Strategies for Attracting Women and Underrepresented Minorities in Urology

Overview

Journal Curr Urol Rep

Publisher Current Science

Specialty Urology

Date 2019 Sep 4

PMID 31478091

Citations 5

Authors

Jessica C Dai

Nnenaya Agochukwu-Mmonu

Adam B Hittelman

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: This article summarizes the current state of underrepresented minorities (URM) and women within urology. Specific strategies to promote the recruitment and retention of URM and women within urology are discussed.

Recent Findings: Minorities and women remain underrepresented within urology, a disparity that has roots as early as medical school and persists throughout residency and practice. This is likely due to implicit and explicit bias, lack of role models, and persistent disparities in compensation and promotion. Strategies to improve recruitment and retention of these individuals should focus on increasing early exposure to urology, opportunities for mentorship, and support in professional development. Creation of a supportive institutional culture, consideration of alternative career advancement paths, and intentional diversity-focused recruitment efforts are also critical. Successful recruitment and retention of URM and women in urology requires specific, directed efforts to increase opportunities for exposure, mentorship, and career promotion at a programmatic, institutional, and national level.

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References

Mason B, Ross W, Ortega G, Chambers M, Parks M . Can a Strategic Pipeline Initiative Increase the Number of Women and Underrepresented Minorities in Orthopaedic Surgery?. Clin Orthop Relat Res. 2016; 474(9):1979-85. PMC: 4965371. DOI: 10.1007/s11999-016-4846-8. View

Butler P, Aarons C, Ahn J, Wein A, Ruckenstein M, Lett E . Leading From the Front: An Approach to Increasing Racial and Ethnic Diversity in Surgical Training Programs. Ann Surg. 2019; 269(6):1012-1015. DOI: 10.1097/SLA.0000000000003197. View

Halpern J, Lee U, Wolff E, Mittal S, Shoag J, Lightner D . Women in Urology Residency, 1978-2013: A Critical Look at Gender Representation in Our Specialty. Urology. 2016; 92:20-5. DOI: 10.1016/j.urology.2015.12.092. View

Grimsby G, Wolter C . The journey of women in urology: the perspective of a female urology resident. Urology. 2012; 81(1):3-6. DOI: 10.1016/j.urology.2012.07.050. View

Rotker K, Iosifescu S, Baird G, Thavaseelan S, Hwang K . What's Gender Got to Do With It: Difference in the Proportion of Traditionally Female Cases Performed by General Urologists of Each Gender. Urology. 2018; 116:35-40. DOI: 10.1016/j.urology.2017.12.040. View

Sambunjak D, Straus S, Marusic A . Mentoring in academic medicine: a systematic review. JAMA. 2006; 296(9):1103-15. DOI: 10.1001/jama.296.9.1103. View

Komaromy M, Grumbach K, Drake M, Vranizan K, Lurie N, Keane D . The role of black and Hispanic physicians in providing health care for underserved populations. N Engl J Med. 1996; 334(20):1305-10. DOI: 10.1056/NEJM199605163342006. View

Snyder R, Bills J, Phillips S, Tarpley M, Tarpley J . Specific interventions to increase women's interest in surgery. J Am Coll Surg. 2009; 207(6):942-7, 947.e1-8. DOI: 10.1016/j.jamcollsurg.2008.08.017. View

Washington 3rd S, Baradaran N, Gaither T, Awad M, Murphy G, Downs T . Racial distribution of urology workforce in United States in comparison to general population. Transl Androl Urol. 2018; 7(4):526-534. PMC: 6127557. DOI: 10.21037/tau.2018.05.16. View

10.

Nettey O, Fuchs J, Kielb S, Schaeffer E . Gender Representation in Urologic Subspecialties. Urology. 2018; 114:66-70. DOI: 10.1016/j.urology.2017.12.034. View

11.

Cohen J, Gabriel B, Terrell C . The case for diversity in the health care workforce. Health Aff (Millwood). 2002; 21(5):90-102. DOI: 10.1377/hlthaff.21.5.90. View

12.

Vemulakonda V, Sorensen M, Joyner B . The current state of diversity and multicultural training in urology residency programs. J Urol. 2008; 180(2):668-72. DOI: 10.1016/j.juro.2008.04.030. View

13.

Oberlin D, Vo A, Bachrach L, Flury S . The Gender Divide: The Impact of Surgeon Gender on Surgical Practice Patterns in Urology. J Urol. 2016; 196(5):1522-1526. DOI: 10.1016/j.juro.2016.05.030. View

14.

Rangel E, Smink D, Castillo-Angeles M, Kwakye G, Changala M, Haider A . Pregnancy and Motherhood During Surgical Training. JAMA Surg. 2018; 153(7):644-652. PMC: 5875346. DOI: 10.1001/jamasurg.2018.0153. View

15.

Kutikov A, Bonslaver J, Casey J, Degrado J, Dusseault B, Fox J . The gatekeeper disparity--why do some medical schools send more medical students into urology?. J Urol. 2010; 185(2):647-52. PMC: 3058515. DOI: 10.1016/j.juro.2010.09.113. View

16.

Spencer E, Deal A, Pruthi N, Gonzalez C, Kirby E, Langston J . Gender Differences in Compensation, Job Satisfaction and Other Practice Patterns in Urology. J Urol. 2015; 195(2):450-5. PMC: 5004345. DOI: 10.1016/j.juro.2015.08.100. View

17.

Palepu A, Carr P, Friedman R, Ash A, Moskowitz M . Specialty choices, compensation, and career satisfaction of underrepresented minority faculty in academic medicine. Acad Med. 2000; 75(2):157-60. DOI: 10.1097/00001888-200002000-00014. View

18.

Carnes M, Devine P, Baier Manwell L, Byars-Winston A, Fine E, Ford C . The effect of an intervention to break the gender bias habit for faculty at one institution: a cluster randomized, controlled trial. Acad Med. 2014; 90(2):221-30. PMC: 4310758. DOI: 10.1097/ACM.0000000000000552. View

19.

Osseo-Asare A, Balasuriya L, Huot S, Keene D, Berg D, Nunez-Smith M . Minority Resident Physicians' Views on the Role of Race/Ethnicity in Their Training Experiences in the Workplace. JAMA Netw Open. 2019; 1(5):e182723. PMC: 6324489. DOI: 10.1001/jamanetworkopen.2018.2723. View

20.

Butler P, Britt L, Green Jr M, Longaker M, Geis W, Franklin Jr M . The diverse surgeons initiative: an effective method for increasing the number of under-represented minorities in academic surgery. J Am Coll Surg. 2010; 211(4):561-6. DOI: 10.1016/j.jamcollsurg.2010.06.019. View