Aching, and these ideas involved more exposure to sexual health clinics so they could practice their skills. Many recognized that talking to patients early in their training would ensure they could tackle the issues in subsequent clinical practice.Sex Med 2016;4:e198ee88115It appears that providing training of this type is well received and enhances the knowledge and confidence of doctors in their clinical practice. Many said that it gave them the tools to talk about and engage with their patients and provided a good grounding and understanding of the topic. Relatively high levels of skill on a regular basis appear to be used, when appropriate, by the respondents and those who asked such questions routinely (32 ) dealt with sexual difficulties more often. Those who had extra training in this area were more likely to be consulted by their peers with their patient’s sexual symptoms. The questionnaire also defined “routine enquiry” as “appropriate or relevant questioning within a holistic framework for the patient,” not “at every encounter, regardless of the reason for the visit.” For example, if a patient were to attend a clinic after a gynecologic intervention or a routine diabetic or cardiovascular clinic, it would be more appropriate to ask questions. Some GPs in the sample stated that it came up in their work naturally, and that if they did ask, they were direct and explained the rationale for doing so. Nearly all the respondents who investigated routinely dealt with such issues at least every 2 to 4 weeks and many dealt with it on a daily basis and one in neurosurgery saw a case every week. We noted that that those male GPs who made routine FT011MedChemExpress FT011 Belinostat site enquiry observed a lower incidence than their female counterparts. Female GPs and one female obstetriciangynecologist constituted the group who saw sexual difficulties on a daily basis. However, nearly 30 of respondents nevereClegg et alencountered sexual problems; of those only one (ear, nose, and throat) asked questions. It is reasonable to assume that the others might have uncovered sexual difficulties they had made routine enquiries. Nevertheless, they did acknowledge that it would be important if it were relevant. One of these respondents worked in psychiatry and another in ortho-maxillofacial surgery, where there a rationale to enquire.7,8 As would be expected from their discipline, a large number of the sample (68 ) did not use sexual history taking and examination skills in their work because they judged these were not relevant to their clinical practice. Many stated that having insufficient time was a factor not making an enquiry and other reasons included that it not expected by the patient or there was a risk of offending the patient. In contrast, those in general practice saw it as very relevant, with many of them using it as a diagnostic tool. The questionnaire asked participants to offer solutions to increase engagement with patients and many cited that increasing the time available in consultations, adding suitable questions to general assessment screening tools or templates so they are not missed, patient education notices and leaflets in waiting rooms, and national advertising campaigns could be fruitful avenues to explore. Many in the sample cited specific examples of diagnosing sexual problems such as male hypogonadism, falsely raised prostate-specific antigen in practicing men who have sex with men, sickle cell priapism, semen storage before chemotherapy, and pituitary adenoma.Aching, and these ideas involved more exposure to sexual health clinics so they could practice their skills. Many recognized that talking to patients early in their training would ensure they could tackle the issues in subsequent clinical practice.Sex Med 2016;4:e198ee88115It appears that providing training of this type is well received and enhances the knowledge and confidence of doctors in their clinical practice. Many said that it gave them the tools to talk about and engage with their patients and provided a good grounding and understanding of the topic. Relatively high levels of skill on a regular basis appear to be used, when appropriate, by the respondents and those who asked such questions routinely (32 ) dealt with sexual difficulties more often. Those who had extra training in this area were more likely to be consulted by their peers with their patient’s sexual symptoms. The questionnaire also defined “routine enquiry” as “appropriate or relevant questioning within a holistic framework for the patient,” not “at every encounter, regardless of the reason for the visit.” For example, if a patient were to attend a clinic after a gynecologic intervention or a routine diabetic or cardiovascular clinic, it would be more appropriate to ask questions. Some GPs in the sample stated that it came up in their work naturally, and that if they did ask, they were direct and explained the rationale for doing so. Nearly all the respondents who investigated routinely dealt with such issues at least every 2 to 4 weeks and many dealt with it on a daily basis and one in neurosurgery saw a case every week. We noted that that those male GPs who made routine enquiry observed a lower incidence than their female counterparts. Female GPs and one female obstetriciangynecologist constituted the group who saw sexual difficulties on a daily basis. However, nearly 30 of respondents nevereClegg et alencountered sexual problems; of those only one (ear, nose, and throat) asked questions. It is reasonable to assume that the others might have uncovered sexual difficulties they had made routine enquiries. Nevertheless, they did acknowledge that it would be important if it were relevant. One of these respondents worked in psychiatry and another in ortho-maxillofacial surgery, where there a rationale to enquire.7,8 As would be expected from their discipline, a large number of the sample (68 ) did not use sexual history taking and examination skills in their work because they judged these were not relevant to their clinical practice. Many stated that having insufficient time was a factor not making an enquiry and other reasons included that it not expected by the patient or there was a risk of offending the patient. In contrast, those in general practice saw it as very relevant, with many of them using it as a diagnostic tool. The questionnaire asked participants to offer solutions to increase engagement with patients and many cited that increasing the time available in consultations, adding suitable questions to general assessment screening tools or templates so they are not missed, patient education notices and leaflets in waiting rooms, and national advertising campaigns could be fruitful avenues to explore. Many in the sample cited specific examples of diagnosing sexual problems such as male hypogonadism, falsely raised prostate-specific antigen in practicing men who have sex with men, sickle cell priapism, semen storage before chemotherapy, and pituitary adenoma.