In a recent analysis of factors that influence an anesthesia resident's career decisions, investigators found that of the 263 CA-3s from a large tertiary care academic institution over 15 years, 110 (41.8%) went into private practice upon completion of their residency. In contrast, 120 (45.6%) pursued advanced fellowship training, and the rest (12.6%) stayed in academic anesthesiology (J Educ Perioper Med 2018;20:E616). The authors suggest that the low incidence of residents accepting academic positions is somehow related to the fact that many academic posts require fellowship training. Speaking from experience, we believe that the most significant driver of a decision between academic and private practice anesthesiology is economical, or at least, the perception that the financial rewards in private practice anesthesia are significantly greater. We say “perception” because the days when a private practice anesthesiologist in a...

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