Urology is an area of specialization known for its excellence, groundbreaking technology, and versatility. Since the pioneering achievement of Elizabeth Pickett, who became the first board-certified female urologist in 1962, the landscape of this specialty has evolved significantly.¹ Yet nearly 6 decades later, the journey toward gender equality within urology remains ongoing.^2-4 The perpetuated misconception of urologic care has been ascribed as an area of specialization that only treats the male gender. These preconceived ideas may alienate female physicians in urology, affecting adversely how the male population perceives the role of female urologists when seeking care for prostate cancer, erectile dysfunction, and benign prostatic hyperplasia.^5-7

Considering these challenges, the 2024 Urology Residency Match marked a historic milestone, with women constituting 45% of the future 2029 urology class—evidence of the progress being made.⁸ Here are the stories of 3 female Puerto Rican third-year medical students from medical schools accredited by the Accreditation Council for Graduate Medical Education, embarking on their journey to become urologists. These narratives not only illuminate the personal and professional triumphs of these individuals, but also underscore the collective strides being taken to reshape the narrative of gender inclusivity within the field of urology. Through their determination and dedication, they are paving the way for a future where diversity and excellence thrive hand in hand.

Alexandra I. López-Chaim, Third-Year Medical Student, Ponce Health Sciences University

As a female Puerto Rican medical student with aspirations to pursue a career in urology, I am keenly aware of being part of 2 minority groups within this specialty. According to the State Urology Workforce Practice of 2022, Hispanics constitute only 4.2% of the field, while females make up just 11.6%.⁹ What truly drove my decision to specialize in urology was its unique blend of clinical and surgical aspects. Despite facing the challenge of underrepresentation in this niche field, I have been fortunate to participate in the AUA FUTURE (Future Urology Talent From Under-Represented Entities) mentorship program, which has provided invaluable connections with remarkable urologists. Through 1-on-1 meetings, I’ve gained access to research opportunities, received guidance on residency applications, and secured away rotations. This program has reinforced my belief that urology is where I belong.

Having grown up in Puerto Rico, an island marked by natural disasters, health care disparities, and economic turmoil, I’ve cultivated a strong sense of resilience. With great enthusiasm, I am committed to joining the ranks of the 11.6% of female urologists.² As a female Hispanic aspiring urologist, I aim to bring inclusiveness, cultural competence, and diversity to the field. My upbringing on a small Caribbean island, coupled with fluency in both Spanish and English, equips me with a unique perspective and unwavering dedication to serving underrepresented communities. This will enable me to establish rapport, and foster trust and communication with my future patients. I am confident that urology offers a supportive learning environment where I can thrive as a female physician.

My journey as a woman from an underrepresented background in medicine has instilled in me strength and determination to overcome obstacles. Being mentored by and interacting with an exceptional and diverse group of women in urology has filled me with optimism. I believe I can pass this enthusiasm and confidence on to other aspiring female physicians. The myriad opportunities within urology and the inspiring figures in the field assure me that with each passing day, I am closer to breaking barriers and increasing representation as a Puerto Rican female urologist.

Claudia Ramírez-Marcano, Third-Year Medical Student, Universidad Central Del Caribe

Not having a home urology program has undoubtedly presented challenges, but it has also served as a catalyst for growth and resilience. I’ve had to step out of my comfort zone, reaching out to people through cold emails, navigating rejection, and being overlooked. The absence of a home program to guide me on “what it takes to become a urologist” left me feeling adrift. However, meeting with program directors and residents to address these uncertainties, and attending conferences like the Society of Women in Urology (SWIU) has been my strategy to identify where to improve, connect, and leave a lasting impression.

During the 13th annual SWIU mentoring conference earlier this year, I met Dr Guerrios at 6:15 AM on our way to Zumba. Learning she was also Puerto Rican was a comforting experience. I felt reassured, as I could visualize myself pursuing a urologic career trajectory. This experience reinforced the importance of representation, highlighting the impact it has on fostering connection and empowerment.

The SWIU community taught me the importance of consistency and directness in seeking support. As a first-generation medical student, I’ve learned that growth comes not just from facing challenges, but also from the support of others willing to help you along the way.

Juliette M. Méndez-Milete, Third-Year Medical Student, University of Puerto Rico Medical Sciences Campus

Mentorship programs serve as the foundation of guidance, offering the initial opportunity to explore the development of our curiosity and interests. As a female doctor interested in urology, I have encountered challenges finding someone who shares my culture in this predominantly male-dominated field. Despite facing comments asserting that “girls don’t match in urology,” I refused to believe such things, and I went on the search for a role model and mentor. Participating in the FUTURE program provided me with a new perspective and opened a door to opportunities within the urological specialty. This experience allowed me to finally connect with role models who resembled me and understand the additional challenges we face in pushing our voices to be heard. During our formative years, we are introduced to influential figures who made an impact on the world, people whom we can emulate. Similarly, mentorship serves as a guiding tool for the individual, distinct worlds of every person. I aspire to become a figure that younger generations can look up to, seeing themselves in me and finding a source of hope amid the challenging journey of medical school and residency.

Our Message

These narratives unveil the profound impact of mentorship and inclusion on students who find themselves underrepresented in their specialty of choice. Across specialties, the significance of fostering a supportive and inclusive atmosphere is underestimated. Our experiences stress how imperative it is to advance inclusiveness within urology. Thankfully, female physicians have paved the way for aspiring medical students like us. Their remarkable leadership serves as an example, inspiring future generations of female physicians from diverse backgrounds and perpetuating the legacy of mentorship for the journey ahead.