Training Pathway

Higher Specialist Training

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 higher training in the specialty of Rheumatology.

Entry Requirements

Applicants for Higher Specialist Training (HST) in Rheumatology 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 duration of HST in Rheumatology is 4 years, one year of which may be gained from a period of full-time research. Those who wish to obtain dual certification in Rheumatology and e.g. in General (Internal) Medicine will require at least a fifth year of training.

No particular order or sequence of training will be imposed and programmes offered should be flexible i.e. capable of being adjusted to meet trainees’ needs. The earlier years will usually be directed
towards acquiring a broad general experience of Rheumatology under appropriate supervision. An increase in the content of hands-on experience follows naturally, and, as confidence is gained and
abilities are acquired, the trainee will be encouraged to assume a greater degree of responsibility and independence.

A trainee in Rheumatology must have an in-depth knowledge of internal medicine, excellent general diagnostic skills, an aptitude for clinical analysis and an ability to work in a team environment with clinicians and health professionals from different specialties. Proficiency in joint and soft tissue aspiration and injection is also essential.

For more information on the training programme click here


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