Post-CSCST Fellowships Scheme

NDTP Aspire Post CSCST Fellowships

The NDTP Aspire (Post CSCST) Fellowship awards have resulted from the collaborative efforts of HSE’s Acute Hospitals’ Division, Mental Health Division, National Doctors Training and Planning (NDTP) and the Post-Graduate Medical Training Bodies in Ireland. The NDTP Aspire Post CSCST Fellowships have been awarded for 2018, with 6 fellows having commenced their fellowships in Radiation Oncology, Quality Improvement (Surgery), Advanced Resuscitation, Adolescent and Young Adult Medical Oncology, Quality Improvement (Eye Emergency Care), and Obesity earlier this year. 

In 2019 the Aspire Fellowships will provide funding for 8 Fellowships; 6 in the Acute Hospitals’ Division and 2 in Mental Health, to commence in July 2019.  Successful  Aspire Fellows receive: SpR salary and headcount for the duration of the fellowship; Eligibility to access the Higher Specialist Training Fund during the fellowship; Formal recognition of achievement following completion of the fellowship from the relevant Irish Post Graduate Medical Education Body/Bodies; A high quality fellowship experience in Ireland that will improve competitiveness for positions within Ireland.


Post-CSCST Fellowships Scheme

 NDTP HSE, in association with the recognised postgraduate training bodies, have established a register of approved post-CSCST fellowship posts in the Irish health service. The Post-CSCST Fellowships provide opportunities for doctors who have completed specialist training in Ireland to access high-quality training in a specialised area of clinical care.  The additional training may assist doctors in acquiring the necessary requirements for accreditation with the Medical Council (for example specialist registration in Intensive Care Medicine). It may also result in doctors acquiring the additional training / experience needed for a particular consultant post (consultant posts with a special interest).

The Irish health service is hugely enhanced by the contribution of doctors who, having trained in Ireland, then avail of fellowships or other specialist training in centres of excellence abroad prior to taking up permanent posts in our hospitals. This will continue to be the case. However, the Post-CSCST Fellowship Scheme offers an alternative to trainees now that our own specialist clinical expertise and services have matured and developed.  Please find more information on the Post CSCST Fellowship Scheme here.

What is a Fellowship Post?

A fellowship post is a period of additional medical training, beyond that available in the national specialist training programmes, that meets the following:

  • Provides a structured educational experience immediately following CSCST, designed to deliver the requirements of a particular subspecialty which are not readily available within the specialist training programme
  • Where appropriate, fulfils training body requirements for
    • Medical Council specialist registration (e.g. Intensive Care Medicine)
    • HSE employment requirements for consultant posts (Appendix 1)
  • Has been evaluated and approved by the appropriate training body
  • Does not impinge on the training of pre-CSCST trainees
  • Is aligned to workforce opportunities
  • Has a supervisor assigned, with authority and accountability for the fellowship post
  • Provides opportunities for audit and research


There now exists the opportunity to provide high-quality post-CSCST fellowship-level training in Irish hospitals. The process involves NDTP-HSE and the relevant postgraduate training bodies work together to:

  • identify, assess and approve fellowship posts
  • give consideration to the future needs of the health service in the assessment
  • maintain and publish a central register of high quality approved posts to assist trainees
  • prevent indiscriminate proliferation of fellowship posts and align fellowship opportunities more closely to workforce needs
  • ensure that the training of doctors on national specialist training programmes is not compromised by post-CSCST fellowships

In order to ensure that the clinical area of fellowship posts remains relevant to health service planning and medical workforce requirements, the register will be reviewed regularly.

These posts will in most cases be created by the conversion of existing Specialist Registrar or non-training posts. In the case of an existing SpR post, and in order to maintain the number of such posts required for national specialist training programmes, a replacement post (which is suitable for training) will need to be identified.

Fellowship posts will not necessarily be occupied each year. In this case, the post may revert to

  • An SpR post
  • A non-training post
  • A post within the IMGTI (International Medical Graduate Training Initiative) programme

As per HSE HR Memo 28th October 2015 only approved Post-CSCST fellowships under the Post-CSCST Fellowship Scheme (see approved posts below) are paid at the 7th point of the existing Specialist Registrar pay scale with effect from the date of appointment to the Fellowship post. 

If the Fellowship post is not occupied by such a doctor, the appropriate salary will apply, i.e. relevant point on the SpR scale if occupied by a trainee on a national training programme/Registrar scale if occupied by a non-trainee.

Current approved Post-CSCST fellowship posts:

The postgraduate training bodies are continuing to identify and propose suitable Post-CSCST Fellowship opportunities within Ireland and a number have been approved for commencement in July 2016:

  • Transplant Nephrology
  • Paediatric Cardiology
  • Advanced Gynaecological Surgery
  • Pain Management (Anaesthetics) x 2
  • Intensive Care Medicine
  • Paediatric Infectious Diseases 
  • Paediatric Intensive Care Medicine
  • Cardiac Anaesthesia
  • Breast Imaging
  • Radioisotope Imaging
  • Labour and Delivery

NDTP HSE September 2019