Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Department of Urology, University of Michigan, Ann Arbor, MI.
Urology. 2023 Mar;173:215-221. doi: 10.1016/j.urology.2022.11.012. Epub 2022 Nov 28.
To understand gender trends among urologists included in "Top Doctor" lists as more women practice urology, we (1) Evaluated whether Top Doctor lists reflect a contemporary distribution of urologists by gender; (2) Describe regional differences in gender composition of lists; (3) Report similarities and differences among men and women Top Doctors.
All urologists in regional Top Doctor Castle Connolly lists published in magazines between January 1, 2020 and June 22, 2021 were included. Physician attributes were abstracted. American Urological Association (AUA) census data was used to compare the number of men and women Top Doctor urologists to the number of practicing men and women urologists within each list's zip codes. Log odds ratios (OR) and (95% confidence intervals) were used to compare likelihood of list inclusion by gender overall and by region.
Four hundred and ninety-four Top Doctor urologists from 25 lists were analyzed, of which 42 (8.50%) were women. Women urologists comprised 0%-27.8% of each list, with 7 lists (28.0%) including zero women urologists. Using AUA census data, OR for list inclusion of men urologists compared to women was 1.31 (1.01, 1.70) overall, with OR = 0.78 (0.36, 1.72) in the West, OR = 1.39 (1.03, 1.89) South, OR = 1.46 (0.8, 2.67) Northeast, OR = 1.90 (0.50, 7.18) Midwest. Women top urologists completed fellowship more often than men (66.7%, 55.1%) and were significantly more likely to complete female pelvic medicine and reconstructive surgery (FPMRS) fellowship (P <.001).
Men urologists were significantly more likely to be included in Top Doctor lists than women urologists. Top women urologists were significantly more likely to complete FPMRS fellowship.
随着越来越多的女性从事泌尿科，我们（1）评估顶级医生名单是否反映了当前按性别分布的泌尿科医生；（2）描述名单中性别构成的区域差异；（3）报告男性和女性顶级医生之间的相似点和不同点。
纳入杂志上公布的 2020 年 1 月 1 日至 2021 年 6 月 22 日期间，区域顶级医生城堡康诺利名单中的所有泌尿科医生。提取医生属性。使用美国泌尿科协会（AUA）普查数据，比较名单中每个邮政编码的男性和女性顶级泌尿科医生数量与执业男性和女性泌尿科医生数量。使用对数比值（OR）和（95%置信区间）比较整体和按地区按性别列入名单的可能性。
分析了来自 25 个名单的 494 名顶级泌尿科医生，其中 42 名（8.50%）为女性。女性泌尿科医生占每个名单的 0%-27.8%，有 7 个名单（28.0%）没有女性泌尿科医生。使用 AUA 普查数据，男性泌尿科医生列入名单的 OR 与女性相比为 1.31（1.01，1.70），西部为 0.78（0.36，1.72），南部为 1.39（1.03，1.89），东北部为 1.46（0.8，2.67），中西部为 1.90（0.50，7.18）。顶尖女性泌尿科医生完成 fellowship 的比例高于男性（66.7%，55.1%），并且更有可能完成女性盆底医学和重建手术（FPMRS） fellowship（P<.001）。
男性泌尿科医生被列入顶级医生名单的可能性明显高于女性泌尿科医生。顶级女性泌尿科医生更有可能完成 FPMRS 奖学金。
