You wrote: "Being upfront with the doctor about what was needed and why made the communication between us clear and able to get issues fixed fairly quickly." I am very glad that you experienced success with your communication between you and the doctor. Sometimes superiors want you to kiss their respective behinds because they feel higher than you on the social ladder. Doctors, in my experience, are not like that because of how nurses have trained them to be humble and rely on them, but I have experienced that in law, as a paralegal. Thank God I was in the Army and I've mostly dealt with Army attorneys who have developed the humility necessary to work well with their subordinate paralegals, which I spent 25 years doing. Many jobs would benefit from unions because the management have been able to get away with workplace abuses that would not be tolerated in a military environment. I got fired from a factory because I confronted a manager who used his credentials illegally to spy on this married woman that he liked. She complained to me, I confronted him and later found out he was the nephew of my direct supervisor. They fired me within a month of that confrontation.