Trends in Urology Residency Applications: Results From The Society of Academic Urologists Program Director Survey From 2022 to 2024

Objective: To provide a cross-sectional view of the current opinions surrounding the urology match by analyzing data from the annual Society of Academic Urologists Program Director Surveys conducted between 2022 and 2024. Methods: Data collected through surveys distributed to all urology program directors (PD) consisting of questions covering program demographics, applicant selection criteria, preference signals (PS), virtual interviews (VI), and other relevant topics. Results: 89, 90, and 89 PD participated in the surveys for the years 2022, 2023, and 2024, respectively. The analysis revealed shifts in application review criteria, with increased emphasis on subinternship performance, letters of recommendation, and USMLE Step 2 Clinical Knowledge scores. PS were widely adopted and viewed positively by PD, with a majority supporting the continuation in a large-volume format. VI were met with mixed sentiments, with concerns raised about their effectiveness in assessing candidates and replicating in-person experiences. However, they were recognized for their potential to level the playing field. Conclusion: This study underscores the evolving landscape of urology resident match. The adoption of VI, PS, and other changes co-occurring in medical education have altered the means through which applicants have been historically assessed. The findings highlight the need for ongoing feedback and transparency to ensure equitable practices for both applicants and residency programs.