Many people with penises love receiving fellatio because it’s a new sensation – one they cannot give themselves, such as masturbation. It’s also a solo pleasure experience, making it different to sex between two or more people, which can make it easier to focus and enjoy the moment. My normal day is supposed to finish here, at 5pm; however, I also participate in our Sexual Assault Referral Centre on-calls, and today I am on call from 5pm till 9am the next morning. I just hope it's a quiet night! 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.

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No aids/resources allowed –you are not allowed to use any visual representations, such as PowerPoint, when giving your presentation and you must not share your screen. You are welcome to use prompts on small cards, but these should be for your own use only. More commonly, post vacancy numbers can increase as the round goes on (and confirmation of posts becomes available); but it is also possible that numbers can reduce as well. In the past, post numbers have risen an average of 20-40% from the start to the finish of the round but this can vary greatly for individual specialty/region combinations.Prior to arriving at station 2, you will be given a clinical scenarioto review. Upon arrival at station 2, you will be asked questions relating to this scenario. No aids or external resources will be provided - there will be no projectors or laptops for PowerPoint, no OHPs, flip-charts, etc.

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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. 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. ClinicThe scenario will describe a hypothetical clinical situation which has arisen in which you are, or have become, involved. The clinical scenario will be relatively brief (two/three sentences), so once you have read this, the remainder of the pre-station time will allow you to undertake some short preparation (just mental preparation - this does not mean making notes, etc.) Scenario considerations howyou would go about communicating with any people (eg patients, family members, colleagues) involved in the scenario

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manage the complexities HIV brings including opportunistic infections, HIV related and non-HIV related co-morbidities, antiretroviral drug resistance, adherence issues, largely in the outpatient setting but also inpatient setting; You are welcome to use prompts on small cards; but these should be for your own use only, and should not be given out as hand-outs. GUM has achieved high scores for satisfaction in the annual GMC trainee survey, and most trainees feel prepared for consultant posts after the four-year training programme. As many of our patients are drawn from vulnerable and under-represented populations, there is also a real emphasis on social circumstances and emotional health. If four or more of your 12 interview scores are of 2/5, this will reflect several areas of concern across your whole interview.The two main aspects of discussion here, on which you will be assessed, will be your suitability for and commitment to ST3 training in the specialty, and your achievements and engagement with training and learning to date . Once your presentation is complete, your training, career to date and your suitability for the specialty will be discussed for a further six minutes.