AUA 2017 Annual Report

2017

ANNUAL REPORT

50th Annual Meeting American Urological Association

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2017 ANNUAL REPORT

Our mission is to promote the highest standards of urological clinical care through education, research and the formulation of health care policy.

2017 ANNUAL REPORT

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"It is only through the

commitment, expertise and passion of our members that we are able to continue the AUA’s rich legacy of

Advancing Urology."

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2017 ANNUAL REPORT

LETTER FROM

As the pages of this Annual Report will attest, 2017 was an extraordinary

THE PRESIDENT

“Advancing Urology,” and it is at the core of everything we do. The AUA

year for the American Urological Association (AUA). The AUA’s tagline is certainly advanced our specialty this year, in all three pillars of its mission: education, research and advocacy. This year the AUA educated more learners across the globe than any year before, and — through our partnership with the Urology Care Foundation — we set a new high water mark for support of urologic research. Finally, in what seemed like a turbulent year on Capitol Hill, the AUA was steadfast in its work with lawmakers and regulators to promote and preserve the interests of urologists.

I hope you enjoy perusing the pages of this Annual Report and exploring the many advancements the association made in 2017. This publication will also provide a snapshot of our financial position and showcase the AUA’s diverse and dynamic membership, dedicated leadership and key partners that support the work we do.

On behalf of the AUA Board of Directors, I want to thank our members for their continued support of our organization and specialty. It is only through the commitment, expertise and passion of our members that we are able to continue the AUA’s rich legacy of advancing urology.

J. Brantley Thrasher, MD, FACS President

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OUR HISTORY Founded in 1902 by a group of genitourinary surgeons in New York, the AUA has grown to represent more than 21,000 members in over 100 countries around the world. Over the past century, the AUA has been steadfast in its mission and now stands as global leader in the advancement in urologic medicine.

Our work continues to touch every area of urology, in every corner of the globe.

1935 AUA International Membership is established.

1903 AUA membership spans across the United States to include physicians from New York to the West Coast, and honorary members included physicians from France, Germany and England.

1902 February 22, eight members of the New York Genito-Urinary Society meet for dinner in the home of Dr. Ramon Guiteras and vote to disband the society and officially form the American Urological Association.

Dr. Ramon Guiteras, 1905

1940 1917 Dr. Hugh Hampton Young introduces The Journal of UrologyÂŽ to the urologic community.

First Issue of JU

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Eight AUA sections are established (Mid-Atlantic, New England, New York, Northeastern, North Central, South Central, Southeastern and Western).

1947

1948 AUA membership reaches 1,290.

AUA Executive Committee, 1949

New Brunswick, Newfoundland, Nova Scotia, Prince Edward Island and Quebec become members of the Central Section. The Central Section was changed to the Northeastern Section as we know it today.

1942 Mexico and New Mexico become members of the South Central Section.

1954 The first five research grants are awarded by the AUA.

1943 The 1943 Annual Meeting is cancelled by the AUA Executive Committee in response to the U.S. Government discouraging all conventions unrelated to the war effort. Dues are waived for all members serving in the Armed Forces.

1952 The American Urologic Research Foundation is created.

Mr. William P. Didusch, the Association’s director of conventions and art editor for the Journal of Urology®, is hired as the first AUA executive secretary.

The AUA officially settles into space at 1120 North Charles Street, Baltimore, MD rented from the Hugh Young estate and transfers all existing official records (except for financial records) from Dr. Shivers’ office in Atlantic City, NJ to the new Baltimore office.

AUA Headquarters Baltimore, MD

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OUR HISTORY

1997 1976 The AUA Office of Education begins operation.

1987

1972 The William P. Didusch Center for Urologic History officially opens with William P. Didusch as the first curator.

The American Foundation for Urologic Disease (AFUD) is founded.

1973

1993

The AUA approves first research scholarship program, providing a two-year scholarship for basic training in urologic research.

First AUA/European Association of Urology Academic Fellowship Exchange Program.

1995 First AUA/Confederación Americana de Urología Visiting Scholar Program.

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The AUA launches Practice Management Division to “assist urologists in establishing and maintaining well-run, efficient and cost-effective offices.”

2001 The AUA establishes a second incorporated Section 501(c)(6) entity to run parallel to the existing 501 (c) (3) organization. This entity houses the Health Policy, Practice Management and Membership functions while the C3 remains focused on Education and Research.

2003 AUA membership 14,000.

reaches

The AUA consolidates its Office of Education with the Baltimore office and moves into its new headquarters facility located in Linthicum, MD.

2010 The AUA launches Urology Core Curriculm.

2007 AUA begins development of Urology Core Curriculum.

2009 First Visiting Scholar and International Resident Programs with Brazil, China, India and Japan and first AUA Lessons in Urology Program & Exam (India).

2012 AUA Board of Directors approves new Foundation name – the Urology Care Foundation.

The AUA establishes Quality & Scientific Affairs Division that includes new Data Management & Statistical Analysis Department.

2017 AUA membership tops 21,000.

The Journal of UrologyÂŽ celebrates 100 years.

2015 2014 2013 AUA membership reaches 20,000.

2011 AUA International Programs Department established.

The AUA launches AUAUniversity.

The AUA releases The State of the Urology Workforce and Practice in the United States, the published results of the first AUA Annual Census.

The AUA expands its headquarters, adding additional space for archives and a new Resource Center for the William P. Didusch Center for Urologic History.

The State of the Urology Workforce and Practice in the United States 2014

The AUA launches Urology Practice, a monthly journal focusing on the clinical trends, challenges and practice applications in the four areas of business, health policy, the specialty and patient care.

The AUA launches AUA Quality Registry (AQUA), the first national urology quality clinical registry.

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We are the largest urologic member organization in the world, and our members are at the core of everything we do. We serve our members so that they can better serve their patients and make the discoveries that will cure urologic diseases in the future.

In the early years of the organization, the AUA was an association dedicated primarily to the practicing urologist. Today, the organization is a diverse organization that encompasses the complete spectrum of the urologic community. From medical students to academicians, from residents to researchers, from advanced practice professionals to clinicians, the AUA is committed to serving the entire urologic care team.

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OUR MEMBERS

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OUR MEMBERS

2017 MEMBERSHIP TYPES

Percent

Domestic* Urologists (Incl. active, associate, FT assoc., assoc.-in-transition)

37%

Domestic* Residents/Fellows

12%

International Members (Incl. urologists, residents, retired)

27%

Senior

15%

Medical/Graduate Students

4%

Advanced Practice Providers and Allied Health Care Professionals

2.5%

Research Scientists

1%

Affiliate

1%

Honorary Members

0.5% 100%

* Includes U.S., Canada, Mexico, Belize, Costa Rica, El Salvador, Guatemala, Honduras, Nicaragua, Virgin Islands, Panama, Puerto Rico, and U.S. Island possessions in the Pacific.

WORK SETTING Private Practices

Percent 59.1%

Solo Practice

9.8%

Single Urology Group

33.8%

Multispecialty Group

15.5%

Institutional Settings

39.6%

Academic Medical Center

25.5%

Public or Private Hospital

11.2%

Other Settings

Total

100.0%

Data Source: Weighted samples from the 2016 AUA Annual Census. Sums from numbers and percentages may contrast with calculated totals due to intrinsic rounding errors.

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1.3%

2017 ANNUAL REPORT

South America 7% Africa 1% Asia Asia 10% 10%

Australia 1% Europe 6% North/Central America 75%

General Without Subspecialty 59.6%

MEMBERS

BY CONTINENT

OUR MEMBERS

Oncology 11.1% Pediatrics 7.9% Endourology/Stone Disease 4.9% Female Pelvic Medicine and Reconstructive Surgery 4.8% Robotic Surgery 3.9%

MEMBERS

BY PRIMARY SUBSPECIALTY

Male Infertility 2.5% Male Genitourinary Reconstruction 2.1% Erectile Dysfunction 2.1% Renal Transplantation/ Laparoscopic Surgery 1.0%

Data source: Weighted samples from the 2016 AUA Annual Census.

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The caliber of our work—our outstanding education, steadfast commitment to research and passion for advocating on behalf of our members and their patients—combined with the breadth and depth of our work make us the leader in what we do. We are honored by the trust that the global urologic community has placed in us. Our staff and volunteers work diligently to ensure we remain an organization that you are proud of; one that brings continued value to our community. We strive to ignite passion, purpose and direction to advance the field of urology for years to come.

The following pages illustrate how we advanced urology in 2017.

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ADVANCING UROLOGY IN 2017

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OUR IMPACT As the oldest and largest urological association in the world, the AUA has helped to advance urology in every corner of the globe. In 2017, the AUA offered more educational programming than ever before, impacting more than 50,000 urologic health professionals around the world.

IN 2017, THE AUA IMPACTED

50,000

+

UROLOGIC HEALTH PROFESSIONALS AROUND THE WORLD

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For more than a century, the AUA has stood at the forefront in developing innovative, evidence-based quality education for urologists and urologic health professionals worldwide—throughout all stages of their careers. Through our Journal of Urology®, Annual Meeting, AUAUniversity and other educational programs, the AUA sets the highest standards for urology education worldwide and provides more urologic education than any other association in the world. Our Clinical Guidelines, Best Practice Statements and other guidance documents set the industry’s standard of care for diagnosing, treating and managing urologic conditions and diseases.

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ADVANCING UROLOGY THROUGH EDUCATION

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LIVE EDUCATIONAL ACTIVITIES

BY THE NUMBERS

Each year the AUA hosts an array of live educational activities throughout the country to ensure our members are educated on the very latest advancements in the diagnosis and treatment of patients with urologic conditions.

53 LIVE CME ACTIVITIES IN 2017

600

+

INSTRUCTIONAL HOURS

17,500

+

PHYSICIAN PARTICIPANTS

5,500

+

OTHER LEARNERS

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2017 SPOTLIGHT: Castration-Resistant Prostate Cancer (CRPC) Live Forum for Urology Residents & Fellows

100

+

FACULTY SUPPORTED EDUCATIONAL STAND-ALONE ACTIVITIES

In 2013, the AUA released its first clinical guideline on castrationresistant prostate cancer to assist urologists in the clinical decisionmaking process. Since launching the guideline, the AUA has developed several educational courses and activities to support and enrich the education of urologists who are treating this disease. During this time, the AUA also conducted several needs assessments to identify gaps in the education of urology residents. Those studies revealed a clear need for CRPC training at the residency level. Armed with this information, the AUA developed a partnership with the Society of Urologic Oncology (SUO) in 2017 to develop a CRPC educational training series just for urology residents and fellows. Combining the extraordinary resources and expertise of both organizations, this new initiative included live forums hosted around the country—to accommodate as many residents as possible—plus a series of online educational activities for enhanced learning.

This unique program was an amazing success in 2017, and the AUA looks forward to forging other successful partnerships with SUO in the future.

Nearly

150

residents participated in the CRPC live forum events.

SUO president, Leonard G. Gomella, MD, engages with urology residents.

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eLEARNING ACTIVITIES

BY THE NUMBERS

The AUA is committed to the lifelong learning of its members, and this commitment requires us to keep pace with a rapidly changing digital world. Through the AUA’s online learning portal, AUAUniversity, AUA members have education quite literally in the palm of their hands, with Webcasts, Podcasts, Mobile Apps, digital publications and more.

30

%

AUAUNIVERSITY MOBILE APP USAGE IN 2017

20 NEW WEBCASTS ADDED IN 2017

3,700

+

LEARNERS PARTICIPATED IN AN ONLINE ACTIVITY IN AUAUNIVERSITY

12

%

UROLOGY CORE CURRICULUM USAGE IN 2017

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2017 ANNUAL REPORT

AUAUniversity Podcasts Podcasts are the hottest digital medium at the moment. Sitting at the intersection of education, technology and media, Podcasts are the perfect solution for high-tech learners looking to squeeze every second out of every day. The AUA’s unwavering commitment to the education of its members means that we are constantly looking for new ways to deliver educational content to our members and the global urologic community. The AUA currently has 20 episodes in its Podcast library. “It’s a natural progression of our education efforts,” noted AUA eLearning Manager, Pat Kerley, who spearheaded the launch of the AUA Podcast Series in 2016. Kerley continued, “The AUA has an abundance of

62 WEB-BASED eLEARNING ACTIVITIES PRODUCED

628 PODCAST SUBSCRIBERS

amazing content and our challenge is how to get that content to our members in a way that’s easily consumable and convenient—Podcasts are great way to connect that education to our members.” While the AUA has developed original content for its Podcast series, the medium also allows us to take content from other sources and repurpose it in Podcast form. A great example is the Take-Home Messages from AUA2017. One of the most popular programs at the Annual Meeting, the Take-Home Messages synthesize the latest updates on each topic in urology, providing the critical “take-home” information in brief, single presentations. Podcasting the Take-Home Messages allowed members to easily access those important updates. The AUA plans to expand its podcasting in 2018 and will continue to keep its eyes on the technology trends impacting the way we educate our members.

Podcast Downloads in 2017:

21,500+ 2017 ANNUAL REPORT

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AUA ANNUAL MEETING

BY THE NUMBERS

In 2017, the AUA brought its 112th Annual Meeting to the spectacular city of Boston, Massachusetts.

The 2017 Annual Meeting welcomed more than 16,000 total attendees, from all 50 states, and 117 countries for the largest gathering of urologists in the world.

16,000

+

ATTENDEES

FROM ALL 50 STATES + 117 COUNTRIES AROUND THE WORLD

58 24

CME CREDITS OFFERED

2017 ANNUAL REPORT

8,030 TOTAL ABSTRACTS SUBMITTED

3,478 TOTAL ABSTRACTS ACCEPTED

95 INSTRUCTIONAL COURSES

6 HANDS-ON COURSES

36 SUB-SPECIALTY & INTERNATIONAL SOCIETY PROGRAMS

500+

Moderators, Course Faculty, Speakers Participated in AUA2017

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CLINICAL GUIDANCE & QUALITY

BY THE NUMBERS

Providing our members tools and resources to help manage their patients—and their practices—is a constant pursuit of the organization. From new clinical guidelines to Quality Payment Program toolkits, 2017 was another busy year.

4

2

New

Policy

NEW CLINICAL Statements GUIDELINES RELEASED IN 2017 Use of Telemedicine in Urology

Adoption of the American Medical Association Prior Authorization and Utilization Management Principles

Stress Urinary Incontinence

Renal Mass and Clinically Localized Renal Cancer

Clinically Localized Prostate Cancer

Muscle-Invasive Bladder Cancer

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White Papers

2017 ANNUAL REPORT

TELEMEDICINE IN UROLOGY CHRONIC URINARY RETENTION

The AUA Clinical Guidelines are the most popular destination on the AUA Website, with more than 1 million page views in 2017.

Quality

Initiatives Held Quality Improvement Summit on Advanced Urologic Imaging Launched 15 MIPS and APM tools and Webinars for AUA members

Participated in 12 Quality Payment Program (QPP) Webinars and listening sessions with CMS and the AMA Launched QPP toolkit Signed 10 individual and joint comment letters on MACRA, QPP and CMMI Released 5 additional statements for Choosing Wisely Developed 5 educational video modules on patient safety

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The AUA is committed to supporting urologic research through funding, education and advocacy. The Annual Meeting and other educational offerings provide opportunities to the global urology community to present, learn and share news of discovery and advancements in urology research. Together with the Urology Care Foundation, the AUA invests in the research leaders of today and tomorrow, teaming up to be a driving force in the discovery of new treatments in urologic medicine. Since 1975, over 750 physician scientists and researchers have been supported by the AUA and the Foundation with 31 endowments and over $30 million in research funding.

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ADVANCING UROLOGY THROUGH RESEARCH

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RESEARCH

BY THE NUMBERS Our partnership with the Urology Care Foundation has produced a portfolio of mentored research training awards intended to recruit outstanding young investigators into urology research and foster their career success. The recruitment pipeline follows the continuum of the research career—from medical and graduate students to residents to post-doctoral fellows to scientists and surgeon-scientists.

PROVIDED OVER

1.5Million

$

IN RESEARCH FUNDING IN 2017

13 30

SUMMER MEDICAL STUDENT FELLOWSHIPS

2017 ANNUAL REPORT

6 RISING STARS IN UROLOGY RESEARCH AWARDS

43 RESEARCH SCHOLAR AWARDS

6 RESIDENCY RESEARCH AWARDS

Areas Funded in 2017 Benign Prostatic Hyperplasia Bladder Cancer Health Services Infertility Interstitial Cystitis/ Painful Bladder Syndrome Kidney Cancer Overactive Bladder Pediatric Urology Prostate Cancer Prostatitis Stone Disease

2017 SPOTLIGHT: Physician Scientist Residency Training Program The AUA, through its Urology Care Foundation, has a longstanding and robust history of investing in urologic research and has catalyzed the development of today’s physician scientist and research leaders.

However, decreased federal funding and rapidly diminishing support for research training continues to threaten the future of the urologic research workforce needed to advance patient care. To help address this critical need, the AUA launched its Physician Scientist Residency Training Award in the spring of 2017. Unique to the field of urology, the goal of this program is to engage urology residents in intensive research training in order to grow the population of physician scientists who can effectively lead robust research programs in the future. Additionally, this program is designed to provide the training needed for these future physician scientists to successfully compete for independent research funding.

The Physician Scientist Residency Training Award supports a threeyear research training program embedded within residency. The first year of the program focuses on didactic graduate-level courses along with rotations with leading mentors at urologic research centers of excellence, followed by committed time in an intensive research project for the final two years. The program sites initially approved for this new program were selected in October 2017, and the inaugural trainee will be selected by October 2018. This individual, after completing the first two years of residency training, will matriculate into the three-year research period followed by the final three years of clinical training.

The AUA hopes this program, in time, will foster a new generation of urology researchers who will discover tomorrow’s treatments and cures in urologic disease.

Underactive Bladder Urinary Incontinence Urinary Tract Infections

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The AUA is a leading advocate for the specialty of urology and maintains a consistent presence in Washington, DC, working with lawmakers and regulators to promote and preserve the interests of urologists. A notable success in 2017 was the nomination of a urologist to review the evidence report that informs the U.S. Preventive Services Task Force (USPSTF) draft recommendations for PSA testing. This achieved an AUA priority to have urologists provide input on this task force, and ultimately impacted the recommendation of the USPSTF to upgrade their rating for PSA screenings. The AUA also developed shared decision-making quality measures for prostate cancer screening, with involvement and feedback from the urology, oncology, primary care and preventive medicine communities.

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ADVANCING UROLOGY THROUGH ADVOCACY

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ADVOCACY

BY THE NUMBERS In 2017 the AUA continued its tireless efforts at the federal and state level to ensure that the interests of our members—and their patients—are made known to a wide array of decision makers. Whether we are contacting lawmakers on Capitol Hill or officials in other government agencies, we are supporting and advocating for the practice of urology.

46

ADVOCACY STAKEHOLDER MEETINGS IN 2017

including AMA, ACS, Alliance of Specialty Medicine, and Regulatory Relief Coalition

44 34

LETTERS SENT ON LEGISLATIVE AND REGULATORY INITIATIVES

2017 ANNUAL REPORT

135,000

+

SOCIAL MEDIA REACH FOR BLADDER HEALTH MONTH THUNDERCLAP

420 MEETINGS HELD ON CAPITOL HILL

34 PATIENT ADVOCACY GROUPS ENGAGED IN BLADDER HEALTH ALLIANCE

511 GRASSROOTS ADVOCACY MESSAGES SENT TO CONGRESS

150

+

PHYSICIAN VOLUNTEERS ENGAGED

19

Patient advocacy organizations participated in the AUA2017 Patient Advocacy Hub

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REGULATION, POLICY & REIMBURSEMENT

BY THE NUMBERS

5,900

+

INSURANCE COVERAGE POLICIES REVIEWED

9 36

35 REQUESTS FOR COVERAGE REVIEW

BY INSURERS

6 UROLOGY CPT CODE RUC SURVEYS CONDUCTED

12 PARTICIPATED IN 9 AMA FEDERATION CALLS

2017 ANNUAL REPORT

AMA AND SURGICAL COALITION SPONSORED MEETINGS on changes to regulations and guidance from CME, FDA, and USP

400 STATE REGULATIONS REVIEWED

20 REGULATORY RELIEF MEETINGS WITH FEDERAL AGENCIES including HHS, CMS, MedPAC and FDA

13

Medicare Red Tape Relief Project submissions

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The AUA is committed to helping our members and their practices navigate the challenges that impact the business of urology. From coding resources and seminars, to Webinars and toolkits, the AUA offers an extraordinary array of resources that help urologists run their practice. Through its popular Practice Managers’ Network (PMN), the AUA also brings together practices from across the country into a single online community to share knowledge, ask questions and exchange ideas. Providing a central hub where practices can connect with one another allows the AUA to magnify its support of the urologic community. In 2017, the PMN Community had more than 1,800 posts, underscoring the popularity and value of this unique resource.

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ADVANCING UROLOGY THROUGH PRACTICE SUPPORT

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PRACTICE SUPPORT

BY THE NUMBERS

2017 marks the 20th Anniversary of the AUA’s Practice Management Department. Launched in 1997 “to assist urologists in establishing and maintaining well-run, efficient and cost-effective offices,” the AUA’s Practice Management Department has helped thousands of urologists to optimize their business practices.

1,800

+

POSTS TO THE PMN ONLINE COMMUNITY

3,200

+

40

INQUIRIES TO THE CODING HOTLINE

2017 ANNUAL REPORT

650 SUBSCRIBERS IN THE PRACTICE MANAGERS’ NETWORK (PMN)

255+ PARTICIPANTS IN AUA CUSTOMIZED CODING SEMINARS

125

+

ATTENDEES AT LIVE CODING SEMINARS

118 ATTENDEES AT THE 2017 PRACTICE MANAGEMENT CONFERENCE

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For more than a century, the AUA has worked across borders and boundaries to foster education, research and advancement of patient care around the world. With more than 21,000 members in over 120 countries, the AUA represents the world’s largest collection of expertise and insight into the treatment of urologic disease. In 2017, the AUA offered more global educational programming than ever before, impacting more than 35,000 urologic health professionals worldwide.

The AUA also launched its first visiting scholar program with the British Association of Urological Surgeons (BAUS). Through this collaboration — and many others — the AUA strives to build friendships that will foster progress in urologic care around the globe.

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ADVANCING UROLOGY THROUGH GLOBAL OUTREACH

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INTERNATIONAL PROGRAMS

BY THE NUMBERS

Collaboration is the key to improving the quality of urologic health care and education around the world.

The AUA has a long history of partnerships with the international urologic community, and 2017 marked another extraordinary year, underscoring our efforts to advance urology around the globe.

35,000

+

INTERNATIONAL LEARNERS

50

+

EDUCATIONAL ACTIVITIES

REACHING

40 44

COUNTRIES

2017 ANNUAL REPORT

100

+

INTERNATIONAL COUNTRIES REPRESENTED AT AUA2017

54% OF ATTENDEES AT AUA2017 WERE FROM OUTSIDE OF THE U.S.

15 INTERNATIONAL SOCIETY MEETINGS HELD AT AUA2017

2017 SPOTLIGHT: AUA/Sociedad Argentina de Urología (SAU) Lessons in Urology

100

+

AUA FACULTY PARTICIPATED IN AUA INTERNATIONAL EDUCATION PROGRAMS OUTSIDE OF THE U.S.

20 INTERNATIONAL RESIDENTS AND VISITING SCHOLARS

AUA’s Lessons in Urology Programs continue to be a cornerstone of International Programs around the world. These educational sessions address topics for urology professionals at the Chief Resident level. Additionally, an exam component is available for administration by the local society if desired. AUA scores the exams and provides reports to the society and individual participants, which evaluates the participant’s knowledge base and ranking amongst the participant peer group. Reports also serve as a needs assessment for enhancing residency training and education in that country.

One of the first countries to participate in this program was Argentina with the inaugural program being held in 2012. In 2017, the 6th Annual AUA/SAU Lessons in Urology Course and Exam occurred in Buenos Aires in conjunction with the SAU Annual Congress and was once again a success with nearly 80 residents in attendance. AUA faculty for the program included Drs. Manoj Monga (Endourology), Angela Smith (Oncology), Suzette Sutherland (Incontinence), and Rosario Viterbo (Laparoscopy). The faculty also provided lectures throughout the SAU Annual Congress in their topic area.

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“Advancing Urology” is not just our tagline—it is a governing principle that drives the organization. Never one to rest on its laurels, the AUA constantly looks for ways to move the organization— and the specialty of urology—forward.

Testaments to this commitment include the AUA Quality (AQUA) Registry, the first comprehensive national urologic registry, and the AUA’s Annual Census, which is available worldwide to all urologic professionals. Through these and countless other programs each year, the AUA helps to steer the future of urology.

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ADVANCING UROLOGY THROUGH INNOVATION & EXPANSION

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INNOVATION & EXPANSION

BY THE NUMBERS

The AUA recognizes the value of information and data, and the intelligence they provide, whether to researchers, clinicians, lawmakers or other decision-makers. Through its Quality Registry (AQUA) and Annual Census, the AUA is providing pioneering insights that will lead to more informed decisions and practices in the future.

3

+

Million

UNIQUE PATIENTS' DATA STORED IN AQUA REGISTRY

3

RD

48

CONSECUTIVE YEAR CMS approved the AQUA Registry as a Qualified Clinical Data Registry (QCDR)

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40

+

QUALITY MEASURES OFFERED BY AQUA

12.8Million TOTAL PATIENT ENCOUNTERS IN AQUA AT THE END OF 2017

14 RESEARCH PROJECTS FUNDED THROUGH AUA DATA GRANT PROGRAM FROM 2015 TO 2018

The State of Urology Workforce and Practice in the United States in 2016 was published, the third annual report since 2014

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HERE ARE JUST A FEW WAYS THE AUA WILL BE ADVANCING UROLOGY IN 2018!

• R eleasing new Clinical Guidelines on Evaluation and Management of Testosterone Deficiency Management, Erectile Dysfunction, and Surgical Management of Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia • H osting the first Annual Urology Advocacy Summit, designed to expand, strengthen and unify the voice of urology with 38 participating groups and an expected attendance of nearly 250 • P ublishing the State of Urology Workforce and Practice from 2014 to 2017, a four-year trend analysis report • L aunching new technology platform to help members succeed in their lifelong learning • P ublishing 3 new White Papers on enhancing surgical outcomes • C onvening a Quality Improvement Summit on Opioid Stewardship in Urology • E xpanding Visiting Scholar Program with the Deutsche Gesellschaft für Urologie (Germany)

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LOOKING TO THE FUTURE

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Medical associations like the AUA continue to feel the economic impact of the long-term changes to traditional revenue sources. In 2017, the AUA Board of Directors chose to increase subsidization for mission-focused programs resulting in an operational deficit, however investment income from our strong financial reserves was more than sufficient to meet the organization’s financial and budgetary requirements. This decision reflects the organization’s unyielding commitment to advancing urology and allowed the AUA to continue its investment in the many programs and services that help us meet our mission. As we move forward, the AUA Board of Directors will continue to invest in the three pillars of our mission while preserving the financial strength and stability of the organization.

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FINANCIAL

STEWARDSHIP

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2017 TOTAL OPERATING

REVENUE IN THOUSANDS

$37,813

Annual Meeting 38%

Publications 20%

Membership 15%

Research 4%

Education and International Programs 19%

Science and Quality 1%

Public Policy & Practice Support 1%

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Other: (UMS and Misc.)

2%

2017

TOTAL OPERATING

EXPENSES IN THOUSANDS

$39,379

Annual Meeting 21% Membership 7% Education and International Programs 18% Public Policy & Practice Support 12% Publications 9% Research 9% Science and Quality 16% Other: (UMS and Misc.)

8%

NET (IN THOUSANDS) Annual Meeting

$5,917

Membership

$2,924

Education and International Programs

$28

Public Policy & Practice Support

($4,431)

Publications

$4,146

Research

($2,034)

Science and Quality

($5,943)

Other: (UMS, Museum, MOL, and G&A)

($2,173)

Surplus (Deficit) from Operations

($1,566)

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The AUA is grateful for the support and generosity of its 2017 partners. Through these valued partnerships, the AUA is able to fulfill its mission to promote the highest standards of urological clinical care through education, research and the formulation of health care policy.

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THANK YOU

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AFFILIATED PARTNERS AUA SECTIONS Mid-Atlantic New England New York

North Central Northeastern South Central

Southeastern Western

SPECIALTY SOCIETIES Engineering and Urology Section of the Endourological Society (EUS) Geriatric Urological Society (GUS) R. Frank Jones Urological Society (RFJUS) Research on Calculus Kinetics Society (R.O.C.K.) Sexual Medicine Society of North America, Inc. (SMSNA) Society for Basic Urologic Research (SBUR)

Society for Fetal Urology (SFU) Society for Infection and Inflammation in Urology (SIIU) Society for the Study of Male Reproduction (SSMR) Society of Genitourinary Reconstructive Surgeons (GURS) Society of University Urologists (SUU) Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU)

Society of Urologic Oncology (SUO) Society of Women in Urology (SWIU) The Societies for Pediatric Urology (SPU) Urologic Society for Transplantation and Renal Surgery (USTRS)

AUA INTERNATIONAL PROGRAMS SOCIETY PARTNERS NORTH AMERICA

Asociación de Médicos Urólogos de Costa Rica Asociación Guatemalteca de Urología Asociación Hondureña de Urología Asociación Nicaragüense de Urología Asociación Salvadoreña de Urología

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Asociación Urologica Centro America y el Caribe Canadian Urological Association Caribbean Urological Association Colegio Mexicano de Urología Nacional Global Association for the Support of Haitian Urology Indian American Urological Association

2017 ANNUAL REPORT

Jamaica Urological Society Sociedad Cubana de Urología Sociedad Dominicana de Urología Sociedad Mexicana de Urología Sociedad Panameña de Urología Societe Haitienne D’Urologie Societe Internationale d’Urologie

SOUTH AMERICA

Confederación Americana de Urología Sociedad Argentina de Urología Sociedad Boliviana de Urología Sociedade Brasileira da Urología Sociedad Chilena de Urología Sociedad Colombiana de Urología Sociedad Ecuatoriana de Urología Sociedad Peruana de Urología EUROPE

Asociación Española de Urología Associação Lusófona de Urologia Associação Portuguesa de Urologia

Association Francaise d’Urologie British Association of Urological Surgeons Deutsche Gessellschaft für Urologie European Association of Urology Hibernian Urology Society Hungarian Urological Association Polish Urological Association Societá Italiana di Urologia ASIA / MIDDLE EAST

Arab Association of Urology Armenian Urological Association Bangladesh Association of Urological Surgeons

Chinese Urological Association Emirates Urological Society Japanese Urological Association Korean Urological Association Pan Arab Continence Society Philippine Urological Association Saudi Urological Association Urological Association of Asia Urological Society of India AFRICA

Egyptian Urological Association Pan African Urological Surgeons Association AUSTRALIA

Urological Society of Australia and New Zealand

2017 Presidents Reception

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PRESIDENT’S CIRCLE

MEDICAL

PLATINUM

AbbVie Kimberly-Clark Merck Pfizer Oncology

GOLD

AstraZeneca Bristol-Myers Squibb Genentech NeoTract, Inc.

SILVER

Allergan, Inc. Allergan Foundation BARD Medical Bayer HealthCare Chesapeake Urology Ferring Pharmaceuticals Inc. KARL STORZ EndoscopyAmerica, Inc. NxThera OPKO Health TOLMAR Pharmaceuticals

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BRONZE

Blue Earth Diagnostics Coloplast Genomic Health Kahlert Family Foundation Lumenis, Inc. MIM Software Mount Sinai Health System Department of Urology Reflexonic Richard Wolf Medical Instruments Siemens Healthineers Takeda Pharmaceutical Company Limited Yemini Family Foundation

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CONTRIBUTOR

Aquinox Beckman Coulter, Inc. BK Ultrasound Cynosure Dendreon Dornier MedTech Eigen Endo Pharmaceuticals Inc. Focal Healthcare, Inc. GE Healthcare Hitachi Aloka Medical Houston Methodist Invivo Corporation Koelis Laborie Myriad Genetics, Inc. NFL Foundation Ocean Spray Photocure The Prometheus Group LATAM PROCEPT BioRobotics Retrophin Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction Foundation Sekisui Diagnostics Sonacare Medical TerSera Therapeutics LLC

INTERNATIONAL PRESIDENT’S CIRCLE

INTERNATIONAL CONTRIBUTORS

Bayer HealthCare Pharmaceuticals, Inc. Boston Scientific Corporation Coloplast Corp Cook Medical KARL STORZ Endoskope Neotract, Inc. Olympus Corporation of the Americas Pfizer PROCEPT BioRobtics Sanofi Genzyme

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"Leadership is the

capacity to translate vision into reality.”

– Warren G. Bennis

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2017 ANNUAL REPORT

OUR LEADERSHIP

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BOARD OF DIRECTORS

OFFICERS J. Brantley Thrasher, MD, FACS

Manoj Monga, MD, FACS

President 5/17/2017 – 5/22/2018

Secretary 5/20/2015 – 5/7/2019

Robert C. Flanigan, MD, FACS

David F. Green, MD, FACS

President-elect 5/17/2017 – 5/22/2018

Treasurer 5/17/2017 – 5/28/2021

Richard K. Babayan, MD

Michael T. Sheppard, CPA, CAE

Immediate Past President 5/17/2017 – 5/22/2018

Chief Executive Officer

SECTION REPRESENTATIVES Roger E. Schultz, MD, FACS

Chandru P. Sundaram, MD

Thomas F. Stringer, MD, FACS

Mid-Atlantic Section

North Central Section

Southeastern Section

5/11/2016 – 5/18/2020

5/20/2015 – 5/7/2019

5/21/2014 – 5/7/2019

E. Ann Gormley, MD

Barry A. Kogan, MD

Scott K. Swanson, MD

New England Section

Northeastern Section

Western Section

5/17/2017 – 5/7/2019

5/17/2017 – 5/7/2019

5/20/2015 – 5/7/2019

Frederick A. Gulmi, MD

Randall B. Meacham, MD

New York Section

South Central Section

5/11/2016 – 5/18/2020

5/21/2014 – 5/22/2018

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2017 ANNUAL REPORT

E. Ann Gormley, MD, 5/17/2017 – 5/7/2019 New England Section Representative

2017 SPOTLIGHT: The First Female to Serve on the AUA Board of Directors Over the AUA’s 115-year history, hundreds of extraordinary physicians have served on its Board of Directors. This esteemed group, comprised of representatives from each AUA Section, as well as elected officers, leads the AUA in its mission to promote the highest standards of urological clinical care. In 2017, the AUA Board of Directors welcomed its first female member, when Dr. E. Ann Gormley joined the Board as the New England Section Representative. It was a moment of great pride for the AUA. A member of the AUA since 1995, Dr. Gormley has been a valuable contributor to the AUA for many years—she is a past president and secretary for the New England Section of the AUA; served on the AUA/ABU Exam Committee and the AUA Stress Incontinence Guidelines Committee; and chaired the AUA Overactive Bladder Guidelines Panel and Bylaws Committee. She currently serves as the Assistant Editor of the AUA Update Series and is an Assistant Editor for Urology Practice.

“I feel privileged to represent the New England Section on the AUA Board of Directors.

In our section we are elected to serve on the AUA Board by the membership following a campaign. Although I purposefully didn’t mention gender in my campaign I am very proud to be the first female to serve on the Board. I hope that I can adequately represent all the members of the New England Section as well as all the women in Urology. There are many very accomplished women in urology who I admire and I hope to serve as a role model to those who come after me. ” Dr. Gormley is a professor of surgery (urology) at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire. While completing her residency in urology at the University of Alberta, she earned an MSc in Experimental Surgery. She then completed a fellowship in female urology and voiding dysfunction. Dr. Gormley is a member of the Royal College of Physicians and Surgeons of Canada and is Board Certified by the American Board of Urology with sub-certification in female pelvic medicine and reconstructive surgery.

While it may seem surprising that the AUA is only now seeing a woman on its Board, the gender gap in urology has been well documented. According to the 2016 AUA Census, less than 10% of practicing urologists are women. However, that statistic is on the verge of change: Over 25% of the residents matched in the 2017 Urology Residency Match were female. The AUA celebrates Dr. Gormley’s status as the “first” female Board member, and looks forward to welcoming many more women to its Board in the years to come.

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COUNCILS AND COMMITTEES The AUA is honored to have had more than 450 urologists volunteer on 36 key AUA Committees in 2017. It is through the steadfast commitment from our volunteers and staff that we continue to deliver on our mission and promise.

EDUCATION

SCIENCE & QUALITY

GOVERNANCE

Education Council Advanced Practice Providers Education Committee Laparoscopic, Robotic & New Surgical Technologies Committee National Medical Student Curriculum Committee Update Series Urologic, Diagnostic & Therapeutic Imaging Committee Urology Core Curriculum Committee Urologic Video Education Committee

Science & Quality Council Data Committee Practice Guidelines Committee Quality Improvement & Patient Safety Committee

AUA/AUAER Board of Directors Awards Committee Bylaws Committee Finance Committee Judicial & Ethics Committee Nominating Committee Public Media Committee

PUBLIC POLICY

Public Policy Council Coding & Reimbursement Committee Legislative Affairs Committee Practice Management Committee State Advocacy Committee MEMBERSHIP

PUBLICATIONS

Publications Committee The Journal of UrologyÂŽ Editorial Board Urology Practice Editorial Board RESEARCH

Research Council Research Advocacy Committee Research Education, Conferences & Communications Committee Research Grants & Investigative Support Committee

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Section Secretaries Membership Council Advanced Practice Providers Membership Committee History Committee International Members Committee Residents & Fellows Committee Young Urologists Committee

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