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Start date: 2023Discipline: search.filters.discipline.Urology

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Now showing 1 - 10 of 11
  • Item type:Publication,
    Needs and Experiences of United States Female Urology Residents Open PDF 
    (Elsevier BV, 2023-10)
    Sheng, Michelle
    ;
    Chu, Alice
    ;
    Catic, Almira
    ;
    Hartsell, Lindsey
    ;
    Mehta, Akanksha
    Abstract Objective: To identify factors influencing residency training program selection by women residents in urology and to evaluate the residents' gender-based experiences during training. Urology remains a disproportionately male-physician-dominated field. Understanding the needs and experiences of women residents is essential for developing strategies to recruit and retain more women urologists in independent practice. Methods: An anonymous, 15-item web-based electronic survey was posted on social media and distributed via institutional email addresses between May and July 2021, targeted to all 461 current women U.S. urology residents. Both quantitative and qualitative data were collected and analyzed using descriptive statistical methods and thematic analysis, respectively. Results: 147 complete responses were received. The most important factors influencing initial residency training program selection included geographic location/setting (37%) and institutional reputation (27%), compared to number of women faculty (3.4%) and women residents (0%). However, respondents cited a need for increased presence of women faculty and mentorship (36%), elimination of gender bias/harassment in the workplace (33%), and improved family support/maternity leave policies (15%) during residency to better foster clinical and academic growth of women residents. In interactions with patients, 97% reported not being recognized as a doctor, 84% reported stereotyping of women doctors, and 78% reported experiencing inappropriate treatment/harassment from male patients. Conclusion: Geographic setting and institutional reputation were the most important factors for residency program selection by women urology residents. Although overlooked as a priority during the initial application process, current women urology residents seek increased women faculty presence, leadership and mentorship during residency to foster clinical and academic growth. Women residents face extremely high rates of gender bias and harassment in the workplace. Copyright © 2023 Elsevier Inc. All rights reserved.
  • Item type:Publication,
    Engaging and Empowering Future Female Surgeons: Development of the Medical Student Section of the Society of Women in Urology Open PDF 
    (Elsevier BV, 2025-10)
    Booher, Allison G.
    ;
    Vereecken, Sasha J.
    ;
    Kim, Erin
    ;
    Penmatcha, Neharika
    ;
    Aponte, Alexandra
    OBJECTIVE: To describe a replicable model for a large-scale, cross-institutional, and student-driven initiative to promote gender equity within surgical fields. METHODS: To address the lack of a national infrastructure to support female medical students pursuing careers in Urology, a historically male-dominated specialty, the society of women in urology (SWIU) established its medical student section, called SWIUdents, as a student-led initiative to offer mentorship, education, and networking resources for future female urologists. In 2022, SWIUdents convened its first medical student leadership board, comprised of two co-chairs and four subcommittees focused on membership, program implementation, mentorship, and community relations. SWIUdents membership was open to medical students of all gender identities, and recruitment for the organization took place via official SWIU communications, social media, and word of mouth. RESULTS: As of April 2025, there are 319 SWIUdents members, 195 of which are current medical students, representing all regional sections of the American Urological Association (AUA), as well as international medical students. In the 2024 to 2025 academic year, SWIUdents paired 87 medical students with resident or faculty members in Urology. SWIUdents also maintains an active social media presence and offers a broad array of programming, with robust attendance at monthly webinars and journal clubs. CONCLUSIONS: This paper outlines the development and infrastructure of SWIUdents, a national, student-driven model which may be replicated by other specialty organizations aiming to engage and empower women and other groups underrepresented within their respective field.
  • Item type:Publication,
    Characterization of academic output (h‐index) by Australian urologists according to gender and rurality Open PDF 
    (Wiley, 2025-01-21)
    Paynter, Jessica A.
    ;
    Wang, Eugene
    ;
    Wynn, Jessica
    ;
    Qin, Kirby R.
    ;
    Brennan, Janelle
    Background As the number of practicing female urologists in Australia continues to increase alongside the academic development of the specialty, it is essential to examine how gender and rurality impact academic performance and expectations. This study aims to assess differences in h‐index related to both gender and rurality among Australian urologists. Methods We identified all active, practicing Australian urologists through the Urological Society of Australia and New Zealand (USANZ) membership database. Data on each practitioner's gender, subspecialty, academic rank or affiliation, seniority, and h‐index from the Web of Science were collected. Differences in h‐index by gender and rurality were analyzed using univariable and multivariable regression. Results A total of 463 Australian urologists were included, of whom 69 (14.9%) were female and 73 (15.8%) practiced in rural areas. Female urologists were less likely to hold an academic position of Associate Professor or Professor compared to their male counterparts (5.8% vs. 11.0%, P = 0.28). The average h‐index for female urologists was 39% lower than male urologists (univariable P < 0.001). Adjusting for demographic variables, h‐index remained 32% lower (multivariable P = 0.003). The average h‐index of rural urologists was 51% lower than their metropolitan colleagues (univariable P < 0.001); and after adjusting for demographics, the average h‐index was 30% lower (multivariable P = 0.006). Conclusion Female and rural urologists in Australia produce significantly less research than their male and metropolitan counterparts. To address this disparity, it is crucial to implement enhanced institutional academic support, targeted mentorship, and greater recognition of the challenges posed by caregiving responsibilities and rural practice.
  • Item type:Publication,
    Examining Gender Representation in US News and World Report Top 25 Urology Departments: Female Faculty Hold Lower Professorial Levels and Publication Rates Than Male Counterparts Open PDF 
    (Wiley, 2024-12-17)
    Venigalla, Greeshma
    ;
    Sadiq, Sabika
    ;
    Gurayah, Aaron A.
    ;
    Soodana‐Prakash, Nachiketh
    ;
    Martin, Laura
    ABSTRACT Objectives To examine female representation in US News and World Report (USNWR) top 25 US Urology departments and identify trends of female representation in institutional roles. Methods Using the 2022 USNWR, we collected data from each institution's websites along with a compared geographically local cohort to evaluate the presence of female residents, female attendings, and professorial levels. First or last author faculty publications numbers were found using PubMed and Scopus in fiscal year 2022. Results The top 25 institutions averaged ~32.3% female residents and 18.7% female attendings, which was not significantly different from the comparison cohort. Of the total publications of fiscal year 2022, female attendings contributed ~14% ( p  < 0.001), also not significantly different from the comparison cohort. Only 20.4% of listed female attendings in top 25 programs are full Professors, compared to 41.1% of the listed men ( p  < 0.05). The most common level of female professorship is Assistant Professor (53.4%). Level of female professorship between cohort was significantly different, with female urologists more likely to hold a title of full Professor in the top 25 cohort compared to the nontop 25 cohort regardless of similar publication output ( p  < 0.05). Conclusions Female faculty in Urology continue to be underrepresented in the top Urology departments, with significant difference in equitable female professorship appointments between top 25 and nontop 25 departments. Future directions include examining the impact of early mentorship and sponsorship on representation over time.
  • Item type:Publication,
    PD30-09 TRENDS IN FEMALE AUTHORSHIP AMONG UROLOGY RESIDENTS: IS THE GENDER GAP CLOSING? Open PDF 
    (Wolters KluwerPhiladelphia, PA, 2023)
    Ong, Melody
    ;
    Ballway, Joshua
    ;
    Kokush, Emily
    ;
    Fastenau, John
    ;
    Mina, George
    INTRODUCTION AND OBJECTIVE:Gender disparities have been demonstrated among women in academia. Women face barriers to acquiring mentorship, publishing, and obtaining academic promotions. Urology, a historically male-dominated field, has seen a steady rise ...
  • Item type:Publication,
    The workplace culture, mental health and wellbeing of early- and mid-career health academics: a cross-sectional analysis Open PDF 
    (2024)
    Marck, Claudia H.
    ;
    Ayton, Darshini
    ;
    Steward, Trevor
    ;
    Koay, Hui-Fern
    ;
    Wiley, Joshua F.
    There are reports of poor working conditions for early and mid-career academics (EMCAs) in universities, however, empirical data using validated tools are scarce. We conducted an online, cross-sectional survey using validated tools to assess workplace satisfaction, exposure to workplace abuse, and mental health. Participants included employees of medical and health faculties of two of the largest Australian universities, surveyed between October 2020 and January 2021.Overall, 284 participants responded. Many reported job insecurity: half (50.7%) working on contracts with less than one remaining year. Workloads were considerable, with 89.5% of participants working overtime and 54.8% reporting burnout. Workplace abuse in the forms of bullying (46.6%), sexual harassment (25.3%), sexism (49.8%) and racism (22.5%) were commonly reported. Clinically significant symptoms of depression (28.0%), anxiety (21.7%) and suicidal ideation or self-harm (13.6%) were reported; with a higher prevalence among those working more overtime, and those exposed to workplace abuse. Priorities include providing a stable and safe workplace, increasing accountability and transparency in addressing workplace abuse, and supporting professional development.In summary, EMCAs in our study were commonly exposed to precarious employment conditions and workplace abuse. Our findings provide empirical evidence on where universities and funding bodies should direct resources and change organisational risk factors, to improve workplace culture.
  • Item type:Publication,
    Gender trends at the annual Spanish Urologic Association (AEU) meeting: A review of AEU programmes over a 10-year period (2012-2022) Open PDF 
    (2024)
    Sierra, A.
    ;
    Mercader, C.
    ;
    Pagés, R.
    ;
    Seguí, E.
    ;
    Musquera, M.
    INTRODUCTION: Gender equity in urological meetings is pivotal for fostering diversity and inclusivity in the field. This study aims to evaluate the representation of Spanish urologist and regional disparities, and to assess its alignment with the demographic composition of the urological community. MATERIALS AND METHODS: All urology meetings organized by the AEU between January 2012 and December 2022 were reviewed, including meeting information and details of the faculty. Additionally, we analysed geographic distribution of speakers across 17 different regions. Gender demographics were obtained disaggregating data by sex and year from the Organización Médica Colegial de España (OMC) and from those urologists affiliated to the AEU. RESULTS: Analysing 52 AEU congresses held from 2012 to 2022, encompassing 3,407 speakers, the study found that 95.25% of speakers were from Spain and 89.6% were male speakers. Over the years, there was a positive trend in female speaker representation, increasing by 1.1% annually, slightly lagging the 1.8% annual rise in the number of female urologists in Spain. In specific subfields like functional, transplantation, and oncology sessions, the study revealed a higher representation of women, indicating focused efforts in these areas. Geographically, Madrid, Catalonia and Andalusia exhibited the highest representation. CONCLUSIONS: Although there was a positive trend towards an increased participation of female urologists in Spanish urological meetings, it fails to accurately reflect the proportional increase in the number of women entering the urology profession in recent years. This study underscores the importance of ongoing efforts to ensure diverse and balanced representation in urological forum.
  • Item type:Publication,
    Is there an editorial glass ceiling? Editorial leadership in nephrology and transplantation journals: A gender-based cross-sectional analysis Open PDF 
    (2024)
    Scarlato, Rose-Marie
    ;
    Wyburn, Kate
    ;
    Wyld, Melanie L.
    AIM: Editors-in-Chief (EiC) play a key role as gatekeepers in academic medicine, often shaping research agendas. Women have historically been underrepresented in editorial leadership roles in academic medicine. The purpose of this study was to examine gender representation among EiC of contemporary transplantation and nephrology journals. METHODS: This cross-sectional study evaluated gender disparities among EiC of transplantation and nephrology medical journals. The study population was drawn from journals in two subject categories (1) 'Transplantation' and (2) 'Urology and Nephrology' in the 2023 Journal Citation Reports. Binary gender classification (woman/man) was determined by the names/pronouns used to describe the EiC on the journal or institutional webpage. The primary outcome was the proportion of women EiC. Secondary outcome was the proportion of women EiC based on journal topic, location and metrics. Descriptive statistics were used. Gender differences were compared using students t-test or Fisher's exact test. RESULTS: A total of 79 EiC were identified of which 16 (20%) were women and 63 (80%) were men (p < .001). Transplantation and nephrology journals had 21% and 20% women EiC, respectively. The proportion of women to men EiC was not impacted by journal category (p = .93), journal location (p = .61), journal impact factor (p = .71) or quartile (p = .59). CONCLUSION: There was a disparity in gender representation in EiC in nephrology and transplantation journals, with men holding 80% of all positions. These findings, among growing evidence of gender disparity, highlight a need for targeted efforts to promote gender equity in academic medicine.
  • Item type:Publication,
    MP57-20 GENDER EQUITY IN ACADEMIC UROLOGY Open PDF 
    (Wolters KluwerPhiladelphia, PA, 2023)
    Finney, Esther L.
    ;
    Iacono, Ellis
    ;
    Vallamkonda, Sachin
    ;
    Maclachlan, Lara S.
    INTRODUCTION AND OBJECTIVE:Women are increasingly represented among urologic trainees and now comprise 10% of the urologic workforce but are historically underrepresented within academic urology. We aimed to assess the current status of gender equity among leadership positions in academic urology, and to determine whether gender differences exist in objective qualifications.
  • Item type:Publication,
    Women in urology: Gender differences in urologists' authorship in high impact journals Open PDF 
    (2023)
    Demir, D.Ö.
    ;
    Karagöz, M.A.
    Background: The number of women among medical doctors and surgeons continues to rise. However, urology remains one of the least preferred specialties by female physicians, resulting in the inadequate academic representation of female urologists. In this study we examined changes in the representation of female urologists in the journals European Urology (EU) and Journal of Urology (JOU) and investigated in which urology subspecialties female urologists focus their academic studies. Methods: Original articles, reviews and case reports published in EU and JOU were included in the study. The analysis was limited to 4 years, starting with 2004 and continuing at 5-year intervals until 2019.The publications were also classified according to urology subspecialty and geographic location. Results: In total, 2708 articles were analysed. Overall, women accounted for 9.9% of first authors (267/2708) and 5.9% of senior authors (161/2708).The proportion of female first authors was 8.2% in 2004 and increased to 10.7% in 2009, 10.6% in 2014, and 11.6% in 2019 (P = 0.062). The proportion of female last authors was 7% in 2004 and 5.3%, 6.1%, and 2.5% in 2009, 2014, and 2019, respectively (P = 0.011). Women accounted for a significantly higher proportion of first authors than men in publications related to female and paediatric urology (P = 0.001 and P = 0.002, respectively). Conclusions: The increasing number of women urologists worldwide is not reflected in the scientific authorship of female urologists. Multicenter studies focusing on the elimination of gender disparity in academic representation are needed in surgical branches such as urology. © 2022 Royal Australasian College of Surgeons.