The Qualitative Experience of Early-career Urologists: Challenges, Fulfillment, Support, and Advice

To characterize the barriers, support, and attitudes experienced by early-career urologists.

An online survey was sent to urologists within their first 10 years of graduating from residency. The survey was advertised at the American Urological Association (AUA) Conference, on X, and via email solicitation. A total of 263 responses were eligible for inclusion. Six open-ended questions were asked, focusing on topics of early-career challenges, fulfillment, and advice for new urologists. Two researchers independently performed inductive coding and reviewed discrepancies until consensus was achieved. A third researcher served as an adjudicator to review and make final thematic determinations.

Thematic analysis revealed many takeaways regarding young urologists' initial years in clinical practice. Challenges primarily involved feelings of unpreparedness during the transition between residency and practice, including in billing knowledge and increased responsibility. Strong relationships in participants' personal and professional spheres were essential throughout this process. Future urologists were advised to center these meaningful relationships and work-life balance when starting or choosing a practice. Values of being an urologist, the nature of surgery, and positive patient relationships brought fulfillment to urologists. Hypothetical reasons to leave urology revolved around frustrations with the medical system and preserving personal well-being.

Early-career urologists note a myriad of challenges and priorities when considering their new attending lives. There should be increased emphasis on the real-world skills needed to succeed as attendings, particularly as they pertain to managing one's practice and navigating professional relationships. Spaces for personal well-being and systemic support should also be implemented in the medical system.