Trends in Urology Residency Applications: Results from The American Urological Association Medical Student Survey from 2022 to 2024.

Abstract

Objective: To provide a comprehensive overview of the American Urological Association (AUA) Medical Student Surveys and includes data 2022, 2023 and 2024.

Methods: Data collected through surveys distributed prior to match day and were distributed to all medical students who submitted a rank list for urology residency. Questions consisted of various topics including applicant demographics, application metrics, and experiences with preference signals and virtual interviews.

Results: 440 (79%), 428 (84%), and 387 (77%) applicants participated in surveys for the years 2022, 2023, and 2024, respectively. Applicants continue to participate in research at a high level. Additionally, USMLE Step 2 Clinical Knowledge scores gained prominence following the transition of USMLE Step 1 to pass/fail. Preference signals were well-received, and large volume signaling may have prompted applicants to apply to fewer programs. Virtual interviews were favored for cost-effectiveness and perceived equity benefits, however, applicants expressed a preference for in-person interactions.

Conclusions: There have been dynamic shifts in urology residency applications from the applicant perspective from 2022 to 2024. This may be influenced by changing evaluation metrics as well as the adoption of preference signals and virtual interviews. The findings highlight the need for ongoing feedback and transparency to ensure equitable practices for both applicants and residency programs during this evolution.