Genitourinary Medicine

About the specialty: 

Genitourinary Medicine (GUM) involves the investigation and management of sexually transmitted infections and HIV. It is mostly outpatient based but does include inpatient care of HIV infection. It can also include more specialised services such as young people's clinics, genital dermatoses, sexual dysfunction and psychosexual medicine and outreach services for sex workers and drug users.

Essential requirements of a genitourinary physician are enjoying contact with patients, being able to work as part of a multidisciplinary team and good communication skills. It is important to be non-judgemental and feel comfortable about discussing sensitive issues such as sex.

There is also a public health element to the specialty with the need to perform partner notification (contact tracing), and to collect and report surveillance data in order to detect changing trends of infections.

Entry into Genitourinary Medicine training is possible following successful completion of both a foundation programme and a core training programme. There are two core training programmes for Genitourinary Medicine training:

  • Core Medical Training (CMT)
  • Acute Care Common Stem - Acute Medicine (ACCS-AM)
Latest news and developments: 

A new curriculum for dual training in GUM and Internal Medicine will be implemented in August 2022. Trainees entering GUM in August 2021 will transfer to the new curriculum unless it is not safe or practical for them to do so. Trainees who started training prior to August 2021 can remain on the current curriculum and will not be required to transfer but will be encouraged to transfer where possible. Please see our transition page for general information and the Curriculum section below for specialty specific guidance.


The curriculum for each specialty defines the process of training and the competencies needed for the award of a certificate of completion of training (CCT). The curriculum includes the assessment system for measuring trainees’ progress comprising workplace based assessment and knowledge based assessment.

A new curriculum for GUM and Internal Medicine has been approved by the GMC and will be implemented in 2022. The approved draft curriculum appears below and the final version will be published shortly.

Genitourinary Medicine 2022 curriculum FINAL DRAFT

The following guidance has been produced by the GUM SAC to support the implementation of the new curriculum. 

Transition guidance 2022 GUM curriculum

Implementation of IM training in GUM

Q&As on the new curriculum, recruitment and workforce

The current GUM curriculum is available below. Previous versions of the curriculum are no longer available online but copies can be requested from

PDF icon 2016 GUM Curriculum FINAL

ARCP Decision Aids: 

The ARCP decision aid for each specialty defines the targets that have to be achieved for a satisfactory ARCP outcome at the end of each training year. 

The decision aid below is a revised version for use during the Covid-19 pandemic. Please also see the JRCPTB guidance

PDF icon GUM ARCP decision aid for 2021

The standard ARCP decision aid is given below 

PDF icon 2016 Genitourinary Medicine ARCP Decision Aid

Forms and guidance: 

Mapped GUM and GIM competencies to support GIM CESR applications

The SAC has prepared the following guidance to support trainees who wish to apply for specialist accreditation in General Internal Medicine (GIM) via the CESR route

PDF icon Mapped GUM and GIM competencies to support GIM CESR applications updated November 2020

2017 National Trainee Survey reports

The following reports are based on the results of the 2017 National Trainee Survey. For copies of older reports email

PDF icon 2017 GUM NTS Generic Indicators.pdf

PDF icon 2017 NTS GUM Specialty Specific Questions.pdf