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A New Barrier in the Urology Residency Application Process For Students: Growth of U.S. Medical Schools Increasingly Outpaces the Development of Urology Programs
Nelwan, D. [1]
Donato, U. [1]
Patel, T. [2]
Imam, A. S. [1]

Journal: The Journal of Urology Date: 2023/04, 209(S4):Pages: e788. doi: Subito , type of study: retrospective study

Full text    (https://www.auajournals.org/doi/10.1097/JU.0000000000003310.10)

Keywords:

conference abstract [108]
medical schools [156]
osteopathic medicine [1540]
programs [60]
residency [206]
retrospective study [213]
urology [16]

Abstract:

INTRODUCTION AND OBJECTIVE: In 2006, the AAMC recommended that first-year medical school matriculation should increase by 30% to combat the increasing physician shortage in the U.S. Their goal was met in 2018, and as undergraduate medical education has since continued to expand, we wanted to examine the concomitant growth of urology training programs. METHODS: Data on the number of current MD and DO medical schools and urology residencies in the U.S., as well as their year of establishment, were ascertained via internet search, with sources including the AAMC, American Association of Colleges of Osteopathic Medicine, Doximity, and individual programs' websites. Data were tabulated and stratified by year of establishment (either<2000 or≥2000). RESULTS: Before the year 2000, there were 142 medical schools (126 MD, 16 DO) and 113 accredited urology residencies. Since 2000, 76 new undergraduate medical training sites have been established (33 MD, 43 DO), as well as 35 new urology residency programs. In total, there are presently 218 undergraduate medical training sites (159 MD, 59 DO) and 148 urology residencies. We calculated the percentages of undergraduate medical training sites with a urology residency, comparing pre-2000 to the present: <2000 =79.6% (113/142); present=67.9% (148/218). We also stratified by region, using AUA Sections (Table 1). CONCLUSIONS: The growth rate of graduate medical education is lagging behind the increased rate of medical school matriculation. Prior to 2000, nearly 80% of medical schools had an associated urology residency; that number has fallen to 67.9% in the past two decades. The Western AUA Section region shows the greatest discrepancy between growth of medical schools and development of urology residencies. Overall, all AUA Sections have experienced a decrease in the percentage of medical training sites in their region with a urology residency, with the exception of the Mid-Atlantic and New England Sections. Equity is one of the pillars of the AUA's DEI initiatives; however, students at 1/3rd of medical training sites lack local urologic mentorship. Given the importance of urology research to successfully matching, these students are potentially disadvantaged in their pursuit of a career in urology compared to students at institutions with a urology residency. (Figure Presented).

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