Table 5. Reasons Given by Academic Surgeons for Considering Leaving Academic Practice Within the Next 2 Years and by Private Practice Surgeons for Not Pursuing a Primarily Academic Career Among Actively Practicing US Fellows of the American College of Surgeons (2018)^a.

Reason	Respondents, No./total No. (%)
	Academic surgeons (n = 376)b	Private practice surgeons (n = 1309)b
Personal time requirements	230/386 (60)	346/1328 (26)
Overall stress	189/380 (50)	267/1318 (20)
Family responsibilities	166/377 (44)	367/1320 (28)
Changing career interests	122/373 (33)	177/1292 (14)
Inadequate career advancement	112/369 (30)	262/1309 (20)
Sense of isolation	100/363 (28)	110/1278 (9)
Inadequate reimbursement	101/374 (27)	406/1328 (31)
Inadequate mentoring	90/366 (24)	184/1285 (14)
Harassment	72/366 (20)	189/1275 (15)
Research responsibilities	64/369 (17)	466/1306 (36)
Inadequate job opportunities	63/369 (17)	194/1302 (23)
Uncertainty of grant funding	55/359 (15)	264/1269 (21)
Malpractice concerns	46/368 (12)	73/1305 (6)
Teaching responsibilities	36/375 (10)	210/1325 (16)
Inadequate case diversity	27/364 (8)	202/1308 (16)

^aResults weighted to account for potential nonresponse bias. Only academic surgeons considering leaving surgery within the next 2 years are included. All surgeons considered as primarily private practice are included. Questions were asked in a 5-point Likert scale with responses of 4 (agree) and 5 (strongly agree) considered positive responses. P values were not calculated as the question stem differed between academic and private practice surgeons.

^bPractice type was reported by respondents (“Are you currently primarily in a private practice setting?” and “Do you currently hold a medical school faculty appointment?”); respondents who answered no to both questions were excluded. Respondents who answered yes to both questions were considered to be in a private practice setting.