Readers of CUAJ will likely be aware of the recent, provocative, Ontario-based study supporting previous literature highlighting gender-based disparities in medical practice. This cross-sectional, population-based study using administrative databases1 documents contemporary inequity in income across surgical specialties, with marked differences in earnings between males and females. These imbalances were present after controlling for differences in hours worked or procedure duration. The authors contend that the opportunity to perform the most lucrative procedures is different between the sexes. Although the results for urological care were not statistically significant, the overall trend of these findings should stimulate a call for a fulsome analysis of drivers of gender-based disparities in our specialty. This issue of CUAJ expands on this topic, describing gender-related discrepancies in academic urology in Canada.2 We asked Dr. Ashley Cox, program director at Dalhousie University and consulting editor of CUAJ, to comment on her thoughts and experiences.
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