost.

05

Strategic Thinking, Hands-On Implementation

Moving fluidly between boardroom strategy and ground-level work writing the protocol, sitting in on the hire, fixing the workflow myself.
Experience

A working history, not just a title

01

Fractional Chief Clinical Officer - Intelligent Testing LLC (Dec 2025 – Present)

Pivoting a business model from school-focus to parent-focus through PTA/SEPTA partnerships; developing clinical process and procedure for staff; incorporating biophilic design into the virtual therapy space.

02

School District SEL Program Leadership (2018)

Established one of the first school district SEL programs managed front-end to back-end, from research and design through implementation.

Want the fuller story on a call?

Happy to walk through specific deals, portfolio questions, or what an engagement would look like.