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First ShiftIreland

For international doctors starting SHO and NCHD posts in Ireland. Written by doctors in Ireland.

Your first Irish hospital shift starts before day one.

You know medicine. We know Irish healthcare. Be ready for your biggest career move so far!

You already know medicine. This is how the work around it runs here: the ward round, the phone referral, the five o’clock handover, who to call at 2am and how posts lead to training. Written for qualified doctors; not exam prep or clinical training.

32 lessons · toolkit · 2 practice shifts · €89.95 launch price

  • 32 lessons in five units
  • Worked examples and a printable toolkit
  • Two practice shifts
  • €89.95 launch price, four months
A WEEKDAY ON A MEDICAL WARD

The consultant is already at the next bed. You caught four jobs, half of one, and nobody said who is ringing the family.

What the programme covers

How an Irish ward round actually moves, and how to turn it into a written plan with a named owner for every job.

Turn the ward round into a clear jobs list, with an owner for every task.

Lesson: the ward round

Inside First Shift

Inside First Shift

Lessons, worked examples, a toolkit and practice shifts, all built around the same moments of an Irish hospital week.

Lessons, 01 / 04

Written lessons

Know who to call before you need to.

Read this lesson free

Free lessonUnit 2

  1. ConsultantOverall responsibility
  2. RegistrarUsually your first call
  3. SHO youKeeps the jobs list
Escalation is expected, not a failure. Learn your team’s chain on day one.

Free sample lesson

Who's who: the medical hierarchy and NCHD posts

Consultants, registrars, SHOs and interns: what each role usually covers, how training and non-training posts differ, and where you fit.

  1. ConsultantOverall responsibility for patients under their care
  2. RegistrarLeads rounds in the consultant’s absence, takes referrals
  3. SHOyouRuns the ward day to day, keeps the jobs list
  4. InternFirst postgraduate year, closely supervised

Titles and duties vary by hospital and specialty.

The written programme

Five units, from arrival to your next post

  1. 01

    Getting to know Ireland

    Plan the practicalities of settling in, from your commute to your first week.

  2. 02

    Understanding Irish healthcare

    Understand where you fit and which colleague to ask.

  3. 03

    Your first days in hospital

    Turn the round into a useful jobs list and a clear handover.

  4. 04

    Your first on-call shift

    Keep requests organised and know when to involve your senior.

  5. 05

    Building your medical career

    Compare posts and build a realistic next-step plan.

  1. 01

    Getting to know Ireland

    Daily life, culture and settling inWelcome to Ireland · Everyday culture, rapport and workplace language · Moving practicalities: registration, permission to work, PPSN and pay
    4 lessons
  2. 02

    Understanding Irish healthcare

    The system, the roles and professional cultureHow Irish healthcare is organised, and what matters on the ward · Who's who: the medical hierarchy and NCHD posts · The multidisciplinary team: who does what, and how to ask well
    6 lessons
  3. 03

    Your first days in hospital

    Induction, rounds, notes, referrals and handoverPreparing before day one · Induction: systems, access and emergency processes · Medication charts, prescribing systems and pharmacy: your local orientation
    10 lessons
  4. 04

    Your first on-call shift

    Bleeps, task lists, escalation and recoveryBefore the shift: the bleep and taking handover · When the bleep won't stop: take requests without losing control · Working with night nurses: the call, the context and the plan you share
    6 lessons
  5. 05

    Building your medical career

    Posts, training, CV, portfolio and planningReading a job offer: training and non-training posts, contracts and what to ask · Specialist training in Ireland: eligibility, selection and a realistic plan · An Irish-style medical CV: structure, specific entries and honest evidence
    6 lessons

32 lessons · five units · the complete programme

Explore full access

Sourced from the HSE and Medical Council. Browse by stage

Prefer your own timeline? The learning hub groups the same lessons into four stages. Lessons cite official sources like the HSE and Medical Council — or start free with the first-day and who’s who guides.

Who it’s for

Who it’s for

  • Doctors qualified outside Ireland taking a first SHO or NCHD post here
  • Doctors already in a post who want the unwritten rules spelled out
  • Anyone weighing training and non-training routes

What it’s not

  • Not a registration agency or Medical Council advice
  • Not exam preparation or accredited clinical training
  • Not affiliated with the HSE, the Medical Council or any hospital

Two practice shifts

Practice shifts

Read a short lesson, step into an illustrated shift and choose how you'd respond. Each choice gets brief coaching on why it matters.

Your first day on the ward

Free to try. A Monday on a medical ward: finding your way in, the round, a phone referral and handing over what’s left.

Start
First day on the ward · 10:40

Dr Ruth Okafor“Right, I'm off to clinic. All good?”

What do you say?

Why First Shift exists

Written from experience

Led by doctors who have worked in Irish hospitals, First Shift covers the working habits induction rarely has time for. It reflects doctors’ own experience; local policies and your seniors come first.

It is a practical orientation, not clinical guidance. Lessons cite official sources but reflect doctors’ own experience, so your hospital’s policies and your seniors always come first.

More about us

Start before your first shift does

Read the free lesson now, then come back to the full programme when payments open.

€89.95 launch price · four months’ access · no automatic renewal

€89.95 launch price · four months’ access

Payments aren’t open yet.

Online payment is not open yet, so nothing can be bought today. Have a promo code? Apply it on the next page to see your price.

Access terms

One payment, no subscription and no automatic renewal. Access lasts four calendar months; paid materials lock when it ends. Full access details.

Enrolment email updates aren’t available yet. We’ll only offer an “email me when enrolment opens” sign-up once a verified contact address and privacy details are in place.

Who it’s for

Internationally qualified doctors starting or settling into an SHO or NCHD post, or considering their next career step in Ireland.

Questions

What’s actually included?

The complete programme has 32 lessons across five units, worked examples, printable checklists and templates, and two optional illustrated practice shifts.

Can I try it before buying?

Yes. Read the free lesson on the medical team without signing in, or try the free first-day practice shift.

Is this for me if I’ve already started working?

Yes, if you’re an internationally qualified doctor settling into an SHO or NCHD post in Ireland. Start with the working habits you need now: rounds, referrals, handover, on-call or planning your next post.

Does it replace induction or clinical guidance?

No: your hospital induction, local policies and senior clinical guidance come first; this is not registration, immigration or legal advice, exam preparation or accredited clinical training. First Shift is independent of the HSE, the Medical Council and all hospitals. It reflects individual doctors’ experience; read about the programme.

Is it for me if I’ve already started?

Yes, if you are an internationally qualified doctor in, or about to start, an SHO or NCHD post in Ireland. It is most useful in the weeks before and after a first Irish post, but the on-call and career units also help later on.

What doesn’t it replace?

Your hospital induction and local policies, clinical guidance from your seniors, and Medical Council registration requirements. It gives no individual registration, immigration or legal advice, and reflects individual doctors’ experience and public sources.

Not a registration agency, exam preparation or accredited clinical training. Independent of the HSE, the Medical Council and all hospitals.

What does €89.95 include, and for how long?

All 32 lessons, both practice shifts and the toolkit of checklists and templates, for four calendar months. €89.95 is a single payment: no subscription and no automatic renewal. When access ends the paid materials lock again. Online payment is not open yet; if you have a promo code you can apply it to your price on the pricing page.

What can I see for free?

The lesson on the medical hierarchy and NCHD posts, the first-day practice shift and every lesson summary in the programme.