Presented by: Kelly Lehner MD
Mayo Clinic - Rochester

Introduction

The proportion of urology residents pursuing fellowship training has increased. To better understand contemporary trends in the global endourology training pipeline, we analyzed results of the annual AUA endourology fellowship match.

Materials

We analyzed AUA endourology fellowship match statistics from 2014-2023 to characterize trends in application volumes, vacancies, applicants, and successful matches.

Results

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The number of training opportunities increased from 34 programs (36 positions) to 54 programs (59 positions). Despite an excess of applicants, an average of 13 positions (26%) are unfilled each year (range 8-19). Applicant desirability did not appreciably change as an average of 75% of applicants (range 72%-80%) were ranked by programs each year. Programs received an average of 15 applications (range 14-18) and offered 7 interviews (range 6-9). Applicants consistently completed an average of 4 interviews (range 3-6). 75% of vacancies were filled by US graduating residents (range 55%-89%), compared to 17% by non-US-trained candidates and 8% by prior US graduates. The number of successful female candidates averaged 5 per year, increasing from 3 women in 2014 to 11 in 2023.

Conclusion

The volume of candidates and number of positions continues to increase, representing an overall increase in advanced endourology training. Only 3 out of 4 applicants are ranked by programs, and a relatively high proportion of vacancies go unfilled each year. Female and non-US-trained candidates remain underrepresented. Strategies to bolster the endourology training pipeline merit increased attention.

Funding

None

Co-Authors

Kelly Lehner, MD
Mayo Clinic - Rochester

Anessa Sax-Bolder, MD
Mayo Clinic - Rochester

Reza Roshandel, MD
Mayo Clinic - Rochester

Aaron Potretzke, MD
Mayo Clinic - Rochester

Kevin Koo, MD, MPH
Mayo Clinic - Rochester