Competencies and knowledge assessed
It is expected that the majority of the assessments should be by direct observation.
1. STIF INTERMEDIATE COMPETENCY
• Management of female genital discharge
• Management of male urethral discharge
• Management of genital warts and molluscum contagiosum
• Management of genital herpes infection
• Management of urinary tract infections
• Management of genital infestations
• Screening and prevention of sexually acquired hepatitis
• Risk reduction and advice on safer sex
• Effective partner notification
• HIV testing
• Managing women who present with unplanned pregnancy
• Assessment and management of need for PEPSE (Post-exposure HIV prophylaxis following potential sexual exposure).
• Safeguarding Children
• Female Genital Mutilation
• Domestic violence and abuse
• Assessment of someone who reports sexual assault
• Trans awareness
2. STIF ADVANCED COMPETENCY
• Assessment, diagnosis and appropriate referral of suspected pelvic inflammatory disease
(PID), suspected epididymo-orchitis and suspected proctitis
• Assessment, diagnosis and initial management of urinary tract infection (UTI)
• Recognition of an abnormal cervix and appropriate referral
• Bimanual pelvic examination
• Abdominal examination
• Screening, prevention, diagnosis and appropriate referral of sexually acquired viral hepatitis
• Management of pubic lice and scabies
• Recognition of primary HIV infection and appropriate referral
• Recognition and assessment of psychosexual complications of STIs/genital conditions and appropriate referral
• Recognition of recurrent candidiasis, bacterial vaginosis and HSV and appropriate referral
• Assessment, diagnosis and treatment of enteric pathogens
• Assessment, diagnosis and appropriate referral of chronic pelvic pain syndrome and prostatitis
• Assessment, diagnosis and appropriate referral of testicular lumps
• Assessment, diagnosis and appropriate management/referral of non-herpetic genital ulceration
• Assessment, diagnosis and appropriate management/referral of gynaecological issues (including assessment of the gynaecological patient, endometriosis, fibroids, ectopic pregnancy polycystic ovary syndrome, Bartholin’s gland abscess, recognition of complex gynaecological conditions)
• Assessment, diagnosis and appropriate management/referral of dermatological issues (including assessment of the skin, balanitis, tinea cruris, folliculitis, psoriasis, eczema, lichen planus, lichen sclerosus, malignant and pre-malignant dermatological disease)
• Assessment, diagnosis and appropriate management/referral of sexually acquired reactive arthritis
Within each of the competencies, a matrix of generic competencies is also assessed, examples
include:
✓ Respect patient choice
✓ Respect patient confidentiality
✓ Consider ethnic and sexuality issues
✓ Be aware of patient dignity and need for a chaperone
✓ Awareness, evaluation and application of national and local guidelines and policies.