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DIVERSITY Transitions From Residency to Practice

By: Seth A. Cohen, MD, FACS, City of Hope Orange County, Irvine, California | Posted on: 19 Apr 2024

The AUA’s Young Urologist (YU, defined as those within 10 years of completing training) Committee (YUC) contributes to the authorship of the Transitioning From Residency to Practice Manual (https://www.auanet.org/ResidentManual/). This continually updated document has a wealth of resources for those trainees making the leap to treating patients, independent of the protected apprenticeship of residency. This manual is in its seventh iteration. Inclusive within the text is foundational information on negotiating contracts, physician compensation models, financial management, and much more. One of the new sections included within the document is “Diversity and Inclusion in Urology.”

Information contained within the “Diversity and Inclusion in Urology” section comes from an article initially published in the April 2021 Diversity and Inclusion focus issue of AUANews by authors Fenwa Famakinwa Milhouse, MD, Denise Asafu-Adjei, MD, and Ashanda R. Esdaille, MD. This was a very important addition of information to the manual, with the goal of ensuring its content remains helpful and valuable for our increasingly diverse AUA YU membership. The clear, concise text includes descriptions of microaggressions, characterized further into microinsults, microinvalidations, and microassaults. I would encourage readership to review it, perhaps even those not considered within the usual YU parameters. This content dovetails well with the subsequent section in the manual, titled “Women in Urology: Unique Challenges to Women in Their Early Careers,” authored by Julie Riley, MD. This well-written section has insights unique to women making the transition into practice.

Again, the manual is a living/breathing document. While it is not meant to be an encyclopedia, the AUA YUC wants the manual to be high yield; for sure, this means having information unique to the challenges of starting practice as a YU in all respects, including the lived experiences of urologists from all demographics, backgrounds, and genders. We are very grateful for the efforts of the AUA to work toward a pipeline of urologists reflective of the diversity in the patients we treat. We are excited about continuing to evolve the manual to provide more helpful insights. Please reach out to the AUA YUC through your sectional representative (each AUA Section has a YU section representative on the AUA YUC) with feedback/input for future iterations of the Transitioning From Residency to Practice Manual. Also, consider becoming more engaged with AUA YU efforts; come to the AUA YU Forum at AUA2024 in San Antonio. This event occurs on the Saturday morning of the meeting and has a wonderful series of speakers, each of whom will have a bevy of wisdom for all YUs.

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