Investigation of Disparity of Urologic Fellowship Match Rates by Gender and US Versus International Medical Graduates Over the Past Decade

To investigate the influence of postgraduate medical education (US vs international) and gender on applicant matching for postgraduate training across different urologic sub-specialties. Match statistics of 5 societies that participated in the AUA fellowship match between 2010 and 2024 were retrospe...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2024-09, Vol.191, p.177-184
Main Authors: Malshy, Kamil, Khaleel, Sari, Rourke, Keith, Golijanin, Borivoj, Thavaseelan, Simone, Pareek, Gyan, Golijanin, Dragan
Format: Article
Language:English
Subjects:
Canada
Education, Medical, Graduate - statistics & numerical data
Fellowships and Scholarships - statistics & numerical data
Female
Foreign Medical Graduates - statistics & numerical data
Humans
Internship and Residency - statistics & numerical data
Male
Retrospective Studies
Sex Factors
United States
Urology - education
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Summary:To investigate the influence of postgraduate medical education (US vs international) and gender on applicant matching for postgraduate training across different urologic sub-specialties. Match statistics of 5 societies that participated in the AUA fellowship match between 2010 and 2024 were retrospectively reviewed. Societies included: Endourology Society (EUS), Society for Urological Oncology (SUO), American Society of Andrology (ASA), Society of Genitourinary Reconstructive Surgeons (GURS), and Society of Pediatric Urology (SPU). Candidates were classified based on gender (male/female) and their postgraduate medical education: local graduates from the United States or Canada (US/Ca) and international medical graduates (IMGs). The match odds were analyzed using the Chi-square test, while trends were assessed through the Mann-Kendall test. Overall, 2439 applicants applied for 1627 programs from 2010 to 2024, comprising 1998 males (81.8%), 399 females (16.4%), and 42 undisclosed (1.7%). There were 1486 US/Ca graduates (60.8%) and 953 IMGs (39.2%). Around 1471 (60.6%) applicants were matched with a program, compared to 958 (39.4%) unmatched. The likelihood of US/Ca graduates matching (83.8%) was significantly higher than IMGs (23.3%), OR= 17.5, 95% CI: (14.3, 21.5), P 
ISSN:0090-4295
1527-9995
1527-9995
DOI:10.1016/j.urology.2024.06.065