Important Information and Documents

Important information and guidance documents to support you while on the SAT training programme.

Please see link to the new e-Curriculum for the National Specialist Anaesthesiology Training Programme. Link to e-Curriculum

Clinical Course & Examinations Refund Scheme (CCERS): The HSE Clinical Course and Examination Refund Scheme covers the cost of examination fees and clinical courses such as ACLS (Advanced Cardiac Life Support).  You can claim up to €450 per clinical course or examination. In relation to clinical courses, you can claim for re‐certification after a two-year period. The refund is payable by the HSE following your first sitting of the clinical course or examination, regardless of whether you pass. There is no limit to the number of applications that you can make to your employer for specific clinical courses or examinations, however the HSE will only issue a refund once per clinical course/examination. You can claim for a re‐certification in a clinical course after a two-year period. To claim a refund you need to print the application forms attached to the HSE’s guidance document on the Clinical Course and Examination Refund Scheme.  Forms must be submitted to the Medical Manpower unit in your hospital within three months of undertaking the course or exam. Download the HSE Clinical Course & Examinations Refund Scheme Guidance document (pdf) – July 2021. Training Support Scheme (TSS): Additional Training Support Funding has been made available to all Trainees from July 2019 onwards. This scheme is in addition to existing financial supports such as the Clinical Course and Exam Refund Scheme and the Higher Specialist Training Fund (SAT 3 – 6). Funding is allocated based on Grade and the table below indicates the amount available under the TSS for each registration training year, July – July. Funding is available pro-rata for doctors employed on shorter contract durations.

Grade Amount per Registration Year
Intern € 750
SHOs and Registrars € 1,250
SPRs/GP Registrars/Psychiatry SRs on a training scheme € 2,000

The HSE have agreed to cover the following CAI exams and courses under the TSS.

  • Basic Assessment & Support in Intensive Care
  • Beyond Basic Assessment & Support in Intensive Care

Further information on HSE NDTP Trainee Educational Supports is available here.

The Specialist Training Fund was introduced by the HSE to support senior trainees participation in education and training activities in addition to the mandatory elements of specialist training provided by their training body. You can claim up to €500 per year for participation in relevant non-mandatory educational activities (such as attendance at conferences) from the Specialist Training Fund for SAT 3 – 6 Trainees. To be eligible, you must be in a clinical specialist training post year 3 – 6 and hold an NCHD contract. The funding available to you is €500 per year. You can carry over €500 each year but you can’t claim such funding in advance. For further information, please read the Guidance Document prepared by the HSE, available below. To claim funding you must complete the Reimbursement Form, also available below. If you have any questions about the reimbursement process, please contact Download Specialist Training Fund Guidance Document (pdf) Download Specialist Training Fund Reimbursement form (pdf)

The College supports the concept of “less than full time training (LFTT)”.  In exceptional circumstances, the College & HSE National Doctors Training & Planning (NDTP) have agreed a policy on flexible training options.  All applications will be treated positively but cannot be guaranteed.  Training should be completed where possible within the training year timelines from July to July.  Requests for flexible training options will be considered on an individual basis and in line with the current training allocations process. Please see the CAI Flexible Training Policy for further details.  Download CAI Flexible Training Policy.

HSE NDTP Flexible Training Scheme

The HSE National Doctors Training and Planning Unit operates a National Flexible Training Scheme, which allows a small number of trainees to train part-time for a set period of time. To qualify you must be in SAT 2 onwards and have a well-founded reason to apply, e.g. responsibility for young children or elderly relatives, or personal family circumstances. You cannot apply for flexible training in order to pursue other paid work or research. Applications for flexible training can be made up to 12 months in advance of the proposed date of commencement of flexible training. We recommend applying as soon as possible, as applications are considered in the order in which they are received and places are limited. The equivalent of 16 whole-time places are available on the National Flexible Training Scheme. The actual number Trainees on the scheme at any given time ranges from 25 – 32. There’s no guarantee that you will be successfully placed on the scheme but each application is considered on its own merits and within the capacity of the scheme and the resources available to the HSE. For details of appointment and funding arrangements for flexible trainees, please download the details of the National Flexible Training Scheme, available below. Download HSE Flexible Training Policy (pdf)

The day to day running of the rotations is undertaken by the Training Department under the guidance of the Directors of Postgraduate Training and the Training & Education Committee. Staff in the Training Department are available for discussion of issues which arise either with trainees or with hospitals. The rotations are designed to allow achievement of all competencies over the six years of the programme. On the programme, your training takes place in hospitals, where you work as part of the clinical team. Over the course of the training programme you will train in at least two geographical locations in Ireland (E.g. minimum 12 months outside the eastern regional Hospitals) Please not the the current rotations template is under review, further details will follow.   If you require further information please contact the Training Department on

  • Trainees can only swap with trainees in the same year of the training programme.
  • Notice of a potential swap at least six months in advance of the start date, so by 30th June for a January swap and by 31st December for a July swap.
  • All swaps have to be notified in writing to the Training Department with the reason for the request clearly outlined and approved at the subsequent Training & Education Committee meeting.
  • It needs to be clear whether the swap is for that six months or the complete scheme and neither party can create a situation where a key component of the rotation is compromised e.g. missing a module necessary for Certificate of Satisfaction Completion of Specialist Training (CSCST) or experience in a smaller hospital (minimum six months) or to avoid the general rule that all trainees need to experience anaesthesia training in two geographical regions in a national six-year training scheme. A swap may not go ahead until the approval is given by the Training & Education Committee.

The Committee of Anaesthesiology Trainees (CAT) have developed a rotation swap spreadsheet which can be found here  This is to make it easier and more assessible for trainees to arrange a suitable swap. Please note: Requests to change an allocation without being replaced in the allocated hospital cannot be accommodated.  All swaps requests must be in writing and submitted to the Training Department by email to with sufficient notice given.

Leave During the Training Programme

General Attendance at study days, courses, exams & conferences including study leave Entitlement is as per the NCHD Contract for educational leave. Leave from the Scheme Unaccredited –  Leave at end of SAT 2 or at the end of SAT 4 The Training Committee have approved for trainees to apply for leave from the scheme at one of two points during their training.  The leave option is to facilitate greater flexibility for trainees with a view to promoting wellbeing.   It is intended to accommodate a trainee’s personal circumstances and so the purpose will not be prescribed but must be advised. Application will be through a formal process and decision to grant or refuse leave rests with the Training Committee. The leave from the scheme is called “Unaccredited Leave” and trainees will be able to apply to take leave at the end of SAT 2 or at the end of SAT 4 subject to a number of requirements and conditions outlined below: Requirements:

  • Applicants must have successfully completed the MCAI or the FCAI depending on the year of leave.
  • Applications must be submitted using ‘Application for Leave from Training Scheme’, see link below, to the Training Department by August 28th for consideration for leave from the following July.
  • Applications can only be for a 12-month period, i.e. minimum and maximum period of leave is 12 months.


  • No credit will be given for time out of the programme irrespective of posts held while on leave.
  • Trainees must return to the programme after 12 months, otherwise they will be considered to have withdrawn from the programme.
  • The unaccredited leave option will be available to trainees once throughout their training programme.

Application Process and Timelines:

  • Applications must be submitted on the ‘Application for Leave from Training Scheme’ form, available on the website, to the Training Department by August 28th 2020 for consideration for the following July.
  • All applications will be presented to the Training Committee following the closing date of 28th August for decision at the subsequent meeting.
  • Rotations for subsequent years will not be allocated until the leave applications have been considered. It is expected that all decisions regarding the leave applications would be made at a September / October meeting which would allow for rotations to be allocated by mid-November.
  • The number of applications granted in any one year will be taken with full cognisance of the College’s responsibility to support service provision and patient safety.
  • Where it is considered that there are too many applications, the Training Committee has the discretion to determine which applications will be granted. In approving applications, the purpose will be taken into account with the intention of accommodating those applications that are in the spirit of the leave option, e.g. accommodating lifestyle choices, wellbeing etc.
  • Ultimate decision to grant leave is at the discretion of the Training Committee. Decisions relating to “Unaccredited Leave” are not subject to appeal.

Unplanned Leave

  • In other circumstances where leave is requested on grounds of personal health and well-being, it is accepted that normal notice period may not be possible.  In these circumstances and in the case of any leave request for personal health reasons, the Training Department should be contacted in the first instance.

Returning from Leave The Training Department will contact trainees due to return from leave at the start of the second six-month period to confirm return date and advise allocations.   ‘Return to Programme’ protocols are currently being developed. Further information will be provided once these have been finalised.  In the interim, every trainee returning from leave will be scheduled for a review meeting with one of the Directors of Training.

Leave to complete an academic programme will be considered where a trainee obtains external funding to enable them undertake a PhD programme or a successful application to the Irish Clinical Academic Training (ICAT) programme.  Applications for academic leave must be made and approved prospectively (at least six months in advance of taking the leave).  Trainees must contact the Training Department regarding any request for academic leave.

If a trainee wishes to withdraw from the Training Programme before their expected CSCST date they must first notify their Tutor, then the Director of Training of their wish to withdraw from the Training Programme.  Trainees should give sufficient written notice before they wish to leave their current training post.

Grievance, disciplinary and complaints policy for trainees & tutors is currently under review. In the meantime, if you have any queries in relation to this please contact the Director of Training.

Hospitals Accredited for Training

The hospitals accredited for Specialist Anaesthesiology Training (SAT) for 2019 are listed below:

  • Eastern Region:
    • Beaumont Hospital
    • Cappagh National Orthopaedic Hospital
    • Connolly Hospital Blanchardstown
    • Coombe Women and Infants University Hospital
    • Our Lady’s Children’s Hospital, Crumlin
    • Our Lady of Lourdes Hospital, Drogheda
    • Royal Victoria Eye and Ear Hospital, Dublin
    • National Maternity Hospital, Holles Street
    • Mater Misercordiae University Hospital
    • Midland Regional Hospital Mullingar
    • Rotunda Hospital
    • St James’s Hospital
    • St Vincent’s University Hospital
    • Tallaght University Hospital
    • Temple Street Children’s University Hospital
  • Southern Region:
    • Cork University Hospital
    • Mercy University Hospital, Cork
    • University Hospital Limerick
    • South Infirmary-Victoria Hospital, Cork
    • University Hospital Waterford
    • Wexford General Hospital
  • Western Region:
    • Letterkenny University Hospital
    • Mayo General Hospital
    • Sligo University Hospital
    • University Hospital Galway