A niche chapter with a small number of trainees and fellows.

Who picks youthe employerthe employer hires you, then the college registers you
Typical entryPGY6PGY6+ or post-GP fellowship; 'Most Sexual Health trainees I've come across have come thro…
Unaccredited4 yrstypical, before a training post
To fellowship9 yrs3 minimum from the start of training
Competitiveness2 / 5●●○○○

Pathway, med school to consultant

Sexual health medicine pathway by PGY yearmed schoolPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8PGY9PGY10PARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragmatic route), or FRACP/AFPHM/FACD/FRANZCOG/FRANZCP/urology/pathology, or BPT + both divisional examsPARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragm…Optional: unaccredited sexual health registrar / 6-18 month stint (common for GPs, ID and O&G doctors); early HIV/STI exposureOptional: unaccredited sexual health registrar / 6-18 month stint (common for…Employer recruitment into an accredited post (MSHC/SSHC/LHD clinics) + RACP prospective approvalEmployer recruitment into an accredited post (MSHC/SSHC/LHD cli…AChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive health logbooks >=50 cases each; research projectAChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive heal…Exit Assessment (year 3)Exit Assessment (year 3)FAChSHM awardedFAChSHM awardedSexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationallySexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationallySexual health medicine pathway by PGY yearuniPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8PGY9PGY10PARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragmatic route), or FRACP/AFPHM/FACD/FRANZCOG/FRANZCP/urology/pathology, or BPT + both divisional examsPARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragmatic route), or FRACP/AFPHM/FACD/FRANZCOG/FRANZCP/uro…Optional: unaccredited sexual health registrar / 6-18 month stint (common for GPs, ID and O&G doctors); early HIV/STI exposureOptional: unaccredited sexual health registrar / 6-18 month stint (common for GPs, ID and O&G doctors);…Employer recruitment into an accredited post (MSHC/SSHC/LHD clinics) + RACP prospective approvalEmployer recruitment into an accredited post (MSHC/SSHC/LHD clinics) + RACP prospective approvalAChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive health logbooks >=50 cases each; research projectAChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive health logbooks >=50 cases eac…Exit Assessment (year 3)Exit Assessment (year 3)FAChSHM awardedFAChSHM awardedSexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationallySexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationally
prevocationalselectiontrainingexamfellowship

Typical start years; people vary by a year or two. Diamonds are exams. Stage list and sources in the pathway tab.

How competitive, against the other 31 guides

Competitiveness rating by specialty, 1 to 512345Dermatology: 5DermatologyNeurosurgery: 5NeurosurgeryOrthopaedic Surgery: 5Orthopaedic SurgeryPlastic & Reconstructive Surgery: 5Plastic & Reconstructive Su…Cardiothoracic Surgery: 5Cardiothoracic SurgeryClinical radiology: 4.5Clinical radiologyGeneral Surgery: 4General SurgeryOtolaryngology Head & Neck Surgery (ENT): 4Otolaryngology Head & Neck…Sport and exercise medicine: 4Sport and exercise medicineUrology: 4UrologyAnaesthetics: 4AnaestheticsPaediatric Surgery: 4Paediatric SurgeryOphthalmology: 4OphthalmologyPaediatric emergency medicine: 4Paediatric emergency medici…Vascular Surgery: 4Vascular SurgeryPaediatrics (Basic Training in Paediatrics & Child Health): 3.5Paediatrics (Basic Training…Obstetrics and gynaecology: 3.5Obstetrics and gynaecologyGeneral practice and rural generalism: 3General practice and rural…Basic Physician Training (Adult Internal Medicine): 3Basic Physician Training (A…Radiation oncology: 3Radiation oncologyPathology: 3PathologyPublic health medicine: 3Public health medicinePalliative medicine: 2Palliative medicineMedical administration: 2Medical administrationEmergency Medicine: 2Emergency MedicinePsychiatry: 2PsychiatryRehabilitation medicine: 2Rehabilitation medicineSexual health medicine: 2Sexual health medicineIntensive Care Medicine: 2Intensive Care MedicineOccupational and environmental medicine: 1.5Occupational and environmen…Addiction medicine: 1.5Addiction medicine
15
Dermatology5
Neurosurgery5
Orthopaedic Surgery5
Plastic & Reconstructive Surgery5
Cardiothoracic Surgery5
Clinical radiology4.5
General Surgery4
Otolaryngology Head & Neck Surgery (ENT)4
Sport and exercise medicine4
Urology4
Anaesthetics4
Paediatric Surgery4
Ophthalmology4
Paediatric emergency medicine4
Vascular Surgery4
Paediatrics (Basic Training in Paediatrics & Child Health)3.5
Obstetrics and gynaecology3.5
General practice and rural generalism3
Basic Physician Training (Adult Internal Medicine)3
Radiation oncology3
Pathology3
Public health medicine3
Palliative medicine2
Medical administration2
Emergency Medicine2
Psychiatry2
Rehabilitation medicine2
Sexual health medicine2
Intensive Care Medicine2
Occupational and environmental medicine1.5
Addiction medicine1.5

2/5 for entry, 4/5 for a consultant job. 'By virtue of its niche and small specialty size, it can be competitive to win a registrar or consultant job.' Having FRACGP/FACRRM already makes you more competitive for a trainee post. Ratings are the encoder's 1–5 call from college numbers and r/ausjdocs; applicant-to-place ratios double-count people who apply in several states. Evidence rows are in getting selected.

In one paragraph

Two doors again — BPT with both divisional exams, or a fellowship from RACP, AFPHM, dermatology, rural medicine, urology, O&G, psychiatry, general practice or pathology — and on r/ausjdocs it is framed almost exclusively as a post-GP-fellowship move. 36 months FTE (min 24 in Aus/NZ), an Exit Assessment in year 3, and HIV and reproductive health logbooks of 50 cases each. Entry is open-ish; the scarce resource is jobs: ~114 specialists nationally, half in NSW, reportedly no increase in full-time WA positions in 10 years. Melbourne and Sydney Sexual Health Centres hold much of the national training capacity.

Two cautions, two encouragements

Yeah you can do it after BPT as well I’m in vic and most of the accredited sexual health positions will only employ people who are also GPs. There seem to be pretty limited training options for sexual health regs who have done BPT or another non-GP speciality

u/LowAd6956 · public health physician · Mar 2025 · VIC · comment

Sexual health was what I was thinking too! GP + sexual health would be a great combo. RACP offers a Chapter in Sexual Health for doctors who have already followed

u/cantthinkofone14 · palliative medicine advanced trainee · Mar 2025 · comment

No offence intended, but which BPTs actually go on to do Sexual Health after completing the program? Most Sexual Health trainees I’ve come across have come through GP or Rural Generalist pathways, largely because they’re broader, faster, and give you two usable qualifications, unless as a post-Divisionals, one goes…

u/readreadreadonreddit · Dec 2025 · read full

Sexual health sounds like it might be a really good option for you - you can actually train in sexual health through college of physicians after multiple pathways without the trauma of BPT

u/Mobile-Gold584 · radiologist (former O&G trainee) · Nov 2023 · comment

All 14 curated quotes by topic, trajectories and threads.

racp.edu.au for the facts and summary, read 12 Sept 2026 · rating and pathway encoded by hand from the same sources · quotes are verbatim r/ausjdocs comments, community view not policy

Pathway

Sexual health medicine pathway by PGY yearmed schoolPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8PGY9PGY10PARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragmatic route), or FRACP/AFPHM/FACD/FRANZCOG/FRANZCP/urology/pathology, or BPT + both divisional examsPARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragm…Optional: unaccredited sexual health registrar / 6-18 month stint (common for GPs, ID and O&G doctors); early HIV/STI exposureOptional: unaccredited sexual health registrar / 6-18 month stint (common for…Employer recruitment into an accredited post (MSHC/SSHC/LHD clinics) + RACP prospective approvalEmployer recruitment into an accredited post (MSHC/SSHC/LHD cli…AChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive health logbooks >=50 cases each; research projectAChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive heal…Exit Assessment (year 3)Exit Assessment (year 3)FAChSHM awardedFAChSHM awardedSexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationallySexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationallySexual health medicine pathway by PGY yearuniPGY1PGY2PGY3PGY4PGY5PGY6PGY7PGY8PGY9PGY10PARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragmatic route), or FRACP/AFPHM/FACD/FRANZCOG/FRANZCP/urology/pathology, or BPT + both divisional examsPARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragmatic route), or FRACP/AFPHM/FACD/FRANZCOG/FRANZCP/uro…Optional: unaccredited sexual health registrar / 6-18 month stint (common for GPs, ID and O&G doctors); early HIV/STI exposureOptional: unaccredited sexual health registrar / 6-18 month stint (common for GPs, ID and O&G doctors);…Employer recruitment into an accredited post (MSHC/SSHC/LHD clinics) + RACP prospective approvalEmployer recruitment into an accredited post (MSHC/SSHC/LHD clinics) + RACP prospective approvalAChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive health logbooks >=50 cases each; research projectAChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive health logbooks >=50 cases eac…Exit Assessment (year 3)Exit Assessment (year 3)FAChSHM awardedFAChSHM awardedSexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationallySexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationally
prevocationalselectiontrainingexamfellowship
Show the 7 stages with their sources
  1. PARENT FELLOWSHIP FIRST — FRACGP/FACRRM (the pragmatic route), or FRACP/AFPHM/FACD/FRANZCOG/FRANZCP/urology/pathology, or BPT + both divisional exams — from PGY2, 48 months racp.edu.au
  2. Optional: unaccredited sexual health registrar / 6-18 month stint (common for GPs, ID and O&G doctors); early HIV/STI exposure — from PGY3, 12 months reddit.com
  3. Employer recruitment into an accredited post (MSHC/SSHC/LHD clinics) + RACP prospective approval — from PGY5, 3 months racp.edu.au
  4. AChSHM Advanced Training — 36 months (>=24 Aus/NZ); HIV and reproductive health logbooks >=50 cases each; research project — from PGY6, 36 months racp.edu.au
  5. Exit Assessment (year 3) — from PGY8, 1 months racp.edu.au
  6. FAChSHM awarded — from PGY9 racp.edu.au
  7. Sexual health physician — often a portfolio career alongside GP or ID; ~114 specialists nationally — from PGY9 reddit.com

Terms to pick

Term advice: nothing encoded yet — not published.

Stages: racp.edu.au, reddit.com · terms: r/ausjdocs term-strategy collection, counted by distinct author, community view not policy

Requirements

"Mandatory" is the college's word. Amber "community" rows are what the sub says panels actually want.

Before you can be selected 2

parent_fellowship_or_bpt_with_exams mandatoryfrom the 2027 intake
RACP Basic Training + both Divisional exams, OR Fellowship of RACP, AFPHM, dermatology, rural medicine (ACRRM), surgery (urology), O&G, psychiatry, general practice or pathology. GP route awards the chapter fellowship (…
other · racp.edu.au
accredited_post mandatoryfrom the 2027 intake
Employer-recruited accredited post (Melbourne Sexual Health Centre, Sydney Sexual Health Centre, Liverpool Sexual Health Clinic, other NSW LHD sexual health services, Clinic 34 NT, Cairns/Brisbane Sexual Health, Royal P…
other · racp.edu.au

During training 3

training_36_months mandatoryfrom the 2027 intake
36 months FTE, minimum 24 in Aus/NZ. Annually: 2 case-based discussions, 2 mini-CEX, 2 supervisor's reports; a research project.
rotation · racp.edu.au
hiv_and_reproductive_health_logbooks mandatoryfrom the 2027 intake
Logbooks in HIV medicine and reproductive health — minimum 50 cases each.
other · racp.edu.au
exit_assessment_year_3 mandatoryfrom the 2027 intake
Exit Assessment in year 3.
exam · racp.edu.au

By state

NATIONAL

RACP prospective approval deadlines 28 Feb / 31 Aug.

  • RACP prospective approval deadline — 28 Feb 2026 (2026 intake)
  • RACP prospective approval deadline — 31 Aug 2026 (2027 intake)

racp.edu.au

NSW

Sydney Sexual Health Centre (SESLHD, up to ~5), Liverpool Sexual Health Clinic (SWSLHD) and other LHD services; roughly half the national workforce. NSW JMO main round for registrar posts.

  • Main round opens — 14 July 2026 (2027 intake)
  • Main round closes — 4 Aug 2026 (2027 intake)

health.nsw.gov.au

NT

Clinic 34 — rare, broad, remote-health exposure.

healthjobs.nt.gov.au

VIC

Melbourne Sexual Health Centre (Alfred Health) — largest single training concentration in Australia, up to ~5 trainees.

MSHC recruitment URL not captured.

racp.edu.au

Dates drift a week or two each year; the calendar has confirmed vs expected windows.

What the CV rubric scores

  • A masters is not scored here.
  • No exam is required before selection.

Employer-set; gate is the parent fellowship or BPT + both exams. 'Having a GP fellowship (FACRRM or FRACGP) already makes you more competitive to win a trainee job in SHM.'

Referees and attempts

Refereessee noteemployer_set
Attempt capnone publishedNo cap — employer-recruited. Late RACP applications accepted up to one month after 28 Feb / 31 Aug, with fees.

Requirements and rubric: racp.edu.au, reddit.com · state mechanics: racp.edu.au, health.nsw.gov.au, healthjobs.nt.gov.au · community rows from r/ausjdocs

Exams

  • Exit Assessment — Year 3

What it costs

Cost to get on$1,939Late submission of application fee, AHPRA/Medical Board general registration - application fee (one-off, national)
College schedule$8,4006 published items over the whole of training

College schedule

Sexual health medicine official feesRACP Faculty and Chapter training fee (annual): $4,230$4,230AHPRA/Medical Board general registration - application fee (one-off, national): $1,661$1,661AHPRA/Medical Board general registration - annual renewal (from 1 Oct 2026; NSW $925): $1,102$1,102AChSHM Affiliate member annual subscription (post-Fellowship, non-Fellow): $688Recognition of Prior Learning: $441Late submission of application fee: $278
RACP Faculty and Chapter training fee (annual) $4,230AHPRA/Medical Board general registration - application fee (one-off, national) $1,661AHPRA/Medical Board general registration - annual renewal (from 1 Oct 2026; NSW $925) $1,102AChSHM Affiliate member annual subscription (post-Fellowship, non-Fellow) $688Recognition of Prior Learning $441Late submission of application fee $278

"Cost to get on" is a name-based pick of the one-off fees paid before or at selection. The college schedule is a lifetime-of-training list at each item's own year, not one bill; community amounts overlap it and are never summed. Courses, travel and repeat sittings are the part the sub complains about.

Exams and fees: racp.edu.au, medicalboard.gov.au · claims, prep and costs quoted: r/ausjdocs exams-and-costs collection, community view not policy · paid prep products need three independent non-suspect authors and a free alternative to appear

Open jobs that count

Scored by the Sexual health medicine rules — whether or not the title names the specialty — highest first, closing soonest next.

See all 4 on the board →

Show the 4 feeder posts the sub keeps recommending

2027 intake campaign windows

2027 intake campaigns by stateJunJulAugSepACTACT · applications 2026-06-29 → 2026-08-02NSWNSW · applications 2026-07-14 → 2026-08-04NSW · offers 2026-09-02NTNT · applications 2026-06-01 → 2026-06-28QLDQLD · applications 2026-06-01 → 2026-06-29QLD · offers 2026-08-03SASA · applications 2026-06-10 → 2026-07-01SA · offers 2026-09-17TASTAS · applications 2026-05-25 → 2026-06-22VICVIC · applications 2026-07-27 → 2026-08-21VIC · interviews 2026-08-24VIC · offers 2026-09-23WAWA · applications 2026-05-25 → 2026-06-22WA · offers 2026-08-17
applications openinterviews / offers

Faded bars are expected, not confirmed. Full detail on the calendar.

Jobs: last night's scrape, scored by hand-written rules (no AI) · units and offer reports: r/ausjdocs, counted by distinct author · campaign windows: canberrahealthservices.act.gov.au, health.nsw.gov.au, healthjobs.nt.gov.au +4

What the regs say

Verbatim, one caution beside one encouragement per topic where both exist, the rest folded. Every quote links to the comment.

Getting on 10

You’re missing a few!! You can subspecialise in more than just these, like Sexual Health

Sexual health was what I was thinking too! GP + sexual health would be a great combo. RACP offers a Chapter in Sexual Health for doctors who have already followed

u/cantthinkofone14 · palliative medicine advanced trainee · Mar 2025 · comment
Show all 10 quotes on getting on

You can only commence training in Clinical Genetics after BPT and you can only commence Sexual Health training either after BPT or some other recognised College’s Fellowship programme.

u/readreadreadonreddit · Dec 2025 · comment

Sexual health sounds like it might be a really good option for you - you can actually train in sexual health through college of physicians after multiple pathways without the trauma of BPT

u/Mobile-Gold584 · radiologist (former O&G trainee) · Nov 2023 · comment

One bonus if you go and work as a GP in a regional area is the government will pay off your hecs/help debt. If you have already paid some of it off or all of it, they will give it to you as a lump sum. This is just my understanding from the government guide, not from personal experience. Not a huge amount but a nice…

There is absolutely a place to practice as an endocrinologist and focus on women’s health. For example, that’s the type of work done at Jean Hailes in Melbourne, and they have both women’s health GPs and endocrinologists working there. You could also look at specialising in Sexual Health medicine as RACP advanced…

Someone else mentioned that to me a while ago, but RACP says you can do it either from basic training or from another specialty. Having said that there’s not many trainees in sexual health, so maybe those with an existing specialty are more likely to get the places?

u/helgatitsbottom · Mar 2025 · comment

Agree sexual health is a decent option (although will need to do a lot of men’s sexual health as well). But you need to have done another speciality first before being eligible to start sexual health training. The best pathway to do that is to do GP training first

u/LowAd6956 · public health physician · Mar 2025 · comment

Are you aware of the sexual health physician fellowship? This is not a GP w special interest but attained either post FRACGP or RACP BPT (and possibly other colleges) via 3 year advanced training: https://www.racp.edu.au/trainees/advanced-training/advanced-training-programs/sexual-health-medicine

u/Scared-Wolverine7132 · June 2024 · comment

No I meant to consider sexual health/genetics as an alternative to BPT.

u/rizfiz · BPT · Dec 2025 · comment

Jobs 3

there are unaccredited ID reg positions/public health positions and sexual health positions, all of which might fit your interests and be good on a CV).

u/dgra6465 · ID/microbiology advanced trainee · Sept 2023 · comment

No offence intended, but which BPTs actually go on to do Sexual Health after completing the program? Most Sexual Health trainees I’ve come across have come through GP or Rural Generalist pathways, largely because they’re broader, faster, and give you two usable qualifications, unless as a post-Divisionals, one goes…

u/readreadreadonreddit · Dec 2025 · read full
Show all 3 quotes on jobs

Yeah you can do it after BPT as well I’m in vic and most of the accredited sexual health positions will only employ people who are also GPs. There seem to be pretty limited training options for sexual health regs who have done BPT or another non-GP speciality

u/LowAd6956 · public health physician · Mar 2025 · VIC · comment

Lifestyle 1

I was a sexual health registrar once upon a time, in a small rural town. Two patients who saw me in public hurriedly ran away.

u/Dangerous-Hour6062 · former sexual health registrar · Nov 2023 · comment

Best threads

r/ausjdocs comments and posts, hand-curated from the sexual-health collection; scores as at the dump · community view, not policy

Knowledge rows last loaded 13 Sept 2026, encoded by hand from the sources linked on each panel; no AI wrote any of it. Compare specialties · calendar · all guides.