Force #1: Financial disparity with private practice There is an easy explanation for the thinning corridors of academia. Money. It is the first thing everyone says, often with a shrug, as if the matter were settled. Of course, they leave. They can earn twice as much in private practice. And it’s true. A boarded neurologist, surgeon, or internist can step out of a university clinic on Friday and, by Monday morning, double - sometimes triple - their salary in specialty practice