Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

Fellows’ Forum: 7 Tips to Successfully Manage Upward During Fellowship

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  Issue: November 2017  |  November 9, 2017

Does your boss prefer casual interactions? Or are they more formal? What priorities are most important to them—and you? What is their preferred mode of communication?

Adding to those complications are contextual factors. Are they new to the organization? Is the task at hand extremely urgent? Do they have problems with their boss?

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

All these things and more play an important role in deciding how to hone your own style of upward management.

3 Observation informs management style: The first step in establishing an upward management style is learning how to observe. Sometimes, small things can make a huge difference. I would advise you not to stalk your supervisors, but taking mental notes about how best to harmonize personalities may be very useful. For example, early in my fellowship, I learned that one of my attending physicians was insistent on sitting in a larger, higher chair when in examining rooms. Of course, that was the chair in front of the computer, so when both of us were in the room, this posed a significant obstacle for my workflow. It frustrated me at first, but I realized there was a simple solution: I just placed the lower, humbler stool in front of the computer, so that he could sit in the bigger chair elsewhere. It was a small victory and a simple solution, but one that allowed both of us to avoid conflict and, in our own ways, win.

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

4 Regular communication is key: As with all management, communication is really front and center. Clear communication not only improves efficiency and aids in team building, but it also elevates your esteem. Initiating communication makes you the leader (even if you lack the executive position), and demonstrating responsiveness shows commitment and maturity. Moreover, your supervisor may be grateful that you’re doing the valuable task of communicating that they no longer need to.

Of course, the amount and type of communication is informed by your personality styles, underscoring the first three points. For my supervisors, I typically send e-mails before and after meetings to document the agenda and to track the progress of whatever we discussed. My research mentors find this useful, but I can imagine others may find it patronizing. That’s why individualization is so important.

5 Build a long-term relationship: One reason of communication is to foster trust, and ultimately, trust is the currency of effective management. For all the lofty talk about upward management, your supervisor still has power over you. But if you establish trust, you can help ease that sense of vulnerability.

Page: 1 2 3 4 | Single Page
Share: 

Filed under:Education & Training Tagged with:CareercommunicationEducationfellowFellowsFellows Forummedical studentphysicianresidencyrheumatologistrheumatologyTrainingupward management

Related Articles

    How to Ask for a Raise

    August 13, 2017

    Whether you’re a rheumatologist or a rheumatology health professional, unless you are self-employed, the time will come when you start thinking it may be time to ask for a raise. The thought of asking for a raise likely conjures up anything but warm and fuzzy feelings, but if you do it at the right time—and…

    Is Improving Your Career One of Your Resolutions?

    February 1, 2010

    Another New Year’s has just passed, and if you’ve opted for one of the typical resolutions, you’ve decided to lose weight, exercise more, or quit a nasty habit like smoking. If you’re one to make resolutions, have you considered adding a career-related resolution to your self-improvement goals for the new year? Most of us spend a significant portion of our lives at work, so it makes sense.

    Billion Photos / shutterstock.com

    How to Succeed in a Fellowship & Beyond

    September 11, 2020

    For most doctors, fellowship training represents the final two to three years of formal medical education, and recognition of the unique opportunities of this time period can help aspiring rheumatologists get the most out of their fellowship. Fellowship training is inherently different than residency training, with less structured time, smaller teams (often consisting of only…

    How to Provide Better Feedback to Fellows

    July 15, 2021

    Although providing feedback is often discussed as separate from teaching, it is the most important teaching we do as clinician-educators. Whether attending on the inpatient consult service or precepting in the clinic, providing direct feedback is the most effective way to help fellows advance their skills. Feedback, however, is only as good as the giver…

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences