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Medical Council · Professional competence schemes

PCS Enrolment: Which Professional Competence Scheme to Join, by Role

Doctors on the Specialist, General or Supervised Division must enrol each year with one of the scheme operators recognised by the Medical Council. This guide matches your registration and day-to-day practice to the right operator, explains the 60-day enrolment rule and its exceptions, and covers what to do when your post or specialty changes.

  • Last reviewed: 14 October 2026
  • 18 min read
  • Medical Council
  • S.I. No. 176 of 2025
  • 13 scheme operators
  • Enrol within 60 days
Quick answer

Enrol with the scheme that matches your Medical Council registration and your current practice. Specialists join the operator for their registered specialty. General and Supervised Division doctors, including non-training NCHDs and locums, join the operator whose division criteria fit their posts. Enrol or renew no later than 60 days after 1 May each year; Trainee Specialist Division doctors do not enrol.

Key points

  • The Medical Council lists 13 schemes run by postgraduate training bodies; six sit within RCPI and one is a joint RCPI and RCSI faculty.
  • Under Rule 6 of S.I. No. 176 of 2025 you must enrol in a scheme "applicable to" your specialty or area of practice, no later than 60 days after the scheme year starts on 1 May.
  • Most operators run a General Division scheme with their own entry criteria, and you do not need an existing link with the college.
  • Trainee Specialist Division doctors and visiting EEA practitioners do not enrol. Leave, part-time and locum work are not exemptions from enrolment.
  • The CPD Support Scheme for non-training NCHDs is an extra sign-up that needs PCS enrolment first.
  • The Rules have no transfer process; a material change in your practice must be reported to your operator within 14 days.

Who has to enrol in a professional competence scheme?

Section 91 of the Medical Practitioners Act 2007 requires the Medical Council to satisfy itself about doctors' ongoing competence and lets it recognise bodies to run schemes on its behalf. The detailed obligations are in the Medical Council (Maintenance of Professional Competence) Rules, S.I. No. 176 of 2025, which came into operation on 1 May 2025. The Rules call the recognised bodies "scheme operators".

Rule 6(1)(a) is the enrolment rule. Every doctor it covers must enrol in, or renew enrolment in, a scheme applicable to their speciality or area of practice no later than 60 days after the start of the scheme year. The scheme year runs from 1 May to 30 April. Your division of the register decides whether the rule applies at all.

Does the enrolment duty apply to you?
Your registration or situationEnrol in a PCS?Basis
Specialist Division (consultants and other specialists, including GPs on the specialist register)Yes, every yearRule 6(1)(a)
General Division (most non-training NCHDs, many locums, doctors in non-clinical or niche roles)Yes, every yearRule 6(1)(a)
Supervised Division (doctors registered to a specific approved post)Yes, every yearRule 6(1)(a)
Trainee Specialist Division (interns and doctors in recognised training posts)No. Your training programme meets the requirementRule 5
Visiting EEA practitioners providing services on a temporary and occasional basisNoRule 5
Registered, practising abroad, and practising in Ireland for less than 30 days in the scheme yearNo. Follow the other country's requirements insteadRule 6(5)

The trainee exemption depends on actually being registered in the Trainee Specialist Division: if you are in a recognised training post but not yet in that division, the Council says to register without delay, and until then you must enrol. Working less does not remove the duty either. The Irish College of GPs states there are no exemptions for doctors working less than full-time, in a non-clinical role or retired, and RCSI says retired doctors who stay on the register must remain enrolled. Doctors who cannot engage with a scheme are advised by the Medical Council to consider voluntary withdrawal from the register instead.

For the CPD categories and annual audit, see our Medical Council CPD requirements hub.

Which PCS scheme operator should I join? A finder by role and specialty

The Medical Council's own list of schemes sets out, for each operator, who belongs in its Specialist Division scheme and who can join its General Division scheme. The table reorganises it around the question doctors actually ask: find your registered specialty or, if you are on the General or Supervised Division, the area where you spend most of your clinical time.

Find your PCS scheme operator (based on the Medical Council list of schemes, checked October 2026)
If your registration or main practice is in…Scheme operatorGeneral Division route (summary)
AnaesthesiologyCollege of Anaesthesiologists of IrelandThe College reviews your postgraduate qualifications, experience and current practice in anaesthesiology
Pain medicine or intensive care, without registration in anaesthesiologyCollege of Anaesthesiologists of IrelandContact the College; it reviews applications on the advice of the Faculty of Pain Medicine and the Joint Faculty of Intensive Care Medicine of Ireland
Psychiatry (General Adult, Child and Adolescent, Intellectual Disability, Old Age)College of Psychiatrists of IrelandMRCPsych, DPM or DCP and not eligible for the specialist register, or more than 50% of clinical sessions in psychiatry
General practiceIrish College of General PractitionersICGP members, or General or non-GP Specialist Division doctors working 50% or more of their time in general practice
Internal medicine specialties (for example General (Internal) Medicine, Cardiology, Geriatric Medicine, Nephrology, Neurology, Palliative Medicine, Respiratory Medicine)Institute of Medicine, RCPIOpen to doctors on the General or Supervised Division, including NCHDs and doctors in niche, education or governance roles
Paediatrics or Paediatric CardiologyFaculty of Paediatrics, RCPIMFPaed or FFPaed (RCPI), MRCPI, MRCP (UK), MRCPCH (UK) or DCH (RCPI/RCSI)
Obstetrics and GynaecologyInstitute of Obstetricians and Gynaecologists, RCPIMIOG (RCPI), MRCPI in Obstetrics and Gynaecology, or MRCOG (UK)
Chemical Pathology, Haematology, Histopathology, Immunology, Microbiology, NeuropathologyFaculty of Pathology, RCPINo General Division route is listed
Occupational MedicineFaculty of Occupational Medicine, RCPILFOM, MFOM or FFOM (RCPI), or MFOM or FFOM (RCP UK)
Public Health MedicineFaculty of Public Health Medicine, RCPIMFPHMI or FFPHMI, MFPH or FFPH (RCP UK), or an MPH or equivalent with at least 50% of practice in public health medicine
Radiology or Radiation OncologyFaculty of Radiologists, RCSIThe Faculty reviews your qualifications, experience and current practice in the field
Sports and Exercise MedicineFaculty of Sports and Exercise Medicine (joint RCPI and RCSI)More than 50% of clinical sessions in the specialty and a postgraduate diploma or higher in it
Ophthalmology or Ophthalmic SurgeryIrish College of OphthalmologistsThe College reviews your qualifications, experience and current practice in ophthalmology
Surgical specialties and emergency medicineRoyal College of Surgeons in IrelandMainly surgical NCHD posts, consultant posts held without specialist registration, or surgery-linked research after a surgical post (see below)

The General Division wording above is condensed. Each operator applies its own published criteria, which Rule 13 of S.I. No. 176 of 2025 makes the operator's responsibility, so always read the full criteria on the operator's site before applying.

RCSI's scheme is described on its own site as the scheme "for surgeons and doctors working in surgery and emergency medicine", which is why emergency medicine appears in the last row. If you cannot see yourself in the table, the Council's advice is to contact the training body most relevant to your practice; it is not essential to have an existing connection with that body in order to enrol.

Consultants and other specialists: matching scheme to registered specialty

Specialist Division doctors usually enrol with the operator for their registered specialty. The harder cases arise when registration no longer mirrors practice, and the Council's FAQ covers three of them.

More than one specialty

Pick one scheme that covers it all

If you practise in all of them, choose one scheme and make your CPD cover your whole practice. If you now practise in only one, the Council suggests you consider voluntarily withdrawing from the specialty you no longer practise.

Practice has moved

Follow your daily work

The Council expects daily practice generally to reflect your registered specialty; where it has moved, stay enrolled, choose CPD that fits your everyday practice and ask the training bodies which scheme is most relevant.

Unusual role

Ask the nearest fit

Doctors in less common roles should ask the training body closest to their practice.

The Council's guiding principle is that you should choose the scheme most relevant to your education, training, demonstrated competence and current practice. Consultants in posts that are not yet matched by specialist registration have a specific route at RCSI: its General Division criteria include doctors holding a temporary, locum or permanent consultant post who have not applied for, or been accepted onto, the Specialist Division.

GPs and doctors working in general practice

The Irish College of General Practitioners runs the scheme for three groups: ICGP members, doctors on the Specialist Division for General Practice, and doctors on the General or non-GP Specialist Division who work 50% or more of their time in general practice. The 50% test matters if you split your week: three days in general practice and two in an emergency department fits the ICGP route on those numbers; one GP session a week usually would not.

General Division applicants to the ICGP complete an application form that is reviewed by a GP panel, so allow time for that review before the 60-day deadline. The College also treats remote consulting with patients in Ireland as working in Ireland, and sets no special requirements for doctors holding several roles at once.

Finishing GP training

GP trainees on the Trainee Specialist Division do not enrol. The ICGP says to enrol within 30 days of completing training; the Medical Council's FAQ currently shows both a 30-day and a 60-day version of this answer. The cautious course is to enrol within 30 days.

Non-training NCHDs, locums and Supervised Division doctors

A non-consultant hospital doctor who is not on a training scheme is usually on the General Division, or on the Supervised Division if registered to a specific approved post. Supervised Division registration under section 50A of the Act is tied to an individually numbered post, and a doctor registered in it may practise only in that post. Either way, you enrol every year, with the operator that fits the posts you actually work in.

Matching your rotation to a General Division scheme

  • Medical posts: RCPI's Institute of Medicine General Division scheme is explicitly open to NCHDs and to doctors working in niche areas, education and governance, provided you are on the General or Supervised Division. RCPI states its enrolment fee is €250, with a discount for holders of a current RCPI or faculty subscription.
  • Surgical and emergency posts: RCSI's General Division covers doctors with MRCSI, AFRCSI, FRCSI or equivalent, or at an earlier stage without them, working mainly in surgical NCHD posts. Others who see RCSI as the best fit can apply for further consideration.
  • Anaesthesia, ICU and pain posts: the College of Anaesthesiologists reviews General Division applications individually; if it refuses an application it tells you and the Medical Council, with reasons.
  • Psychiatry posts: the College of Psychiatrists accepts General Division doctors without psychiatric qualifications if they spend more than 50% of their clinical sessions in psychiatry.
  • Paediatric and O&G posts: both RCPI schemes require specific qualifications for General Division entry; without one, ask RCPI which scheme fits.

Locums and part-time doctors

The ICGP says all registered doctors should meet the annual PCS requirements regardless of working status, naming part-time and locum doctors. For a locum moving between specialties, the practical test is where most of the year's clinical work sits. A locum consultant without specialist registration in a surgical specialty fits RCSI's consultant-post criterion described above.

Enrolled? Now plan the year.Next comes a Professional Development Plan and a practice review that fit your posts. Our Medical Council Practice Review and PDP course walks through both as one cycle, as CPD you can record where your scheme allows.

See what's covered

The CPD Support Scheme: a second sign-up, not a substitute

The CPD Support Scheme (CPD-SS) is not a professional competence scheme. It is an HSE-funded support for NCHDs who are not in training posts, delivered through the postgraduate training bodies, and it sits on top of PCS enrolment. RCSI states that enrolling in its PCS does not automatically enrol you in CPD-SS, and that doctors enrolled with another training body should seek CPD support from that body.

Eligibility (common to the operators checked)

  • Enrolled in the PCS applicable to your specialty (CAI and ICO also require the PCS fee to be paid)
  • A current NCHD contract, working in the public health service
  • Not on an intern or specialist training programme
  • Registered on the General or Supervised Division

What it provides

  • Support towards the minimum of 20 external (accredited) CPD credits a year
  • Course fees covered by the HSE through the training body
  • Applications taken each year in a set window
  • Consultants and interns are not eligible

The windows are short. For 2026/27, the College of Anaesthesiologists took applications from 13 July to 30 September 2026, the Irish College of Ophthalmologists used the same dates, and RCSI's registration also closed on 30 September 2026, for a scheme running until May 2027. RCSI's FAQ also describes a mid-December to end-January window, so if you missed September, ask your training body about a winter intake.

PCS enrolment deadlines: 1 May, 60 days and the 2 March cut-off

The Rules fix the annual rhythm, but when you join the register changes your first deadline.

  1. 1 May: the scheme year starts

    Renewal opens with your operator. The ICGP recommends a direct debit as the easiest way to renew automatically.

  2. By 30 June: the 60-day limit

    Rule 6(1)(a) requires enrolment or renewal no later than 60 days after the start of the scheme year. RCSI's FAQ repeats the rule.

  3. Joining on or before 2 March

    Doctors registered, restored, or starting practice in Ireland on or before 2 March must enrol within 60 days, with proportionately reduced hours (Rules 6(3) and 6(6)).

  4. Joining after 2 March

    You do not need to enrol until the next scheme year begins on 1 May.

  5. After 30 April: the Statement of Participation

    Your operator issues a Statement of Participation. Under Rule 9(4) it is the only evidence of CPD the Council accepts.

Pro-rata CPD guidance for doctors enrolling mid-year (Medical Council FAQ)
When you enrol in the scheme yearMinimum CPD hours
Less than 3 months into the scheme year12 hours
Less than 6 months into the scheme year25 hours
Less than 9 months into the scheme year37 hours
Full scheme year50 hours

The Council calls these allocations guidance and encourages doctors to record as many hours as possible. For doctors who join its scheme mid-year, the ICGP says non-training activity can be recorded back to 1 May, including activity abroad, with a note on the Statement of Participation. The Council also warns that if a delay in enrolling is your own, rather than a delay in processing your registration, you will need to make up the credits. If a late enrolment has left you behind, our guide to PCS non-compliance and exemptions explains what follows.

Moving abroad or coming back

For a short break abroad of less than a year, the Medical Council advises contacting your scheme, which can usually accommodate it as long as you keep up competence activity and make up any shortfall on return. Doctors based overseas who join a recognised programme there must enrol with an Irish scheme once their practice in Ireland passes a cumulative 30 days in the year. Rule 9(5) requires you to keep evidence of CPD done abroad if you rely on it.

How to change PCS scheme operator, post or specialty

S.I. No. 176 of 2025 contains no transfer procedure between operators. What it does contain is Rule 7: you must tell the operator of the scheme you are enrolled in about a material change, in advance where possible and no later than 14 days after it happens. A material change is a change in the circumstances of your practice that would affect your obligations under the Rules. Under Rule 13 each operator sets its own enrolment criteria, so a new operator decides whether you meet them.

  1. Notify your current operator within 14 days, in writing, and keep a copy.
  2. Ask the operator whose criteria you now meet whether to move mid-year or at the next 1 May, and how CPD already recorded will appear on your Statement of Participation.
  3. Do not let enrolment lapse while you decide. The ICGP notes that doctors who do not renew are not considered to be enrolled on a PCS.
Illustrative example

A hypothetical General Division NCHD is enrolled with RCSI while working as a surgical senior house officer. In October she takes a non-training medical registrar post. She tells RCSI within 14 days, then contacts RCPI about joining the Institute of Medicine General Division scheme. She keeps her own copy of the audit and work-based learning done since May, asks both bodies how it will be reflected for the year, and checks whether her RCSI CPD-SS place still applies.

CPD across a change still has to reach 50 hours. Our guide to work-based learning credits shows how routine clinical work in a new post can be captured as evidence from the first week. Plan the new post's learning so that your record still covers the eight domains of good professional practice at least once in each three-year period, and pick practice review examples for the PCS that suit the new role; our Quality Improvement and Clinical Audit course covers the audit and PDSA method.

Enrolment mistakes that cause problems at retention time

Watch for these

  • Treating CPD-SS as your PCS. CPD-SS is extra funding for courses; without PCS enrolment you are not compliant and you are not eligible for CPD-SS either.
  • Staying with a scheme out of habit. If your posts have moved to another field, you need a scheme applicable to your area of practice.
  • Letting a direct debit or renewal lapse. Non-payment of the annual fee puts continuing enrolment at risk, according to RCSI, and CAI says the ePortfolio cannot be accessed if fees are unpaid.
  • Relying on reduced hours for part-time work. Part-time and locum doctors have the same annual requirement; pro-rata hours apply to mid-year joiners and specified leave, not to working fewer sessions.

Leave works differently: Rule 6(4) allows an exemption from the hours requirement, not from enrolment, if you do not practise in Ireland for more than three months because of maternity, parental, carer's or adoptive leave, illness or another substantive reason your operator accepts.

Your enrolment checklist for the 2026/27 scheme year

The 60-day point for this scheme year passed on 30 June 2026. If you are not yet enrolled, contact the right operator now rather than waiting for May 2027. Your learning can continue meanwhile: our online CPD courses for doctors and other health professionals can be recorded where your scheme's rules allow.

Enrolment is the first link in a chain that ends with your annual retention declaration under Rule 8; our guide to annual registration and retention covers that last step. For the plan itself, see how to write a PCS Professional Development Plan, and for a structured start on learning from your own clinical work, the Work-Based Learning and Professional Competence course sets out how to turn everyday cases into evidence.

Learning for your first months on a new scheme

Once you are enrolled, these courses help with planning, practice review and the standards your scheme expects you to evidence.

3 hrs est. learning

Medical Council Practice Review and PDP

  • Plan your 50-hour PCS year under the May 2025 framework
  • Build a Professional Development Plan and choose audit, QI or practice evaluation
  • Record it in your ePortfolio; 30 questions and a certificate
See what's covered

Whether, and in which category, you can record them depends on your scheme's rules, so check with your scheme operator.

Frequently asked questions

Can I be enrolled with two professional competence schemes at once?

The Rules require enrolment in a scheme applicable to your specialty or area of practice, and the Medical Council's advice for doctors registered in more than one specialty is to choose one scheme and make your CPD cover your whole practice. Your Statement of Participation comes from the operator you are enrolled with.

I am an intern. Do I need to enrol in a PCS?

No. Interns registered in the Trainee Specialist Division are not required to enrol, as the College of Anaesthesiologists' FAQ confirms.

How much does PCS enrolment cost?

Each operator sets its own annual fee, and Rule 13 makes operators responsible for the cost of running their schemes. RCPI states its enrolment fee is €250, with a discount for current RCPI or faculty subscribers. Check your own scheme's portal for its current fee.

Does the HSE pay my PCS fee as a non-training NCHD?

The CPD Support Scheme covers course fees for eligible non-training NCHDs; it is not described as paying the PCS fee itself, and PCS enrolment is an entry condition (CAI and the ICO also require the PCS fee to be paid).

I practise in Ireland only a few weeks a year. Do I have to enrol?

If you practise in Ireland for less than 30 days in a scheme year and practise in another country, Rule 6(5) exempts you from enrolment, provided you meet the other country's requirements. Once your Irish practice passes a cumulative 30 days in the year, you must enrol with an Irish scheme. The ICGP treats remote consulting with patients in Ireland as practice in Ireland.

What if no PCS scheme operator will accept me?

Contact the training body most relevant to your practice, as the Medical Council advises. If you cannot engage with any scheme, the Council's guidance is to consider voluntary withdrawal from the register.

I am retired but want to stay on the register. Which scheme do I use?

Stay with the operator for the specialty or area you last practised in. RCSI and the ICGP both state that doctors who remain registered must stay enrolled. RCSI asks fully retired doctors to declare that they are not engaged in the practice of medicine, which changes the category mix of their 50 credits, as the 2025 framework requires practice review only of doctors who practise.

Is my enrolment receipt enough proof of compliance?

A receipt proves enrolment for the year; the ICGP describes it as your proof of enrolment. Compliance with the CPD requirement is shown by the Statement of Participation your operator issues after the scheme year, which Rule 9(4) makes the only evidence of CPD the Medical Council accepts.

Official sources used in this guide (23)
  1. Irish Statute Book, S.I. No. 176 of 2025, Medical Council (Maintenance of Professional Competence) Rules 2025 (2025)
  2. Law Reform Commission, Medical Practitioners Act 2007, section 91 (revised)
  3. Law Reform Commission, Medical Practitioners Act 2007, section 50A, Supervised Division (revised)
  4. Medical Council, Professional Competence Schemes: contact information and eligibility (accessed 2026)
  5. Medical Council, FAQ: Enrolling in a professional competence scheme (accessed 2026)
  6. Medical Council, FAQ: Doctors practising outside the State (accessed 2026)
  7. Medical Council, Doctors not in active practice (accessed 2026)
  8. Medical Council, Professional Competence (accessed 2026)
  9. Medical Council, MPC Framework 2025: key differences (2025)
  10. RCSI, Professional Competence Scheme (accessed 2026)
  11. RCSI, Professional Competence Scheme FAQs (accessed 2026)
  12. RCSI, Engaged or not engaged in the practice of medicine (accessed 2026)
  13. RCSI, CPD Support Scheme FAQs (accessed 2026)
  14. RCSI, RCSI opens registration for 2026 CPD Support Scheme (2026)
  15. RCPI, Institute of Medicine General Division scheme (accessed 2026)
  16. Irish College of GPs, PCS Enrolment Guidance (accessed 2026)
  17. Irish College of GPs, FAQ: Renewing and enrolling on the PCS (accessed 2026)
  18. Irish College of GPs, FAQ: Doctors in different working circumstances (accessed 2026)
  19. College of Anaesthesiologists of Ireland, Enrol for PCS (accessed 2026)
  20. College of Anaesthesiologists of Ireland, Professional competence FAQs (accessed 2026)
  21. College of Anaesthesiologists of Ireland, NCHD Support Scheme 2026/2027 (2026)
  22. College of Psychiatrists of Ireland, Enrol in the Professional Competence Scheme (accessed 2026)
  23. Irish College of Ophthalmologists, Continuing Professional Development Support Scheme 2026/2027 (2026)

Checked against the official sources above in October 2026. Rules and fees change, so confirm current requirements with your regulator or scheme.