title: Challenges facing academic dermatology: survey data on the faculty workforce.
abstract: BACKGROUND
  There is a perception among many academic dermatologists that departments of dermatology face severe challenges with recruitment and retention of faculty. In an era when evidence points to a shortage of dermatologists and residency graduates have plentiful private practice offers in almost every geographic area, some fear that academic programs will face even steeper challenges attracting and keeping enough dermatologists on staff.
  
  
  METHODS
  To compare the practice patterns of academic dermatologists with those of the dermatology workforce in other settings, data from the American Academy of Dermatology 2002 Practice Profile Survey were analyzed (1425 respondents, 35% response rate).
  
  
  RESULTS
  The mean age of academic dermatologists (45.6 years) was younger than that of those in other practice settings (51.9 years solo practice, 49.0 years multispecialty group), and older age cohorts were significantly less likely to be working in academics (P < .001). Academic physicians were much more likely than those in solo practice or dermatology-only groups (62.2% vs 18.3%-39.4%) to report that their institution or practice was seeking new dermatologists. The average waiting time for new patient appointments varied from a low of 31.1 days in solo practices to a high of 55.9 days in academic practices. Academic dermatologists saw 32% to 41% fewer patients per week, but spent much more time (24.1 vs 5.5-8.6 h/wk) participating in research, hospital consults, medical writing, administrative activities, and teaching than dermatologists in any other setting.
  
  
  CONCLUSIONS
  Academic dermatologists reflected a relatively small proportion of survey respondents, and may not be representative of the nation's dermatology faculty (although the percentage of academics in the survey was similar to that in the overall workforce). Possible response biases could also have affected the survey results.
  
  
  CONCLUSIONS
  The survey results identify a number of differences between the practice patterns of academic dermatologists and their colleagues in other settings, and suggest that academic departments of dermatology may be facing unique workforce challenges.
authors.affiliation: Department of Dermatology, Institute for Health Policy Studies, University of California, School of Medicine, San Francisco, California, USA. resneckj@derm.ucsf.edu
authors.forename: Jack S
authors.initials: JS
authors.lastname: Resneck
authors.forename: Emily P
authors.initials: EP
authors.lastname: Tierney
authors.forename: Alexa Boer
authors.initials: AB
authors.lastname: Kimball
mesh_terms: D000328:Adult; D003880:Dermatology / Q000706:statistics & numerical data*; D005180:Faculty, Medical / Q000706:statistics & numerical data*; D006801:Humans; D008875:Middle Aged; D010822:Physicians, Women / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011364:Professional Practice / Q000706:statistics & numerical data*; D014850:Waiting Lists