As someone that has been intent on entering academics, and now signing my first job in PP, I have realized that we are brainwashed as residents that academics is the only place where "true medicine" happens, that people in PP are incapable of caring for patients that are sicker than the bread and butter cases. This is simply not the case.
I think the only reason to enter academics is if you LOVE research or teaching so much that you are willing to take a pay cut in order to pursue it. The only other reason is if you were a mediocre resident and terrified of the thought of not having much backup in the real world that is PP.