Basic Specialist Training in General Internal Medicine

Two trainee Doctors.

Your gateway to further training in 23 specialties

As training programmes go, BST in General Internal Medicine is broader and more general in nature, offering you the chance to experience lots of different subspecialties. It provides an excellent foundation for further training in 23 specialties and is a great choice if you want to keep your options open.

Completion of BST in General Internal Medicine is an essential entry requirement for Higher Specialist Training in:

  • Cardiology
  • Clinical Pharmacology and Therapeutics
  • Clinical Genetics
  • Dermatology
  • Endocrinology and Diabetes Mellitus
  • Gastroenterology
  • Genitourinary Medicine
  • Geriatric Medicine
  • Infectious Diseases
  • Medical Oncology
  • Nephrology
  • Neurology
  • Palliative Medicine
  • Rehabilitation Medicine
  • Respiratory Medicine
  • Rheumatology

Completion of BST in General Internal Medicine will also help you meet the entry requirements for Higher Specialist Training in:

  • Chemical Pathology
  • Clinical Microbiology
  • Haematology
  • Immunology
  • Occupational Medicine
  • Public Health Medicine
  • Radiology.

It will also provide valuable experience in acute medicine for those who want to undertake training in General Practice.

Information about what to include in your application can be found on our About Basic Specialist Training page. 

Doctors on ward
Doctor reading patient notes.

What to Expect

Basic Specialist Training in General Internal Medicine is a two-year programme completed in Senior House Officer (SHO) posts.

You will be placed on a two-year rotation so you will know in advance what posts you will be working in. 

You will rotate to a different SHO post every three months. You will spend at least 12 months in posts involving acute unselected medical ‘take’ (general medical on-call) and you will rotate through at least three out of the following five core specialties:

  • Cardiology
  • Respiratory Medicine
  • Geriatric Medicine
  • Endocrinology
  • Gastroenterology  

A minimum of six months will be spent outside your main metropolitan area and you will spend time in a Level 4 (large tertiary) hospital and a Level 3 (general) or Level 2 hospital (local hospital with selected/GP-referred medical patients).

Nine Hubs to Choose From

There are nine training hubs in BST in General Internal Medicine, which you will rank in order of preference during the application process. 

We recommend that you include all nine hubs in your application, as you can rank them in order of preference later on.


What Do I Need to Do in Addition to Clinical Training?

In addition to supervised clinical training in the hospital, you are required to pass the Membership of the Royal College of Physicians of Ireland (MRCPI) examination in General Medicine.

You are also required to attend a number of mandatory courses, listed below, that will help you to develop professionally and acquire the non-clinical skills and knowledge needed to provide excellent patient care.

Facts about BST in General Internal Medicine
Duration Two years
Job title/grade of doctor Senior House Officer (SHO)
Sample rotation breakdown Year 1
July – September: Acute Medical Unit
October – December: Neurology
January - March: Respiratory Medicine
April – June: Endocrinology
Year 2
July – September: Geriatric Medicine
October – December: Cardiology
January – March: Gastroenterology
April – June: Rheumatology
Average intake each year 220-230
Exams to pass Membership of the Royal College of Physicians of Ireland (MRCPI) examination in General Medicine
Mandatory educational courses to be completed as part of BST • BST Leadership in Clinical Practice
• Ethics, Prescribing Skills and Blood Transfusion
• Infection control
• Advanced Cardiac Life Support (ACLS)
Training body Institute of Medicine

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