Where in the world are academic derms making those salaries? The ones I have seen are all 250-300k for 4.5 days clinic + 0.5 days admin time in academics. Some get up to 350 later on, but many of these faculty have 300k salaries with 5+ years on faculty and numerous with fellowship training. These are public salaries too. I've seen chairs, mohs, head dermpaths, making 400k-500k and some absurd chair salaries, but associate professors in academic dermatology are horrendously underpaid from almost everywhere I've seen.