Medical Residency In ireland

Eight Domains of Good Professional Practice in Ireland:
Patient Safety and Quality of Patient Care
Relating to Patients
Communication and Interpersonal Skills
Collaboration and Teamwork
Management (including Self-Management)
Clinical Skills
Medical Doctors should be aware of Eight Domains of Good Professional Practice, as they are the key skills and values that the Medical Council expects of doctors who practice in Ireland.

What is PRES ?

All applicants for Registration will be required to undergo a Level 1 assessment and verification of their documentation. Eligible medical practitioners will then be required to sit Level 3, known as the Pre-Registration Examination System (PRES).

PRES Level 2 examination, instead applicants are required as part of their application to provide documentary evidence that they have completed an alternative exam which the Medical Council has deemed to be an acceptable equivalent.

PRES Level 3 is an assessment of a doctor’s clinical skills through a written data paper and an Objective Structured Clinical Examination (OSCE).

Who Can Apply For it?

MBBS/MD/MS with Min.1 year Exp.

What is the process for applying for Registration?

1) IELTS ( 7 Band in Each Module)/OET (B Grade)

2) PRES Level 2:

  • Accepted Alternative to PRES Level 2 – Evidence Required – Professional and Linguistic Assessment Board (PLAB) Part 1 – A pass will be accepted as valid for the same period considered by the awarding body.- Copy of Results Email
  • The United States Medical Licencing Exam (USMLE) – Step 1 and 2 – A pass will be accepted as valid for the same period considered by the awarding body. – Official Examination Transcript
  • Medical Council of Canada Evaluating Examination (MCCEE) – A pass will be accepted as valid for the same period considered by the awarding body. – The exam must have been completed through English. – Certified Copy of Statement of Results
  • Australian Medical Council MCQ (AMC) – A pass will be accepted as valid for the same period considered by the awarding body. – Copy of AMC Results Letter and Candidate Feedback Sheet


  • Level 3 is a clinical-based assessment of Communication, Interpretation and Practical Skills, and takes the form of an OSCE and a written paper. Level 3 is the second part of the PRES examination.
  • Level 3 is primarily a test of clinical skills in the main clinical disciplines of Obstetrics & Gynaecology, Paediatrics, Psychiatry, Surgery, and Medicine/General Practice. It is based on the Eight Domains of Good Professional Practice as devised by the Medical Council. A blueprint has been designed which establishes the scope of content for each Level 3 examination.
Where can Level 3 be taken?
  • Level 3 is usually offered in a center in Ireland, either in Dublin or in a major provincial center i.e. Cork, Galway or Limerick. There are currently no overseas centers for Level 3.
Exam Pattern:
  • Level 3 is split into TWO formats of examination which examines clinical skills.
  • Level 3(Total examination time ~ 3 hours 40 minutes) = Practical and Communication Skills (Total examination time ~ 2 hours 40 + Interpretation skills (Total examination time ~ 1 hour)
Practical and Communication Skills are examined in ONE clinical examination.
Interpretation skills are examined in ONE paper-based written examination.

What is the syllabus for the PRES?

1) Medicine

  • Candidates are required to have a comprehensive general knowledge of the key elements of accurate history taking; the interpretation of symptoms; the analysis of cardinal physical signs; proficient bedside examination and the competent interpretative skills necessary for clinical diagnosis. Additionally, they should have adequate background knowledge of genetics, immunology, pharmacology, nutrition, social and environmental factors, occupational influences, and the impact of environmental hazards due to physical and chemical agents.
  • Candidates will be expected to have a broad knowledge of the therapeutic principles of drug action, prime drug indications, side effects of pharmaceutical agents, and reasonable knowledge of the drugs used for common acute and chronic medical conditions.
2) Surgery
  • Candidates will be expected to be familiar with the basic physiology and biochemical processes in health and disease and to apply the underlying concepts, in association with anatomical and pathological principles, for the identification, investigation, and treatment of surgical illnesses.
  • Candidates are expected to have sufficient knowledge of surgical problems in the gastrointestinal tract, vascular system, endocrine system, genitourinary system, neurological and locomotor systems, chest, head and neck, skin, connective tissue, and limbs. The ability to discuss pre and postoperative care of the patient will be assessed and particular emphasis will be placed on surgical infection, wound healing, nutrition, food and electrolyte balance, hematological investigation, and the planning of further investigations and management.
3) Obstetrics & Gynaecology
  • Candidates will be expected to have adequate knowledge of the physiology of normal pregnancy, labor, delivery, and the puerperium, together with an insight into common disease states of the pregnant woman and the newborn infant and their investigation and treatment. Candidates will be expected to have adequate knowledge of disturbance of reproductive function, including menstrual disorders, infertility, contraception and family planning, and genital infections. In addition, an understanding of the presentation, investigation, and management of gynaecological malignant diseases will be required.
4) Paediatrics
  • This syllabus will include congenital malformations, normal growth, and development of children, assessment of handicap, nutrition, common infectious diseases, accidents and poisoning, non-accidental injury, function, and diseases of the heart, lung, gastrointestinal tract, genitourinary tract, blood, central nervous system, and skin.
5) General Practice
  • Candidates are expected to understand the key characteristics of primary care and to be familiar with the broad structures of general practice in Ireland. The recognition and management of common problems in general practice; including acute self-limiting illnesses, chronic diseases, and key emergencies form the basis of this section. It is also expected that candidates are familiar with the concepts of prevention, whole-person care, the roles of families and carers in the community, and the importance of problem definition in physical, psychological, and social terms.
6) Psychiatry
  • Candidates will be expected to have a broad knowledge of the theoretical and practical aspects of psychiatry including the clinical approach to the patient. The ability to elicit a comprehensive history and adequately assess the patient’s mental state will be necessary.
  • Assessment may include personality development, organic psychiatric syndromes, schizophrenia, affective disorders, the clinical neuroses, personality disorders, alcoholism, and drug abuse, eating disorders, mental handicap, common childhood psychiatric disorders, psychosomatic disorders, forensic psychiatry, psychosexual problems, and community psychiatry.
  • Adequate knowledge of current treatment and management approaches to psychiatric illness, including physical, psychopharmacological, and psychological treatments will be required.
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