In this episode, Dr. Amanda North, Chief of Pediatric Urology at Children's Hospital at Montefiore Einstein, joins Dr. Susan MacDonald, Program Director at Penn State, for a deep dive into fellowship training trends in urology. Using AUA census data, they explore generational shifts, gender disparities and evolving motivations for pursuing fellowships. From the growing percentage of women in the field to the increasing complexity of urologic care, they discuss how patient expectations, academic aspirations and practice models are reshaping the specialty. The 2025 AUA Census is now open. Visit AUANet.org/TakeCensus.