Fostering Diversity in Urology: Addressing Ethnic Disparities in Applicant and Resident Recruitment

No AccessUrology PracticeClinical Research11 Mar 2024Fostering Diversity in Urology: Addressing Ethnic Disparities in Applicant and Resident RecruitmentThis article is commented on by the following:Editorial Commentary Bruna Pino, Jonathan Song, Andrew Orlando, and David Wang Bruna PinoBruna Pino https://orcid.org/0009-0002-8015-2620 Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts , Jonathan SongJonathan Song Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts , Andrew OrlandoAndrew Orlando Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts Department of Urology, Boston Medical Center, Boston, Massachusetts , and David WangDavid Wang Corresponding Author: David Wang, MD, Department of Urology, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, 725 Albany St 3rd Floor, Suite 3B, Boston, MA 02118 E-mail Address: email protected Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts Department of Urology, Boston Medical Center, Boston, Massachusetts View All Author Informationhttps://doi.org/10.1097/UPJ.0000000000000521AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookLinked InTwitterEmail Abstract Introduction: In this retrospective database review, the objective was to investigate the ethnic composition of urology applicants and residents in recent years and assess whether any advancements have been made in enhancing the recruitment of candidates from historically underrepresented groups in medicine. Methods: A retrospective database review was conducted on self-reported data on the ethnicity of urology applicants from academic year 2016 to 2017 (AY2016) to AY2021 and urology residents from AY2011 to AY2021. Applicant data were collected from the Association of American Medical Colleges, and resident data were collected from the Accreditation Council for Graduate Medical Education. The ethnic proportions of applicants and residents within cohorts were analyzed using χ2 tests, and differences between cohorts were analyzed using Z tests. Results: There was a statistically significant decrease in the proportion of White applicants from 61.4% to 50.5% from AY2016 to AY2021 and a statistically significant increase in the proportion of applicants of multiple race/ethnicity from 4.7% to 12.0% from AY2016 to AY2021. There were disproportionately more Hispanic/Latino residents than applicants and disproportionately fewer residents of multiple race/ethnicity than applicants in the 2 cycles analyzed. There were disproportionately fewer Black residents than applicants only in the comparison of AY2016 to AY2020 applicants to AY2020 residents. Conclusions: There continues to be a lack of ethnic representation among applicants and residents in urology from underrepresented groups in medicine, despite some measurable improvement over the years. This deficit highlights the important need for new and ongoing efforts to diversify the field. References 1. . Race, gender, and partnership in the patient-physician relationship. JAMA.1999; 282(6):583-589. Crossref, Medline, Google Scholar 2. . Do physicians' implicit views of African Americans affect clinical decision making?. J Am Board Fam Med.2014; 27(2):177-188. Crossref, Medline, Google Scholar 3. . Missing persons: minorities in the health professions. 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Data Availability: Data supporting this study are available upon request. © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsRelated articlesUrology Practice14 Feb 2024Editorial Commentary Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Keywordscultural diversityethnic and racial minoritiesinternship and residencyhealth disparityminority and vulnerable populationsdiversityequityinclusionMetrics Author Information Bruna Pino Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts More articles by this author Jonathan Song Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts More articles by this author Andrew Orlando Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts Department of Urology, Boston Medical Center, Boston, Massachusetts More articles by this author David Wang Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts Department of Urology, Boston Medical Center, Boston, Massachusetts Corresponding Author: David Wang, MD, Department of Urology, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, 725 Albany St 3rd Floor, Suite 3B, Boston, MA 02118 E-mail Address: email protected More articles by this author Expand All Funding/Support: None. Conflict of Interest Disclosures: The Authors have no conflicts of interest to disclose. Ethics Statement: This study was deemed exempt from Institutional Review Board review. Author Contributions: Idea generation: Pino. Data analysis: Song. Manuscript writing: Pino, Song. Manuscript editing: Pino, Song, Orlando, Wang. Data Availability: Data supporting this study are available upon request. Advertisement PDF downloadLoading ...