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EDITORIAL COMMENT

      There is an increasing recognition of the importance of diverse representation in medicine. Several studies have shown that racial concordance can improve patient compliance and health outcomes in minority populations.
      • Alsan M
      • Garrick O
      • Graziani G.
      Does diversity matter for health? experimental evidence from Oakland.
      Although American medical students are currently more diverse than the work force of practicing physicians,

      Diversity in medicine: facts and figures 2019 | AAMC. https://www.aamc.org/data-reports/workforce/report/diversity-medicine-facts-and-figures-2019 (accessed Sept 7, 2021).

      there are unique barriers that exist for minority applicants interested in competitive specialties such as urology. Black medical students are less likely to be selected for awards and honors societies such as Alpha Omega Alpha (which is associated with matching into competitive specialties),
      • Boatright D
      • O'Connor PG
      • E Miller J.
      Racial privilege and medical student awards: addressing racial disparities in alpha omega alpha honor society membership.
      and there are less obvious factors such as relation to or close connection with a physician, financial considerations that preclude extensive interview travel and a longer residency, and the lack of effective mentorship that disproportionally impacts minority students.
      • Yehia BR
      • Cronholm PF
      • Wilson N
      • et al.
      Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds.
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      References

        • Alsan M
        • Garrick O
        • Graziani G.
        Does diversity matter for health? experimental evidence from Oakland.
        Am Eco Rev. 2019; 109: 4071-4111
      1. Diversity in medicine: facts and figures 2019 | AAMC. https://www.aamc.org/data-reports/workforce/report/diversity-medicine-facts-and-figures-2019 (accessed Sept 7, 2021).

        • Boatright D
        • O'Connor PG
        • E Miller J.
        Racial privilege and medical student awards: addressing racial disparities in alpha omega alpha honor society membership.
        J Gen Intern Med. 2020; 35: 3348-3351
        • Yehia BR
        • Cronholm PF
        • Wilson N
        • et al.
        Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds.
        BMC Med Educ. 2014; 14: 26
      2. Census results - American urological association. https://www.auanet.org/research/research-resources/aua-census/census-results (accessed Sept 7, 2021).