Sexually transmitted infection screening and management

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Target exams

Red flags

• Severe pelvic inflammatory disease or features in serious illness (FIRH) with systemic toxicity or sepsis
• Pregnant adolescent with a confirmed STI (pregnancy-specific regimen and congenital syphilis risk)
• Suspected coercion, trafficking, age-discordant partner or non-consensual contact
• Testicular pain where torsion cannot be excluded (surgical emergency, not epididymitis)
• Treatment failure or suspected gonococcal resistance requiring culture and specialist input
• Acute HIV seroconversion illness or a newly positive HIV screen
• No confidential space and a sensitive sexual history cannot be taken safely

Life stages

Care settings

Clinical exam formats

Board mappings

• General and Community Paediatrics
• Adolescent health and sexual health
• Current 2026 PREP curriculum — Learning Objective 1.2.1: Communicate with a child or young person in a way which is appropriate to the position of that child within their own culture
• Current 2026 PREP curriculum — Learning Objective 1.2.2: Communicate with parents or carers
• Renewed curriculum for first-year trainees from 2027 — Learning goal 5: Clinical assessment – essential general paediatrics
• Renewed curriculum for first-year trainees from 2027 — Learning goal 6: Clinical management – essential general paediatrics
• Renewed curriculum for first-year trainees from 2027 — Learning goal 12: Communication with patients, families, and health professionals
• Renewed curriculum for first-year trainees from 2027 — Learning goal 15: Essential general paediatrics
• Clinical Applications
• Adolescent medicine and sexual health
• Long Cases
• Short Cases
• Communication stations
• 4. Professional skills and knowledge: Patient management
• 5. Health promotion and illness prevention
• 8. Child safeguarding
• 11. Adolescent health
• General Paediatrics: Manages common adolescent sexual-health presentations including confidential STI screening, treatment and safeguarding-aware care within legal frameworks
• Foundation of Practice (FOP)
• Applied Knowledge in Practice (AKP)
• Adolescent health, sexual health and safeguarding
• History
• Communication
• Clinical
• General Pediatrics Content Outline — Domain 1: Preventive Pediatrics/Well-Child Care
• General Pediatrics Content Outline — Domain 11: Adolescent Medicine and Gynecology
• General Pediatrics Content Outline — Domain 12: Infectious Diseases
• General Pediatrics EPA 3: Providing well-child and adolescent care including preventive care and anticipatory guidance
• General Pediatrics EPA 10: Recognising and managing child abuse and neglect
• Patient Care 1: History and Physical Examination
• Patient Care 5: Patient Management
• Medical Knowledge 2: Diagnostic and therapeutic interventions
• Interpersonal and Communication Skills 1: Patient- and Family-Centered Communication
• Systems-Based Practice 3: System Navigation for Patient Centered Care – Coordination of Care
• Professionalism 1: Professional Behavior and Ethical Principles
• Medical Expert
• Communicator
• Health Advocate
• Pediatrics: Foundations EPA — Assessing and providing care for adolescents
• Pediatrics: Core EPA — Providing preventive care and anticipatory guidance