Abstract
There is an increasing recognition of the importance of diverse representation in medicine. Several studies have shown that racial concordance can improve patient compliance and health outcomes in minority populations.1 Although American medical students are currently more diverse than the work force of practicing physicians,2 there are unique barriers that exist for minority applicants interested in competitive specialties such as urology. Black medical students are less likely to be selected for awards and honors societies such as Alpha Omega Alpha (which is associated with matching into competitive specialties),3 and there are less obvious factors such as relation to or close connection with a physician, financial considerations that preclude extensive interview travel and a longer residency, and the lack of effective mentorship that disproportionally impacts minority students.
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