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Advanced Specialist Training (ASTEM)


How to apply

All applicants for the ASTEM programme at RCSI must:

  • Submit evidence to prove eligibility and commencement of registration on either the general or the trainee division of the Irish Medical Council at the time of application.
  • Hold the Membership of the Royal College of Emergency Medicine (MRCEM/Primary and Intermediate FRCEM) diploma by the application close date.
  • Be able to communicate clearly with patients and colleagues – details of which are outlined in the HSE's English language requirements document below.
  • Familiarise themselves with the Guidance on Allocation of Training Places to EM document and ASTEM Score Guide, below.

Please note: Applications for Advanced Specialist Training in Emergency Medicine 2023 are now closed. The next intake will open in due course.

HSE English Language Requirements PDF | 506.3 KB Eligibility for IMC Registration Guidance PDF | 698.5 KB Allocation of Training Places Emergency Medicine 2023 PDF | 649.1 KB ASTEM Score Guide 2023 PDF | 1104.2 KB

Entrants to ASTEM are recruited by one of two routes:

  • Assessment of Suitability for Advanced Training (ASAT) for CSTEM year three trainees; and
  • Competitive multi-station interview for CSTEM second chance and non-CSTEM applicants.

Application process

The process is as follows:

  • Recruitment panel – the recruitment panel is organised by the Irish Committee for Emergency Medicine Training (ICEMT) and comprises a nominee of the President of RCSI (as an independent chairperson), the Dean and Vice Deans and a number of consultant trainers (representatives from each training emergency department).
  • Shortlisting – shortlisting is carried out by the recruitment panel according to defined criteria. CSTEM year three applicants who have met all CSTEM milestones are automatically shortlisted for ASTEM.
  • Interview/assessment – interviews are carried out by the recruitment panel. Each interview follows the same format and questions are standardised. Assessment incorporates outcomes of your CSTEM appraisals, trainer references, feedback and recommendations, academic activity during CSTEM and performance in a multi-station assessment process modelled on the current ASTEM selection process.
  • Outcome – marks from the stages outlined above are combined; references and trainer feedback are considered by the recruitment panel after which appointable candidates are identified and ranked in order of score.

For further details on ASTEM, please contact Orla Mockler.