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Genitourinary medicine

Doctors working in genitourinary medicine diagnose and treat people with sexually transmitted infections (STIs), including HIV. 

Your role is to detect and manage, prevent and control STIs, and manage a number of non-infectious genital conditions such as dermatoses.

Life as a doctor in genitourinary medicine

Your role is mostly outpatient or clinic based. As a trainee, you’ll be expected to conduct a minimum number of HIV outpatient clinics per week and once you’re a specialist, you’ll see 10–20 clinic patients over a two-day period.

Your time spent in hospital will be on wards caring for HIV patients. You’ll participate in ward rounds and consult with other doctors and nurses. HIV patients often have complex medical problems as well as various psychological challenges.

Most of your patients will be young adults from a broad cultural and social mix and represent all sexual orientations. Otherwise, the majority of your patients will be fit and healthy. 

Bacterial STIs are curable and, while some viral STIs cannot be cured, they can be managed successfully. 

You’ll find that most patients are extremely grateful for your diagnosis, treatment and advice, for example on how to communicate with sexual partners. The focus on access, education and care can make your role particularly satisfying. 
 
You’ll see patients with a range of STIs including:
  • chlamydia
  • genital herpes
  • genital warts
  • gonorrhoea
  • syphilis
  • HIV
  • vaginal infections
  • pelvic infection and inflammation
  • genital infestations such as scabies and pubic lice

Common procedures and interventions include:

  • a sexual screen which may include an examination to take genital microbiological samples
  • treatment with the use of specific antimicrobials (agents that kill or inhibit the growth of micro-organisms)
  • outpatient minor surgical procedures such as cryocautery (a procedure that uses very high temperatures to treat the female genital tract)
  • light microscopy and dark ground microscopy (where the field around the specimen is dark)
  • skin biopsies and the insertion and removal of contraceptive devices including contraceptive implants and intra-uterine devices (IUDs)

How much can I earn?

You’ll first earn a salary when you start your foundation training [1] after medical school.  Find out details of current salary ranges for foundation and specialty training, SAS doctors [2] and consultants on the Pay for doctors [3] page. 

How about the benefits?

  • make a difference
  • flexible and part-time working
  • high income early in your career
  • work anywhere in the world
  • excellent pension scheme
  • good holiday entitlement
  • NHS discounts in shops and restaurants

Must-have skills

  • excellent communication skills to manage a wide range of relationships with colleagues, and patients and their families
  • emotional resilience, a calm temperament and the ability to work well under pressure
  • teamwork and the capacity to lead multidisciplinary teams
  • problem-solving and diagnostic skills
  • outstanding organisational ability and effective decision-making skills
  • first-class time and resource management for the benefit of patients

In addition, doctors in genitourinary medicine need to demonstrate:

  • an open-minded, sensitive, non-judgemental approach
  • tolerance of all patients regardless of age, race, gender or sexuality
  • a holistic [4] approach to patient care

Entry requirements

Your first step is medical school. Typically, you’ll need excellent GCSEs and three A or A* passes at A level including chemistry for a five-year undergraduate degree in medicine. Many medical schools also ask for biology and others may require maths or physics.

If you already have a degree, you could study for a four-year postgraduate degree in medicine.

You’ll need to pass an interview and admissions test. You’ll be asked to show how you demonstrate the NHS values such as compassion and respect.

Some medical schools look to recruit a mix of students from different backgrounds and geographical areas, so your educational and economic background and family circumstances could be considered as part of your application.

What are my chances of starting a career in genitourinary medicine?

In 2021, there were 227 consultants in genitourinary medicine in the NHS in England. In addition, there were 30 applications for 38 training places.

How to become a doctor in genitourinary medicine

After medical school, you’ll join the paid two-year foundation programme [5] where you’ll work in six placements in different settings.
 
After your foundation programme, you can apply for paid specialty training [6] to become a doctor in genitourinary medicine, which will take a minimum of seven years.
 
You may be able to train part time, for example for health reasons or if you have family or caring responsibilities.

Where a career as a doctor in genitourinary medicine can take you

You could: 
  • specialise or conduct research
  • teach medical students or postgraduate students in training
  • get involved in research at universities, the NHS or private sector
  • Find a vacancy

    • Consultant in Genitourinary Medicine / Sexual Health

      Rotherham, S60 2UD

      Salary:
      £109725.00 to £145478.00
      Type:
      Fixed-Term
      Employer:
      The Rotherham NHS Foundation Trust
      Apply now on NHS Jobs for Consultant in Genitourinary Medicine / Sexual Health job (opens in a new window) [7]
    • Speciality Doctor Palliative Medicine

      Wrexham, LL13 7TD

      Salary:
      £59727.00 to £95400.00
      Type:
      Permanent
      Employer:
      Betsi Cadwaladr University Health Board
      Apply now on NHS Jobs for Speciality Doctor Palliative Medicine job (opens in a new window) [8]
    • Specialist Doctor in Elderly Medicine

      Wakefield, WF14DG

      Salary:
      £100870.00 to £111441.00
      Type:
      Permanent
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Specialist Doctor in Elderly Medicine job (opens in a new window) [9]
    • Specialty Doctor in Emergency Medicine

      Redhill, RH1 5RH

      Salary:
      £61542.00 to £99216.00
      Type:
      Fixed-Term
      Employer:
      Surrey and Sussex Healthcare NHS Trust
      Apply now on NHS Jobs for Specialty Doctor in Emergency Medicine job (opens in a new window) [10]
    • Specialty Doctor in Emergency Medicine

      Preston, PR2 9HT

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      Lancashire Teaching Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Specialty Doctor in Emergency Medicine job (opens in a new window) [11]
    • Specialty Doctor in Stroke Medicine

      Cwmbran, NP44 8YN

      Salary:
      £59727.00 to £95400.00
      Type:
      Fixed-Term
      Employer:
      Aneurin Bevan University Health Board
      Apply now on NHS Jobs for Specialty Doctor in Stroke Medicine job (opens in a new window) [12]
    • Fixed Term Speciality Doctor in Elderly Medicine

      Worthing, West Sussex, BN11 2DH

      Salary:
      £59175.00 to £95400.00
      Type:
      Fixed-Term
      Employer:
      University Hospitals Sussex NHS Foundation Trust (279)
      Apply now on NHS Jobs for Fixed Term Speciality Doctor in Elderly Medicine job (opens in a new window) [13]
    • Resident Doctor (ST1/2) MN35, Emergency Medicine

      Watford, WD18 0HB

      Salary:
      £41750.00 to £54468.00
      Type:
      Fixed-Term
      Employer:
      West Hertfordshire Teaching Hospitals NHS Trust
      Apply now on NHS Jobs for Resident Doctor (ST1/2) MN35, Emergency Medicine job (opens in a new window) [14]
    • Specialty Doctor in Acute and General Medicine

      London, E11 1NR

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      Barts Health NHS Trust
      Apply now on NHS Jobs for Specialty Doctor in Acute and General Medicine job (opens in a new window) [15]
    • Specialty Doctor in Emergency Medicine - CESR Rotations

      Wakefield, WF14DG

      Salary:
      £61542.00 to £99216.00
      Type:
      Permanent
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Specialty Doctor in Emergency Medicine - CESR Rotations job (opens in a new window) [16]
    • Trust Doctor (ST1+ eqv) In Emergency Medicine

      London, E13 8SL

      Salary:
      £41750.00 to £54468.00
      Type:
      Fixed-Term
      Employer:
      Barts Health NHS Trust
      Apply now on NHS Jobs for Trust Doctor (ST1+ eqv) In Emergency Medicine job (opens in a new window) [17]
    • Senior Locally Employed Doctor in Reproductive Medicine

      Manchester, M13 9WL

      Salary:
      £61825.00
      Type:
      Fixed-Term
      Employer:
      Manchester University NHS Foundation Trust
      Apply now on NHS Jobs for Senior Locally Employed Doctor in Reproductive Medicine job (opens in a new window) [18]
    • Specialty Doctor/Clinical Fellow in Palliative Medicine

      Romford, RM4 1QH

      Salary:
      Negotiable
      Type:
      Fixed-Term
      Employer:
      Saint Francis Hospice
      Apply now on NHS Jobs for Specialty Doctor/Clinical Fellow in Palliative Medicine job (opens in a new window) [19]
    • Trust Doctor (ST4+ equivalent) in Emergency Medicine

      London, E13 8SL

      Salary:
      £49559.00 to £54468.00
      Type:
      Fixed-Term
      Employer:
      Barts Health NHS Trust
      Apply now on NHS Jobs for Trust Doctor (ST4+ equivalent) in Emergency Medicine job (opens in a new window) [20]
    • Specialist Grade Doctor in Fraity and Ageing Medicine

      Hull, HU3 2JZ

      Salary:
      £96990.00 to £107155.00
      Type:
      Permanent
      Employer:
      Hull University Teaching Hospitals NHS Trust
      Apply now on NHS Jobs for Specialist Grade Doctor in Fraity and Ageing Medicine job (opens in a new window) [21]
    • Trust Doctor (ST1/2 level) in Acute Medicine

      London, E11 1NR

      Salary:
      £41750.00 to £44159.00
      Type:
      Fixed-Term
      Employer:
      Barts Health NHS Trust
      Apply now on NHS Jobs for Trust Doctor (ST1/2 level) in Acute Medicine job (opens in a new window) [22]
    • Dermatology Doctor

      Swindon, SN3 3RB

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [23]
    • Dermatology Doctor

      Wandsworth, SW18 4WW

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [24]
    • ENT Doctor

      Worthing, BN11 3BN

      Salary:
      Negotiable
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for ENT Doctor job (opens in a new window) [25]
    • Dermatology Doctor

      London, SE14 6BL

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [26]
    • Specialty Doctor

      London, UB1 3EU

      Salary:
      £59175.00 to £95400.00
      Type:
      Fixed-Term
      Employer:
      West London NHS Trust
      Apply now on NHS Jobs for Specialty Doctor job (opens in a new window) [27]
    • Hospice Doctor

      SCARBOROUGH, YO12 5RE

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Saint Catherine’s Hospice
      Apply now on NHS Jobs for Hospice Doctor job (opens in a new window) [28]
    • ENT Doctor

      Canterbury, CT1 1BN

      Salary:
      Negotiable
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for ENT Doctor job (opens in a new window) [29]
    • Dermatology Doctor

      Slough, SL1 2EJ

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [30]
    • Dermatology Doctor

      Slough, SL1 2EJ

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [31]
    • Specialty Doctor

      Kewstoke, BS22 9UZ

      Salary:
      £90000.00 to £90000.00
      Type:
      Permanent
      Employer:
      Cygnet Health Care
      Apply now on NHS Jobs for Specialty Doctor job (opens in a new window) [32]
    • Dermatology Doctor

      Leicester, LE1 2BU

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [33]
    • Specialty Doctor

      London, SE5 8UH

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      Guy's and St Thomas' NHS Foundation Trust
      Apply now on NHS Jobs for Specialty Doctor job (opens in a new window) [34]
    • Dermatology Doctor

      Canterbury, CT1 1BN

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [35]
    • Consultation Doctor

      Manchester, M1 1EX

      Salary:
      £49.82
      Type:
      Permanent
      Employer:
      NUPAS Ltd
      Apply now on NHS Jobs for Consultation Doctor job (opens in a new window) [36]
    • Dermatology Doctor

      Canterbury, CT1 1BN

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [35]
    • Dermatology Doctor

      Worthing, BN11 3BN

      Salary:
      £550.00
      Type:
      Bank
      Employer:
      CHEC
      Apply now on NHS Jobs for Dermatology Doctor job (opens in a new window) [37]
    • Specialty Doctor

      Hounslow, TW3 1SE

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      West London NHS Trust
      Apply now on NHS Jobs for Specialty Doctor job (opens in a new window) [38]
    • Consultation Doctor

      Manchester, M1 1EX

      Salary:
      £49.82
      Type:
      Permanent
      Employer:
      NUPAS Ltd
      Apply now on NHS Jobs for Consultation Doctor job (opens in a new window) [39]
    • Consultation Doctor

      Manchester, M1 1EX

      Salary:
      £49.82
      Type:
      Permanent
      Employer:
      NUPAS Ltd
      Apply now on NHS Jobs for Consultation Doctor job (opens in a new window) [40]
    • Salaried GP (Doctor)

      London, N1 5HZ

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      The Lawson Practice
      Apply now on NHS Jobs for Salaried GP (Doctor) job (opens in a new window) [41]
    • Specialty Doctor Ophthalmology

      Shoreham by Sea, BN43 6TQ

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      University Hospitals Sussex NHS Foundation Trust (279)
      Apply now on NHS Jobs for Specialty Doctor Ophthalmology job (opens in a new window) [42]
    • Radiology Speciality Doctor

      Croydon, CR7 7YE

      Salary:
      £61542.00 to £99216.00
      Type:
      Fixed-Term
      Employer:
      Croydon Health Services NHS Trust
      Apply now on NHS Jobs for Radiology Speciality Doctor job (opens in a new window) [43]
    • Specialist Doctor - Urology

      Lancaster, LA14RP

      Salary:
      £96990.00 to £107155.00
      Type:
      Permanent
      Employer:
      University Hospitals of Morecambe Bay NHS Trust
      Apply now on NHS Jobs for Specialist Doctor - Urology job (opens in a new window) [44]
    • Histopathology Specialty Doctor

      North Shields, NE29 8NH

      Salary:
      £61542.00 to £99216.00
      Type:
      Permanent
      Employer:
      Northumbria Healthcare NHS Foundation Trust
      Apply now on NHS Jobs for Histopathology Specialty Doctor job (opens in a new window) [45]
    • Specialty Doctor MHSOP

      Penarth, CF64 2XX

      Salary:
      £59727.00 to £95400.00
      Type:
      Permanent
      Employer:
      Cardiff and Vale University Health Board
      Apply now on NHS Jobs for Specialty Doctor MHSOP job (opens in a new window) [46]
    • Perioperative Medical Doctor

      Shepton Mallet, BA4 4LP

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      Practice Plus Group
      Apply now on NHS Jobs for Perioperative Medical Doctor job (opens in a new window) [47]
    • Specialty Doctor Anaesthetics

      Dorchester, DT1 2JY

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      Dorset County Hospital NHS Foundation Trust
      Apply now on NHS Jobs for Specialty Doctor Anaesthetics job (opens in a new window) [48]
    • Urgent Care Doctor

      London, NW8 9NH

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      The Hospital of St John and St Elizabeth
      Apply now on NHS Jobs for Urgent Care Doctor job (opens in a new window) [49]
    • Resident Doctor Paediatrics

      London, W1W 5AH

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      HCA Healthcare UK
      Apply now on NHS Jobs for Resident Doctor Paediatrics job (opens in a new window) [50]
    • Specialty Doctor - Anaesthetics

      York, YO31 8HE

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      York and Scarborough Teaching Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Specialty Doctor - Anaesthetics job (opens in a new window) [51]
    • Resident Doctor Oncology

      London, W1G 8BJ

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      HCA Healthcare UK
      Apply now on NHS Jobs for Resident Doctor Oncology job (opens in a new window) [52]
    • Medicines Administrator

      Buckley, CH7 3PG

      Salary:
      £14.50
      Type:
      Permanent
      Employer:
      Roseneath Medical Practice
      Apply now on NHS Jobs for Medicines Administrator job (opens in a new window) [53]
    • Senior Nuclear Medicine Radiographer / Technologist (Nuclear Medicine)

      London, WC1E 6AG

      Salary:
      £44806.00 to £53134.00
      Type:
      Fixed-Term
      Employer:
      University College London Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Senior Nuclear Medicine Radiographer / Technologist (Nuclear Medicine) job (opens in a new window) [54]
    • ST1 Paediatric Bank Doctor

      Warrington, WA5 1QG

      Salary:
      Negotiable
      Type:
      Bank
      Employer:
      Warrington and Halton Teaching Hospitals NHSFT
      Apply now on NHS Jobs for ST1 Paediatric Bank Doctor job (opens in a new window) [55]
    • Specialty Doctor in Neonatal

      Stoke-on-Trent, ST4 6QG

      Salary:
      £59175.00 to £95400.00
      Type:
      Fixed-Term
      Employer:
      University Hospital of North Midlands NHS Trust
      Apply now on NHS Jobs for Specialty Doctor in Neonatal job (opens in a new window) [56]
    • Specialty Doctor in Oculoplastics

      Romford, RM7 0AG

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      Barking, Havering and Redbridge University Hospitals NHS Trust
      Apply now on NHS Jobs for Specialty Doctor in Oculoplastics job (opens in a new window) [57]
    • Specialist Doctor in Ophthalmology

      Scarborough, YO12 6QL

      Salary:
      £96990.00 to £107155.00
      Type:
      Permanent
      Employer:
      York and Scarborough Teaching Hospitals NHS Foundation Trust
      Apply now on NHS Jobs for Specialist Doctor in Ophthalmology job (opens in a new window) [58]
    • Community Rehabilitation Doctor (Sessional)

      Oxfordshire, OX28 6JJ

      Salary:
      Negotiable
      Type:
      Bank
      Employer:
      Oxford Health NHS Trust
      Apply now on NHS Jobs for Community Rehabilitation Doctor (Sessional) job (opens in a new window) [59]
    • Specialty Doctor HMP Wandsworth

      London, SW18 3HU

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      Oxleas NHS Foundation Trust
      Apply now on NHS Jobs for Specialty Doctor HMP Wandsworth job (opens in a new window) [60]
    • Specialty Doctor (Oak Ward)

      Radlett, WD7 9HQ

      Salary:
      £59175.00 to £95400.00
      Type:
      Permanent
      Employer:
      Hertfordshire Partnership University NHS Foundation Trust
      Apply now on NHS Jobs for Specialty Doctor (Oak Ward) job (opens in a new window) [61]
    • Trust Doctor in Urology

      Barnstaple, EX31 4JB

      Salary:
      £52656.00 to £52656.00
      Type:
      Fixed-Term
      Employer:
      Royal Devon University Healthcare NHS Foundation Trust
      Apply now on NHS Jobs for Trust Doctor in Urology job (opens in a new window) [62]
    • Specialist Doctor Community Services

      Wakefield, WF14DG

      Salary:
      £100870.00 to £111441.00
      Type:
      Fixed-Term
      Employer:
      The Mid Yorkshire Teaching NHS Trust
      Apply now on NHS Jobs for Specialist Doctor Community Services job (opens in a new window) [63]
    • Trust Doctor in Oncology

      Cottingham, HU16 5JQ

      Salary:
      £49909.00
      Type:
      Fixed-Term
      Employer:
      Hull University Teaching Hospitals NHS Trust
      Apply now on NHS Jobs for Trust Doctor in Oncology job (opens in a new window) [64]
    • Resident Doctor Oncology Outpatients

      London, W1G 6AF

      Salary:
      Negotiable
      Type:
      Permanent
      Employer:
      HCA Healthcare UK
      Apply now on NHS Jobs for Resident Doctor Oncology Outpatients job (opens in a new window) [65]
  • These organisations have further information about being a doctor in genitourinary medicine, particularly as your career progresses. Take a look.

    British Association for Sexual Health and HIV [66]

    British HIV Association [67]

    The Worshipful Society of Apothecaries of London [68]

    Faculty of Sexual and Reproductive Healthcare [69]

Other roles that may interest you

  • Obstetrics and gynaecology [70]
  • Paediatric cardiology [71]
  • General practitioner [72]
  • Medical microbiology and virology (doctor) [73]

Source URL:https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/medicine/genitourinary-medicine

Links
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