To better understand the perspectives of the 2025 urology residency applicant cohort by analyzing survey data on key aspects of the application process.

A survey consisting of 38 questions designed by the Society of Academic Urologists was distributed by American Urological Association to all applicants who submitted rank lists in the 2025 urology match. Descriptive analyses were performed on the responses, and qualitative themes were extracted from free-text answers.

382 applicants completed at least one survey question. Respondents were representative of all geographic regions and academic backgrounds. The median number of applications submitted was 49%, and 90% of applicants utilized all 30 preference signals. Preference signaling affected interviews offered, with applicants receiving an average of 12.5 interviews from signaled programs compared to only 1.6 from nonsignaled programs. On qualitative analysis, there was also a preference for in-person interviews, with applicants citing better assessment of program culture and interpersonal dynamics. Lastly, early notification for unmatched applicants was generally viewed as a favorable change to the match process by respondents.

The results highlight key applicant perspectives on recent changes to the urology match process. Preference signaling appears to be a well-received addition to the match, while in-person interviews may be the preferred format despite cost concerns. These findings offer valuable insights for future refinements to the urology match process.