Pain Medicine

The Faculty of Pain Medicine in conjunction with the CAI is responsible for training in Pain Medicine. The Faculty conducts year long basic training (Special Interest Year) and advanced training for completion of CCST in Anaesthesia. To be eligible to practice as a full time Consultant in Pain Medicine you must pass both the Diploma in Pain Management and Fellowship in Pain Medicine Examinations.

Changes to the Pain Medicine Examinations

The Board of the Faculty of Pain Medicine have taken the decision to phase out the Diploma Examination in Pain Management. This examination will take place for the final time (for new candidates) in 2023. For those candidates who fail the exam in 2023, there will be a final opportunity to re-sit the exam in 2024 however no new candidates will be accepted.

The Board of the Faculty of Pain Medicine made the decision to end the FIPP alternative entry pathway to the Fellowship Examination. The 2022 examination will be the last opportunity that candidates can apply for the examination through this pathway.

Key Dates

Trial online exam for written paper-April 16, 2024

Application Opening Date Application Closing Date Exam Date Venue Exam
8th Jan 2024 25th March 2024 30th April 2024 Online  (Written) Diploma in Pain Management(DPMCAI) and Fellowship in Pain Medicine(FFPMCAI)-Online
6th June 2024 Dublin, Ireland (Clinical) Diploma in Pain Management(DPMCAI) and Fellowship in Pain Medicine(FFPMCAI)-Clinical

Apply for Examination

Step 1:

Check if you are eligible to sit exam. You must:

  • Have or be eligible for full or limited registration with the Irish Medical Council, GMC or equivalent.
  • Have completed Fellowship examination in Anaesthesia or equivalent
  • Have completed the appropriate amount of training

Examination Regulations

Step 2:

Download the Pain Examination Application Form 2024

Prepare for Examination

 Diploma in Pain Management (a) Multiple choice questions (MCQ) -comprising 40 questions each with 5 stems in acute, chronic and cancer pain medicine (b) Single Best Answer (SBA) – comprising 10 questions (c) Viva – the viva will have a structured format. It will be conducted over a 30 minute period with 2 examiners. Fellowship in Pain Medicine (a) Multiple choice questions (MCQ) – comprising 30 questions with 5 stems (b) Single Best Answer (SBA)  – comprising 20 questions (c) Viva 1 – Each will be conducted over a 25-minute period each with two examiners on clinical/audit/professionalism (d) Viva 2 – Each will be conducted over a 25-minute period each with two examiners on   equipment/procedures (e) Clinical case Following 30 minutes of assessment of a patient by the candidate, two examiners will examine the candidate for a further 30 minutes. The examination may include some short minor cases at the discretion of the examiners.

This is a consultant led course covering revision on the core topics and viva practice. The view from successful Diploma candidate: DPM   “I prepared for the pain diploma exam using various different sources. Firstly I went to any study evening or meeting that the pain faculty arranged. I of course also went to the revision course a month prior to the exam which was really helpful. Regards books I used the essentials of pain medicine and the ANZCA acute pain management: scientific guide. (This can be downloaded for free online and is great) I also use any Bja education articles on related topics and guidelines from IASP.   The clinical experience that helped me pass the exam came mostly from my time doing pain in the base hospital with my supervisor of training, who taught me more on clinical examination of the patient and various other assessment tools. I learned a lot there.” Fee: €190.00 Location: Online. Course Date:  TBC  Course Application: Download course application form Key Contact:

Reading Materials Books Evidence based interventional pain practice: According to Clinical Diagnoses (Van Zundert): easy to read and very accessible. ANZCA Acute Pain Guidelines Pain Management (Waldman): More info but still easy to read. Textbook of Pain (Wall and Melzack): Very heavy, more for reference. Guidelines and Reviews (on the relevant websites) Cochrane (Pain and Palliative Care Section) NICE BPS (British Pain Society) International Headache Society guidelines Journals BJA Education ‐ reviews of pain topics Pain (IASP Biennial Reviews) ‐ most recent 2016 Neuromodulation ‐ journal guidelines and reviews on neurostimulation and intrathecal therapy Websites IASP: good review articles, definitions, and guidelines: http://www.iasp‐ British Pain Society: guidelines.‐pain‐society‐ publications/professional‐publications/

Examinations Contact: For more information please contact: