GUIDE FOR UKRAINIAN DOCTORS - COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND - RCSI
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R C S I , U N I V E R S I T Y O F M E D I C I N E A N D H E A LT H S C I E N C E S
GUIDE FOR
UKRAINIAN
DOCTORS
COMING TO WORK IN THE PUBLIC
HEALTHCARE SYSTEM IN IRELAND
M AY 2 0 2 2G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
INTRODUCTION MEDICAL COUNCIL
REGISTRATION
This document is intended to provide The Medical Council regulates medical
support information for doctors recently doctors in the Republic of Ireland.
arrived in Ireland from Ukraine, who are If you plan to work as a doctor in Ireland
seeking work in the public healthcare you must first register with the Irish
system in Ireland for the first time. Medical Council.
This document outlines important The Medical Register in Ireland has
information on working and living six divisions and the one the doctors
in Ireland. travelling to Ireland are most likely
to be eligible for is the Irish Medical
CouncilGeneral Register -
www.medicalcouncil.ie
The application process is online and
the Medical Council website clearly
outlines what information is required
to complete an application and how
to proceed for further information see
Medical Council website
2G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
INFORMATION ON THE
IRISH HEALTHCARE SYSTEM
The Health Service Executive (HSE) HOSPITALS ARE IDENTIFIED
provides all of Ireland’s public health AS “MODEL 1 TO 4”
services in hospitals and communities
Model 4 hospitals are generally located
across the country, this includes the
in the larger metropolitan areas. Model
public hospital system.
4 hospitals, admit undifferentiated
The hospital services that are delivered medical and surgical patients and take
include, inpatient scheduled care, tertiary referrals from other hospitals,
unscheduled/emergency care, maternity they provide complex specialist care and
services and outpatient and diagnostic have category 3 intensive care units.
services.
Model 3 hospitals provide elective and
The public hospital structured Ireland is general surgical services and admit
split into 7 hospital groups. The groups undifferentiated medical and surgical
all have a “lead” hospital. patients.
For further details of Ireland’s hospital Model 2 hospitals admit low acuity
group including services and contact medical patients, they generally have a
details click on the links below: Minor Injuries Unit and day care surgery
> Ireland East Hospital Group is carried out.
> RCSI Hospital Group Model 1 hospitals are community
> Dublin Midlands Hospital Group hospitals and do not provide surgical
services
> University of Limerick (UL)
Hospital Group Further information on the Irish Health
> South/Southwest Hospital Group System can be found on the Health
Service Executive website www.HSE.ie
> Saolta Hospital Group
> Children’s Hospital Group
3G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
ADVERTISING OF POSTS - THE OPERATION OF
GUIDANCE FOR APPLICANTS A SURGICAL TEAM
EMPLOYER OBLIGATIONS All NCHD contract holders are obliged A surgical team is led by a Consultant
A code of practice exists in Ireland that to open a National Employment Record Surgeon, and supported by a number of
ensures that all appointments are made (NER) Portal account, and then upload what is termed non-Consultant Hospital
in an open, transparent and accountable the relevant training certificates Doctors (NCHDs).
(e.g. BLS/Standard Precautions
manner. The number of doctors on the team
(including Hand hygiene/Fire Training/
is generally determined by the service
RECRUITMENT PROCESS Patient Handling etc). and pre-
that is provided; for example a general
employment information (e.g. passport,
Following the successful completion of surgical team in large hospital will have a
birth cert and applicable GNIB)
the Irish Medical Council registration number of registrar, senior house officers
process, doctors recently arrived from Checklist: and interns (doctors recently graduated
Ukraine can then apply for NCHD posts Documentation required prior to taking from medical school).
which are not part of specialist training up a position in Ireland: The on-call arrangements for each team
programmes are advertised on a > Curriculum Vitae are worked out locally by the hospital.
number of platforms, including;
> Evidence of Registration
a. Hospital websites
> Work permit (if applicable)
b. The Public Appointment Service
> Qualifications / certificates
in Ireland www.publicjobs.ie
> Offer letter – signed and dated
c. Recruitment websites such
as www.IrishJobs.ie > References at least two and one of
which must be from the most recent
All NCHDs must be able to provide a Supervising Consultant / Employer
CV, evidence of registration with the
> Satisfactory Garda Vetting
Medical Council in Ireland and at least
two references before interview. > Evidence of maintenance of Medical
Council Continuing Professional
A short listing process generally
Development requirements
takes place based on the information
provided by candidates. > Valid IELTS Certificate to standard
required
If a candidate is successful following
shortlisting then an interview will be
scheduled
Applicants are interviewed by at least
two people one of which will be a
consultant in the relevant specialty.
If successful at interview a job offer will
then be made, all doctors will be offered
the Irish NCHD contract.
4G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
MAKING THE MOST APPLICATION FOR APPLICATION FOR
OF YOUR MEDICAL THE SPECIALIST SPECIALIST TRAINING
CAREER IN IRELAND REGISTER
After arrival in Ireland it is important that In order to apply for consultant posts The goal for many doctors planning
you have a full understanding of the there is a requirement to be registered to travel to Ireland is to apply for a
opportunities available and set yourself on the Specialist Register of the Medical specialist training programme that leads
achievable career goals. Council. to specialist registration and qualify as a
hospital consultant.
There are many opportunities for further Those who are not eligible for automatic
education and training open to doctors recognition into the specialist division It is important that you have clarity on
working in Ireland, including post- may have their existing training and how access to specialist training for all
graduate education. experience evaluated, this is done by specialties including General Practice
comparing the training and experience works in Ireland.
The RCSI offer a range of post graduate
they received, to the training attained
courses for doctors including masters
by a graduate of the relevant training Admission to Specialist Training
programmes, further details can be
programme in Ireland. Programmes
found on the RCSI website
Admission to specialist training occurs
Applicants under this category include:
As detailed previously the majority on an annual basis. The process
of posts in Ireland are temporary in > 1st time applicants for specialist generally opens in October with the
nature, and although this presents registration who have completed training commencing in July of the
its own challenges, it does present their training in a Non European following year.
opportunities to work in a number of Union/ European Economic Area
Country Selection for training is based on
locations offering a different exposure to
a review of clinical and academic
clinical cases. The opportunities to gain > Applicants for specialist registration
achievements, interview performance
permanent employment as a surgical who have a mixture of training and
and general suitability for a career in
doctor in Ireland are very limited. experience wholly or partly obtained
surgery. Candidates who meet the
in a European Union/ European
eligibility criteria may be shortlisted for
Economic Area member state but
interview.
whose qualifications are not eligible
for automatic recognition When the interview process is
completed candidates are then ranked,
Full details of the process can be found
however, it is very important to be aware
on the Medical Council website
that available places are allocated by
www.medicalcouncil.ie
training bodies including the RCSI in the
first instance to those candidates who
at the time of application are citizens of
Irelands or nationals of another member
of the European Union.
For further information on the
application to specialist training see
application for surgical training
Application for a consultant post.
In order to apply for a consultant post,
registration on the Specialist Register
of the Medical Council of Ireland is
required.
The application process for consultant
posts is managed centrally by the Irish
Public Appointments Service (PAS).
5G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
IMMIGRATION STAMP
PROCESS IN IRELAND
Your journey to Ireland is most likely To summarise therefore, before Once a doctor has successfully entered
unplanned. presenting himself for entry to the the country he/she must attend an
country the doctor has to have: appointment with the immigration
The most up to date information for
> Registration as medical practitioner service of the Department of Justice
Ukrainian Citizens and their Family
with the Medical Council where they will receive the appropriate
members wishing to travel to Ireland.
stamp on their immigration card.
Can be found on the Irish Immigration > An immigration visa granting
Website www.irishimmigration.ie permission to work in Ireland This stamp constitutes the permission to
> A work permit issued by the reside in the state and is granted for a
There are a number of steps that those
Department of Enterprise, finite period of time.
coming to Ireland must complete
in order to obtain the necessary Trade and Employment
permissions to work and life in Ireland. www.enterprise.gov.ie
> A job offer or employment contract
STEP 1: VISA APPLICATION
In order to secure the necessary visa, It is then necessary to secure a “stamp”
you are required to complete a visa on an immigration card.
application. Full details of how to apply
for a visa can be obtained from the
Department of Justice www.justice.ie
STEP 2: WORK PERMIT
APPLICATION
Before arriving in Ireland, it is important
that you have secured a work permit as
the visa alone is not sufficient to gain
entry to the country.
You are required to have a job offer
or a contract and a work permit. The
employer applies for the work permit
on behalf of the doctor.
There are two categories of work permit
that are relevant for those planning to
work as a doctor in Ireland.
1. A critical skills permit:
In order to obtain a critical skills
applicants will need to be in possession
of a job offer of two years duration.
2. General employment permit:
This is permit that most doctors
applying to work in Ireland are eligible
to apply for. Once this permit is
obtained, the doctor may seek to enter
the country.
6
6G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
LANGUAGE
Proficiency in the English language This is done in one of three ways. 3. If doctors do not fall into either
is a core competence required of 1. Doctors who completed their preceding category have to meet
all non-consultant hospital doctors medical degree in English in any of the English language requirements
(NCHDs) working in the Irish public the following countries, i.e. Australia, by attaining certification via the
health service. You are required to be Canada, New Zealand, USA, or the recognised English language tests
able to communicate effectively with United Kingdom must provide a and submit a certificate of test
patients and to comply with statutory copy of their medical degree results from either the International
and regulatory requirements and human certificate. English Language Test system (IELTS)
resource policies and procedures. or Occupational English Test (OET).
2. Doctors who completed the Irish
The English language requirements state Leaving Certificate examination
are of universal application and make or A levels in the United Kingdom
no distinction between training, non- and a medical degree in English
training, intern or any category or must provide all three of the
grouping. following;
a. A copy of the Irish Leaving
Thus NCHDs seeking to take up
Certificate/ UK A Level transcript
employment who were not registered
results
with the Irish Medical Council prior
b. A copy of their Medical Degree
to the 1st January 2015 and who did
c. A certificate/confirmation from
not complete the entirety of their
their university confirming
undergraduate medical training in the
their medical degree was taught
Republic of Ireland are required to
and examined solely in English
provide evidence of such proficiency.
7
7G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
INTRODUCTION TO EMPLOYMENT
LIFE IN IRELAND LEGISLATION IN
IRELAND
HO US ING Accepted forms are: This section of the document outline
Bank statement or credit card statement some of the main pieces of employment
Accommodation should be arranged
(if you are new to Ireland, then this will legislation in Ireland. For further
prior to arrival in Ireland, even for the
only work if your bank from your home information on employment legislation
first few days of your stay. Organise in
country has been sending these to your in Ireland please see irishstatutebook.ie
advance to stay with friends or book
home address in Ireland). and oireachtas.ie
yourself in to a hotel in order to give
yourself time to look around and Utility bill e.g. electricity, internet, water. The pieces of legislation most relevant
establish the accommodation situation for doctors planning to work in Ireland
Current household/contents insurance,
in the area in which you plan to live. include;
health insurance or motor insurance
There are many different types of certificate Information about your position;
rental accommodation, including Employers should provide you with
They may also accept your rental certain information such as a contract
houses, apartment or house shares.
agreement as one form of evidence. of employment, a job description, rate
Doctors arriving in Ireland often source
accommodation through contacts with If you haven’t opened a bank account of pay and hours of work. For further
colleagues already here, apartments and prior to your move to Ireland, then details please see Terms of Employment
houses for rent are generally advertised ensure you have other ways of accessing (Information) Acts 1994–2014:
online, useful websites include; Daft.ie money whilst waiting for your account to Terms and conditions of employment;
or myhome.ie be opened, as it can take up to a week there are four pieces of legislation that
to receive your bank debit card are relevant:
Further information and advice relating
to housing in Ireland can be sourced National Minimum Wage Act 2000:
from a number of support organisations provides for an enforceable national
including, Threshold. minimum wage.
BANKING Payment of Wages Act 1991: gives
employees the right to a pay slip
When working in Ireland your salary will
showing their gross wages and details of
be paid directly to your bank account.
any deductions.
There are a number of commercial
Minimum Notice and Terms of
banks in Ireland, so prior to opening and
Employment Acts 1973–2005: set out
account it is worth doing some research
the amount of notice you are entitled to
on the different options available to you.
prior to the termination of employment.
In order to open an account you will
need;
> Personal Details: An Irish address
and an Irish mobile phone number
> Photo Identification: Such as a
passport
> Evidence of your Irish residential
address: Two forms of non-
photographic identification. They
need to be documents that have
your name and residential address
on them and they need to be dated
within the last 6 months.
8G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
WORKING HOURS, ANNUAL PART-TIME EMPLOYEES
LEAVE AND HOLIDAY LEAVE Protection of Employees (Part-Time
Organisation of Working Time Work) Act 2001: prevents discrimination
Act 1997: regulates a number of against part-time workers.
employment conditions including
maximum working hours, night work, FIXED TERM EMPLOYEES
annual leave and public holiday leave. Protection of Employees (Fixed
Term Work) Act 2003: protects fixed-
Organisation of Working Time
term employees by ensuring that they
(Records) (Prescribed Form and
cannot be treated less favourably than
Exemptions) Regulations 2001: require
comparable permanent workers and
that employers keep records of the
that employers cannot continually renew
number of hours employees work on
fixed term contracts.
a daily and weekly basis, the amount
of leave granted to employees in each WHISTLE-BLOWERS
week as annual leave or as public Protected Disclosures Act 2014:
holidays and details of the payments in protects employees from penalisation
respect of this leave. Employers must if they make a disclosure about
also keep weekly records of employees wrongdoing in the workplace.
starting and finishing times.
Ireland has a comprehensive range of
Statutory leave legislation and for further information
Maternity leave Maternity Protection www.citizensinformation.ie
(Amendment) Act 2004:
Paternity leave Paternity Leave and
Benefit Act 2016:
Adoptive leave The Adoptive Leave
Act 2005
SAF ETY AT WORK
Safety, Health and Welfare at Work
Act 2005 (as amended):
Equal Treatment in the Workplace
The Employment Equality Acts
1998–2015: prohibits discrimination in
a range of employment-related areas.
The prohibited grounds of discrimination
are gender, civil status, family status,
age, race, religion, disability, sexual
orientation and membership of the
Traveller community. It also places an
obligation on employers to prevent
harassment in the workplace.
9G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
POSTGRADUATE ACADEMIC
COURSES PROGRAMMES
THE ADVANCED TRAUMA MSc ADVANCED CLINICAL MASTER OF SURGERY
LIFE SUPPORT ® (ATLS) PRACTICE (by Module)
PROVIDER Overview The MSc in Advanced Clinical The Master of Surgery (MCh) by module
ATLS teaches a safe reliable method Practice is open to all non-consultant is the first in Ireland to incorporate a
for immediate management of the health doctors in Ireland within non- taught component in addition to the
injured trauma patient. ATLS is a surgical specialities such as radiology, research dissertation.
multidisciplinary course enabling a anaesthesiology, general practice,
Available over one year on a full-time
standardised language of trauma care emergency medicine, pathology, public
basis or two years part-time, programme
across the specialties. health, occupational health, and all
modules are designed to equip you
general medical specialties.
The course is taught by clinicians who with a versatile skill set that will help
are experienced in trauma care and who The aim of the Advanced Clinical you better meet the demands of higher
have themselves undergone both the Practice programme is to provide surgical training.
ATLS® Provider Course but also a special clinicians of various specialties a
The programme greatly benefits medical
educational course to optimise their systematic understanding of the
graduates planning a surgical career in
teaching skills. Each student will have professional skills and techniques
obtaining a higher degree in surgery.
the benefit of a mentor and the faculty needed to provide leadership,
This programme can be undertaken
will be present throughout the course to management, teaching and research
before, during or on completion of a
help with any queries. in clinical practice. Scholars on this
structured surgical training programme.
programme will be able to gain a suite
CARE OF THE CRITICALLY of essential skills and competencies in Appointment subject to eligibility criteria.
ILL SURGICAL PATIENT clinical practice in order to take on more Further information available from RCSI
COURSE advanced roles within your specialty,
This informative and interactive course sector or setting.
combines a variety of teaching and
Available over two years part-time,
learning techniques to advance the
programme modules are designed to
practical, theoretical and personal skills
equip the scholar with a versatile skill
necessary for the care of critically ill
set that will help to better meet the
surgical patients.
demands which are an essential part
After successful completion of this of the professional life of the modern
course, you will be able to understand practicing clinician.
the requirements of the patients and
Suitability
their relatives during critical illness and
be able to inform and support both The MSc in Advanced Clinical
appropriately. Practice is open to all non-consultant
health doctors in Ireland within non-
BASIC SURGICAL SKILLS surgical specialities such as radiology,
COURSE anaesthesiology, general practice,
This course has been designed to emergency medicine, pathology, public
introduce NCHDs interested in a career health, occupational health, and all
in surgery to safe surgical practice within general medical specialties.
a controlled workshop environment. Appointment subject to eligibility criteria.
It aims to teach, assess and certify the Further information available from RCSI
ability to use safe and sound surgical
techniques that are common to all forms
of surgery.
10G UI D E F O R U KRA I N I A N D O CT O RS
COMING TO WORK IN THE PUBLIC HEALTHCARE SYSTEM IN IRELAND
MAINTAINING YOUR
PROFESSIONAL
COMPETENCE
All doctors who hold Specialist, General Doctors will be required to undertake AFFILIATE MEMBERSHIP
and Supervised registration with the Irish and record the following CPD activity Affiliate Membership of RCSI offers
Medical Council are legally obliged to with their Professional Competence access to a comprehensive range of
maintain professional competence by Scheme: resources supporting you as you pass
enrolling in a Professional Competence > 25 credits (in any category: external, through your surgical career.
Scheme (PCS) and meeting the internal, personal, research We aim to support future surgeons
requirements set by the Medical teaching); and to realise the potential for a career
Council. Doctors are required to enrol in
> Complete one clinical/practice audit. in surgery, support your professional
a Professional Competence Scheme that
development, offer resources to
best reflects their education, training, For further information, please visit
help you pass the MRCS exams and
competence and scope of practice. www.rcsi.ie/about-pcs
to embed the value of pursuing the
The PCS year commences 1 May and If you have any questions, please email Fellowship pathway.
ends 30 April of each year. us at cpdss@rcsi.ie
For more information, visit:
Due to the coronavirus pandemic, the www.rcsi.com/surgery/membership/
Medical Council revised the affiliate-members
requirements for the PCS Year
May 2022 – April 2023.
CONTACT RCSI
WHAT WOULD YOU LIKE CONTACT DETAILS
INFORMATION ON (pleas e tick)
Name
Working Ireland
Postgraduate Courses
Contact Telephon/Mobile Number
Academic Courses
Maintaining your Professional Competence
Contact Email Address
Affiliate membership of the RCSI
Message
SUBMIT
11USEFUL INFORMATION Medical Council of Ireland www.medicalcouncil.ie RCSI www.rcsi.com Health Service Executive www.hse.ie Department of Enterprise, Trade and Employment www.enterprise.gov.ie Irish Immigration Website www.irishimmigration.ie The Public Appointment Service in Ireland www.publicjobs.ie Department of Enterprise, Trade and Employment www.enterprise.gov.ie Department of Justice www.justice.ie Irish Immigration Website www.irishimmigration.ie RCSI Surgical Affairs Royal College of Surgeons in Ireland Email surgicalaffairs@rcsi.com 123 St Stephen’s Green, Dublin 2, D02 YN77, Ireland. www.rcsi.com
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