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Advanced Specialist Training (ASTEM)


How to apply

Applications now closed – ASTEM 2026

Applications for ASTEM 2026 are now closed. Information in relation to the next intake will be communicated in due course.     

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, SBA & OSCE) diploma by the application close date.
  • Be able to communicate clearly with patients and colleagues – details of which are outlined in the following English language requirements document below.
  • Familiarise themselves with the Guidance on Allocation of Training Places to EM document and ASTEM Score Guide, below.
HSE English Language Requirements 2026 PDF | 506.3 KB Eligibility for IMC Registration Guidance 2026 PDF | 220.8 KB Allocation of Training Places Emergency Medicine 2026 PDF | 823.1 KB ASTEM Score Guide 2026 PDF | 1123.1 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 email mariajob@rcsi.ie.