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Supporting Black voices in urology

At Nature Reviews Urology, we have pledged to strive towards improving diversity in our field. As a step towards this goal, this Viewpoint presents the experiences of 10 Black urologists. Their stories illustrate the importance of perseverance and emphasize the essential role of community and mentorship to raise up our peers and colleagues, to support and encourage Black urologists and lead to a more diverse field of urology in the future.

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Fig. 1: Some of our contributors.

References

  1. Black lives in urology: addressing the bias and redressing the balance. Nat. Rev. Urol. 17, 423 (2020).

  2. Bradbury, C. L., King, D. K. & Middleton, R. G. Female urologists: a growing population. J. Urol. 157, 1854–1856 (1997).

    Article  CAS  Google Scholar 

  3. AUA. AUA Census results: U.S. urologists. AUA http://www.auanet.org/research/research-resources/aua-census/census-results (2020).

  4. Chyu, J. et al. Women in leadership in urology: the case for increasing diversity and equity. Urology https://doi.org/10.1016/j.urology.2020.07.079 (2020).

    Article  PubMed  Google Scholar 

  5. Logghe, H. J., Rouse, T., Beekley, A. & Aggarwal, R. The evolving surgeon image. AMA J. Ethics. 20, 492–500 (2018).

    Article  Google Scholar 

  6. The Economics Daily. 66.2 percent of 2019 high school graduates enrolled in college in October 2019. TED https://www.bls.gov/opub/ted/2020/66-point-2-percent-of-2019-high-school-graduates-enrolled-in-college-in-october-2019.htm (2020).

  7. AAMC. Urology. AAMC https://www.aamc.org/system/files/2020-01/R-Urology%20%28480%29PROG.pdf (2019).

  8. AAMC. Table A-9: matriculants to U.S. medical schools by race, selected combinations of race/ethnicity and sex, 2017-2018 through 2020-2021. AAMC https://www.aamc.org/system/files/2019-11/2019_FACTS_Table_A-9.pdf (2020).

  9. Association of American Medical Colleges. Project 3000 by 2000 Technical Assistance Manual: Guidelines for Action (Association of American Medical Colleges, 1992).

  10. Cohen, J. J. Finishing the bridge to diversity. Acad. Med. 72, 103–109 (1997).

    Article  CAS  Google Scholar 

  11. The Sullivan Commission. Missing Persons: Minorities in the Health Professions. A Report of the Sullivan Commission on Diversity in the Healthcare Workforce (Duke University, 2003).

  12. Smedley, B. In the Nation’s Compelling Interest: Ensuring Diversity in the Health Care Workforce (National Academy Press, 2004).

  13. Campbell, K. M., Brownstein, N. C., Livingston, H. & Rodríguez, J. E. Improving underrepresented minority in medicine representation in medical school. South Med. J. 111, 203–208 (2004).

    Article  Google Scholar 

  14. Agrawal, J. R., Vlaicu, S. & Carrasquillo, O. Progress and pitfalls in underrepresented minority recruitment: perspectives from the medical schools. J. Natl Med. Assoc. 97, 1226–1231 (2005).

    PubMed  PubMed Central  Google Scholar 

  15. Garces, L. M. & Mickey-Pabello, D. Racial diversity in the medical profession: the impact of affirmative action bans on underrepresented student of color matriculation in medical schools. J. High. Educ. 86, 264–294 (2015).

    Article  Google Scholar 

  16. Kutikov, A. et al. The gatekeeper disparity — why do some medical schools send more medical students into urology? J. Urol. 185, 647–652 (2011).

    Article  Google Scholar 

  17. Williams, M. et al. The impact of United States Medical Licensing Exam (USMLE) step 1 cutoff scores on recruitment of underrepresented minorities in medicine: a retrospective cross-sectional study. Health Sci. Rep. 3, e2161 (2020).

    Article  Google Scholar 

  18. Low, D. et al. Racial/ethnic disparities in clinical grading in medical school. Teach. Learn. Med. 31, 487–496 (2019).

    Article  Google Scholar 

  19. Boatright, D., Ross, D., O’Connor, P., Moore, E. & Nunez-Smith, M. Racial disparities in medical student membership in the alpha omega alpha honor society. JAMA Intern. Med. 177, 659–665 (2017).

    Article  Google Scholar 

  20. AUA. AUA Annual Census 2019. AUA https://www.auanet.org/research/research-resources/aua-census/census-results (2019).

Download references

Author information

Authors and Affiliations

Authors

Contributions

Tracy M. Downs

Dr. Downs is a Professor of Urology at the University of Wisconsin School of Medicine and Public Health (UW SMPH), specializing in the surgical treatment of urological cancers. Dr. Downs is the Associate Dean of Diversity and Multicultural Affairs at UW SMPH. From 2016 to 2020, he served as the director of Centennial Scholars, an institutionally funded programme to support the career development of underrepresented faculty.

Ekene Enemchukwu

Dr. Enemchukwu is Assistant Professor of Urology at Stanford University School of Medicine, where she also serves as Director of Urology at Stanford Pelvic Health Center and Director of Diversity, Equity and Inclusion for the Department of Urology. Her research interests are in the areas of refractory overactive bladder in vulnerable and underserved patient populations. You can find her on Twitter: @DrEnemchukwu.

Cheryl T. Lee

Dr. Lee is Professor and Chair of the Department of Urology at The Ohio State University Wexner Medical Center where she holds the Dorothy M. Davis Endowed Chair in Cancer Research. She is also the Vice President of the OSU Physicians and Faculty Group Practice and a Trustee of the American Board of Urology. Her professional focus is dedicated to improving the care of patients with bladder cancer through advocacy, education and research.

Kelvin A. Moses

Dr. Moses is Associate Professor of Urology at Vanderbilt University Medical Center, Director of the Urologic Oncology Fellowship, and director of the Comprehensive Prostate Cancer clinic. His clinical practice focuses on advanced prostate, renal, penile, and testicular cancer and his research is focused on addressing health disparities in urological cancers, determining the role of health literacy in patient interactions with the health-care system, and optimal care for patients with metastatic and/or castration-resistant prostate cancer.

Yaw A. Nyame

Dr. Nyame is a surgeon, researcher, educator, and patient advocate who specializes in urologic oncology and urology. He completed a Society of Urologic Oncology accredited fellowship at the University of Washington and joined the faculty upon the completion of his training. His clinical interests include open and minimally invasive kidney, prostate, bladder and testicular cancer surgeries and his research focuses on health-care disparities in urological cancers, in particular the use of a patient-centred research approach to improve health services, clinical trials and molecular epigenomic studies as they related to health inequities in prostate cancer.

Isaac J. Powell

Dr. Powell is a Professor at the Department of Urology at Wayne State University and Karmanos Cancer Institute. Dr. Powell’s clinical interests include urologic oncology and cancer genetics and his research focuses on the many ways that prostate cancer impacts African American men in comparison to other ethnic groups. He was principal investigator of the African American Hereditary Prostate Cancer (AAHPC) study.

Randy Vince

Dr. Vince developed a passion for urologic oncology, particularly renal cell carcinoma, after his grandmother’s passing, which ultimately led him to the University of Michigan for a urologic oncology fellowship. His research interests include using genomic platforms to enhance the diagnostic and prognostic data for clinicians and patients. Additionally, he aims to use genomic panels to highlight the impact of systemic racism, not racial biology, on disparities in cancer outcomes.

Samuel L. Washington

Dr. Washington is an Assistant Professor at the UCSF Department of Urology, having previously completed his urologic oncology fellowship and a Masters in Clinical Research at UCSF.

Dr. Washington’s primary research focus is health-care disparities in patients with genitourinary malignancies, particularly clinically localized prostate cancer and is also examining how differences in treatment strategies based on race and socioeconomic factors impact survival outcomes for patients diagnosed with bladder cancer.

Heinrich Williams

Dr. Williams is a specialist in urologic oncology and surgeon–scientist at Geisinger Medical Center and a Clinical Associate Professor at the Geisinger Commonwealth School of Medicine. His research interests include understanding the role of heat shock response in genitourinary malignancies, developing cancer-specific biomarkers in urological malignancies, elucidating the clinical implications of germline mutations in cancers, and identifying genomic biomarkers of racial and health disparities in renal, bladder and prostate cancer.

Shenelle Wilson

Dr. Wilson is in private practice in Atlanta at Georgia Urology and is the founder of Urology Unbound, a non-profit organization dedicated to increasing the number of Black urologists. Dr. Wilson graduated magna cum laude from Morehouse School of Medicine with her MD after first obtaining her Bachelor’s in nursing from La Universidad Adventista de las Antillas in Puerto Rico.

Corresponding authors

Correspondence to Tracy M. Downs, Ekene Enemchukwu, Cheryl T. Lee, Kelvin A. Moses, Yaw A. Nyame, Isaac J. Powell, Randy Vince, Heinric Williams, Shenelle Wilson or Samuel L. Washington.

Ethics declarations

Competing interests

S.W. declares that she is the founder of Urology Unbound. The other authors declare no competing interests.

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Related links

American Medical Association: https://www.ama-assn.org/

American Medical Student Association: https://www.amsa.org/

American Urological Association: https://auanet.org/

C2 Pipeline Program: https://c2pipeline.wayne.edu/

Harvard Medical school DICP Programs: https://dicp.hms.harvard.edu/dicp-programs

Harvard Medical school Facts and Figures: https://hms.harvard.edu/about-hms/facts-figures

McNair Scholars Program: https://mcnairscholars.com/

MI Gear Up Program: https://www.michigan.gov/mistudentaid/0,4636,7-372--481215--,00.html

National Academy of Future Physicians: https://www.futuredocs.com/

National Medical Association: https://www.nmanet.org/

Prostate Cancer Foundation: https://www.pcf.org/

R. Frank Jones Urological Society: https://twitter.com/rfrankjones_uro

R. Frank Jones Urology Interest Group (Instagram): https://www.instagram.com/RFJ_Urology_Interest_Group

R. Frank Jones Urology Interest Group (Twitter): https://twitter.com/RFJ_Urology_IG

Reach Out To Youth: https://reachouttoyouth.org/

ReBUILDetroit: http://rebuildetroit.org/

Society of Academic Urologists: https://sauweb.org/home.aspx

Stanford SMASH-Med High School Summer Program: https://med.stanford.edu/s-spire/outreach-programs/smash-summer-2018-high-school-outreach-program.html

The Center to Reduce Cancer Health Disparities (CRCHD): https://www.cancer.gov/about-nci/organization/crchd/diversity-training/cure

The Student National Medical Association: https://snma.org/

UNC Office of Scholastic Enrichment & Equity: https://www.med.unc.edu/medprogram/

UReTER Mentorship Program: https://urology.ucsf.edu/UReTER

Wayne Med-Direct: https://provost.wayne.edu/wayne-med-direct

Wayne State University HIGH Program: https://highprogram.wayne.edu/

Wayne State University Upward Bound Program: https://federaltrio.wayne.edu/upward

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Downs, T.M., Enemchukwu, E., Lee, C.T. et al. Supporting Black voices in urology. Nat Rev Urol 18, 7–17 (2021). https://doi.org/10.1038/s41585-020-00401-9

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