• Ellen M Zimmermann, Lazarus K Mramba, Hamleen Gregoire, Valerie Dandar, Marian C Limacher, and Michael L Good.
• Faculty Development, College of Medicine, Department of Medicine, Division of Gastroenterology, University of Florida, Gainesville, FL, USA.
• J Healthc Leadersh. 2020 Jan 1; 12: 1-10.

PurposeThis study seeks to identify the characteristics and attitudes of faculty in US medical colleges who are at risk of leaving their institution.MethodsThis research leverages data from the AAMC StandPoint Faculty Engagement Survey administered to 37,779 faculty representing 36 institutions participating during 2013-2016. Univariate and multivariable robust logistic regression models were used to assess predictors of the intent to leave based on the question: "Do you plan to leave this medical school in the next 1-2 years?".ResultsThirty percent (n=5559/18,475) of faculty responded that they were considering leaving their institution. Thirty-one percent of female faculty vs 29% of male faculty expressed an intent to leave. At-risk faculty were likely to be at junior faculty rank and at their institutions for 6-15 years vs other time periods (OR=1.16; p≤0.001). Having an administrative title (OR=0.72; p≤0.001) and receiving formal mentorship (OR=0.65; p≤0.001) were protective. Finally, faculty answering "disagree" or "strongly disagree" to any one of these StandPoint Survey questions were at > 6 fold risk of expressing an intent to leave: 1) I am satisfied with my opportunities for professional development, 2) I feel appreciated by my supervisor, 3) My day-to-day activities give me a sense of accomplishment.ConclusionFaculty expressing an intent to leave their institution have an identifiable profile. Top concerns of at-risk faculty relate to supervisory relationships and growth opportunities rather than compensation or governance. Institutional leaders should consider these factors in the development of a proactive strategy to retain talented faculty.© 2020 Zimmermann et al.

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