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Graduate Entry Medicine

MB, BCh, BAO (Hons)
School of Medicine

Your journey

Our Graduate Entry Medicine (GEM) programme is a four-year accelerated course. In your first year, you will be taught in a dedicated teaching facility on our main St Stephen’s Green campus. In your second year, you will spend most of your time in our dedicated teaching space at Connolly Hospital in Blanchardstown, Dublin. In your final two years, you will complete clinical rotations in a variety of hospitals and general practice settings in Dublin and throughout the country.

Case-based learning (CBL) is a core teaching and learning approach in Years 1 and 2. You will work in groups of approximately 12 students with a facilitator. You will also have the opportunity to choose from a wide range of tailored and credit-bearing student choice topics, allowing for experiences that support your personal growth.

Year 1 teaching involves a combination of lectures on the biomedical sciences and small group teaching involving weekly cases, facilitated case discussions, data interpretation tutorials, clinical skills training, group projects and anatomy practical labs. Surgical grand rounds, weekly cases and clinical skills training provide clinical context in the first semester. In the second semester, you will spend one half-day per week on clinical sites. Once you complete your exams, you will spend the last month of the academic year completing your clinical attachment at one of the teaching hospitals affiliated to RCSI.

In Year 2, the programme is delivered through systems-based modules, during this year you gain an understanding of the basic pathological and microbiological principles underlying human disease, along with detailed teaching on clinical aspects of relevant human conditions within each module. Each module comprises small group tutorials encompassing weekly cases, clinical skills (including relevant history taking and examination) and radiology.

Year 3 and Year 4 – which are delivered in RCSI affiliated teaching hospitals located throughout Ireland – provide you with different learning opportunities. In the third year, you will be immersed in specialties of general practice, paediatrics, psychiatry and obstetrics and gynaecology, along with medicine and surgery. Final year provides you with significant clinical exposure via attachments, electives and the sub-internship, through which you are trained and assessed as you undertake the roles of the near-graduating doctor.

Each GEM student is assigned a Personal Tutor who will support you throughout your time at RCSI. The Personal Tutor Programme is intended to provide you with a safe space for informed reflection on academic, personal and professional performance, assist you by ensuring you have the relevant supports (academic, well-being and more), provide resource and referral information to enable you to move towards improvement and encourage you to establish habits of continuous reflection, goal-setting and lifelong learning.

Approved term dates can be found here.


Curriculum

Length and structure

In your first year of the programme, you learn through systems-based modules that teach you how the body works in the healthy state. You are taught through a mixture of lectures on the biomedical sciences and small group teaching involving weekly cases, facilitated case discussions, data interpretation tutorials, clinical skills training, group projects and anatomy practical labs.

Surgical grand rounds, weekly cases and clinical skills training provide clinical context in your first semester. Year 1 consists of two semesters delivered from September to June.

Semester 1 runs from September to December. Semester 2 runs from January to June. Each semester includes 12 direct-contact teaching weeks and 2 to 3 weeks of revision and examinations. The programme is delivered through systems-based modules, teaching you about how the body works in the healthy state.

The structure of your first year is as follows:

First semester

  • Fundamentals of Biomedicine
  • Musculoskeletal Biology
  • Blood: Haematology and Immunology
  • Health, Behaviour and Patient Safety
  • Gastrointestinal Biology
  • Medicine and Surgery

Second semester

  • Cardiorespiratory System
  • Renal and Endocrine Biology
  • Nervous System Biology
  • Evidence-based Health and Population Health Epidemiology
  • Medicine and Surgery
  • Molecular Medicine

In the second semester, you spend one half-day per week on clinical sites. Once you complete your exams, you spend the last month of the academic year completing your clinical attachment at one of the teaching hospitals affiliated to RCSI.

Timetable

Below is an example of a typical week for a Year 1 student.

Morning
Monday Tuesday Wednesday Thursday Friday

Weekly
Case

Lecture Flipped
classroom/
tutorial
Surgical
Grand
Rounds
Lecture
Lecture Diagnostic
investigations
Lecture Case
discussion
Q&A
Lecture Facilitated case
discussions
Lecture Lecture Small
group
clinical
skills
tutorials
Afternoon
Monday Tuesday Wednesday Thursday Friday
Anatomy
practical lab

Anatomy
practical lab

Lecture Lecture

Library time
self-directed
learning

Anatomy
practical lab
Anatomy
practical lab
Lecture Lecture

Length and structure

Year 2 consists of two semesters delivered from September to June of your second year.

Semester 1 runs from September to December. Semester 2 runs from January to June. Each semester includes 12 direct-contact teaching weeks (each with three modules of four weeks), two weeks of revision and one week of examinations. The programme is delivered through systems-based modules, where you gain an understanding of the basic pathological and microbiological principles underlying human disease, along with detailed teaching on clinical aspects of relevant human conditions within each module.

Each module includes small group tutorials covering weekly cases, clinical skills (including relevant history-taking and examination) and radiology. Clinical teaching is also facilitated by simulation scenarios using our state-of-the-art simulators. In addition, elements of the programme are supplemented via online education and attendance at post-mortems, multidisciplinary team meetings and grand rounds. The 10 weeks of clinical attachments during Year 2 provide you with the opportunity to become an active member of a clinical team within the hospital (including placements at specialised orthopaedic and ophthalmology hospitals) and to learn about the multiple aspects of patient management within this setting. In addition, you complete a teaching programme in medical professionalism and leadership.

The structure of your second year is as follows:

First semester

  • Cardiology
  • Respiratory
  • Gastrointestinal and Hepatology
  • Clinical Competencies

Second semester (30 credits)

  • Renal, Endocrine, Genitourinary and Breast
  • Central Nervous System and Locomotor
  • Haematolymphoid and Tropical Medicine
  • Clinical Competencies

Timetable

Below is an example of a typical week for a Year 2 student.

Morning
Monday Tuesday Wednesday Thursday Friday
Weekly case study        
Pathology Pathology Microbiology Microbiology Microbiology
Microbiology Tutorial   Tutorial  
Medicine/
surgery
case-based
teaching
Medicine/
surgery
case-based
teaching

Clinicopathological
conference

Tutorial Tutorial
Post-mortem Post-mortem   Medicine/
surgery
case-based
teaching
Post-mortem
    Grand Rounds    
Afternoon
Monday Tuesday Wednesday Thursday Friday
Lectures or
self-directed
learning
Clinical
investigation/
case discussion
GP tutorials Clinical skills Modular
case (II)
Lectures or
self-directed
learning
Clinical investigation/
case discussions
Clinical skills Clinical skills Self-directed
learning
Lectures or
self-directed
learning
Clinical investigation/
case discussions
  Clinical skills Modular
case (II)

Length and structure

Years 3 and 4 of the GEM programme are delivered in RCSI-affiliated teaching hospitals throughout Ireland, providing you with a range of learning opportunities. You are attached on a rotational basis for seven weeks and participate fully with clinical teams in both urban and rural settings.

You are fully immersed in the specialties of general practice (learning alongside a general practitioner in a GP surgery), paediatrics (placed in one of the paediatric units across the country), obstetrics and gynaecology (attached to a maternity unit and expected to assist on the labour ward) and psychiatry (attending a supervised psychiatry service). In the medicine and surgery rotation, you also have the opportunity to enhance your prescribing skills and undertake a placement in otolaryngology.

Timetable

Below is an example of a seven-week rotation in paediatrics and neonatal medicine for a Year 3 student.

  • Weeks 1-6: During this rotation, you spend one week focusing solely on neonates and five weeks assigned to paediatric teaching units. Three of these five weeks are conducted in Dublin sites and the remaining two weeks are assigned to hospitals outside Dublin.
  • Week 7: This week is dedicated to revision and exams. You are assigned to a day in an emergency department (ED) where you shadow the ED registrar or consultant. While in ED, you work with your assigned classmate and practise taking patient histories under the supervision of a qualified doctor.

During the neonatology rotation week in either the Rotunda Hospital or the Coombe Women & Infants University Hospital, you receive a brief introductory lecture on the care of the newborn and small group teaching on neonatal examination and common problems in the neonate. You spend time on postnatal wards, in outpatient clinics and in the neonatal intensive care unit (NICU) as part of a teaching ward round. You work closely with SHOs and registrars, with an emphasis on problem-based, consultant-delivered teaching. You also learn to take a comprehensive perinatal history of an infant and perform newborn, discharge and six-week checks.

You learn about the well and sick newborn.

The paediatric rotation is assessed using the following:

  • End of rotation short case clinical paediatric exam.
  • End of rotation short case clinical neonate exam.
  • Continuous assessment, which consists of your paediatric logbook, a series of online quizzes, topic and case reports.
  • Paediatric written exam in the summertime examinations.

The final year prepares you for becoming a working clinician. This clinical experience runs in parallel with a teaching programme focused on knowledge and skills acquisition in the areas below.

You also take part in a sub-internship programme, which offers you the opportunity to function as a member of a clinical team in preparation for internship following graduation.


Learning experience

Meet Dr Gozie Offiah, Senior Lecturer and Director of Curriculum Implementation who explains our learning philosophy and how we integrate clinical and communication skills with knowledge acquisition and the formation of professional identity.

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The learning communities allow you to build academic relationships with your peers and support each other in your learning. Learning communities are aligned to academic learning and teaching activities and can organise extracurricular events that contribute to the educational and social experience at RCSI. You are also part of a broader interprofessional learning community made up of students from other programmes, which facilitates participation in specific interprofessional academic activities.

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Find out about the wide range of teaching methods you will experience as an RCSI Medicine student. From our Anatomy Room, built more than 200 years ago, to our high-tech simulation labs – best practice and innovation are central to your learning.

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Formative assessment will help you to track your progress and decide how best to integrate feedback during your learning journey. Engagement with your personal tutor and your personalised e-portfolio will support your progress.

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Learn more about our wide range of student supports available to you. We have a large multidisciplinary team that can help you to overcome educational challenges and provide training and guidance as well as practical and emotional support.

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Discover how your exposure to clinical experiences at the earliest stages of your programme will shape your learning at RCSI. You will take increasing levels of clinical responsibility throughout your degree and experience domiciliary, community and hospital care settings.

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RCSI places a high value on supporting international clinical experiences for our students. Accordingly – through a network of international partnerships with other world-leading universities and healthcare institutions – we offer a significant number of clinical elective opportunities.

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Learn more about the RCSI Research Summer School, research electives and other intensive experiences that allow you to be exposed to core research skills in topics such as scientific writing, presentation, data management, statistics and ethics.

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