Dr. Amanda North
speaker
75 appearances
1 recordings
1 series
first heard Sep 2024
last heard Sep 2024
Dr. Amanda North’s voice in public audio — every appearance, attributed to the second.
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This week on the Backtable Podcast. 85% of women in urology say that they have some sort of burnout. I mean, it's really bad, but only 17% are seeking professional help. And one of the things, again, this goes back to our advocacy efforts, is to understand the impact of state licensing requirements.
So we're working on a paper. We're looking at the data now. It's in the beginning stages to look at which states ask these types of questions on their licensing renewals. And if that specifically has an impact on whether or not people said that they were afraid for their state licenses, because every state is different and not all states ask those types of questions.
Wonderful. Thank you, Dr. Nielsen. And thank you, Dr. Sutherland. So the census was originally the brainchild of Raymond Fang, who was the now retired head of statistical services at the AUA. And he brought the idea back in 2014 of doing a survey of all practicing urologists. And over time, the census has really grown. Originally, it was just looking at practicing urologists.
But now there are actually multiple censuses that get published every year. So the one that we're talking about is the 2023 Census of Practicing Urologists. But we actually publish... a census divided by AUA section. We publish a census with residents and fellows. We publish a census on advanced practice providers and also a census looking at international urologists.
So the census isn't just one thing. It's multiple publications and they are all available for free on the AUA website if you're an AUA member. So I'll just put a little plug there for that. And, you know, there's been a host of publications that have come out of these 10 years worth of census data. Going back to your question about 13.5% response rate and is that really representative?
This is a question that comes up a lot when we publish papers using census data. And my counterargument to that is, are there any other surveys that have 2,000 urologists responding every year? And while 2,000 urologists may only represent 13.5% of our practicing urology community, it is a huge number of doctors who are responding to the census. every year.
When the census data is published, it is weighted to represent all practicing urologists. And I, as a disclaimer, I am not a statistician, but we have people who are experts into statistical services who create the data that you see on the website, and it has been weighted to represent all practicing urologists.
So as a disclaimer, for those who want to just pull the census data off and publish based on that, doing their own statistics, it's actually not a good way to do it. It's better to get the data from the AUA, which you can do, because it has been weighted to try to represent our entire practicing urology community.
And so I think that's a really important disclaimer when we're talking about a 13.5% response rate.
Obviously, there's going to be a response bias. And it's hard to say who has the response bias. At least half of the responses to the census respond at the annual meeting every year. So every year at the annual meeting, we have stations set up with computers and AUA staff, and we strongly encourage people to come fill out the census by giving them little freebies. super cute t-shirts.
I have a pair of AUA census sunglasses that are to die for. I wear them every day. And so we bribe people to come fill out the census at the annual meeting. So we do skew slightly heavily towards whoever attended the annual meeting that year, which is also how we get a lot of our international respondents, by the way. And then, of course, there's word of mouth. So I'm sure that
People who are active on the platform formerly known as Twitter are getting constant reminders because we tend to tweet. I think we still call it tweeting. We tweet and retweet the link to the census. So there is a little bit of a bias towards that. Our partner organizations, for example, my friends and colleagues in SWOO, are very good at encouraging people to fill out the census.
So I wouldn't be surprised if we get a disproportionate amount of women because we really push the census through SWU, thanks to all my friends in SWU who have been helpful with that. So yes, there probably is a little bit of a bias.
We know that people who are truly disconnected from the AUA are going to be less likely to fill out the census, but it's still a pretty large number of respondents overall. So given that any survey is going to be somewhat biased, I think the census is the best we're going to do, at least for now. Has it been pretty consistent over the years?
So I actually looked back in preparation for our talk today. And back in 2014, we had 2200 US respondents. And in 2023, we had close to 2000 respondents. So it's been pretty consistent. I think around the time of COVID, especially when the annual meeting was virtual instead of in person, we definitely saw a dip. I think there was also some email and survey fatigue around that time.
So there was a little decrease in response when the meeting was not in person, which is to be expected. But we've been pretty consistent over the years.
Yeah, this is something we've been looking at for a while. And interestingly, the percentage of women in urology has been flattening over the last couple of years. So we went from 7.7% when we did the first census. And then last year, it was 11.6%. And we only went up to 11.8%. And that could be a little concerning.
But when we see that 1% of urologists over 65 are women and 25% of urologists under 45 are women, we know that in about 5 to 10 years when that cohort of older men finally retire, we're going to jump up to 25% pretty quickly. And I feel pretty confident about that. But it's interesting because women in urology practice fundamentally differently from men.
And this is something I've been talking about for several years. Women are more likely to be fellowship trained. Now, younger urologists in general are more likely to be fellowship trained. But at every age group, women are more likely to do fellowship. Women are more likely to be in academic practice. Women are more likely to be in employed practice.
So even if they don't choose academic, they choose practice situations where they are employees instead of practice owners. And again... Younger urologists are more likely to be in employed practice, but at every age group, men are more likely to choose private practices where they may have ownership stakes in the practice compared to women.
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