Mp17-05 Gender Differences in Graduating Urology Resident Case Volumes: A 10-Year National Cohort Study From 2012 to 2022

You have accessJournal of UrologyEducation Research I (MP17)1 May 2024MP17-05 GENDER DIFFERENCES IN GRADUATING UROLOGY RESIDENT CASE VOLUMES: A 10-YEAR NATIONAL COHORT STUDY FROM 2012 TO 2022 Jenna N. Bates, Angeline Johny, Wesley A. Mayer, Yoon Soo Park, Gina M. Badalato, Kate H. Kraft, and Eric Holmboe Jenna N. BatesJenna N. Bates , Angeline JohnyAngeline Johny , Wesley A. MayerWesley A. Mayer , Yoon Soo ParkYoon Soo Park , Gina M. BadalatoGina M. Badalato , Kate H. KraftKate H. Kraft , and Eric HolmboeEric Holmboe View All Author Informationhttps://doi.org/10.1097/01.JU.0001008628.15460.84.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Although studies in other specialties suggest gender differences in residency case log distribution, the relationship between gender and case volume in urology residency training has not been examinedon the national scale. We hypothesize male urology residents log more cases than female residents. METHODS: We performed a ten-year national retrospective review of a novel database provided by the Accreditation Council for Graduate Medical Education (ACGME) of cases logged by all graduating residents from ACGME-accredited urology residencies from graduating year 2013 through 2022. This is the first study using an ACGME database integrating trainee characteristics from multiple national data systems. Trends were examined using descriptive statistics. Bivariate comparisons and longitudinal analyses were conducted using t-tests and mixed-effects regression models in Stata 18 (College Station, TX). RESULTS: The analysis included 142 urology programs and 2,986 residents over the 10-year study period. The number of programs increased by 18% from 118 to 139. The number of residents increased by 28% from 264 to 339. The percentage of female residents ranged from 21-27% and showed no significant increase over time (p=0.71). Total cases reported per resident significantly increased over time from an average of 1,259 (SD=18) in 2013 to 1,608 (SD=22) in 2022 (p<.001). However, across ten-years, females logged significantly fewer total cases (Mean=1,341 SD=12) compared to males (Mean=1,401 SD=7), p<.001. Females logged significantly fewer cases in 4 out of the 10 years, with 3 of those occurring in the past 4 years. There were no years in which females logged statistically more cases than males. Males logged significantly more general urology, endoscopy, oncology, and robotic cases than females, depending on the year. Only pediatrics and reconstruction cases were logged more by females in any year. CONCLUSIONS: Despite efforts to improve female representation in urology, the number of female graduates is statistically unchanged over the past 10 years. Females logged significantly fewer cases than males, and this discrepancy is more prevalent in recent years. Given the evidence that surgeons' case volumes correlate with patient outcomes, it is essential to understand this apparent gender gap. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e292 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Jenna N. Bates More articles by this author Angeline Johny More articles by this author Wesley A. Mayer More articles by this author Yoon Soo Park More articles by this author Gina M. Badalato More articles by this author Kate H. Kraft More articles by this author Eric Holmboe More articles by this author Expand All Advertisement PDF downloadLoading ...