Getting a job after the intern year
Training schemes and standalone SHO posts recruit on different schedules. Start with the application dates, then check where posts are advertised and what each application needs. The intake figures below show how competition varies between programmes.
Checked on 22 August 2026 against NDTP, the Medical Council, the training bodies, and dated job advertisements.
Training applications
Is the claim “1 in 150 get hired” supported?
No published source was found for this claim during the review.
Published figures include RCPI's 378 appointments from 1,574 applicants in 2026, which is about one in four, and Core Surgical Training's 100 places a year.
Training application dates
Changeover is the second Monday of January and the second Monday of July, agreed in 2010. Next: 11 January 2027 and 12 July 2027. Many schemes recruit the previous autumn for a July start. Check each programme below; recruitment dates differ.
| Scheme | Opens | Closes | Assessment |
|---|---|---|---|
| GP trainingICGP | 7 September 2026 | 7 October 2026 | SJT and Clinical Problem-Solving Test 4 to 5 November 2026; Scenario-Based Competency Assessment 2 to 4 February 2027 |
| Core Surgical TrainingRCSI | 1 October 2026 | 28 October 2026 | Pearson VUE aptitude test sat before you apply; interviews in person at RCSI, February 2027 |
| Psychiatry BSTCollege of Psychiatrists | 9 October 2026 | 1 December 2026 | Shortlisting January 2027; interviews by Zoom, February 2027 |
| Anaesthesiology SATCAI | 19 October 2026 | 9 November 2026 | Interviews online 4 February 2027 |
| RCPI BSTRCPI | not published | not published | — |
| Emergency MedicineRCSI and IAEM | not published | not published | Recruitment runs in spring |
Where dates were unavailable at the last check, these earlier cycles provide context: RCPI BST and HST, June 2025 start opened 7 October 2024 and closed 14 November 2024; RCSI Core Surgical Training, July 2026 intake opened 14 October 2025 and closed 11 November 2025.
Standalone SHO vacancies
Hospitals recruit separately for non-scheme SHO posts. In this sample of archived July 2026 adverts, most appeared between late January and early March. Application windows lasted 2 to 20 days, with a median of 14.
| Post | Posted | Closed | Open for |
|---|---|---|---|
| ENT SHO, Waterford | 24 January | 7 February | 14 days |
| SHO Haematology | 29 January | 12 February | 14 days |
| SHO Emergency Medicine, Kilkenny | 30 January | 13 February | 14 days |
| NCHD Adult Mental Health | 3 February | 23 February | 20 days |
| SHO Ophthalmology | 4 February | 11 February | 7 days |
| SHO Emergency Medicine | 4 February | 17 February | 13 days |
| SHO General Medicine | 4 February | 18 February | 14 days |
| SHO General and Breast Surgery | 5 February | 23 February | 18 days |
| SHO Emergency Medicine, Wexford | 6 February | 8 February | 2 days |
| Medical Registrar | 3 March | 18 March | 15 days |
| SHO General Surgery | 3 March | 18 March | 15 days |
| SHO Medicine, Ennis | 4 March | 10 March | 6 days |
| Registrar CAMHS | 5 May | 15 May | 10 days |
These archived adverts are a sample, not a complete vacancy list. Some accepted applications for just two days, so weekly checks could miss a post.
Portal snapshot: 22 August 2026
On 22 August 2026 the national HSE portal held 270 live vacancies across the entire health service. 23 were medical or dental, and exactly 1 was an NCHD-grade post. Six weeks after changeover the national portal held one NCHD-grade advert. The market for a July start runs in the previous winter.
Where to find vacancies
Filter by category Medical and Dental. The older hse.ie job paths now 404.
Weekly job-alert emails filtered by grade, county and region. Recommended by NDTP.
The system many HSE regions actually take applications through, per region. The HSE advert often just links out to it.
Has its own Medical NCHD category. Separate from the HSE portal.
Its own HR Medical Division listings.
Its own portal.
Its own portal.
The Irish Medical Times and the Medical Independent classifieds — Both were checked on the day. Between them they carried a handful of consultant and GP posts, two of them in Northern Ireland, and no standalone SHO posts at all. This was a snapshot on 22 August 2026; listings change.
Where interns work a year later
NDTP follows intern cohorts through public health system records. A missing record does not identify where a doctor went or why they left that system.
| Cohort | Further training | Non-training post | No public-system record |
|---|---|---|---|
| One year after internship, 2024 cohort | 18% | 22% | 60% |
| One year after internship, 2015 to 2024 average | 26% | 21% | 53% |
| Two years after internship, average | 42% | 8% | 50% |
Share with no record in the Irish public health system one year after internship rose from 47 per cent for the 2015 cohort to 60 per cent for the 2024 cohort. Of the 2015 to 2019 intern cohorts, between 76 and 84 per cent had started BST or GP training by 2025. Between 13 and 17 per cent left after internship and never came back.
The intake side is still growing. The HSE approved 915 intern posts for 2026, an increase of approximately 4 per cent compared to 2025, while training places are set separately by the training bodies. An increase in intern posts does not guarantee a matching increase in training places. How that number is set.
Training and non-training posts, 2021–2025
| Cohort | 2021 | 2025 | Change |
|---|---|---|---|
| Interns | 854 | 861 | +1% |
| Basic Specialist Training | 1,845 | 2,187 | +19% |
| Higher Specialist Training | 1,957 | 2,465 | +26% |
| Non-training scheme doctors | 2,801 | 4,018 | +43% |
| All NCHDs | 7,655 | 9,809 | +28% |
These four cohorts do not sum to the NDTP total, which is 198 higher in 2021 and 278 higher in 2025. Some grades are counted outside them.
The two reported shares use different populations and years. NDTP puts it at 40 per cent in 2025, counting publicly funded posts recorded on the HSE's DIME database. The Medical Council puts it at 53.3 per cent in 2024, counting all clinically active registered NCHDs. They are not directly comparable. The Council's own comment: "There is a significant shortage in the number of approved training posts, and career training pathways for NCHDs can be precarious for those not on a formal training scheme."
Progression from non-training posts
On average 36 per cent of new non-training scheme doctors go on to start a training programme in Ireland, so 64 per cent do not. Around 746 new non-training doctors enter each year who never do. Of those who do progress, 53 per cent do so after one year in a non-training post, a further 26 per cent after two.
61%
still in the Irish system after 1 year
44%
still in the Irish system after 2 years
33%
still in the Irish system after 3 years
28%
still in the Irish system after 4 years
24%
still in the Irish system after 5 years
Those are the doctors who never reach a scheme. NDTP's own summary: "76 per cent of NTSDs that do not start a training programme leave Ireland within 5 years."
Training intake figures
| RCPI BST intake | Applicants | Appointed | Success rate |
|---|---|---|---|
| 2024 | 1,198 | 379 | 32% |
| 2025 | 2,056 | 372 | 18% |
| 2026 | 1,574 | 378 | 24% |
Covering general internal medicine, paediatrics, obstetrics and gynaecology and histopathology. Applicants can rank more than one programme, so these are total applicants against total appointments.
Core Surgical Training runs 100 places a year. Subject to review year on year by RCSI and NDTP. Selection uses a published desirable standard, and the first 100 above it get offers:
76.86
2021
75.64
2022
74.74
2023
75.72
2024
75.115
2025
The 2025 standard was lowered to appoint 100 trainees after declinations.
Why competition varies
NDTP's own finding is that on aggregate there were limited pressures in accessing further training. Year-one BST places reached 999 in 2025 against 879 filled intern posts in 2024, so places now exceed the intern cohort.
National totals do not show competition for a particular specialty or location. The applicant pool and recruitment dates also affect which posts are available to you.
1Competition varies by specialty
NDTP's own qualifier is that there may be substantial competition for training places in some programmes. Year-one places in 2025 ran from 348 in GP and 286 in Medicine down to 11 in Histopathology and 7 in Ophthalmology.
2Applicants who interned abroad
The proportion of year-one BSTs who did their internship abroad rose from 23 per cent in 2019 to 41 per cent in 2024. NDTP attributes this to more places combined with the 2021 and 2022 Stamp 4 and community-preference rule changes.
3Short application windows
Many schemes recruit the previous autumn for a July start. Standalone posts have separate application windows, sometimes lasting only a few days. Check the closing date for each post.
Waiting for an interview
HSE interviews may be held in phases, with applicants invited according to their position in a ranking exercise. Silence alone does not confirm the outcome; check the campaign instructions or contact recruitment.
Preparing your application
Reference requirements
| Body | How many | From whom | When |
|---|---|---|---|
| RCPI | Two | Consultant supervisors from your two most recent posts. Strictly chronological, not the most relevant. Internship and medical school posts count. | At the point of offer, after interview. RCPI contacts referees directly, and a missing appraisal can withdraw the offer. |
| College of Psychiatrists | Two | On the College's own BST Candidate Appraisal form, each stamped by the relevant hospital. | At application, PDF only. |
| RCSI Core Surgical | Two | Referees from your clinical posts, one from your current or most recent. | Not at application, which is a change from previous years. Requested only if you succeed in an offer round. |
| ICGP | Not specified | Submitted with the second-stage application. | Opens 20 November 2026, closes 4 January 2027. |
| CAI Anaesthesiology | Not specified | Requested by the Training Department directly from your named referees. | After shortlisting, not at application. |
The common denominator is two consultant referees, and in most schemes one must be from your current or most recent post. RCPI's rule is chronological, so your intern consultants are the referees whether or not they are the most relevant ones.
Application requirements
- Nothing can be added after the deadline. RCPI: if you have missed the deadline you must wait to apply the following year.
- Psychiatry deems applications ineligible if they are not verified by the deadline, so submitting early is not the same as submitting on time.
- Eligibility means explicit confirmation you can pay your fee and register on the Trainee Specialist Division, not merely that you could apply.
- Core Surgical requires the aptitude test booked and sat before you submit, and its fees are non-refundable.
- Standalone HSE posts are decided entirely on the application form supplied with that advert, not on a CV. Competency answers are capped at one A4 page in Arial 10, and the whole thing must arrive by email under 3MB.
What being on a panel means
The HSE's own words: "It is not a job offer, and it does not include full details such as job title, location, or contract type and length."
- An expression of interest can go to several people on a panel at once, with a reply deadline. Late replies are not accepted.
- Respondents are placed on a list ordered by merit, and the highest placed proceeds to clearances.
- Your position on the panel does not change whether you say yes, say no, or never reply.
A panel position does not guarantee a job. Under the process described here, declining an expression of interest does not change your panel position.
Locum work
Doctors on the Trainee Specialist Division may practise only within the post they are allocated, so a training post closes off locum income. A standalone post does not.
This is Medical Council guidance wording, not a statutory bar. The Act contains an express post-only prohibition for the Supervised Division at section 50A(6) and no equivalent for trainees. The HSE said in 2023 it had no plans to review the policy.
Advertised hourly rates
| Grade | Advertised |
|---|---|
| SHO | €49 to €62 an hour |
| Registrar | €54 to €71 an hour |
| Consultant | up to €133 an hour |
Two independent agencies advertise identical bands, with no regional and no specialty variation, and the ads contradict themselves on currency. Treat this as a marketing convention rather than evidence of what anyone is paid. No intern locum posts were advertised at all.
NCHD overtime rates
Monday to Saturday is time and a half. Sunday and public holidays are double time.
The NCHD Contract 2010 PDF still shows time plus a quarter. That was the Haddington Road reduced rate. The pre-2013 rates were restored from 1 July 2021 and the divisors revised from 1 July 2022.
Internal bank shifts inside a covered hospital sit clearly within the Clinical Indemnity Scheme, which names locums expressly. Whether an agency-supplied locum is covered was not confirmed at the last review: the State Claims Agency publishes an employment test and an enterprise-liability test and never addresses agency locums, while the legal employer of an agency worker is normally the agency. Get it in writing per engagement.
Agency staffing changes announced in 2026
The HSE has a hard agency cap for 2026, a 12 per cent cut, with per-region limits and escalation already triggered in three regions. The Minister told the Health Committee in June that off-framework agency use would be eliminated on a phased basis by September, replaced by an internal staff bank giving existing staff first refusal, with the site rather than the doctor choosing which hours get filled.
The Minister described the change as follows: "That is going to result in a sort of rupture." Check the arrangements for each engagement.
Common questions
When are SHO jobs advertised in Ireland?
Training schemes for a July start open and close the previous autumn, between September and early December. Standalone SHO posts advertise separately, mostly between late January and early March, and individual windows are short: of thirteen archived adverts for July 2026 posts, the application windows ran from 2 to 20 days, most commonly 14.
How competitive is Basic Specialist Training in Ireland?
RCPI appointed 378 doctors from 1,574 applicants in 2026, about one in four, across general internal medicine, paediatrics, obstetrics and gynaecology and histopathology. Core Surgical Training has 100 places a year. The often-repeated figure of one in 150 has no source.
What happens to Irish interns after their intern year?
Of the 2024 intern cohort, one year on, 18 per cent were in further training, 22 per cent in non-training posts, and 60 per cent had no record in the Irish public health system at all. That last figure was 47 per cent for the 2015 cohort.
Do non-training SHO posts lead to a training scheme?
On average 36 per cent of new non-training scheme doctors go on to start training in Ireland, so about two thirds do not. Of those who do progress, 53 per cent do so after one year. Of those who never progress, NDTP records that 76 per cent leave Ireland within five years.
Can you locum while on a training scheme in Ireland?
In practice no. Doctors on the Trainee Specialist Division are confined to their allocated training post, so taking a scheme closes off locum income while a standalone post does not. This is Medical Council guidance wording rather than a statutory bar, unlike the Supervised Division, where the prohibition is in the Act itself.
What could not be verified
- RCPI's 2027 BST application dates. As of 22 August 2026 the page says only that it will open shortly. The last cycle ran 7 October to 14 November.
- A complete picture of standalone advertising. The timing evidence is a sample of archived ads from the national portal only, so the true volume is higher.
- Live careers pages for Beaumont and Children's Health Ireland. Both obvious paths 404, and the Mater blocks automated access.
- GP training applicant numbers. ICGP publishes the calendar in full but no applicant or offer counts.
- NCHD vacancy and turnover rates. NDTP publishes them for consultants but not for NCHDs.
- Whether the prohibition on trainees doing locum work still stands, since the source is a HSE statement from 2023.
- Verified locum payment rates, as opposed to advertised ones, and agency margin. Held by the agencies and by HSE Health Business Services.
The NDTP reports used here were available through medicalcareers.ie at the last check. Tell me if a date here has moved.