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Irish College of Ophthalmologists

Ophthalmology Training

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

How the length works

Surgical pathway about seven years; medical ophthalmology about five.

  • Medical Ophthalmology: About five years in total after intern year.
  • Surgical Ophthalmology: About seven years in total after intern year.

Duration: 3-year basic training (surgical BST or medical BMT), 6-month rotations; full surgical pathway 7 years (BST + 4-year HST); medical pathway ~5 years

Annual intake: Not published; small annual cohorts across BST and BMT (per ICO Demographics Review)

Competition: Applicants exceed places (official wording); 2024/25 interviewees averaged 51.9/100 with a minimum of 47

Applications: 2027 intake dates not yet announced (ICO, tbc as of 26 August 2026; the college hosts a live careers talk online on Wednesday 28 October 2026). The 2026 intake opened 24 October 2025 and closed 4pm 16 January 2026; shortlisting late February; interviews early March

Entry: After intern year

Exams: FRCOphth Part 1 scores 10 points at entry; ICO membership/fellowship exams during training

Exams you will need

FRCOphth Part 1 / MRCSI (Ophth)

Ophthalmology has separate surgical and medical training pathways, both with small annual intakes.

Shortlisting

The published minimums are 12 of 25 academic marks and 16 of 35 research marks. The scorecard awards points for FRCOphth Part 1, higher degrees and research; ophthalmology-specific research receives twice the weighting of unrelated work. In 2024/25, interviewees had a mean score of 51.9 of 100 and a minimum of 47. These are historical scores, not a predicted cut-off.

Training length

Surgical training comprises three years of BST followed by four years of higher surgical training. The medical pathway takes about five years and covers areas including medical retina, uveitis and neuro-ophthalmology.

How selection is scored

Section 1: Educational and academicmax 25
Medical school centile15
FRCOphth Part 110
PhD10
MD5
Duke Elder ranking5
National medals and prizes3
Research grants3

Section capped at 25; minimum 12 to be shortlisted.

Section 2: Research and extracurricularmax 35
International first-author papers (10 each)15
National first-author papers (5 each)10
International presentations (4 each)8
Case reports, audits, courses (2–3 each)3

Minimum 16 to be shortlisted. Non-ophthalmic research scores at 50%.

Section 3: Interviewmax 40
Suitability for a career in ophthalmology15
Communication skills10
Decision making, workload and stress management10
References5

2024/25 interviewees averaged 51.9/100 with a minimum of 47.

Where you train

Accredited eye departments nationally, with employment contracts from the individual hospitals; the Royal Victoria Eye and Ear Hospital in Dublin is the major postgraduate site. Interviews are held in Dublin.

Where this leads

Surgical ophthalmology (via higher surgical training) or medical ophthalmology.

Facts last verified 2026-07-13. Scheme details change year to year; always confirm against Irish College of Ophthalmologists's current documentation.