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Urodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Female Incontinence: Therapy I (PD06): Podium 6: Friday, September 10, 2021

PD06-04 WORKFORCE DIVERSITY IN FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY: AN ANALYSIS OF THE AMERICAN UROLOGICAL ASSOCIATION CENSUS DATA

Atiemo, Humphrey; Enemchukwu, Ekene; Dielubanza, Elodi

doi: 10.1097/JU.0000000000001974.04
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INTRODUCTION AND OBJECTIVE:

Several studies have documented the lack of diversity in the physician workforce. Urology suffers from this same lack of diversity. The 2019 American Urological Association (AUA) census reported that underrepresented minorities in medicine (URM) groups, Black and Latino/Hispanic urologists comprised only 1.9% and 3.3% of the urologic workforce, respectively. Currently, racial disparities in the knowledge and treatment outcomes in minority women with pelvic floor disorders exist. Therefore the subspecialty of Female Pelvic Medicine and Pelvic Reconstructive Surgery (FPRMS) plays a pivotal role in providing care for these patients. The goals of this study are to examine trends in underrepresented minority (URM) representation in FPMRS and to determine the distribution of these providers amongst the AUA sections.

METHODS:

AUA Census data from 2014 to 2019 was queried to determine the racial/ethnic and gender distribution of the FPRMS specialist by AUA section. Racial groups were identified as White, Asian, Black, Multiracial, and other. This data was then compared to the other AUA subspecialties of Oncology, Pediatrics, and Endourology.

RESULTS:

Compared to Urologic Oncology, Pediatrics, and Endourology, FPRMS is the most racially diverse workforce. The largest rise in Black and multi-race providers was observed between 2014 (3.2%) and 2015 (11.1%). This growth has been sustained over the following 6 years. In contrast, the other urological subspecialties have remained relatively unchanged at approximately 3% (Figure 1). The largest percentage of URM practitioners were registered in North Central Section with the second highest URM presence in the Mid Atlantic section. FPRMS is also the most gender diverse urologic subspecialty with 46.5% of practitioners identifying as women. The second highest was in Pediatric Urology where women represented 25.1% in 2019.

CONCLUSIONS:

The FPRMS subspecialty appears to be the most diverse in Urology practice. Future studies are needed to determine the factors that contribute to this finding, such as gender and race concordant mentorship and sponsorship. Ultimately, one of the goals of achieving diversity in the FPRMS specialty is to achieve more equitable care for minority patients with pelvic floor disorders.

Source of Funding:

None

© 2021 by American Urological Association Education and Research, Inc.