Specialists in Genitourinary Medicine manage patients with sexually transmitted infections.
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Entry Route in Genitourinary Medicine
Applicants must have completed the two-year Foundation Programme to be eligible to apply for a core training programme. Core training consists of either:
These programmes generally involve completing four to six medical placements and trainees must take part in acute on-call work.
Job Progression as a Genitourinary Specialist
Higher speciality training starts at ST3 levels and applicants should have the full membership of the Royal College of Physicians (MRCP) in order to be eligible to apply for an ST3 post. ST3 training takes at least four years to complete. The programme includes training in contraception, genital lesions and dermatoses, sexual dysfunction, adolescent health, sexual assault and public health. There may also be placements in infectious disease. Trainees can obtain a dual Certificate of Completion of Training (CCT) in acute internal medicine or general internal medicine which adds a year to the length of training (ST3-7).
Trainees can apply for consultant positions six months before obtaining their CCT, and there are opportunities to work in management as a clinical lead, or a clinical or medical director. There are also formal opportunities to become involved in the education and training of junior doctors by working as
- a director of medical education overseeing postgraduate medical training,
- a training programme director responsible for the education of trainee doctors in the local region, or
- an associate dean responsible for managing the training programme.
Academic Genitourinary Medicine Roles
Trainees interested in an academic career can apply for an academic clinical fellowship. Alternatively, trainees can continue the ST clinical training programme after ST4 level.
Competition for Genitourinary Posts
In 2017, the competition ratio at ST3 was 1.2 in the first round, with 38 applications for 33 NTN posts, with 45% of applicants applying for Genitourinary Medicine only. In the second round, the competition ratio was 0.3, with 7 applications for 21 NTN posts.
In December 2017, there were
- 266 consultants,
- 48 associate specialists,
- 120 speciality doctors,
- 126 speciality registrars,
- 13 core trainees,
- 32 F2 trainees, and
- 6 F1 trainees.
Salaries in Genitourinary Medicine
The starting salary for junior doctors in England ranges from £26,614 to £46,208, and from £37,923 to £87,521 for speciality doctors. Consultants can expect to earn between £76,761 and £103,490. There are additional supplements for on-call work, antisocial hours, and other commitments and situations. For additional information, please check our page on pay scales.
A Day in the Life of a GU Specialist
Most clinical work is outpatient-based and inpatient care is provided on a shared care basis. There may also be outreach and community clinic work. In larger centres specialists will take care of inpatients with conditions such as HIV, which involves regular ward rounds. Clinics are generally open during normal working hours, although some are open in the evenings and on Saturdays. There is an on-call rota for GU specialists and, in general, on-call work can be done remotely by providing advice over the phone.