UU Physician Spotlight

Physician Spotlight Questionnaire

The Physician Spotlight Series shares the stories of Black and Latinx urologists who continue to shape and strengthen our field. By making our journeys visible, we aim to inspire others, build community, and support the growth and success of current and future urologists.
📝 Only fill out what you're comfortable sharing. You may skip any field.
I. General Physician Information
Email*
(for approval communication)
Name*

First NameLast Name
Pronouns
X or Twitter Handle
Instagram Handle
Current Position*

PGY1PGY2PGY3PGY4PGY5PGY6FellowAttending
Professional Identification (Name, Title, and Institution)*
Please format as you would like it to appear in your spotlight feature. Example: Dr. Jordan Smith, FACS / Assistant Professor of Urology / Johns Hopkins University
Fellowship
Residency Program*
Medical School*
Undergraduate School
Clinical and Research Interests
(Share any clinical focus areas or research topics you’re passionate about.)
II. Your Story & Perspective
1️⃣ What drew you to urology, and why is it the right fit for you?
Describe what inspired your path in urology.
2️⃣ What are some of the most fulfilling and least fulfilling parts of being a urologist or urologist-in-training?
Mention what you enjoy most and what can be challenging.
3️⃣ If you were able to sit yourself down 10 years ago, what advice would you give your younger self?
A short lesson or thought you’d share with your past self.
4️⃣ What are your interests outside of urology?
List hobbies or activities you enjoy in your free time.
5️⃣ What is a fun fact about yourself?
Something light or interesting about you.
6️⃣ In an ideal world, what does diversity, inclusion, and equity look like to you in our field?
Describe what an inclusive and supportive field would look like.
7️⃣ Why is diversity in medicine, healthcare, or urology important? (1-2 sentences)
Briefly share why diversity and inclusion matter to you.
III. Social Media & Photos
Come up with some hashtag ideas to include in your post for the X (Twitter) platform.
Please upload 1-5 photos you'd like us to use. These can be professional, candid, or casual - as long as they reflect YOU!

Cancelof
By submitting, you agree that your spotlight will be shared on Urology Unbound’s social media channels (Instagram & X, formerly Twitter) and newsletter.

You will receive a preview via email before posting. If you do not reply within 5 business days, we will assume your approval.
Should be Empty:

Physician Spotlight Questionnaire

I. General Physician Information

II. Your Story & Perspective

III. Social Media & Photos