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)
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.
Previous versions of the curriculum are no longer available online but copies can be requested from firstname.lastname@example.org.
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. ARCP decision aids were revised to reflect the changes to the assessment and review process from August 2014 and replace all previous versions.