Traditionally, GUM clinics were based in hospital; however these are becoming increasingly community-based, so as to provide better local access, although HIV care has continued in acute settings. Inter-disciplinary work and work-life balance My next patient is a gentleman who wishes to start a family with his HIV-negative wife. We discuss all the options and make a referral for fertility assessment. After this I see a patient who has not attended for three years. He's short of breath with oral candida, so I arrange admission to our ward for further assessment with just enough time to make our STI diagnostics group meeting. Diagnostics group 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.

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.Trainees are actively encouraged and supported throughout their training to undertake opportunities and develop in their career towards a consultant GUM physician. Out of programme experiences have included stints abroad in Africa, Asia, Middle East and Europe, training as sexual offences examiner, Public Health England fellowships, and furthering education qualifications, to name a few. Academic experiences are fostered through general training including service evaluation through QUIPS and audits, but formally through academic posts, with local, national and international collaborations always available. Strong links exists for trainees within the work of the British Association for Sexual Health and HIV, British HIV Association extending to a number of international organisations. As a consultant, it is easy to continue those interests above and beyond.

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

GUM physicians work alongside the ever-increasing multidisciplinary team, including professionals of various disciplines - primarily nurses, health advisers, general practitioners, pharmacists, school nurses and other allied professionals.