I'm a PGY4 and trying to figure out what to do career-wise. Right now I'm debating on working in a private hospital vs working on an inpatient unit as a faculty for a medical school. Obviously the pay is better in the private hospital and the one that I'm considering doesn't require the physicians to take call. But I'm worried that I'll become "stagnant" in the private hospital and wonder if working with residents and medical students will motivate me to stay current and up-to-date with treatments, etc. Another major concern I have is that I'll be a less appealing candidate in the future if I want to become a faculty member if I'm away from academia too long. However, for financial reasons, the private hospital is more appealing. Does anyone have any thoughts?