To evaluate trends in female authorship in the recent urologic literature.
We examined articles published in 2012 and 2017 from 5 urologic journals Journal of Urology, Journal of Endourology, Neurourology and Urodynamics, Urologic Oncology, and Urology. Gender was recorded for first, supplemental, and last authors. Articles were further categorized by subspecialty focus of the published article. Chi-square tests and multiple logistic regression modeling were used to assess for differences in female authorship by year, journal, and article subspecialty.
One thousand four hundred and thirty-three and 1374 articles were published in 2012 and 2017, respectively. There was a significant increase in all female authorship categories between years first (19%-25%), last (12-16%), and any (67%-74%) (P<.01, all). By journal, the highest proportion of articles with any female authors for both years was in Neurourology and Urodynamics (80%, 2012; 85%, 2017) while lowest was in Journal of Endourology (49%, 2012; 5bspecialty topic. Our findings further suggest an authorship plateau, highlighting the importance of efforts to optimize advancement and promotion of women in academic urology.
To project the size and demographics of the female urology workforce into 2060.
We assessed current urology workforce estimates using 2019 American Urological Association Annual Census data. We used the Accreditation Council for Graduate Medical Education's Data Resource Book from 2007 to 2018 to determine the incoming urology workforce. With these inputs, we calculated urologic workforce projections using two stock and flow models.
In our continued growth model, the total number of urologists will be lowest in 2025 with 11,600 urologists and recover to baseline by 2040 with 13,377 urologists. The total number of female urologists will grow 3.77-fold from 2020 to 2060 with an absolute increase of 3,792 urologists. Comparatively, the total number of male urologists will grow 1.33-fold with an absolute increase of 3,996 urologists. In our stagnant growth model, the total number of urologists will be lowest in 2030 with 11,354 urologists and will not recover to baseline by the end of our projection. The total number of female urologists will grow 2.18-fold from 2020 to 2060 with an absolute increase of 1,615 urologists. Comparatively, the total number of male urologists will decrease by 21.5% with an absolute decrease of 2,579 urologists.
In the context of the impending urologic workforce shortage, female urologists make up a significant proportion of the workforce growth over the next four decades in both the continued growth and growth stagnant models. This projection highlights the need for purposeful recruitment, structural changes, and advocacy among urology leadership to support female urologists.
In the context of the impending urologic workforce shortage, female urologists make up a significant proportion of the workforce growth over the next four decades in both the continued growth and growth stagnant models. This projection highlights the need for purposeful recruitment, structural changes, and advocacy among urology leadership to support female urologists.
To determine the ability of testosterone and estrogen to reverse urethral hypovascularity secondary to hypogonadism, we analyzed the effects of testosterone and estrogen supplementation on castrated Sprague Dawley rats.
Twenty four Sprague-Dawley rats were divided into 4 groups (1) non-castrate (NC) controls; (2) castrate (C) unsupplemented rats; (3) castrate rats that received testosterone (T), or (4) castrate rats that received estradiol (E). With immunohistochemistry, we measured vessel density (endothelial cell marker CD31), expression levels of androgen receptor (AR), TIE-2, and estrogen receptors ER-alpha and GPER1.
Urethral vascularity was significantly increased after both testosterone and estrogen supplementation (T 8.92%, E 7.66%, vs C 3.62%; P <0.001 for both), surpassing that of NC (5.86%, P <0.001 for both). Testosterone restored AR expression to physiologic levels (T 5.21%, NC 4.54%, P =0.135), and upregulated expression of TIE-2 (T 0.20%, NC 0.43%, P <0.001), neither of which wasffects of hypogonadism on the urethra.
To examine the readability of postoperative urology handouts and assess for areas of improvement. We hypothesize that the majority of provider handouts exceed the National Institutes of Health recommendation of writing at a sixth-grade reading level.
We reviewed 238 postoperative patient handouts in the public domain representing United States academic and private practices. All handouts were categorized and re-formatted into text-only using Microsoft Word. A median reading grade was calculated using the Readability.io web application using Flesch-Kincaid Grade Level, Gunning Fog index, Coleman-Liau index, Simple Measure of Gobbledygook, and Automated-Reading Index. Word count was also assessed.
Provider handouts were written at a median 9.3 grade reading level (range 5.8-14, IQR 8.45-10). A total of 15 (6.8%) handouts were written at a sixth-grade reading level, with only 1 (0.4%) handout written below the target. Six (2.7%) handouts were written at college-level. There were no significant differences between different subspecialties. Median word count was 509 (range 90-3796, IQR 361-738). https://www.selleckchem.com/products/og-l002.html Although a high word count may make it more difficult for patients to follow suggestions, the readability of each handout did not correlate with word count.
Our data show that over 93% of analyzed handouts failed to meet National Institutes of Health recommendations for grade level. Longer word counts did not correlate with higher reading levels. It will be important to assess patient satisfaction with handouts and to correlate the complexity of postoperative handouts with outcome, such as unplanned phone calls and unscheduled visits.
Our data show that over 93% of analyzed handouts failed to meet National Institutes of Health recommendations for grade level. Longer word counts did not correlate with higher reading levels. It will be important to assess patient satisfaction with handouts and to correlate the complexity of postoperative handouts with outcome, such as unplanned phone calls and unscheduled visits.
To evaluate trends in female authorship in the recent urologic literature.
We examined articles published in 2012 and 2017 from 5 urologic journals Journal of Urology, Journal of Endourology, Neurourology and Urodynamics, Urologic Oncology, and Urology. Gender was recorded for first, supplemental, and last authors. Articles were further categorized by subspecialty focus of the published article. Chi-square tests and multiple logistic regression modeling were used to assess for differences in female authorship by year, journal, and article subspecialty.
One thousand four hundred and thirty-three and 1374 articles were published in 2012 and 2017, respectively. There was a significant increase in all female authorship categories between years first (19%-25%), last (12-16%), and any (67%-74%) (P<.01, all). By journal, the highest proportion of articles with any female authors for both years was in Neurourology and Urodynamics (80%, 2012; 85%, 2017) while lowest was in Journal of Endourology (49%, 2012; 5bspecialty topic. Our findings further suggest an authorship plateau, highlighting the importance of efforts to optimize advancement and promotion of women in academic urology.
To project the size and demographics of the female urology workforce into 2060.
We assessed current urology workforce estimates using 2019 American Urological Association Annual Census data. We used the Accreditation Council for Graduate Medical Education's Data Resource Book from 2007 to 2018 to determine the incoming urology workforce. With these inputs, we calculated urologic workforce projections using two stock and flow models.
In our continued growth model, the total number of urologists will be lowest in 2025 with 11,600 urologists and recover to baseline by 2040 with 13,377 urologists. The total number of female urologists will grow 3.77-fold from 2020 to 2060 with an absolute increase of 3,792 urologists. Comparatively, the total number of male urologists will grow 1.33-fold with an absolute increase of 3,996 urologists. In our stagnant growth model, the total number of urologists will be lowest in 2030 with 11,354 urologists and will not recover to baseline by the end of our projection. The total number of female urologists will grow 2.18-fold from 2020 to 2060 with an absolute increase of 1,615 urologists. Comparatively, the total number of male urologists will decrease by 21.5% with an absolute decrease of 2,579 urologists.
In the context of the impending urologic workforce shortage, female urologists make up a significant proportion of the workforce growth over the next four decades in both the continued growth and growth stagnant models. This projection highlights the need for purposeful recruitment, structural changes, and advocacy among urology leadership to support female urologists.
In the context of the impending urologic workforce shortage, female urologists make up a significant proportion of the workforce growth over the next four decades in both the continued growth and growth stagnant models. This projection highlights the need for purposeful recruitment, structural changes, and advocacy among urology leadership to support female urologists.
To determine the ability of testosterone and estrogen to reverse urethral hypovascularity secondary to hypogonadism, we analyzed the effects of testosterone and estrogen supplementation on castrated Sprague Dawley rats.
Twenty four Sprague-Dawley rats were divided into 4 groups (1) non-castrate (NC) controls; (2) castrate (C) unsupplemented rats; (3) castrate rats that received testosterone (T), or (4) castrate rats that received estradiol (E). With immunohistochemistry, we measured vessel density (endothelial cell marker CD31), expression levels of androgen receptor (AR), TIE-2, and estrogen receptors ER-alpha and GPER1.
Urethral vascularity was significantly increased after both testosterone and estrogen supplementation (T 8.92%, E 7.66%, vs C 3.62%; P <0.001 for both), surpassing that of NC (5.86%, P <0.001 for both). Testosterone restored AR expression to physiologic levels (T 5.21%, NC 4.54%, P =0.135), and upregulated expression of TIE-2 (T 0.20%, NC 0.43%, P <0.001), neither of which wasffects of hypogonadism on the urethra.
To examine the readability of postoperative urology handouts and assess for areas of improvement. We hypothesize that the majority of provider handouts exceed the National Institutes of Health recommendation of writing at a sixth-grade reading level.
We reviewed 238 postoperative patient handouts in the public domain representing United States academic and private practices. All handouts were categorized and re-formatted into text-only using Microsoft Word. A median reading grade was calculated using the Readability.io web application using Flesch-Kincaid Grade Level, Gunning Fog index, Coleman-Liau index, Simple Measure of Gobbledygook, and Automated-Reading Index. Word count was also assessed.
Provider handouts were written at a median 9.3 grade reading level (range 5.8-14, IQR 8.45-10). A total of 15 (6.8%) handouts were written at a sixth-grade reading level, with only 1 (0.4%) handout written below the target. Six (2.7%) handouts were written at college-level. There were no significant differences between different subspecialties. Median word count was 509 (range 90-3796, IQR 361-738). https://www.selleckchem.com/products/og-l002.html Although a high word count may make it more difficult for patients to follow suggestions, the readability of each handout did not correlate with word count.
Our data show that over 93% of analyzed handouts failed to meet National Institutes of Health recommendations for grade level. Longer word counts did not correlate with higher reading levels. It will be important to assess patient satisfaction with handouts and to correlate the complexity of postoperative handouts with outcome, such as unplanned phone calls and unscheduled visits.
Our data show that over 93% of analyzed handouts failed to meet National Institutes of Health recommendations for grade level. Longer word counts did not correlate with higher reading levels. It will be important to assess patient satisfaction with handouts and to correlate the complexity of postoperative handouts with outcome, such as unplanned phone calls and unscheduled visits.
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