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The current pathway into genitourinary medicine (GUM) training involves the completion of foundation training followed by core medical training, during which time the MRCP must be achieved. Once in a GUM training programme, the curriculum is broadly divided to focus on GUM and HIV competences with assessment of these including a range of work-place-based assessments and formal examination with DipGUM, DipHIV and the DFSRH for contraception.1 All competencies must be achieved within the 4 years of GUM training culminating in the Certificate of Completion of Training (CCT). In recent years, however, several factors have impacted both directly and indirectly on GUM training. From differences in the commissioning structure of GUM and HIV services to proposed changes in the structure of medical training as well as the changing needs of HIV patients in the post highly active antiretroviral therapy (HAART) era, we will be addressing the factors that are changing the shape of GUM training.
The commissioning of HIV and GUM services varies across the United Kingdom. In Scotland and Wales, regional Health Boards fund …