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  • 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,
    Prevalence of female authors in case reports published in the medical literature Open PDF 
    (2019)
    Hsiehchen, D.
    ;
    Hsieh, A.
    ;
    Espinoza, M.
    IMPORTANCE Underrepresentation of female authors in research publications is prevalent, but it is unclear whether this is attributable to sex disparities in research conduct or authorship practices. Case reports are a poorly understood component of the biomedical corpus, and the production of anecdotal observations is not confounded by factors associated with disparities in female representation in research publications. Whether female authorship disparities exist in nonresearch publications of clinical information is unknown. OBJECTIVES To examine the authorship of case reports and elucidate factors associated with sex disparity. DESIGN AND SETTING Cross-sectional study of all case reports published by US authors in 2014 and 2015 indexed in PubMed performed from July 2015 to July 2018. MAIN OUTCOMES AND MEASURES The primary outcome measure was the proportion of female first authors. The secondary outcome measures were the proportion of female last authors and female authorship representation among different clinical specialties. RESULTS Bibliometric data was abstracted from 20 427 case reports published across 2538 journals. A total of 7252 (36%) and 4825 (25%) case reports had a female first and last author, respectively. In comparison, 44%and 34%of US trainees and physicians, respectively, were female in 2015. Among adult case reports, female authorship was more prevalent in academic environments compared with community settings (34.0%vs 28.2%for female first authors and 23.4%vs 19.7% for female last authors). Across states, the proportions of female first authors and last authors were universally less than the proportions of female trainees and active female physicians, respectively. Female first authorship was associated with larger author teams (odds ratio [OR], 1.02; 95%CI, 1.01-1.03), an academic affiliation (OR, 1.16; 95%CI, 1.06-1.27), and a female last author (OR, 1.58; 95%CI, 1.47-1.70). Relative to general internal medicine, specialties dominated by male clinicians were less frequently associated with female first authors. Several exceptions displaying a relatively equivalent tendency for male and female first authorship included oncology (OR, 0.97; 95%CI, 0.81-1.16), ophthalmology (OR, 0.87; 95%CI, 0.72-1.05), and radiation oncology (OR, 0.94 95%CI, 0.56-1.56). CONCLUSIONS AND RELEVANCE The underrepresentation of women among first and last authors in publications of case reports underscores the pervasiveness of sex disparities in medicine. Collaboration and female mentors may be critical instruments in upsetting longstanding practices associated with sex bias. Not all clinical specialties were associated with lower-than-expected female authorship, and further exploration of specialty-specific norms in publication and mentorship may elucidate specific barriers to female authorship. © 2019 JAMA Network Open.All right reserved.
  • Item type:Publication,
    Sex Differences in Academic Productivity Across Academic Ranks and Specialties in Academic Medicine: A Systematic Review and Meta-analysis Open PDF 
    (2021)
    Ha, Giang L.
    ;
    Lehrer, Eric J.
    ;
    Wang, Ming
    ;
    Holliday, Emma
    ;
    Jagsi, Reshma
    Importance: Despite equal numbers of men and women entering medical school, women are underrepresented in the upper echelons of academic medicine and receive less compensation and research funding. Citation-related publication productivity metrics, such as the h-index, are increasingly used for hiring, salary, grants, retention, promotion, and tenure decisions. Exploring sex differences in these metrics across academic medicine provides deeper insight into why differences are observed in career outcomes. Objective: To systematically examine the available literature on sex differences in h-index of academic faculty physicians across all medical specialties and all levels of academic rank. Data Sources: Medical literature with the term h-index found in PubMed and published between January 1, 2009, and December 31, 2018, was used. Study Selection: A PICOS (Population, Intervention, Comparison, and Outcomes), PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses), and MOOSE (Meta-analysis of Observational Studies in Epidemiology) selection protocol was used to find observational studies that published h-indexes for faculty physicians that were stratified by sex. Studies were excluded if they were review articles, retracted, or unavailable online. Ultimately, 14 of 786 studies (1.78%) met the inclusion criteria. Data Extraction and Synthesis: Data from 9 studies across 16 specialties were examined using weighted random-effects meta-analyses. Five studies were excluded because of overlapping specialties with another study or because they were missing appropriate statistics for the meta-analysis. Four of these studies were included in qualitative synthesis to bring the total to 13 studies. Main Outcomes and Measures: The primary study outcome was the h-index. Results: The meta-analysis included 10 665 North American unique academic physicians across 9 different studies from the years 2009 to 2018. Of the 10 665 physicians, 2655 (24.89%) were women. Summary effect sizes for mean h-indexes of men and women and mean h-index difference between men and women were determined for all faculty physicians and at each academic rank. Overall, female faculty had lower h-indexes than male faculty (mean difference, -4.09; 95% CI, -5.44 to -2.73; P < .001). When adjusting for academic rank, female faculty still had lower h-indexes than male faculty at the ranks of assistant professor (mean difference, -1.3; 95% CI, -1.90 to -0.72; P < .001), associate professor (mean difference, -2.09; 95% CI, -3.40 to -0.78; P = .002), and professor (mean difference, -3.41; 95% CI, -6.24 to -0.58; P = .02). Conclusions and Relevance: In this systematic review and meta-analysis, women had lower h-indexes than men across most specialties and at all academic ranks, but it is unclear why these differences exist. These findings suggest that future investigation should be conducted regarding the causes of lower h-indexes in women and that interventions should be developed to provide a more equitable environment for all physicians regardless of sex.
  • Item type:Publication,
    Current Status of Women in Urology WorkforceBibliometric Analysis Open PDF 
    (2020)
    Solano, C.
    ;
    Ortiz, A.M.C.
    ;
    Jaimes, L.M.B.
    ;
    Saavedra, D.X.R.
    ;
    Ospino, C.O.
    Introduction Recently women have increased in all surgical medical areas and specifically in Urology represent ∼10% of workforce. Objective Describe the current status of women in Urology workforce. Methods Bibliometric retrospective analysis, based on research of literature from 1969 to 2019 using databases: MEDLINE, FABUMED and PubReminder®, using search terms: (workforce) AND (urology), including: journal articles, original research articles, reviews, essays and other scientific reports. The impact factor (FI) was obtained using Journal Citation Reports 2017/2018. Through Scopus, the h (HI) index was obtained. The variables analyzed were: total number of publications, journals, authors, institutions, percentage of publications by journal and country, pattern of scientific production throughout the period studied. A bibliometric mapping analysis was performed with VOSviewer® software. Results A total of 352 reviews were found from 1969 to 2019. The highest percentage of publications were in the last decade. A total of 131 journals were found, 28 of them specific to urology. The journal with the highest number of publications was the Journal of Urology. Ninety percent of the publications were from the United States. Only two main authors were women. Conclusions The interest in determining the role of women in the urological workforce is recent and it correlates with the increase of female representation in this area. © 2020 Thieme Medical Publishers, Inc.. All rights reserved.
  • 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.