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Diane K. Newman, DNP, APRN, FNP-C, Adjunct Professor of Surgery at Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, and Senior Editorial Director of Grand Rounds in Urology, engages with Kenneth Mitchell, MPAS, PA-C, Co-Founder and CEO, GUYnecology Men’s Health, Nashville, TN. Mitchell is a Certified Physician's Associate with over 29 years of clinical experience in urology, specifically male sexual dysfunction and infertility. In this 48-minute discussion, he delves into the growing role of the advanced practice provider (APP) in urology. Mitchell explains that although APPs were once seen as the solution to anticipated shortages, the urgency to integrate them has increased due to accelerating demographic and workforce trends. He emphasizes that while the urology community recognizes the value of APPs, most are insufficiently trained in the specialty. He advocates for proper onboarding, mentorship, and targeted education as critical to ensure APPs succeed. Mitchell describes how APPs have been underutilized despite their potential to alleviate pressure in surgical and outpatient settings. He notes that APPs are concentrated in urban areas, leaving rural populations underserved. Burnout is a growing problem among physicians and experienced APPs, fueled by staffing shortages, administrative burdens, and undefined roles. He explains that APPs should be strategically deployed to shift lower-complexity, high-volume tasks from physicians, improving access to care. He underscores that successfully integrating APPs into urology is a foundational strategy to meet rising national demand for high-quality, accessible care. Mitchell notes that APP utilization is the lowest among the youngest and oldest urologists seeking to prove themselves or scale back workloads. Geographically, APPs are concentrated in metropolitan areas, leaving rural patients with the fewest resources despite historically being the populations these professions were designed to serve. Mitchell calls for strategic, competency-driven integration of APPs to preserve high-quality urologic care across the continuum.