Graceful Self-Promotion | Figure 1

My mentees often ask me what they can do to optimize their chances to move forward in their careers and achieve leadership positions and sometimes express frustration that, despite their best efforts, they are not being chosen for positions for which they are qualified. Like any other area in medicine, career development discussions and recommendations are best illustrated by example.

A Case Study

So let’s start with a “case study.” Dr. X is a graduate of a highly ranked medical school and completed her residency and fellowship at well-respected institutions. Eight years out of residency, her current position involves 50% patient care and 50% research time. She has several publications in relatively high-impact journals and has secured independent funding for her research. She would like a leadership role in her department’s research initiatives and for the past three years has been frustrated as her more junior and/or less well-published colleagues have secured such positions.

What is she doing wrong? Dr. X is not promoting herself and her accomplishments in a way that helps her own career advancement.

She is relying on the idea that hard work and talent always lead to success, especially as this has been the case for her during her medical training. However, in the “real world,” career success is not automatically “granted” to those who are talented and hard-working alone. If leaders are unaware of an individual’s accomplishments and the time and effort they dedicate to their work, they will not be in a position to think of someone as particularly suitable for promotion or leadership positions. The bottom line is that we cannot sit around waiting for someone to notice our accomplishments – we must make them known, but in a positive and helpful way. This is the heart of “graceful self-promotion.”

Self-Promotion Strategies

Self-promotion is difficult, and may be particularly difficult for physicians. As individuals trained to be empathetic, compassionate, and selfless when it comes to the needs of our patients, a physician’s first response to the idea of self-promotion is that it is selfish and antithetic to these core values and therefore something to be avoided. However, when done right – gracefully – self-promotion is a useful tool to advance one’s career in a meaningful way without being selfish or antithetical to other traits of compassion and empathy. Graceful self-promotion is the art of emphasizing one’s best attributes to others in a positive, effective way taking into account the culture of ones’ profession and workplace.

Here are some strategies I offer to improve skills at graceful self-promotion:

Overcoming Obstacles

Lastly, as a passionate advocate for the career advancement of women in medicine, I find that self-promotion can be particularly difficult for women. We often suffer from both external and internal messaging (reflecting antiquated societal norms) that “self-promotion is too aggressive” and that a woman who tries to promote herself will be seen as excessively forward or eager. Women also tend to avoid applying for positions or promotions unless they feel they are 100% qualified whereas men may be more wiling to “take a chance” even if they do not meet all of the recommended qualifications.

While I cannot deny that this may be the case in some situations, I encourage trainees and junior faculty to develop relationships with trusted mentors and peers and use traditionally “female” skills of communication and networking and social awareness to network and promote one another. I also encourage leaders to be particularly mindful of the fact that women may find self-promotion difficult and to take this into consideration when discussing career development (readiness for academic promotion, applications for leadership positions) with their female faculty members and trainees.

All physicians should work to develop skills in graceful self-promotion as ultimately this skill is part of one’s own responsibility for successful career development!

Ariela Marshall, MD

Hematologist specializing in disorders of thrombosis and hemostasis

Published June 2021