I agree w/ Dr. Ruderman. If you look at Fig 1 in the paper, rheumatology is in the top quarter, with ~36% intending to leave academia. Moreover, Fig. 2 shows rheumatology with the lowest in professional fulfillment, while being in the top quartile of burnout scores! What drives these numbers? Is it a lack of respect? Based on the comparators, its not salary, nor cognitive specialty or patient care?