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Unfortunately we cannot always offer a training post to all candidates and therefore, thinking about the length of your career to date, and the experience you have gained since qualification; please convince us in the four minutes allocated that the experience and skills you have gained in that time suggest you are worthy of a training post; your presentation will be timed.' The score of 1-5 an interviewer will award you for each assessment area isjudged in relation tohow well you perform against an expected level.Below is the framework used to award scores at interview, as well as interpretation of what these scores represent: GUM is predominantly an out-patient specialty with limited on-call. Dual accreditation in GUM and internal medicine will enable trainees to consider employment in a variety of settings including acute medicine,community hubs or in specialist sexual health work, such as sexual assault referral centres and outreach clinics. Trainee satisfaction Total scores - the total score awarded to all candidates who completed the full recruitment process for a specialty (application and interview), including some analysis of scores. As shown in the table, for each of the question areas at interview, 3/5 is considered a satisfactory score; and reflects the level of performance that would be expected of a trainee ready to progress to a specialty training programme.

howyou would go about communicating with any people (eg patients, family members, colleagues) involved in the scenario Some people believe that participating in oral sex positions is not thought of as “real” sex. However, many doctors believe that it does. Oral sex carries many of the risks as intercourse, especially if you do not take precautions. Out-of-programme attachments have been encouraged, and a number of trainees pursue HIV care abroad or higher degrees. Should your performance go above and beyond this expected level, interviewers can award marks of 4/5 or 5/5 as appropriate. One of the best things for me about working in GUM is that I really enjoy going to work every day; not many of my friends say that about their jobs in other careers." GUM trainee.You probably know fellatio better by one of its more widely-used names: blow job, giving head, going down, BJ, blowy or something similar. But all mean the same thing: oral stimulation of a penis.

The consultation is challenging, especially with a translator; however, after an hour or so we make some progress and link her in with social work, TARA and the red cross. Oral sex may also be performed on the areas around an individual's vaginal area, penis, testicles, or the genital area. Oral sex positions involve people finding different ways to arrange themselves during an encounter. How Oral Sex Positions Work Specialising in GUM not only provides the opportunity to work within a diverse multi-disciplinary team from specialist nurses, specialist pharmacists, health advisors, psychologists to peer support workers on a daily basis, but a diverse patient population group making communication skills, a non-judgemental attitude and empathetic nature ingrained for GUM physicians. Prior to this question you will be given a clinical scenario and a short while to review it. You will then be asked questions relating to this scenario. Your communication skills will also be assessed during this question and marked accordingly. This question will last approximately 10 minutes. As with any sex act, there are risks to consider. 'The risks of fellatio or oral sex are of course contracting STIs such as Gonorrhoea, Genital herpes and syphilis,' explains Dr Aragona. 'If you are with a long-term partner you may not need to use a condom, however this is personal preference and if you would feel more comfortable then speak to your partner about how you feel.

Genitourinary Medicine (GUM) involves the investigation and management of sexually transmitted infections and HIV. It is mostly outpatient based but does include inpatient care of HIV infection. It can also include more specialised services such as young people's clinics, genital dermatoses, sexual dysfunction, and psychosexual medicine and outreach services for sex workers and drug users. Why I am interested in a career in genitourinary medicine; and the evidence I have to support my suitability and commitment to the specialty.' Shortlist scores - t he scores awarded to all submitted applications, including average scores and distribution nationally.

The scenario will describe a hypothetical clinical situation which has arisen in which you are, or have become, involved. Some points to consider when reviewing the scenario and preparing for discussion are:We review each of the patients coming to clinic over the next week and discuss difficult management or, more often than not, challenging social circumstances. Clinic Above all, GUM is a fun speciality, that will not only satisfy the clinical and psycho-social aspects of medicine from a generalist and specialist perspective, but provides a whole array of other opportunities while still being able to maintain a healthy work life balance! But some are – understandably – nervous about giving or receiving. Here’s an expert guide to fellatio, including a step-by-step guide on how to give (and receive) oral pleasure. What is fellatio? If you are about to participate in oral sex with someone you don’t know the sexual history of, you should ensure they use a condom.' The feelings generated by different oral sex positions can vary from person to person. Below are descriptions of some oral sex positions.

Indicative vacancy numbersare available in the table below,broken downby region and divided between substantive national training number (NTN) and locum appointment for training (LAT) posts. In many cases these will be presented as a range (e.g. 1-4) as it is not always possible for regions to know at this stage how many vacancies there will be. To give an indication of what you can expect from time in a GUM post, we asked an ST5 trainee to describe a common day for them. Morning meeting It’s best to start off slowly, avoiding the penis altogether. Go for sensual kisses on the inside of the thighs, slowly working your way closer and closer. Teasing with a BJ builds up a great tension and the receiver is sure to enjoy it a lot more. You can involve your hands too – slide one up and down the shaft and tease the head with your mouth while letting the other hand wander. Grab around the butt to help pull up closer to you or cup the balls for some serious stimulation. • Communication is key The day-to-day work of a GUM physician varies, depending on sub-specialty and setting, and ranges from managing acute presentations of STIs, sexual assault assessment and post-exposure prophylaxis for HIV in addition to routine reproductive and sexual healthcare provision and the longterm management of chronic HIV infection.

Genitourinary Medicine (GUM) is one of the most diverse, unique and advancing specialities, covering the prevention and management of sexually transmitted infections and HIV, and so much more. From August 2022, all genitourinary medicine higher specialty trainees will dual accredit in Genitourinary Medicine and Internal Medicine. This will be delivered in a blended approach to allow trainees to maintain and develop their skills in internal medicine, whilst becoming an expert in genitourinary and HIV medicine.