Building a relationship with your boss seems impossible when both of you are constantly busy. Think about the last time you saw your boss outside of a scheduled meeting. Was it a casual visit to check in, or did they show up unannounced at your clinic? If your receptionist told you your boss was in the waiting room wanting to see you, would you think it was a good thing? Most likely not. The reality is that when bosses show up unannounced, it usually means trouble.

Bosses get so caught up in their own schedules that they only appear when there’s a problem. This creates a culture of fear and distrust. Employees start to associate their boss's presence with negative outcomes, rather than support or camaraderie. The occasional "drop-in" to touch base or show appreciation is rare, if it happens at all.

This lack of regular, positive interaction leads to a breakdown in trust and respect. You don't trust your boss because they've never made time to build a relationship with you. They don’t know your daily struggles or achievements, and they likely never will. This disconnect is detrimental to the workplace environment, fostering resentment and disengagement.

In a healthy workplace, leaders make time for their employees, showing up not just when things go wrong but also to celebrate successes and offer support. Without this effort, the gap between bosses and employees widens, eroding trust and morale.

Dike Drummond MD is a Mayo-trained family practice physician, burnout survivor, executive coach, consultant, and founder of TheHappyMD.com

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