MP35-13 VASECTOMY AND THE GENDER GAP: SHIFTING DEMOGRAPHICS OF THE UROLOGIC WORKFORCE

Abstract

You have accessJournal of UrologyInfertility: Epidemiology & Evaluation II1 Apr 2017MP35-13 VASECTOMY AND THE GENDER GAP: SHIFTING DEMOGRAPHICS OF THE UROLOGIC WORKFORCE Alexander J Tatem, Barbara E Kahn, Marah Hehemann, Daniel J Mazur, Anuj S Desai, Daniel Oberlin, Mary Kate Keeter, Kevin Lewis, Sarah Flury, Nelson E Bennett, and Robert E Brannigan Alexander J TatemAlexander J Tatem More articles by this author , Barbara E KahnBarbara E Kahn More articles by this author , Marah HehemannMarah Hehemann More articles by this author , Daniel J MazurDaniel J Mazur More articles by this author , Anuj S DesaiAnuj S Desai More articles by this author , Daniel OberlinDaniel Oberlin More articles by this author , Mary Kate KeeterMary Kate Keeter More articles by this author , Kevin LewisKevin Lewis More articles by this author , Sarah FlurySarah Flury More articles by this author , Nelson E BennettNelson E Bennett More articles by this author , and Robert E BranniganRobert E Brannigan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1103AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Women comprise over 7% of the current urologic workforce and 23% of current urology trainees. Despite this, women urologists may encounter gender-based practice patterns that can potentially limit their scope of practice. Vasectomy is one of the most common procedures performed by urologists, with many authors estimating over 500,000 such cases performed in the United States each year. Given the changing demography of the urology workforce, we sought to elucidate the changing practice patterns of women urologists performing vasectomies over time. METHODS Annualized case log data for vasectomy was obtained from the American Board of Urology (ABU) for all urologists certifying or recertifying from 2002 to 2013. We evaluated trends in vasectomy in regards to the gender of the performing surgeon and geographic location subdivided by AUA section. Linear regression was used to evaluate the percentage of vasectomies performed by women over time and establish both regional and national trends. RESULTS From the 7,819 case logs submitted by urologists in the United States we analyzed 123,443 vasectomies. The percentage of vasectomies performed by women urologists nationally increased by approximately 0.33 percentage points per year from 0.92% in 2002 to 4.4% in 2013 (R2=0.75). Regional sub-analysis revealed that this trend was preserved across the country with faster rates of increase noted in the Western and New England AUA sections. CONCLUSIONS Women now account for 50% of medical school graduates and an increasing percentage of urologists. Our analysis indicates that this movement towards gender parity is reflected in the relative rise of vasectomies performed by women urologists with faster rates of rise in the Western and New England AUA sections. However, it is worth noting that women still perform disproportionately fewer vasectomies than would be predicted by current workforce composition. Further studies are warranted to determine the effects of gender on urologists’ practice patterns and patients’ selection of their surgeons. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e462-e463 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Alexander J Tatem More articles by this author Barbara E Kahn More articles by this author Marah Hehemann More articles by this author Daniel J Mazur More articles by this author Anuj S Desai More articles by this author Daniel Oberlin More articles by this author Mary Kate Keeter More articles by this author Kevin Lewis More articles by this author Sarah Flury More articles by this author Nelson E Bennett More articles by this author Robert E Brannigan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...