Almost 16 years since the publishing of Terminologia Anatomica (TA) by the Federative Committee on Anatomical Terminology (FCAT), there has yet to be a unified adoption of TA-recommended anatomical terms by anatomists. A survey was sent to members of the American Association of Clinical Anatomists (AACA) to determine the frequency of TA term usage. Most respondents (70.3%) received their terminal degrees in anatomy, with 23.4% in clinical and anthropological areas. Academically ranked, most respondents were professors (38.4%) and most were from North America (81.1%). Almost 40% of respondents were textbook authors. Overall results indicate that the TA preferred term had the highest frequency of usage in only 53% of the anatomical structures/features surveyed. Compliance with TA preferred terms ranged from 98.2% to 3.6% usage. Almost 25% of AACA anatomists were not familiar with the FCAT and over 75% were concerned about synonymity in anatomical terminology. Data demonstrates that clinical anatomists of the AACA are not consistent in how they use anatomical terminology, as well as how they conform to TA terminology.