The Minimally Invasive Urology Institute, The Miriam Hospital, Warren Alpert Medical School of Brown University, Providence, RI.
The Minimally Invasive Urology Institute, The Miriam Hospital, Warren Alpert Medical School of Brown University, Providence, RI.
Urology. 2024 Sep;191:177-184. doi: 10.1016/j.urology.2024.06.065. Epub 2024 Jul 3.
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 <.001. IMGs had the highest match rate with GURS (33.8%, 47/118) and the lowest with SPU (7%, 1/14). Female applicants had a significantly higher chance of matching 324/399 (81.2%) than male applicants 1139/1998 (57%), OR= 3.26, 95% CI: (2.5, 4.3), P <.001. US/Ca-to-IMGs ratios and the male-to-female ratios were stable throughout the match years.
Compared to IMGs, U.S./Ca graduates had remarkably higher matching rates. Matching outcomes were also significantly better for female applicants. Further assessment of international involvement and diversity in urological subspecialty roles is warranted.
调查研究生医学教育（美国与国际）和性别对不同泌尿科亚专业研究生培训申请人匹配的影响。
回顾了 2010 年至 2024 年期间参加 AUA 奖学金匹配的 5 个学会的匹配统计数据。这些学会包括：腔内泌尿外科协会（EUS）、泌尿肿瘤学会（SUO）、美国男科协会（ASA）、泌尿生殖重建外科医生学会（GURS）和小儿泌尿外科学会（SPU）。根据性别（男性/女性）和研究生医学教育对候选人进行分类：来自美国或加拿大的本地毕业生（美国/加拿大）和国际医学毕业生（IMGs）。使用卡方检验分析匹配几率，使用曼-肯德尔检验评估趋势。
总体而言，2010 年至 2024 年期间，2439 名申请人申请了 1627 个项目，其中包括 1998 名男性（81.8%）、399 名女性（16.4%）和 42 名未公开（1.7%）。有 1486 名美国/加拿大毕业生（60.8%）和 953 名 IMGs（39.2%）。约有 1471 名（60.6%）申请人与项目相匹配，而 958 名（39.4%）申请人未匹配。美国/加拿大毕业生匹配的可能性（83.8%）明显高于 IMGs（23.3%），OR=17.5，95%CI：（14.3，21.5），P<.001。IMGs 与 GURS 的匹配率最高（33.8%，47/118），与 SPU 的匹配率最低（7%，1/14）。女性申请人的匹配几率（81.2%，399/499）明显高于男性申请人（57%，1998/1139），OR=3.26，95%CI：（2.5，4.3），P<.001。整个匹配年度，美国/加拿大到 IMGs 的比例和男性到女性的比例保持稳定。
与 IMGs 相比，美国/加拿大毕业生的匹配率明显更高。女性申请人的匹配结果也明显更好。需要进一步评估国际参与度和泌尿科亚专业角色的多样性。
