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Solutions: Bridging the Diversity Gap in Urology Trainees.

Jeunice Owens-Walton¹, Keiko A L Cooley², Amber S Herbert³

¹Medical College of Georgia, Augusta, GA.

|June 27, 2021

Summary

Diversity in urology residency remains stagnant, with Underrepresented in Medicine (URiM) trainees comprising only 8.1% in 2011 and 8.2% in 2020. This highlights a critical need for transformation in urology training to address healthcare inequities.

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Area of Science:

Medical Education
Surgical Specialties
Health Equity

Background:

Diversifying the physician workforce is crucial for addressing healthcare inequities.
Recruiting Underrepresented in Medicine (URiM) students is vital for enhancing diversity in healthcare.
Urology residency training needs improved strategies for minority recruitment.

Purpose of the Study:

To examine the current state of minority recruitment in urology residency.
To identify solutions for increasing diversity within urology training programs.
To analyze trends in URiM representation in urology.

Main Methods:

Retrospective analysis of self-reported race/ethnicity data for urology trainees (2011-2020).
Longitudinal analysis of urology applicant vs. trainee numbers (2016-2020).
Data sourced from Accreditation Council for Graduate Medical Education and Electronic Residency Application Service.

Main Results:

11,458 urology trainees analyzed; 57.9% White, 14.7% Asian/Pacific Islander, 3.9% Hispanic, 3.3% Black.
URiM representation among urology trainees remained stagnant from 8.1% in 2011 to 8.2% in 2020.
Despite increased medical school enrollment and training spots, URiM numbers in urology have not improved.

Conclusions:

Prioritizing diversity, equity, and inclusion is essential for improving patient care and supporting URiM physicians.
The lack of progress in URiM representation in urology training is a significant concern.
Critical transformation is needed in urology residency recruitment and training to foster greater diversity.