Anonymous surveys were sent to 122 dermatology department chairpersons and/or chiefs. Chairpersons were identified through medical school Web sites and publications of the American Medical Association.3 Survey questions focused on demographics, tenure, and future plans of current department chairpersons. In addition, questions were asked about prevailing attitudes in the department toward academic medicine, faculty retention, and the adequacy of the pool of candidates for future leadership positions. Analysis was performed using t tests on continuous variables (Excel 2003; Microsoft Inc, Redmond, Washington). P < .05 was considered significant.