Shortage of department chairpersons leaves academic ophthalmology 'rudderless'

Recently, a chairperson of a prominent department of ophthalmology, and someone I admire tremendously, reminded me of a major issue facing our specialty. Academic ophthalmology is facing a shortage of department chairpersons. Approximately 25 departments are currently without a permanent chairperson. On average, after 2 years of search committee activity, 50% of these positions remain unfilled.