Dr. Suzette Sutherland
speaker
230 appearances
4 recordings
1 series
first heard Aug 2024
last heard Jan 2025
Dr. Suzette Sutherland’s voice in public audio — every appearance, attributed to the second.
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Great. That was a great insight into that. Thank you. So let's dive into some of the data that we see in that. It was broken up initially into primary observations up front, some highlighted summaries. So clearly, you know, the committees that went through all of the data found that these were really the highlights or the take-home points. So We don't have enough time to talk about all of them.
Of course, this isn't meant to be exhausted, but I've picked out a few that I think people are pretty passionate about. And so we want to look at some of those. We'll start off, of course, just about what's the demographics, right? What do we look like, our urological community here in the United States?
I mean, that's really almost half, right? So a state like North Dakota has half of what New York does. That's amazing if you think about it in that term. So, yeah.
So as more people retire, I think there was some data too about the anticipated retirement age, which was about 67. And so as we look at that age group, as they're aging and they are retiring, and most of those are men, very few are women, but yet more women are coming in down the pike. Right. On the other end, it really is going to change our urological landscape a bit. Right.
And I would imagine also change some of the traditional priorities within urology, things like that. Maybe Dr. North, maybe you didn't notice I'm wearing my swoop in here. So maybe you can address some of those issues, too.
Yeah, just to put some numbers on that, the census said that the average patient encounter per week, how many? For men was 74. The average overall was 73. But since there are more men, of course, then for men it was 74 and women was 63. So to your point, you know, some would look at that as a pretty big difference. But then when you also looked at how many minutes per encounter was 16 minutes per
for the men's encounters and almost 18, almost 19, I mean, minutes, right? So another two and a half to three minutes per encounter.
And then that also doesn't talk about some of the things that we have alluded to before about the amount of time spent not only face-to-face with the patients, but afterwards and phone calls or communicating with families, so on and so forth, that don't get into the actual encounter visit that women are also doing. So two-year point. Yeah. So it's good to put numbers.
And I also wanted to say one little caveat just for the listeners so they understand that when we're talking about these numbers, like the 25% of the people that are less than 45 are women, right? We're talking about The practicing urologists, we're not talking about trainees because we do know that that number is increasing too, right? The number of trainees that are women.
So we just want to make sure we're looking at that fairly to say, yep, it's also the number of people who are coming out of training and in practice. That's the 25% number that are women. So.
I wanted to go back to the comment, and maybe Dr. Nielsen, you can comment on this then too, is this idea of fellowship. More people overall, men and women, more of our trainees coming out or feeling they need to do fellowships or they want to do fellowships. I shouldn't say need, want to do fellowships and not always necessarily going into academic practices, but feel they want to do fellowships.
And then what do you think that that says, though, about the landscape of our urology and the type of practices that people want when they're done with their fellowship? And what does that mean that we can offer to patients then when we get so super specialized?
Because we're going to get in a little bit later into things like burnout and all that. But if somebody's not getting the practice that they thought they wanted because the demand is different, you know, what does that say about physician satisfaction about their practice? Right.
So we need to be thinking about that as we're training people to get out into the greater urological community, what the need is. So that's why this data is so important, too. Right. For us to find out what what the needs are.
Maybe you could also speak to the subspecialties, what the top subspecialties are when people are doing fellowships or versus, you know, how many of the what we consider subspecialties are really part of a general practice, how much people are doing these things, even though they're not specialized with the fellowships.
Yeah, they don't have ED. I got it.
But, you know, to your point, you know, we're all at academic institutions. And how many mission statements have you read from, you know, four-year students? Medical students trying to get into urology that say the reason they really like urology is the diversity. And then so many people ultimately end up specializing and subspecializing at the end of the day. Right.
So it is really an interesting, interesting thing to watch and be careful of. Right. As time goes on. So I think another thing that was super interesting, and you already said something, Dr. North, about more women going into academics and just overall, but just bringing that into the conversation.
I was really interested to see that overall, almost 50% of urologists are still, however, in private practice. And so it showed that some of the more men are in private practice and more of the older men. Right. Older, I just say it says greater than 45. I don't consider that older, but it didn't break it down more than that that I saw.
And I think they're in that traditional practice that now is potentially changing as the landscape changes. Right. Was that a surprise to you to see still so many people in private practice?
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