MP10-09: Academic Productivity Amongst Underrepresented Minority Urologists at Academic Institutions

David Tella*, Bahrom Ostad, Charlottesville, VA, David Barquin, Roanoke, VA, Caleigh Smith, Charlottesville, VA, Rebecca King, Roanoke, VA, Christopher Ballantyne, Tracy Downs, Kirsten Greene, Nora Kern, Charlottesville, VA

Introduction: Underrepresented minorities (URMs) and women are underrepresented in urology and may face obstacles in promotions. No study has identified academic productivity of URMs in urology compared to non-URMs which motivated our primary aim. Our secondary aim was to identify academic productivity of women compared to men.

Methods: A database was created from 145 ACGME accredited urology residency programs (1,644 residents and 2,131 faculty). Demographic data was obtained from departmental websites, Twitter, LinkedIn, and Doximity. URM status was determined by origin of name, photo, biography, Twitter, LinkedIn, and Doximity. URM status was defined as Black, Hispanic, or Native Hawaiian/Pacific Islander. A PubMed query was performed to determine publication (pub) output. URM status, gender, post-graduate year/years out of practice, and Doximity rank for institution were factors in multivariable analysis.

Results: For residents, there were 145 (9%) URMs and 1499 (91%) non-URMs. The median number of total pubs was 2 (IQR 1,5) for URMs and 2 (IQR 1,5) for non-URMs (p=0.54).  The median number of first/last author pubs was 1 (IQR 0,2) for URMs and 1 (IQR 0,2) for non-URM residents (p=0.79).  There were 465 (28%) women and 1179 (72%) men residents. The median of total pubs was 2 (IQR 0,4) for women and 2 (IQR 1,6) for men (p=0.003).  The median of first/last author pubs was 1 (IQR 0,2) for women and 1 (IQR 0,2) for men residents (p=0.14). 

For faculty, there were 184 (9%) URMs and 1947 (91%) non-URMs. For faculty, the median number of total pubs was 12 (IQR 3,32) for URMs and 19 (IQR 6,45) for non-URMs (p=0.0002). The median number of first/last author pubs was 4.5 (IQR 1,12) for URMs and 7 (IQR 2,20) for non-URM faculty (p=0.0002). There were 372 (17%) women and 1759 (83%) men faculty. The median of total pubs was 11 (IQR 5,25) for women and 20 (IQR 6,49) for men (p= <0.0001).  The median of first/last author pubs was 4 (IQR 1,10.5) for women and 8 (IQR 2,22) for men faculty (p= <0.001). 

 On multivariable analysis, there was no difference in total pubs and first/last author pubs for URMs vs non-URMs (p=0.88 and p=0.42 for residents, p=0.30 and p=0.80 for faculty). However, there remained a difference between genders for residents and faculty with respect to total pubs but not first/last author pubs (p=0.002 and p=0.10 for residents, p=0.004 and p=0.07 for faculty).

Conclusions: When controlling for multiple factors, academic productivity was not different in URMs and non-URMs for both residents and faculty. Men residents and faculty had more total pubs compared to women.

Source of Funding: None