MP11-20 DIFFERENCES IN CASE LOGS OF UROLOGISTS BY PROCEDURE AND SPECIALTY ALONG GENDER LINES

Abstract

You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Cost Effectiveness II1 Apr 2014MP11-20 DIFFERENCES IN CASE LOGS OF UROLOGISTS BY PROCEDURE AND SPECIALTY ALONG GENDER LINES Laurie Bachrach, Daniel Oberlin, and Sarah Flury Laurie BachrachLaurie Bachrach More articles by this author , Daniel OberlinDaniel Oberlin More articles by this author , and Sarah FlurySarah Flury More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.435AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Diversity of procedures and practice are the most cited reasons women choose urology as a specialty. There is a perception that women are pigeonholed into taking care of female urology issues, which are traditionally more time consuming and provide less surgical opportunities. We sought to assess whether this is true by looking at surgical case logs of women and men and to compare them for index procedures. METHODS We obtained case logs from 6,619 urologists who submitted them to the American Board of Urology from 2003 to 2012 for their initial certification or recertification. We examined case logs for 34 CPT codes encompassing common urologic procedures and we specifically focused on 7 procedure groups: ESWL, Nephrectomy/Nephroureterctomy, TURBT, Ureteroscopy, Slings, Vasecomty, and Prostatectomy. RESULTS Men do an average of 44% more procedures than women overall for the 34 CPT codes examined. For the 7 index procedures indicated above, men had 27-190% greater case volume than women in all areas except slings where they did 46% less cases than women. When stratified by specialty, specifically those in the Gender Independent Specialties of Oncology and Minimally Invasive / Endourology, these trends held. When looking at Female patients there was much more parity between number of procedures performed by male and female Urologists, particularly for TURBTs and Ureteroscopy. The gap between men and women is less for newly certified physicians with men doing 32% more procedures than women compared to 43% and 41% for those doing their 10 or 20 year recertifications respectively. CONCLUSIONS Female urologists have lower operative volume than their male counterparts despite specialty training. The gap in volume is narrower for more recently graduated physicians. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e103-e104 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Laurie Bachrach More articles by this author Daniel Oberlin More articles by this author Sarah Flury More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...