title: Medical school faculty discontent: prevalence and predictors of intent to leave academic careers.
abstract: BACKGROUND
  Medical school faculty are less enthusiastic about their academic careers than ever before. In this study, we measured the prevalence and determinants of intent to leave academic medicine.
  
  
  METHODS
  A 75-question survey was administered to faculty at a School of Medicine. Questions addressed quality of life, faculty responsibilities, support for teaching, clinical work and scholarship, mentoring and participation in governance.
  
  
  RESULTS
  Of 1,408 eligible faculty members, 532 (38%) participated. Among respondents, 224 (40%; CI95: 0.35, 0.44) reported that their careers were not progressing satisfactorily; 236 (42%; CI95: 0.38, 0.46) were "seriously considering leaving academic medicine in the next five years." Members of clinical departments (OR = 1.71; CI95: 1.01, 2.91) were more likely to consider leaving; members of inter-disciplinary centers were less likely (OR = 0.68; CI95: 0.47, 0.98). The predictors of "serious intent to leave" included: Difficulties balancing work and family (OR = 3.52; CI95: 2.34, 5.30); inability to comment on performance of institutional leaders (OR = 3.08; CI95: 2.07, 4.72); absence of faculty development programs (OR = 3.03; CI95: 2.00, 4.60); lack of recognition of clinical work (OR = 2.73; CI95: 1.60, 4.68) and teaching (OR = 2.47; CI95: 1.59, 3.83) in promotion evaluations; absence of "academic community" (OR = 2.67; CI95: 1.86, 3.83); and failure of chairs to evaluate academic progress regularly (OR = 2.60; CI95: 1.80, 3.74).
  
  
  CONCLUSIONS
  Faculty are a medical school's key resource, but 42 percent are seriously considering leaving. Medical schools should refocus faculty retention efforts on professional development programs, regular performance feedback, balancing career and family, tangible recognition of teaching and clinical service and meaningful faculty participation in institutional governance.
authors.affiliation: Division of Emergency Medicine, Box B-215, University of Colorado School of Medicine, 4200 East Ninth Avenue, Denver, Colorado 80262, USA. steven.lowenstein@uchsc.edu
authors.forename: Steven R
authors.initials: SR
authors.lastname: Lowenstein
authors.forename: Genaro
authors.initials: G
authors.lastname: Fernandez
authors.forename: Lori A
authors.initials: LA
authors.lastname: Crane
mesh_terms: D000046:Academic Medical Centers; D000328:Adult; D002322:Career Mobility; D005180:Faculty, Medical / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D015995:Prevalence; D012577:Schools, Medical; D014481:United States; D000078329:Workforce