Dr. Matthew Nielsen
speaker
40 appearances
1 recordings
1 series
first heard Sep 2024
last heard Sep 2024
Dr. Matthew Nielsen’s voice in public audio — every appearance, attributed to the second.
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Thank you, Dr. Salomon. It's really terrific to be with you today.
Yeah, great. Thank you so much, Dr. Sutherland. So this work is, as you mentioned, housed primarily in the AUA's data committee. And AUA has a wide variety of committees covering the waterfront of the issues in our education and research mission, as well as public policy, advocacy, and all the areas touching urologic patient care and education.
Within the Science and Quality Council, we try to coordinate the activities across the Guidelines Committee, the Quality Improvement and Patient Safety Committee, and the Data Committee. And the census is one of the crown jewels of the Science and Quality Council and a really big effort of the Data Committee.
were excited this year to celebrate the 10-year anniversary since the census has started. Dr. North is one of the leaders of this effort who has been leading the way in the census for many years, even before she assumed her current role as chair of the data committee.
As a data committee member and as just an active leader in the AUA, she has been a driving force behind how this has grown over time. along with many others on the AUA staff and many other urologists across the country who have really come together to help us figure out what those important questions are. So we are really grateful to Dr. North and all of those who've led the efforts.
As the chair of the Science Equality Council, I am involved and supportive of this, but I think the credit for this work and the really detailed behind-the-scenes work that has made this such a valuable thing really is due to Dr. North and others who've been more focused in that data committee space.
It's a really sort of fascinating insight, and I think it's helpful for all of us to sort of see beyond what we're used to in our day-to-day routine, both for folks in academic practice and in community practice, to get a glimpse of what practice is like broader across the nation.
So about nearly 90% are in the bucket defined as actively practicing, which in the survey responses is practicing at least 25 hours a week. That recognizes that many people who are maintaining an active practice are in that category, but this is the way that the answer is coded there.
The urologists are distributed across the country in uneven ways geographically in terms of the urologist to population ratio with New York, Dr. North's home state, having 5.7 urologists per 100,000 population, and North Dakota having 2.75 urologists per 100,000 population. So Looking at the absolute populations of those states, the numbers are even more dramatic and profound.
Right. And that, you know, that points back to information that, you know, we've seen from other data sources that the majority of U.S. counties do not have a urologist. So the distribution problem that we have in the specialty is something that these data highlight.
A lot of the workforce is getting into the later part of their career with the largest age group in the census being over 65, almost 30 percent of the urology workforce is There's also been some interesting changes over time in terms of as we have become a more diverse field, the number of women in the over 65 age group is relatively small.
But we're excited about the fraction of women in the younger cohort of the age group where we have about 25 percent among respondents less than 45 years old.
Thank you very much.
And I perceive that an element of it is that to the extent that a urologist coming out of training has a particular interest in a certain subspecialty area, and many are going to communities that already have a relative abundance of urologists, that to be able to have that practice, it is challenging in a lot of communities for a person to have that subspecialty practice element without the fellowship.
Whereas the distribution of urologists is such that those who go into practice in a smaller community may be more inclined to do a little bit of everything just by nature of how it works. And I think it's a good question that, to my knowledge, we haven't really gotten into in the census. But these conversations always lead us to things that might be important questions for us to ask.
Yeah, I think that the information that we get at in the census asks the respondent what their primary area of practice is, and then also questions about are these subspecialty areas part of your practice. And so for the answer to the primary area of practice, 12% identify, 12.3% identify oncology, 6.7% identify pediatrics. and 5.1% identify endourology and stones.
But at the same time, as many of us know, one of the things that draws people to the field is the diversity and the opportunity to cover all these areas. So nearly two-thirds, 65% of respondents, have oncology and endourology and stones as part of their practice, and over half, 56%, have ED. Yeah. As part of their practice.
Well, yeah, we don't know the answer for that. You didn't ask that. We didn't ask that specifically.
Well, I think, to your point, there's a lot of research on practice patterns and a lot of health services research in the field. But there are many questions that people are just sort of curious about to have a sense of what is the sort of prevailing norm in the specialty that we really can't get at from other data sources.
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