Genitourinary Medicine (GUM)

Introduction

The Training Scheme in Genitourinary Medicine (GUM) offers a comprehensive and structured training programme for Specialty Registrars (SpRs) seeking the Certificate of Completion of Training (CCT).

GUM is a multidisciplinary, cutting edge, evidence driven specialty.  Core elements  include the management, surveillance and prevention of transmission of Sexually Transmitted Infections (STIs),  HIV and other blood borne viruses in young persons and adults, in addition to elements of contraception, psychosexual medicine, genital dermatology, gynaecology and a knowledge of laboratory based techniques needed to diagnose the above conditions. GUM SpRs will require exemplary communication skills and will experience working with a wide variety of vulnerable groups including <18s, commercial sex workers, incarcerated patients, men who have sex with men and trafficked populations. Principles of ethics, consent and confidentiality will be taught in addition to working with both adult and child safeguarding services and with those who have experienced domestic or sexual violence or who are victims of sexual assault or exploitation.

 

Head of School

Dr Andrew Deaner is the Head of the London School of Medicine and Medical Specialties. Dr Deaner is a consultant cardiologist at King George Hospital, Goodmayes and St Bartholomew’s Hospital, London. He studied Medicine in Leeds and then trained in Yorkshire and London. His main clinical interests are general and interventional cardiology as well as maternal cardiology. Prior to being appointed head of school he was a deputy post graduate Dean in north central and east London.

 

Deputy Head of School

Dr Catherine Bryant is the Deputy Head of School for Genitourinary Medicine. Dr Bryant graduated from Cambridge University and trained in geriatric and general internal medicine in London. She is a Consultant at King’s College Hospital NHS Foundation Trust in geriatric and general medicine and is also the Trust Dementia Lead. Dr Bryant has been involved in postgraduate education and training in a variety of different roles for some years. She is an associate director of the PGMDE at King’s and has previously been Training Programme Director (TPD) for Core Medical Training in SE London. Dr Bryant was appointed Deputy Head of the School of Medicine in 2014.

 

Vision

The vision for the Specialty School of Genitourinary Medicine is:

•             World class education for world-class healthcare

•             Excellence of postgraduate training and education

•             Producing clinical leaders of tomorrow

 

Training programme

A Pan-London/KSS STC manages appointments to the rotations and oversees quality of training. Once appointed, trainees are allocated to a geographical London region (South London, North West and North Central & East London). Generally, they will remain in this region for the entirety of their training and their supervision. When preferencing a sector / rotation, applicants should be prepared to train in all the trusts stated during the programme.

We provide training at world-renowned training institutions as well as a number of excellent district general hospitals. Working with a diverse healthcare population across London, trainees will treat a cross-section of patients and medical conditions in urban communities. London with its rich variety of cultures, nationalities and social backgrounds offers any trainee a full and rewarding experience in Genitourinary Medicine.

Training is based around both the experience gained from attachments in community integrated sexual health services and acute trusts as well as a programme of training days. Each attachment provides experience in the core areas of GUM outlined above. Out of Programme (OOP) experience to other centres may be arranged on an individual basis to provide experience in specialist areas not fully covered within individual programmes. Full time trainees currently achieve a singly accredited CCT in GUM over 4 year period. From August 2022 GUM will be a new group 1 specialty, dually accrediting with Internal Medicine.

Entry to the Training programme  is via the Physician training route after gaining full MRCP. The first two years are spent accumulating experience in the basic management of STIs and their complications, contraception and HIV in outpatient and inpatient settings. By the end of the second year of training, trainees should have passed the Diploma in Genitourinary Medicine. The final two years are spent consolidating clinical experience, specialist interests and skills, together with service development, management and leadership skills. Trainees will acquire relevant experience in Gynaecology, Dermatology, Laboratory Methodology, Public Health, Teaching, Sexual Assault Management and Child Protection as well as undertaking audit and research projects. OOPEs and projects involving work overseas are encouraged.  The Diploma in HIV Medicine is a critical progression point and is required for CCT in GUM. Currently the Diploma of the Faculty of Sexual and Reproductive Healthcare and the Letter of competence in Subdermal Implants are also mandatory requirements by the time of CCT.

 

Specialty units/areas in London

We provide GUM training in London across 3 geographic areas across 7 distinct rotations, as follows:

 

1. North Central and East London:

i) The Mortimer Market Centre and Archway Sexual Health centre

ii) The Royal London and St Bartholomew’s Hospital

 

2. North West London:

iii) Chelsea and Westminster Hospital, Dean Street Clinic and 10 Hammersmith Broadway  

iv) St Mary’s Hospital

 

3. South London:

v) Guy’s and St Thomas’ Hospital

vi) King’s College Hospital

vii) St George’s/Croydon and Kingston Hospitals/SW London Sexual health Clinic, CLCH

 

Please see links to Hospitals job descriptions below:

Bart’s Health NHS Trust JD – find here

Guy's and St Thomas' NHS Foundation Trust JD – find here

Croydon University Hospital JD – find here

King’s College Hospital JD – find here

Kingston Hospital JD – find here

St George’s University Hospital/Central London Community Healthcare JD – find here

North Central London JD – find here

Chelsea and Westminster Hospital JD – find here

Imperial College Healthcare NHS Trust JD – find here

 

Specialty Training Board Information

The London Specialty School of Medicine holds Genitourinary Medicine Specialty Training Committee (STC)  meetings three times per year. The purpose of this group is to bring together trainee representatives and specialty leads from postgraduate medical training programmes across the three London areas, to consider issues of mutual interest in relation to Genitourinary Medicine training, and to foster and share good training practice Pan-London.

 

Useful Information and Links

GUM curriculum - click here

ePortfolio -  click here 

GUM specialty page on JRCPTB websiteclick here

PGMDE Trainee Support Portal - click here

 

Events

To access events for your specialty please access the Events Calendar on the Home Page, select the timeframe and specialty for a full list of your specialties Regional Training Days.

If you are an event organiser, please fill Event's Booking form here - click here

 

Enquiries

Please submit these through the trainee portal - click here

Telephone

020 7866 3219