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To quote John Lennon: ‘Life is just what happens to you while you’re busy making other plans’.1 While sexual health services in England have been dealing with the consequences of the Health and Social Care Act2 and commissioning,3 decisions are being made that will affect how postgraduate training is delivered throughout the UK. These have been driven primarily by the Shape of Training (SoT) review4 and the Future Hospital Commission,5 underpinned by the medical registrar role being perceived as less rewarding so fewer doctors now wish to take it on.6 However, the time has come for Genitourinary Medicine (GUM) to return its gaze to changes in acute care delivery to ensure the specialty influences how these are implemented, and in turn the impact they have on GUM.
The current career path for doctors who wish to become medical specialists is to spend 2 years in foundation training (FY1-2) after qualification, followed by a further 2 years in core medical training. The Membership of the Royal Colleges of Physicians (UK) diploma is …