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The workforce shortage in specialty care is no less urgent than in primary care. Medicare beneficiaries and retired military are facing extreme difficulties in accessing urologic care. The current system of graduate medical education (GME) funding for urology residency programs requires fundamental change as its impact has contributed to a significant shortage in the supply of academic and independent practice urologists in the United States.
What You Should Know
The supply of urologists per capita in the United States continues to decrease, a trend that started in 1991 and continues to accelerate. In 2009, there were only 3.18 urologists per 100,000 population, which is a 30-year low. This is compounded by the fact that urology has the second oldest surgical subspecialty workforce with an average age of 52.5 years, and greater than 18 percent are age 65 or older. Another concerning trend is the higher density of urologists practicing in urban as compared to rural areas (7:1 ratio) leaving many counties in the United States without the services of a urologist.
What the AUA is Doing
What You Can Do
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