To me, academia just sucks, especially in pathology. Why would anyone want to do academia? Low pay. If you are working under an unsupportive chair, you are in trouble. Red tape. You need to find grant money to do research, so that adds to lots of pressure to publish. If the chair in the dept. isn't supportive you are doomed. The only reason why anyone should do academic pathology is to train with a big wig and leave after several years. Private practice is where it's at. For those who are interested in academics, please pass the crack pipe. Everyone will eventually flock to private practice driving salaries lower and lower. There will be no academics in pathology in the near future except for the diehards. Making lower 100Ks in academics is ridiculous.