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RCPI

HST Geriatric Medicine

A five-year RCPI dual-certification SpR programme in Geriatric Medicine and General Internal Medicine, the largest adult-medicine HST intake in Ireland.

Duration: 5 years (SpR1-SpR5); one year may be gained from full-time research; dual CSCST with General Internal Medicine

Annual intake: 19 HST Year 1 trainees in 2024/2025 (98 geriatric medicine SpRs across all years, the largest adult-medicine scheme) - HSE NDTP Medical Workforce Report 2024-2025, Table 7

Applications: 2026 intake: applications opened 1 October 2025 and closed 29 October 2025 (application fee EUR 100). Next application cycle opens October 2026. Interview (2026): 4 February 2026.

Entry: After BST in General Internal Medicine (or approved equivalent) + MRCPI in General Medicine. The MRCPI Clinical Examination relevant to the specialty must be passed before the HST interview. IMC registration eligibility, English language competency and eligibility to work in Ireland required at application.

Exams: Required (2025 curriculum): all trainees must sit, and are expected to pass, the Specialty Certificate Examination in Geriatric Medicine (attemptable more than once during HST).

Exams you will need

MRCPI

HST Geriatric Medicine is a five-year RCPI Institute of Medicine programme leading to dual CSCST in Geriatric Medicine and General Internal Medicine; one year may be gained from full-time research. It is the largest adult-medicine HST in Ireland, with 19 year-1 entrants and 98 SpRs across all years in 2024/2025. Trainees must sit and are expected to pass the Specialty Certificate Examination in Geriatric Medicine during the programme.

Entry requires BST in General Internal Medicine (or equivalent) and MRCPI in General Medicine, with the clinical examination passed before interview. Shortlisting is marked out of 40 (double the standard RCPI matrix weights) and the interview out of 100, with 40 marks for interview performance and professionalism.

How selection is scored

Shortlistingmax 40
Professional qualifications/education10
Publication & audit experience10
Clinical practice10
Leadership & management experience5
Teaching experience5
Interviewmax 100
Interview performance and professionalism40
Clinical experience20
Management/Leadership/Teaching20
Research/Audit20

Where you train

Named hospital lists are not published per specialty; SpRs rotate through RCPI-approved training sites nationally in preapproved 6- or 12-month posts. At least one clinical year must be completed in a training site outside the Dublin area; a maximum of two clinical years may be spent in the same site.

Where this leads

Award of CSCST (dual certification in Geriatric Medicine and General Internal Medicine) confers eligibility for entry on the Specialist Division of the IMC register and for consultant posts. Documented post-CSCST routes: the RCPI/HSE register of approved Post-CSCST Fellowship posts and HSE NDTP Aspire Fellowships, open to doctors within two years of CSCST.

Facts last verified 2026-07-27. Scheme details change year to year; always confirm against RCPI's current documentation.