To become a Consultant in Emergency Medicine in Ireland, you must undertake a 7-year training programme under the supervision of the Irish Committee for Emergency Medicine Training, as outlined by the National Emergency Medicine Training Programme. This comprises of 3 years of Core Specialist Training (CSTEM), followed by 4 years of Advanced Specialist Training in Emergency Medicine (ASTEM).

For more information, visit IAEM’s website @ https://iaem.ie/training/emergency-medicine-training/


CUH has a very strong track record for supporting NCHD applications for both CSTEM and ASTEM – we hold CV preparation sessions and mock interviews throughout the year, as well as offering a multitude of CV-boosting opportunities for all NCHDs.




CSTEM (Core Specialist Training in Emergency Medicine) is a three-year programme, which involves rotating between Emergency Medicine, and inpatient speciality posts, to garner a strong base knowledge in Acute Care.

Candidates allocated to CUH remain in the same hospital for 3 years – rotating through the following 6 month rotations: 

  • Year 1: Emergency Medicine / Plastic Surgery
  • Year 2: Emergency Medicine / Paediatric Emergency Medicine
  • Year 3: Emergency Medicine / Anaesthetics

To successfully complete CSTEM, candidates must have completed:

  • MRCEM Exams (Primary, Intermediate, OSCE)
  • RCSI Human Factors Sign Off
  • Mandatory RCSI Training Days
  • ACLS/APLS/ATLS certification


To progress to ASTEM (Advanced Specialist Training in Emergency Medicine), candidates have to have completed CSTEM (or equivalent), and must have completed the required RCEM examinations. The selection process involves multiple station evaluation of candidates, involving academic development, trainer feedback, communication, teaching and problem solving.

The ASTEM programme spans over 4 years, where doctors rotate between urban and rural, adult and paediatric Emergency Departments. 

Trainees also are required to complete the FRCEM (Fellowship of the Royal College of Emergency Medicine) examinations before completion of ASTEM.

Read Our Blog

Featured News