Medical training in the US, are you qualified to work in Ireland?

Scientist1

Hey, I wondering If someone can answer this question accurately as I've been getting a lot of conflicting opinions from docs....

If you do your intern year in Ireland and then head to the US for a residency, are your qualifications recognized by the HSE if you want to move home or are you expected to retrain all over again?

(Im a final year GEMS student, on a US elective at the mo and an Irish attending told me that the last time she checked out moving back home - a few years ago - she was told she would have to re-enter the system as an SHO! Seems mental to me....)

Winning Hand

Scientist1 wrote: »

Hey, I wondering If someone can answer this question accurately as I've been getting a lot of conflicting opinions from docs....

If you do your intern year in Ireland and then head to the US for a residency, are your qualifications recognized by the HSE if you want to move home or are you expected to retrain all over again?

(Im a final year GEMS student, on a US elective at the mo and an Irish attending told me that the last time she checked out moving back home - a few years ago - she was told she would have to re-enter the system as an SHO! Seems mental to me....)

Lot of "it depends", depends on specialty, historical trends, where you train, who is on review board when you go to return. The only real certainty is that a 3 yr residency will not allow you to come back as a consultant. Neither however would you come back as an SHO, the longer you spend in the US and the closer you get to similar time served as an Irish training scheme the higher chances you have of being equally or near equally recognized (or coming back as senior reg, lecturer etc) on your return. What field are you thinking in particular?

Scientist1

Anesthesiology, 4 year residency, 1 year fellowship, I'm not sure yet where, I'll apply everywhere! So I'm looking at moving for a long time, but just wanted to know if I could potentially work back in Ireland! (If / when conditions improve)....thanks for the info

Scientist1

Has anyone trained in the US and worked back home or UK??????

Winning Hand

Spend any time in Irish hospitals and you will find many Irish consultants who spent several years in the US. The issue is that most went over after completing their training in Ireland, for fellowship, and to wait for consultancy positions to open to return to. This doesn't count the irish who leave for residency, fellowship and do not return. Despite what many say at the start of training, after finishing training in the US and looking at job offers in the US, many end up staying. If you are specifically asking if I know of anyone who went after internship and returned to consultancy immediately after training I do not know anyone. I know of a few who were close, in other words did a bulk of their training in the us after 2-3yrs in Ireland first.
Specifically regarding anesthesia you should talk to the relevant body in Ireland before you leave and what you should do to improve your chances in returning at an appropriate level. Anesthesia is a lot different in the US as there is a huge utilization of CRNAs, and anesthesiologists have much less interaction in ICUs in the US as they would in Ireland. Ultimately it will be the Irish anesthesia body who will decide if your training meets appropriate standards for admission to the Specialist Register.
Good luck with everything, anesthesia day to day lifestyle for attendings is pretty good and well reimbursed

Traumadoc

Scientist1 wrote: »

Has anyone trained in the US and worked back home or UK??????

Yes , lots have, but it does depend, so medical specialities/ pediatrics do come back ( some)

Although you have to: halve your pay, and double your tax

Ardillaun

I know of multiple people who came to North America, did their residency training, got their US or Canadian exams and got consultant posts in Ireland without any British or Irish specialist exams. There used to be some requirement in the ads over there about the number of years you had to be qualified before you could apply - don't know if that still pertains.

Regarding the people who stay, I come across very few in my province or specialty or from my med school year. I think there are 7 of us still in Canada from my year.

Ardillaun

There is a political dimension to appointments in Ireland that isn't quite the same over here. So, ideally, you would impress the crowd over there for a few years and then come to North America for a residency/fellowship, all the while keeping in contact with Ireland, maybe presenting a paper or two over there.

Traumadoc

Ardillaun wrote: »

There is a political dimension to appointments in Ireland that isn't quite the same over here. So, ideally, you would impress the crowd over there for a few years and then come to North America for a residency/fellowship, all the while keeping in contact with Ireland, maybe presenting a paper or two over there.

That is largely gone.

Cannot get anyone to work here,

Ardillaun

Even in surgery? That differential pay thing was the stupidest move I ever heard of in my life. The most energetic consultants will be paid the least - yeah, that's a recipe for harmony.

The weird thing is I am not seeing big numbers of Irish doctors in Canada unless they are all GPs in Ontario. I must take a look at the directory and see if there is a new trend developing somewhere in the country.

drzhivago

Scientist1 wrote: »

Hey, I wondering If someone can answer this question accurately as I've been getting a lot of conflicting opinions from docs....

If you do your intern year in Ireland and then head to the US for a residency, are your qualifications recognized by the HSE if you want to move home or are you expected to retrain all over again?

(Im a final year GEMS student, on a US elective at the mo and an Irish attending told me that the last time she checked out moving back home - a few years ago - she was told she would have to re-enter the system as an SHO! Seems mental to me....)

There are legal issues surrounding when one can become classified as a specialist in Ireland and that is based on European law though our standard is higher

Thus Minim is 6 years training fr medicine 2 years SHO GPT and 4years HST ( I know it will take most longer to achieve but that is minimum)

In US it is a 3 year residency and in that jurisdiction you are recognised as a specialist and no longer i training - legally you have not completed the requisite legal time period t be considered a consultant in Ireland

If That person did a 2 year fellowship then they can argue for consideration, if they wok as attending s maybe not

There is a way best to talk to someone from the relevant specialty body here and medical council before you go

drzhivago

Scientist1 wrote: »

Anesthesiology, 4 year residency, 1 year fellowship, I'm not sure yet where, I'll apply everywhere! So I'm looking at moving for a long time, but just wanted to know if I could potentially work back in Ireland! (If / when conditions improve)....thanks for the info

Do a 2 year fellowship and you should be ok