The Gender Gap in Promotions
This article subdivides gender disparity that impedes promotion into experiences inside and outside the workplace. Disparities within the workplace are divided into directly quantified versus qualitative differences. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 20, 2023 Category: Urology & Nephrology Authors: Susan M. MacDonald, Rena D. Malik Source Type: research
Linguistic Differences Based on Gender and Race in Urology Application Personal Statements
While diversity and inclusion efforts have increased in urology, comparative analysis of personal statements from 2016-2017 and 2022-2023 residency applications showed few linguistic changes over time by gender or race/ethnicity. These results suggest the need for directed efforts to engage, mentor, and coach females and underrepresented minorities during medical school and the urology application process. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 12, 2023 Category: Urology & Nephrology Authors: Emma C. Bethel, Asia N. Matthew-Onabanjo, Hannah E. Kay, Ram Basak, Alysen Demzik, Pauline Filippou, Davis Viprakasit, Kristy M. Borawski, Eric M. Wallen, Angela B. Smith, Hung-Jui Tan Source Type: research
Cancer Screening for Transgender Individuals
Few transgender-specific cancer screening recommendations exist. This review aims to cover current guidelines and practice patterns of cancer screening in transgender patients and, where evidence-based data are lacking, to draw from cisgender screening guidelines to suggest best practices for transgender patients based on anatomic inventory. Sufficient evidence does not exist to determine the long-term effects of gender-affirming hormone therapy on cancer risk. In the future, cancer screening and prevention should be focused on anatomic inventory and high-risk behaviors. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 12, 2023 Category: Urology & Nephrology Authors: Joshua Sterling, Jeffrey Carbonella, Tashzna Jones, Stephanie Hanchuk, Paris Kelly, Maurice M. Garcia Source Type: research
A Urologist ’s Guide to Caring for Transgender and Gender Diverse Patients
Urologists are experts in the fields of genital and pelvic anatomy, sexual health and reproductive medicine. As such, a working understanding of urologic conditions relevant to transgender and gender diverse patients should be expected within their scope of practice. Herein, we describe an introductory framework for general urologists to grow their knowledge of the appropriate terminology, anatomy, and basic tenets of gender-affirming car e to better manage the urologic needs of transgender and gender diverse patients. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 9, 2023 Category: Urology & Nephrology Authors: Fenizia Maffucci, Jessica Clark, Min Jun, Laura Douglass Source Type: research
The Other Pandemic, Racism, in Urology
This article aims to review current literature on the “other pandemic,” structural racism, within medicine and specifically urology and provide ways to combat its impact. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 7, 2023 Category: Urology & Nephrology Authors: Olutiwa Akinsola, Adam P. Klausner, Randy Vince, Kristen R. Scarpato Source Type: research
Scales for Assessing Male Sexual Function are not Entirely Applicable to Gay and Bisexual Men with Prostate Cancer
Scales designed for assessing male sexual function may not be suitable for men of all sexual orientations. We reviewed frequently used sexual function scales and examined the item content and documentation of validation. These scales predominantly focus on general sexual function and erection. They lack questions on behaviors relevant to men-who-have-sex-with-men (MSM), such as anal sex, masturbation, or sexual activities outside of committed relationships. Additionally, the validation samples rarely mention inclusion of MSM, revealing a clear gap in the clinical evaluation tools available for MSM, who are experiencing sex...
Source: Urologic Clinics of North America - August 7, 2023 Category: Urology & Nephrology Authors: Joanna M. Mainwaring, Tsz Kin Lee, Richard J. Wassersug, Erik Wibowo Source Type: research
Management of Urologic Complications After Genital Gender-Affirming Surgery in Transgender and Nonbinary Patients
Transgender and nonbinary (TGNB) patients are a population with unique urologic needs that are often overlooked in urologic training. Most urology residents think that learning to take care of this population is important in their training; however, there is much variation in this educational content within urology residency programs. This review provides information on the current state of teaching regarding the unique needs of caring for TGNB patients as urologists and overviews some basic principles that every urologist should know. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 5, 2023 Category: Urology & Nephrology Authors: R. Craig Sineath, Finn Hennig, Geolani W. Dy Source Type: research
The Role of Diversity, Equity, and Inclusion Principles in Enhancing the Quality of Urologic Resident Education and Advancing Gender Diverse Care
This article will review the history of trans and gender diverse individuals in the medical field and suggest relevant content and methods to include in a diversity, equity, and inclusion curriculum. The hope is that the inclusion of these methods will help combat the barriers in place to receiving equitable and fair urologic care. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 5, 2023 Category: Urology & Nephrology Authors: Christi Butler Source Type: research
Diversity in Urology, Are We Moving in the Right Direction?
Analysis of the urology match statistics provides a window into the future of the urology workforce. Match statistics from 2019 to 2023 were analyzed to determine whether the efforts to promote diversity in 2020 have been impactful. The popularity in the field of urology among all racial/ethnic groups peaked interest in application in 2022. However despite an increase in URIM applicants over the last 5 years, 2023 URM applicants have 1/3 the odds of matching into urology as white applicants. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - August 2, 2023 Category: Urology & Nephrology Authors: Elodi J. Dielubanza, Sohrab Arora, Humphrey O. Atiemo Source Type: research
The Future is Female
Multiple estimates have approximated a urologist shortage per capita of around 30% by 2030. In the context of the impending urologic workforce shortage, it is critical to have a nuanced understanding of the degree of workforce shortage in comparison with the US population to mitigate the negative downstream effects in the future. In continued growth and stagnant growth projection models, we found that female urologists make up a significant proportion of the workforce growth over the next four decades. This projection highlights the need for purposeful recruitment, structural changes, and advocacy among urology leadershi...
Source: Urologic Clinics of North America - August 1, 2023 Category: Urology & Nephrology Authors: Catherine S. Nam, Stephanie Daignault-Newton, Kate H. Kraft, Lindsey A. Herrel Source Type: research
Surgical Artificial Intelligence
Endourology is ripe with information that includes patient factors, laboratory tests, outcomes, and visual data, which is becoming increasingly complex to assess. Artificial intelligence (AI) has the potential to explore and define these relationships; however, humans might not be involved in the input, analysis, or even determining the methods of analysis. Herein, the authors present the current state of AI in endourology and highlight the need for urologists to share their proposed AI solutions for reproducibility outside of their institutions and prepare themselves to properly critique this new technology. (Source: Urol...
Source: Urologic Clinics of North America - July 31, 2023 Category: Urology & Nephrology Authors: Zachary E. Tano, Andrei D. Cumpanas, Antonio R.H. Gorgen, Allen Rojhani, Jaime Altamirano-Villarroel, Jaime Landman Source Type: research
Genomics and Artificial Intelligence
Artificial intelligence (AI) is revolutionizing prostate cancer genomics research. By leveraging machine learning and deep learning algorithms, researchers can rapidly analyze vast genomic datasets to identify patterns and correlations that may be missed by traditional methods. These AI-driven insights can lead to the discovery of novel biomarkers, enhance the accuracy of diagnosis, and predict disease progression and treatment response. As such, AI is becoming an indispensable tool in the pursuit of personalized medicine for prostate cancer. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - July 31, 2023 Category: Urology & Nephrology Authors: Elyssa Y. Wong, Timothy N. Chu, Seyedeh-Sanam Ladi-Seyedian Source Type: research
Artificial Intelligence in Urology
Surgical fields, especially urology, have shifted increasingly toward the use of artificial intelligence (AI). Advancements in AI have created massive improvements in diagnostics, outcome predictions, and robotic surgery. For robotic surgery to progress from assisting surgeons to eventually reaching autonomous procedures, there must be advancements in machine learning, natural language processing, and computer vision. Moreover, barriers such as data availability, interpretability of autonomous decision-making, Internet connection and security, and ethical concerns must be overcome. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - July 30, 2023 Category: Urology & Nephrology Authors: Rayyan Abid, Ahmed A. Hussein, Khurshid A. Guru Source Type: research
Hold Fast and Stay True: Unmasking Our Past and Affirming Diversity and Inclusive Excellence as We Advance the Field of Urology
We are concerned about the constant use of federal funds to support this most notorious expression of segregation. Of all the forms of inequality, injustice in health is the most shocking and the most inhuman because it often results in physical death. —Reverend Dr Martin Luther King Jr, March 25, 1966 (Press Conference–Chicago at the Second Convention of the Medical Committee for Human Rights [MCHR]) (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - July 28, 2023 Category: Urology & Nephrology Authors: Tracy M. Downs Tags: Preface Source Type: research
Radiomics and Artificial Intelligence
There is a clinical need for accurate diagnosis and prognostication of kidney cancer using imaging. Radiomics and deep learning methods applied to imaging have shown promise in tasks such as tumor segmentation, classification, staging, and grading, as well as assessment of preoperative scores and correlation with tumor biomarkers. Artificial intelligence is also expected to play a significant role in advancing personalized medicine for the treatment of renal cell carcinoma. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - July 28, 2023 Category: Urology & Nephrology Authors: Alex G. Raman, David Fisher, Felix Yap, Assad Oberai, Vinay A. Duddalwar Source Type: research
