Bacterial
- Chlamydia
- Gonorrhoea
- Lymphogranuloma venereum (LGV)
- Mycoplasma genitalium
- Treponema pallidum (syphilis)
Protozoa, fungal, and other
- Bacterial vaginosis
- Candida
- Pubic lice
- Scabies
- Sexually acquired enteric pathogens
- Tinea
- Trichomonas
Viral
- Herpes simplex virus
- Human papillomavirus (HPV)
- Molluscum contagiosum
- Mpox
- Viral hepatitis:
Syndromes and clinical presentations
- Anogenital ulceration
- Cervicitis
- Epididymo-orchitis
- Pelvic inflammatory disease
- Proctitis
- Prostatitis (infectious)
- Rectal discharge
- Urethritis
- Vaginal discharge
- Vulvovaginitis
For each presentation and condition, Advanced Trainees will know how to:
Synthesise
- recognise the clinical presentation
- identify relevant epidemiology, prevalence, pathophysiology, and clinical science
- take a comprehensive clinical history
- conduct an appropriate examination
- establish a differential diagnosis
- plan and arrange appropriate investigations
- consider the impact of illness and disease on patients and their quality of life when developing a management plan
Manage
- provide evidence-based management
- prescribe therapies tailored to patients’ needs and conditions
- recognise potential complications of disease and its management, and initiate preventative strategies
- involve multidisciplinary teams
Consider other factors
- identify individual and social factors and the impact of these on diagnosis and management
- Chancroid
- Donovanosis
- Human T-lymphotropic virus type 1 (HTLV-1)
- Sexually acquired reactive arthritis
- Sexually transmitted infections (STIs) in neonates
- STIs in pregnancy
- Antimicrobial resistance mechanisms and issues
- Epidemiology
- Microbiology, including virulence factors
- Pathogenesis and immunogenesis of clinical presentations and natural history:
- extra-genital manifestations
- genital manifestations
- immunosuppression, including HIV, and effect on natural history and management
- impact of age / stage of life on presentations
- Treatment options:
- allergic patients
- alternatives
- breastfeeding
- complicated
- first-line
- pregnancy
- recurrent
- suppressive
- Vaccinology and vaccine use
Investigations
- Antimicrobial resistance testing
- Cervical cytology
- Cervical screening tests
- Culture
- HPV DNA test
- Microscopy, including wet prep
- Nucleic acid amplification testing
- Serology
Procedures
- Anoscopy
- Biopsy
- Cryotherapy
- Role of colposcopy
- Role of high resolution anoscopy
- Complications and long-term sequelae, including fertility complications
- Counselling on testing, diagnosis, and management
- Emerging research on STI control and management
- Ethics of various studies, such as the Tuskegee and Guatemalan syphilis studies and the HPV ‘Unfortunate Experiment’
- Partner notification and contact tracing
- Public health notification requirements
- Risk assessments
- Screening and testing guidelines
- STI prevention and control methods in different populations
- Stigma and discrimination
- Transmission dynamics
