Training

Where each training pathway leads, what it takes to get on it, and the exams along the way.

Pathways
From intern year into every basic and higher scheme.
14 entry routes
Higher specialist training
Entry rules, scoring and intakes for each specialty.
36 programmes
Exams
Exam parts, costs, dates and preparation resources.
13 exams · next: FRCPath 30 Sept
Getting in
Before any of this: points, the HPAT, fees and access routes.
Leaving Cert and graduate entry
After intern year
Application dates, vacancies and training intake figures.
The job market

How long each specialty takes

Every route after intern year, one dash per training year: dark for basic or core training, light for higher specialist training up to CSCST. 45 routes in all, the shortest 4 years. Research time, less-than-full-time training and a year abroad sit on top of these figures.

Basic / core trainingHigher specialist training

GP

Four-year general practice training, with hospital rotations followed by supervised GP practice.

General Internal Medicine

Medical SHO training and MRCPI examinations, followed by applications to the medical HST specialties.

Surgical

Two years of surgical SHO rotations and the MRCS, followed by competitive entry to higher surgical training.

Paediatrics

Basic Specialist Training in paediatrics, entered separately from adult medical training.

Obstetrics & Gynaecology

Three-year BST in obstetrics and gynaecology, followed by competitive entry to HST through RCPI.

Psychiatry

Four-year psychiatry BST through the College of Psychiatrists of Ireland, followed by higher training.

Anaesthesiology

Six-year Specialist Anaesthesiology Training, combining basic and higher training in one programme.

Emergency Medicine

Seven-year emergency medicine training, with core and advanced phases leading to CSCST.

Radiology

Five-year specialist radiology training, with entry possible directly after internship or after further clinical training.

Histopathology

Two years of histopathology BST followed by higher training and the FRCPath examinations.

Ophthalmology

Ophthalmology training through the ICO, with surgical and medical pathways.

Cross-specialty

Routes you can enter from more than one base specialty.

Pathways

Every route branches from the intern year. Tap a programme to see where it leads; open the full guide for scoring criteria, timelines and numbers.

Intern YearFull guide →

The first year of postgraduate training in Ireland, leading to the Certificate of Experience on successful completion.

GP TrainingFull guide →

Four-year general practice training, with hospital rotations followed by supervised GP practice.

Where it leads

BST PaediatricsFull guide →

Basic Specialist Training in paediatrics, entered separately from adult medical training.

Where it leads

Obstetrics & Gynaecology TrainingFull guide →

Three-year BST in obstetrics and gynaecology, followed by competitive entry to HST through RCPI.

Where it leads

Psychiatry TrainingFull guide →

Four-year psychiatry BST through the College of Psychiatrists of Ireland, followed by higher training.

Where it leads

Anaesthesiology (SAT)Full guide →

Six-year Specialist Anaesthesiology Training, combining basic and higher training in one programme.

Where it leads

Emergency Medicine TrainingFull guide →

Seven-year emergency medicine training, with core and advanced phases leading to CSCST.

Where it leads

Radiology TrainingFull guide →

Five-year specialist radiology training, with entry possible directly after internship or after further clinical training.

Histopathology TrainingFull guide →

Two years of histopathology BST followed by higher training and the FRCPath examinations.

Ophthalmology TrainingFull guide →

Ophthalmology training through the ICO, with surgical and medical pathways.

Entered later, from within training

Public Health MedicineFull guide →

Specialist training in epidemiology, health protection and public health policy through RCPI.

ICAT (Irish Clinical Academic Training)Full guide →

A funded PhD integrated with higher specialist training for doctors pursuing clinical research.

Postgraduate exams

13 membership and fellowship exams: what each part involves, what it costs, when to sit it, and ranked resources for each.

Coming up

  • 30 Sept 2026SittingFRCPathHaematology Part 2 (30 September to 2 October) (Haematology Part 2)
  • 1 Oct 2026SittingMCAI / FCAIFCAI Written (online) (FCAI Written)
  • 7 Oct 2026Apply bySJT & CPSTApplication A closes (2027 intake)
  • 7 Oct 2026SittingMRCEM / FRCEMFRCEM SBA (test centres worldwide) (FRCEM SBA)

All exams

Exams hub and full calendar →

Higher specialist training

36 programmes, grouped by the basic training they follow. Each page has entry requirements, published scoring, intake numbers and exams.

After BST General Internal Medicine17
After Core Surgical Training10
After Psychiatry Training6
After BST General Internal Medicine or Anaesthesiology (SAT) or Emergency Medicine Training1
After Obstetrics & Gynaecology Training1
After BST Paediatrics1