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88 CUAJ %u2022 APRIL 2025 %u2022 VOLUME 19, ISSUE 4 Razvi et aland technologies listed compared to their counterparts working in the community setting. Several questions were posed regarding office-related practices and technology, including the use of telemedicine, social media presence, electronic medical records (EMRs), and artificial intelligence (AI). Eighty-three percent of all members use telemedicine, with a slightly lower usage in Quebec (79%) and Ontario (74%). As in 2022, the use of websites and social media for practice management remains uncommon. Only 25% have their own website and 10% have a social media account devoted to their practice. In contrast, 94% of participants in the survey used an EMR in their office, which was consistent across the country. Only 7% reported using any type of AI platform at this time. AI was mostly used as a scribe, with other applications listed in Figure 9. The final two questions in the 2024 census were newly added to assess members%u2019 feelings about how the CUA could better support their ability to care for their patients. Advocacy, in general, was cited most. This was reflected by several suggestions, which are depicted in Figure 10. When asked specifically whether the CUA should become more actively involved in advocating or promoting private pay urologic care, there was considerable variation across the country. Sixty percent of Quebec members felt this is an area the CUA should be addressing vs. only 27% in Ontario and BC. DISCUSSION In the 2024 census, 46% of eligible CUA members participated, exceeding the 39% achieved in 2022. The sampling size is considered a reasonable response rate for online-based surveys.4,5As in 2022, the focus of the most recent survey was to assess the impressions and experiences of CUA members in active clinical practice, while realizing this group does not necessarily reflect the opinions of the entire membership. Sampling of other membership categories to learn about specific opinions and issues related to individual groups is being considered by the CUA in the future.The 2024 CUA census reaffirms several demographic findings and opinions from the membership in active practice. In addition, new findings included the observation that more recent graduating residents are choosing fellowship training to secure a hospital appointment and not necessarily for an academic position. Urologists in Canada appear to be working harder than ever, seeing more patients per week and devoting more time to clinical activities. The increasing clinical workload may be related to various factors not interrogated by this census, but clearly worthy of further exploration. Has the population boom in the past 10 years resulted in communities being underserviced for urologic care? Are patient comorbidities and urologic conditions increasing in incidence? Are we still witnessing the lingering effects of the pandemic, with patients now seeking care deferred over the past several years? The CUA intends to explore this trend further to understand the potential causes, as this trend could have future impact on resident education, clinical care, and members%u2019 quality of life. Perhaps reflecting the greater clinical demands, members also reported taking more vacation time, with almost 40% indicating they now take 6-9 weeks per year. Among survey participants, 77% indicated their practice is currently or will be hiring within the next five years, up from 68% in 2022. Whether this phenomenon reflects upcoming retirements, the opening up of new positions, or the greater clinical workload is not known. Among those practices expecting to hire additional urologists within the next 12 months, the top three areas of expertise being sought were oncology (41%), general urology (39%), and endourology/MIS (34%).The use of social media platforms and AI in clinical practice has not been widely adopted among survey participants at this time. This may be an area where the CUA Office of Education might assist in developing educational programming to ensure members are fully informed of the advantages and limitations of incorporating these technologies into clinical use. Moreover, the Health Policy and Advocacy Committees should engage policymakers and hospital administrators through lobbying efforts to address regional disparities to patient access. The idealistic but laudable goal should be equal access to state-of-the-art technologies in all regions of the country regardless of university or community setting. As the %u201cVoice of Urology in Canada,%u201d the CUA Figure 10. Suggestions for CUA advocacy efforts to improve patient care.