This is directed toward anyone. My fiancee is an allopathic(MD) allergy fellow. She wants to get into academic medicine. How challenging is it to enter academia? She didn't attend a prestigious medical school. However, she did attain a competitive fellowship like allergy/immunology. She seems to be under the impression that it is rather easy to get involved with academic medicine since most specialts opt for private practice due to higher salaries. I was quite suprised by this notion because in other fields, academia is harder to attain due to the prestige, work hours and competitive (but not great) salary. Becoming a law school professor is much more difficult than becoming an associate at a prestigious firm for example. Also, if she were to attain an academic position, where would it be? I wouldn't be suprised if she could land a position in a university in small to mid-level city that needed one. However, I can't see how it would be easy getting a position in a program in a large metropolitan city that is somewhat popular like Miami, Chicago, San Francisco or Los Angelas. What is your take?