Training Pathway

 Higher Specialty Training in Cardiology

Following basic specialty training doctors may choose to continue training at  higher specialist training level.  Doctors must decide the specialty they wish to pursue.

The information below outlines important information about training in the specialty of Cardiology.

Entry Requirements for Higher Specialist Training in Cardiology

Applicants for Higher Specialist Training (HST) in Cardiology must have completed a minimum of two years Basic Specialist Training (BST) in approved posts and obtained the MRCPI or (UK*).

Duration & Organisation of Training

The six years of HST in Cardiology is intended to produce fully trained Cardiologists who will follow one of two paths (Path 1 or Path 2). The decision as to which path to follow will be made after
4 years of Basic Cardiology, which all trainees will complete.

The training period shall be so arranged that during basic training (i.e. first four years), trainees will be provided with the opportunity to gain experience in the minimum number of procedures as required:

Path 1 will lead to certification in Cardiology (CSCST) with acknowledgement of additional training having been undertaken in a subspecialty of Cardiology which will be identified on the certificate issued.

Path 2 will lead to Dual accreditation in Cardiology and General Internal Medicine, utilising the time allocated to subspecialty training during Path 1 (above), to obtain the additional training needed for completion of the GIM curricular requirements

The importance to the practising Cardiologist of an adequate training in General Medicine is acknowledged by the inclusion in the General Cardiology Curriculum of a mandatory year of GIM. It must also be recognised that Specialist Cardiologists, to a greater extent than most other Medical Specialists, need to develop certain additional highly technical skills and competencies. Their capacity to acquire such skills cannot be ascertained prior to entry into HST. As a result, trainees are not asked to decide
from the outset which of the two training paths they will eventually follow .

All trainees are enrolled initially in General (Internal) Medicine as well as in Cardiology. Then, based on the results of assessments of progress made annually, and particularly on an assessment made during the latter part of basic training a decision is made prior to the commencement of a fifth year of training, enabling the General Internal Medicine CSCST option to be dropped.

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