Presented by: Kelly Lehner MD
Mayo Clinic - Rochester

Introduction

Despite increasing numbers of females matriculating into medical schools and urology residencies, women appear to be underrepresented in subspecialty fellowship training. We aimed to assess female match trends in the Endourological Society fellowship match over the past 10 years.

Materials

We analyzed endourology fellowship match data from the AUA for match years 2014-2023 to characterize trends in application volumes and match success rates for female and male applicants. Mann-Kendall trend test was used to determine statistical significance.

Results

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During the 2014-2023 match cycles, 57 (9%) of applicants were women vs. 572 (91%) men. A significant increase in female applicants occurred over the study period (range 2-13, p=0.001)(Figure). A significant increase in women matching also occurred (p = 0.003). 45 (13%) females compared to 307 (87%) males suceessfullty matched into endourology. The match rate for female applicants averaged 80% (range 50%-100%) compared to 54% for men (range 37%-61%). The average proportion of vacancies filled by women was 12% (range 4%-24%), but the increasing trend was not statistically significant (p=0.23).

Conclusion

While the total number of women applying for and matching to endourology fellowship has significantly increased over the past 10 years, proportionally less women match in endourology overall. Closing the gender gap in the urology workforce will require thoughtful strategies to promote gender diversity in the endourology training pipeline and foster interest in endourology among female residents.

Funding

None

Co-Authors

Kelly Lehner, MD
Mayo Clinic - Rochester

Anessa Sax-Bolder, MD
Mayo Clinic - Rochester

Aaron Potretzke, MD
Mayo Clinic - Rochester

Candace Granberg, MD
potretzke.aaron@mayo.edu

Kevin Koo, MD
Mayo Clinic - Rochester