LAUSR

The survey provides many important insights into to the practice of pediatric urology through the eyes of the practicing pediatric urologists. The editorial comment astutely extrapolates information gleaned from the survey to address: important issues related to appropriate complex reconstructive case volumes to maintain surgical proficiency; whether trainees will find positions that meet geographic expectations; and the impact of physician extenders on practice satisfaction. The fact the editorial comment stimulated a conversation of these issues justifies the effort put forth to develop the survey, review the data, and prepare the manuscript. We totally agree that the survey does not allow for definitive conclusions regarding the present or future workforce needs of our specialty. All of the limitations raised are cited in the discussion: 1) 56% of pediatric urologists completed the survey; 2) responses may reflect personal bias rather than global workforce needs. In addition, there may be some markets that are saturated, while other regions of the country represent opportunities for those with less-restrictive geographic preference.