Building successful culture, mission, and vision in dermatology.

Building a successful culture in academic dermatology is necessary now more than ever, but this problem is compounded by the shortage of dermatologists, especially academicians. This dearth of academic dermatologists raises questions about who will train future generations of physicians and who will drive innovative research to advance the field and improve patient care. Recruitment and retention of dermatologists in academia faces steep challenges posed by increasing demands within academic medicine and the draw of the private sector. It is important to address barriers to a career in academia. Efforts should be focused on modifiable aspects of dermatology residency experiences to promote a career in academic dermatology. Of equal importance is the retention of faculty already in academia because midcareer shifts from academic settings to private practice can result in a significant leadership gap.