Resigned to Resignation: When Asked to Step Down as a Medical School Dean

The medical school dean role is complex, with responsibility to many stakeholders. Medical school deans are not judged solely by performance. At least as important to the success of a medical school dean is maintaining relationships with faculty, students, university administration, board members, and elected officials. United States medical school dean turnover is common, with an average dean tenure of slightly more than four years. Although precise data are not available, medical school decanal turnover is typically forced and not due to personal choice. Following a decanal role, former deans can return to the faculty, seek another job, or retire. This decision is complex and requires introspection. Given their relatively short tenure, medical school deans need to view their decanal role not as a destination but as part of their academic journey. Planning a future after deanship is a critical component of professional development for medical school leaders.