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 Neurology.

Entry Requirements

Applicants for Higher Specialist Training (HST) in Neurology 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 Neurology is 5 years, one year of which may be gained from a period of full-time research.

During the period of training the trainee must take responsibility for seeing new patients, undertake ward consultations, and operate at a level of responsibility which would prepare him/her for practice
as an autonomous Consultant Neurologist. The trainee should undertake three outpatient clinics weekly throughout the training period. This may be reduced to two, but never routinely increased to four. New patients should be seen throughout the training period under suitable supervision in outpatients and the consultant trainer should review ward consultations directly with the trainee.
Supervision should be particularly close during the first one or two years. Particularly experienced trainees may undertake the running of an outpatient clinic on their own without direct consultant

The earlier years will usually be directed towards acquiring a broad general experience of Neurology 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.

By the end of the five-year period the trainee must have obtained experience in

  • Clinical Neurophysiology
  • Rehabilitation Medicine
  • Neuropathology
  • Intensive Care
  • Neuroradiology
  • Clinical Audit

In addition, the trainee is encouraged to obtain experience in Neuro-Ophthalmology, Neuro-Otology, Paediatric Neurology, Neurosurgery, Neurogenetics, Neuropsychiatry and Research.

Sub-specialities may be studied on a sessional basis or during a continuous period of release from other duties. Special attention must be paid to Clinical Neurophysiology, Neuroradiology and

In the final two years of the training period the trainee may be encouraged to develop a special interest in one of the sub-specialities if the trainee so wishes.

For more information on the training programme click here


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