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Post-CSCST Fellowships

Learn and Develop

Training Programmes



Post-CSCST Fellowships are designed for doctors who need to acquire additional training or experience that was not available on their Higher Specialist Training programme, and that may be required for a consultant post (for example, stroke medicine).

In association with the HSE, RCPI has established a register of approved Post-CSCST Fellowship posts in the Irish health service. These Fellowships offer training opportunities for doctors who are within two years of completing their HST programme and obtaining a CSCST.

The additional training is designed to expose you to subspecialties and advanced clinical skills.

What is a Fellowship Post?

A Fellowship Post is a 12 month period of additional training, beyond what is available during Higher Specialist Training.

The post will offer:

  • A structured educational experience designed to deliver those requirements of a particular subspecialty which are not readily available within HST
  • A supervisor with authority and accountability for the Fellowship Post
  • Opportunities for audit and research
  • An enhanced salary

Where appropriate, the post will fulfil training body requirements and HSE employment requirements for consultant posts. All posts are recruited, evaluated and approved by the appropriate training body.

Please note, these hospital-funded posts will most likely be created by the conversion of existing SpR or non-training posts. We are unable to guarantee availability of posts on an annual basis as approval is only ever valid for 12 months. Fellowship posts will not necessarily be occupied each year.

Training bodies are supported and funded by HSE NDTP.


Entry Requirements

You must have successfully completed the RCPI Higher Specialist Training programme within the last two years. So, if you would like to take up a Fellowship Post in July 2025, you must have completed HST in July 2023 or later.


Post-CSCST Fellowship Subspecialty Areas

We are continuing to identify suitable Post-CSCST Fellowship opportunities in Ireland. We currently offer Fellowship Posts in the following subspecialty areas - please click through the headings below for details and available curricula.


How a Post-CSCST Fellowship is Approved

  • Post-CSCST Fellowships can be identified by the National Specialty Director or an approved trainer in the specialty.
  • Written confirmation is required from the hospital where the post is located of a guarantee of the salary for the Post-CSCST Fellowship prior to seeking approval from HSE NDTP or development of a curriculum. The Post-CSCST salaries are set at the 7th or highest point of the SpR scale.
  • A clinical lead is appointed by the NSD/Specialty Training Committee.
  • The lead will work with the education team in RCPI to develop an overview of the Post-CSCST Fellowship (for approval from HSE NDTP) and curriculum for the Post-CSCST Fellowship.
  • The Post-CSCST Fellowship and curriculum must be agreed and approved by the Specialty Training Committee.
  • When a suitable post arises (vacant SpR/Reg/Locum post), an HSE Approval Application Form and supporting documentation is completed by the appointed Clinical Lead. RCPI will then submit this to the HSE NDTP for approval.
  • Once approval is confirmed from HSE NDTP, the post is advertised, and interviews are held to appoint the Fellow.
  • A register of approved Post-CSCST Fellowships will be listed on the RCPI website.
  • An appointed Fellow is treated the same way as a trainee on the SpR programme: they will record their training, complete an end of year evaluation and receive a certificate of completion.

Please note:

  • Doctors eligible to be appointed into a Post-CSCST Fellowship must have completed their HST training through an RCPI training programme.
  • Post-CSCST fellowships are ordinarily for one year; however, they can be split over two years (50% training per year) and should ordinarily start in line with the HST SpRs (July – July).
  • Training is ordinarily in the one location, however, there may be an option to split training over two or three sites with prior approval from each site and the HSE NDTP.

Aspire Post CSCST Fellowship Programme

The Royal College of Physicians of Ireland (RCPI) has partnered with HSE NDTP to establish a number of world-class Post CSCST Fellowships in the area of Occupational Medicine, Paediatrics, Pathology, and Obstetrics and Gynaecology.

The Aspire Fellowship is a 12-month programme for doctors in receipt of a CSCST from an Irish Postgraduate Training Body including RCPI. The programme offers exceptional individuals high-quality training and exposure to speciality training and advanced clinical skills, in addition to an SpR salary for the duration of the fellowship.

Aspire Post CSCST Fellowships offers:

  • A structured educational experience
  • A personal supervisor
  • Opportunities for audit and research
  • SpR salary for the duration of the fellowship

Applications for Aspire 2025 will be opening in August 2024

Links for applications will reopen in August 2024

Faculty of Occupational Medicine

  • Application and Overview (PDF, 1,365KB)

Faculty of Paediatrics

  • Application and Overview (PDF, 1,365KB)

Faculty of Pathology

  • Application and Overview (PDF, 1,365KB)

Faculty of Public Health Medicine

  • Application and Overview (PDF, 1,184KB)

Institute of Obstetricians and Gynaecologists

  • Application and Overview (PDF, 1,365KB)

Institute of Medicine

  • Application and Overview PDF, 1,183KB)

Key Dates

  • 17 May 2024 - 31 July 2024: RCPI issues call for high-quality fellowship proposals across  specialities
  • 31 July 2024: Final date for proposal submission
  • 31 July 2024 - 21 September 2024: RCPI establishes a panel and selection process for the review and selection of fellowships with input from relevant faculty and NCAGL/NCPs
  • 25 September 2024: All 2024 fellowships will be confirmed to NDTP
  • 2 October 2024: Fellowship positions will be advertised
  • 18 December 2024: Deadline for recruitment of successful fellows

Find out more about the Aspire Post CSCST Fellowships.


Contact Us

If you have any questions regarding Post-CSCST Fellowships, please contact RCPI at