Working in Ireland with US training?

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kcrd

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I'm a US medical school grad currently doing a Psychiatry residency in the US. I have the ability to get Irish citizenship through descent (my parents hold dual citizenship). I have a little fantasy of living in Ireland temporarily at some point after my training is finished, but have no idea what the work rules are. I know that in the US, foreign residency training is not recognized, but was wondering what the situation in Ireland is.

Thanks in advance for any responses!

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You will get some recognition. There are plenty of jobs for skilled applicants but bear in mind that since the EU has expanded so much there is also a lot of competition for those jobs.

You will first need to get your basic medical qualification recognised by the Irish Medical Council to allow you to work, that will be no problem.

The next step would be getting onto a job scheme. All psychiatry schemes are effectively collectives around the country. for example, one scheme runs the jobs for 3-4 hospitals, another scheme in West ireland runs the jobs for a few hospitals and centres over there. There are 12 schemes in the country, and you would need to apply to each individually.

http://www.irishpsychiatry.ie/trainees.aspx

You have to bear in mind that a US residency does not equal a consultant level qualification in Ireland, which requries a minimum of 7 years post graduate training, but in reality, you need much more than that and accreditation of specialist training. If you have a fellowship this can help but as they are only 1 year (e.g., child) in the US, you will still only be eligible for non-consultant/trainee posts (i.e., resident).

If you were looking for 6 months or a year here, in a trainee capacity, I am sure you will have no trouble finding a spot as there are always vacancies as people move in and out of jobs. Of course the "good" ones in teaching hospitals are unlikely to be easy to get vs. a job in rural ireland, which TBH can be pretty nice. Contact the scheme directors or secretaries from the link above to start.
 
Thank you for the response! This is very helpful. I didn't realize that my specialty training would not be recognized - that's a shame.
 
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Thank you for the response! This is very helpful. I didn't realize that my specialty training would not be recognized - that's a shame.

Instead of doing a fellowship in the US. You could simply accept a position as a registrar (resident) in Ireland with credit for the years you have completed in the US. You will have to complete another 2-3 years probably and sit their Fellowship exams. Looks like the only option. I do think it would be 100% worth it because it would mean that you would be dual licensed and certified. You would also be eligible to work anywhere in the EU afterwards effectively. The future of US healthcare and the US economy is uncertain. I think it would be a wise move to give yourself more international options. :thumbup:
Good luck
 
Good luck. Not to naysay, but I just wanted to let you know that you may come up against the obstacle of being non-EU trying to either get a post or advance in psychiatry. Technically, there is nothing to keep you from doing it. However, psychiatry is rather notorious for making it difficult for people who are non-EU / non-Irish to advance.
 
Thank you all for your responses! I think if I did 3 more years of residency, I would be the one needing a psychiatrist, but it is an interesting suggestion. I really just have a fantasy of living in Europe temporarily - several months to a year, let's say. I was just wondering how difficult it would be to get a job. I basically already have irish citizenship through descent, as my parents are citizens - it's just a matter or filing the paperwork, so I would be EU. That is interesting about it being difficult in Psychiatry to advance if you are non-irish/eu though.
 
Have you considered/looked into working on a US military base in Ireland as a civilian through the government? I have known of people in other medical fields and in other fields outside of medicine who have done this.
 
Unfortunately in Ireland, it is extremely difficult to get into higher specialist training programs of any speciality if you are not Irish/non-EU. Virtually impossible to get HSE consultant jobs in the past, but who knows in the future.

KCRD : perhaps a non-training registrar job might be worthwhile going into, if all you want is to work in Ireland for a year or two and then go back to the states afterwards.

If your long term goals are to stay in Ireland, then you may have to go through BST & HST training in psychiatry. The Irish Medical Council will be able to answer you questions, but you might need to be patient!

http://www.medicalcouncil.ie/

Alternatively, the Irish College of Psychiatrists might be good:

http://www.irishpsychiatry.ie/

Two of my own mates are SpRs in Psychiatry in Ireland. Very competitive. Both went into research and are doung very well. Any US based psych research would look very favourable in HST applications.

Good Luck
 
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Thank you for the response! This is very helpful. I didn't realize that my specialty training would not be recognized - that's a shame.

Regarding non-EU/non-irish: Psychiatry is one of the more open minded specialities. of the 60 or so speciality trainees, you would find around 1/4 are grads from abroad, be it eastern europe, africa, far east; people who never graduated from college here, are not EU or Irish, but started off at the ground up and don't get refused posts. It's more that arriving from the outside and wanting a senior post is unlikely, but you will get every chance if they think you are settling here (limited posts and money means they don't want to give valuable training posts to those who might leave in 6 months or who have no ties - Ireland is very small!). In that sense, it's similar to having to doa residency in the US to get an attending post - you need to come in at the bottom and work your way up and show you are committed.

It's that it won't be recognised, it's that the period of specialist training would be considered too brief.

E.g., Specialist training in Ireland (after you do the basic 3 year minimum residency to gain MRCPsych) is 3 years - be it adult, child, forensic, LD. Child was 4 years up until recently and it was reduced to increase the numbers due to low recruitment (now solved).

The first grade in psychiatry is SHO/Registrar (although you will only be paid at Registrar salary after completing the first part of your MRCPsych). After the mininum 3 years are done and you have finished, you can apply to a variety of jobs:
- lecture post
- research post
- specialist training scheme

because competition is now increased, it is more difficult to get a post on the specialist scheme. On completing the 3 years of specialist training you gain a CCST certificate - there is no exam, but you are under continuous evaluation for the 3 years by educational, clinical and research supervisors (might be different people, might be all the same person).

CCST = Certificate of Completion of Specialist Training. With that, you can then apply for consultant posts. This is why the minimum is 7 years (the stipulation is holding a CCST, or having 7 years completed at a satisfactory level in the area, and a minimum of 5 of which in the speciality).

Most people at time of gaining CCST:
1 year internship
3 years basic training (one of the 12 schemes)
1-2 or even 3 years in research, teaching or other role to gain extra qualifications (e.g., MD, PhD)
3 years specialist training

if you have residency completed and a fellowship, you could apply to the specialist scheme, but all jobs are for 3 years and they will give them to people who are in for the long haul so to speak, as all posts are mapped to eventual consultant posts to match the numbers and service provision (generally).

So your training will of course be recognised, but it likely will not be "enough", as people typically will have several years more experience at an interview at higher levels.

Consultant posts are a combination of clinical, teaching, research and management, so are at a different level to the attending post. You need to prove competence in all of the areas typically, even with a CCST! Hence why people doing specialist training will also to extra things like an MD, PhD, MScs, teaching degrees, CBT degrees, etc., as extra things to make them stand out.
 
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Technically that's fine, I know one US Irish grad who stayed in Ireland and pursued Psychiatry and now is a registrar. However, she did tell me of other non-EU, non-Irish trained people who could get in to the lower training posts, but were having trouble advancing because the Medical Council would actually not update their medical certification from temporary to fully registered (and this battle between the medical council and a couple of the psychiatry house officers continued for over 7 years). I believe one of the cases was taken to court and won by the house officer, but this has been slow to take effect. I just wanted to offer this anecdote which was ongoing last year, but I do not know the full story and I don't know the climate of psychiatry at this very moment.
 
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