Welcome to GUM at Severn Postgraduate Medical Education (PGME).

This excellent training programme, running for ST3-ST6, offers exposure to a wide range of genitourinary and HIV conditions, based in the Northern part of South West England. Severn PGME covers Bath, Bristol, Cheltenham, Gloucester, Swindon, Taunton, Western-Super-Mare and Yeovil. It is a great place to live, train and work.

We work closely alongside our colleagues at the University of Bristol Medical School providing ample opportunities for involvement in teaching and training of undergraduate students and a myriad of research opportunities.

Questions

  • What is Genitourinary Medicine?

    GUM is a patient-centred speciality which encompasses disciplines from general medicine, virology, microbiology, dermatology, gynaecology and public health, creating a unique and rewarding career.

    GUM is increasingly community-based, allowing improved provision of local services, although HIV care has continued in acute settings.

  • Why choose Genitourinary Medicine?

    Genitourinary medicine (GUM) is a dynamic, fun speciality which provides care for all aspects of sexual health and HIV medicine. The day-to-day work of a GUM physician varies, depending on sub-specialty and setting, and ranges from managing acute presentations of STIs, contraception, sexual assault assessment and post-exposure prophylaxis for HIV in addition to the chronic management of HIV. Most patients are treated as outpatients.

    At the Bristol Sexual Health Centre, we run a fully-integrated clinic with contraceptive provision, enabling GUM trainees to easily complete their contraceptive training. Trainees will complete their Diploma in Faculty Sexual and Reproductive Health as well as achieve competence in contraceptive implant and coil insertion and removal.

    Specialist clinics currently running within Severn PGME are:

    • Psychosexual medicine
    • Chronic Pelvic Pain syndrome (men)
    • Chronic Pelvic Pain (women)
    • Genital dermatology
    • Complex female cases
    • African Well Woman’s clinic (dealing with Female Genital Mutilation)
    • Specialist contraceptive clinics
    • Outreach work: Male sauna, massage parlours and street sex worker outreach clinics

    As many of our patients are drawn from vulnerable and under-represented populations, there is a real emphasis on social circumstances and emotional health.

  • What are the entry criteria for GUM training?

    The nature of genitourinary medicine requires trainees who are non-judgemental, excellent communicators and team players.

    All applications for GUM training are done through the Royal College of Physicians national application model.

    You will be expected to have completed Core Medical Training (or equivalent training) and have full membership of the Royal College of Physicians. The latest person specification which outlines the essential entry criteria is available from the Modernising Medical Careers website.

  • What is expected of those training in GUM in Severn Postgraduate Medical Education?

    Trainees rotate through the various inner city (Bristol Sexual Health Service) and peripheral clinics (Bath and Gloucester clinics) to gain experience in STI and HIV management, as well as contraception skills. Trainees complete two 3-month HIV inpatient placements during their training; most trainees will complete one placement in Bristol at Southmead Hospital, and a second placement in a larger unit (e.g. in London).

    Trainees are also expected to attend a variety of courses, for example, those run by BHIVA (British HIV Association) and BASHH (Bristol Association for Sexual Health and HIV). Tainees are also encouraged and supported to take part in audit and research, and present at national and regional meetings.

    There are set qualifications which must be gained throughout training: Diploma in Genitourinary Medicine, Diploma in HIV and Diploma of the Faculty of Sexual and Reproductive Health (with encouragement to also gain Letters of Competence in implant and coil fitting). These are done around the time of ST4 and ST6 respectively.

    Trainees take an active role in teaching, both of undergraduates at University of Bristol Medical School, as well as junior doctors attached to the clinic. This is delivered in a variety of formats from lectures and small group work, as well as one-to-one clinical teaching.

    A GUM trainee has a range of work-based assessments to complete - including mini-CEX, DOPs, CbDs and MSFs. Progression through training is assessed at ARCPs on an annual basis.

    The length of training for a GUM trainee is 4 years (full-time).