(192) THE PAUCITY OF FEMALE SEXUAL DYSFUNCTION TRAINING IN UROLOGY AND OBGYN RESIDENCIES

Abstract Introduction Female sexual dysfunction (FSD) is an underappreciated field, receiving much less attention than male sexual dysfunction (MSD). As the AUA Core Curriculum includes lessons on both MSD and FSD, urology residencies should be providing education on both; however, unlike MSD, FSD can also be treated by OBGYNs so it is worthwhile to compare Urology and OBGYN education on this topic. Objective We sought to evaluate all AUA- and ACOG-accredited residency program websites to determine the availability of FSD information and to compare this to the availability of MSD information in Urology programs. Methods The AUA and ACOG residency program lists were used to identify Urology (n = 148) and OBGYN (n = 228) residency program websites, respectively. Each website was independently analyzed by three reviewers to collect: FSD (“sexual health/function/dysfunction” specifically related to females) and MSD (“erectile dysfunction,” “impotence,” “men’s health,” “sexual health/function/dysfunction,” “prosthetics”) content, number of clicks to reach each topic, curricula, subspecialists on faculty, and program directors (PDs). Data was stratified by AUA section and ACOG district where appropriate. Chi-square analysis was performed to compare FSD and MSD content. Results Surprisingly, there were only two (1.4%) urology residency program websites which included FSD content, with a median of 1 click (range 0-2) to access that content, compared to 12 (5.3%) OBGYN websites also with a median of 1 click (range 0-3). 74 (50%) urology websites include MSD content also with a median of 1 click (range 0-3) to access that content, which is a > 37% difference compared to OBGYN FSD content (p < .05). OBGYN FSD content was included in 10/12 (83%) of listed curricula; while MSD was only included in 33/74 (45%) of curricula (p < .05). Neither Andrology or Sexual Medicine subspecialist(s) on faculty nor PD specialization in Andrology or Sexual Medicine predicted MSD content (p > .05); however, an OBGYN FSD faculty member predicted FSD content (p < .05). Concordant PD gender did not predict MSD content (p > .05), but predicted OBGYN FSD content (p < .05). Programs with FSD content were represented in districts II, III, V, VII, VIII, and IX; while all AUA sections were represented in MSD content. Conclusions FSD content is lacking on urology residency program websites and severely underrepresented in urology training in comparison to MSD content and training. Only about 5% of OBGYN residency program websites include FSD content, which combined with urology’s lack of training, leads to a paucity of FSD-trained physicians. Both specialties must make great strides to fill the gap and care for women’s sexual concerns. We cannot rely on fellowship training to balance this inequity. Disclosure No.