“Harry got my UCAT up to 2,590, working through the sections I kept dropping marks on week by week. Gemma then ran my interview practice so the MMI stations didn't catch me out, and Dr Akash mentored me the whole way through. I'm off to King's for Medicine.”
RCSI medicine entry requirements, fees and how to apply
For 2027 entry, non-EU school leavers apply directly to RCSI between 1 November 2026 and 15 January 2027 (North Americans apply through Atlantic Bridge). You send a two-page personal statement, sit the Casper test on Sunday 17 January 2027 and need IELTS 6.5 with no band below 6.0; shortlisted applicants are interviewed one to one on Zoom. The 2027/28 non-EU fee is €62,000 a year, or €63,500 for graduate entry, plus a €135 NUI fee. EU, UK and Irish fee-status applicants apply through the CAO with the HPAT.
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At a glance
- Location
- Dublin, Ireland
- Founded
- 1784
- Reputation
- Top 250 worldwide (THE 2026); one of Europe's most international medical schools
- Degree awarded
- MB BCh BAO
- Programmes
- Undergraduate (5 or 6 years) and Graduate Entry (4 years)
- Non-EU tuition
- €62,000 per year (2027/28)
- Graduate entry
- Yes (4 years)
- Annual intake
- 90 EU and 220 non-EU undergraduate medicine places (2027 entry)
- Admissions tests
- Casper (non-EU school leavers) · HPAT (CAO) · GAMSAT or MCAT (graduate entry)
- North American route
- Atlantic Bridge
- Recognised by UK GMC
- Yes
Overview
The Royal College of Surgeons in Ireland is a not-for-profit health-sciences university in central Dublin, founded in 1784 and focused solely on medicine and health sciences.
It is one of the most international medical schools in Europe and pioneered Graduate Entry Medicine in the Republic of Ireland in 2006. Its MB BCh BAO degree is recognised by the UK General Medical Council. Since September 2025 RCSI has also run a dentistry degree (BDS), with 35 EU and about 20 non-EU places for 2027.
- Founded in 1784; teaches only medicine and health sciences.
- Over 20% of its medicine students come from North America.
- Ran the first Graduate Entry Medicine programme in the Republic of Ireland (2006).
- Casper is required of every privately funded non-EU school leaver, not only North Americans.
How to apply to RCSI medicine
Which route you use depends on your fee status and where you are applying from, not which school you choose:
- North America (Canada and the US): apply through the Atlantic Bridge Programme.
- Other non-EU, including the Gulf, Asia, Africa and UK residents on a visa: apply directly to RCSI online. RCSI does not use agents for medicine or dentistry; Kuwaiti and Omani government scholars apply through their ministries.
- EU, UK, Irish and EEA fee status: apply through the CAO, but only if you meet the residence test below (UK citizens need 3 of the last 5 years living in the EU, EEA, UK or Switzerland).
Fee status: Irish medical schools decide your route by fee status, not passport alone. EU, UK, EEA and Swiss citizens usually need to have lived in the EU, EEA, UK or Switzerland for 3 of the last 5 years to qualify for EU fees. Anyone assessed as non-EU, including UK residents on a visa, applies through a non-EU route.
For the full picture across all six schools, see our guide to studying medicine in Ireland and the Irish medical schools comparison.
How to apply from outside the EU
What RCSI asks of a non-EU applicant living outside North America for 2027 entry:
- How you apply
- Directly to RCSI online (Kuwaiti and Omani government scholars apply through their ministries)
- Personal statement
- Two pages, double spaced, no set question. RCSI suggests covering your background, why RCSI and medicine, your skills, activities and work experience
- CV
- Not requested. You upload documents that show your activities and experience instead
- References
- Non-academic references, plus one academic referee whom RCSI contacts directly
- Test
- Casper on Sunday 17 January 2027 (US$85) for privately funded school leavers; register before 15 January. IELTS 6.5 with no band below 6.0
- Interview
- One-to-one on Zoom with the admissions team, focused on motivation and background. RCSI says there are no technical or ethical questions
- Deadline
- 1 November 2026 to 15 January 2027 (€75 fee)
Checked 14 October 2026 against rcsi.com, RCSI's official admissions page.
Applying from Canada or the US? You apply through Atlantic Bridge instead: see our Atlantic Bridge Programme guide. EU, UK and Irish fee-status applicants apply through the CAO: check your points with our CAO points calculator.
RCSI medicine entry requirements
- Casper: required of every privately funded non-EU school leaver applying for medicine or dentistry, whether directly or through Atlantic Bridge. Graduate entry applicants are exempt.
- HPAT-Ireland: for EU, UK and Irish fee-status school leavers applying through the CAO only. Non-EU applicants do not sit it.
- Graduate entry: a degree in any discipline plus a GAMSAT or MCAT taken within four years. MCAT 503 or GAMSAT 60 is RCSI's guide to who is invited to interview, not a hard minimum.
- English and age: IELTS 6.5 with no band below 6.0 (or the TOEFL equivalent), and you must be 18 by 31 December of your year of entry.
Through Atlantic Bridge, RCSI interviews only its 4-year graduate entry applicants for 2027 entry. CAO applicants are not interviewed: school leavers are selected on grades plus the HPAT, and graduate entrants on the GAMSAT.
Tips for applying to RCSI
- North American applicants apply through the Atlantic Bridge Programme, not directly to RCSI.
- Casper has one 2027 sitting, online on Sunday 17 January 2027, and you must register before the 15 January application deadline. Register as soon as you apply: there is no later date to fall back on.
- Graduate entry applicants need a completed degree plus a GAMSAT or MCAT. RCSI treats MCAT 503 or GAMSAT 60 as a guide to who it invites to interview, so a score at that level does not guarantee one.
- The interview is a one-to-one conversation on Zoom about your motivation and background, and RCSI says it asks no technical or ethical questions, so prepare to explain why you want to study medicine and what you have done to find out about it.
RCSI fees for international students
| Non-EU undergraduate | €62,000 per year (2027/28) |
|---|---|
| Non-EU graduate entry | €63,500 per year (2027/28) |
| EU / UK / EEA | EU students who qualify for the Free Fees Initiative pay only ancillary charges (around €3,000 a year); EU graduate entry is part-funded by the HEA. |
RCSI also charges a €135 NUI fee on top of tuition. Dentistry (BDS) costs €64,000 a year for non-EU students, plus €135 and €4,000 in consumables spread over Years 2 to 5.
US federal loans: RCSI participates in the US Federal Direct Loan programme (Stafford and Grad PLUS) for eligible US citizens studying at least half-time. It is the only Irish medical school to do so for medicine; confirm your loan eligibility and RCSI's school code with the RCSI student finance office before you rely on it.
Compare costs across all six schools in our Ireland medicine fees breakdown. Fees rise most years, so confirm the figure for your year of entry on the official course page.
Graduate entry medicine at RCSI
4-year Graduate Entry Medicine, the first programme of its kind in the Republic of Ireland (introduced 2006), with 30 EU and 52 non-EU places for 2027. You need a degree in any discipline with a competitive GPA, plus a GAMSAT or MCAT taken within the last four years. RCSI gives MCAT 503 or GAMSAT 60 as a guide to who is invited to interview, not a hard minimum. Graduate entry applicants do not sit Casper, and non-EU applicants who already hold a degree can apply only to graduate entry.
See our Graduate Entry Medicine guide and GAMSAT guide.
Personal statement and interview help for Irish medical schools
Non-EU applicants to Irish medicine send a personal statement and references, and most are interviewed. Doctors review your statement and coach you 1-1 for interview.
Why RCSI is popular with international students
Top 250 worldwide (THE 2026); one of Europe's most international medical schools
RCSI is Ireland's only university dedicated entirely to medicine and the health sciences, which gives it a single-minded focus that students notice from day one: there is no arts faculty or sprawling general campus, just medicine, dentistry, pharmacy, physiotherapy and advanced therapeutic technologies taught together in the centre of Dublin. That focus, plus a long surgical heritage going back to 1784, is a large part of why it is so well known internationally.
It is also one of the most international medical schools in Europe. More than a fifth of its medicine students come from Canada or the United States, and it has a North American alumni network of over 2,000 practising doctors, so North American applicants arrive to find a large, established community, not a handful of overseas students. RCSI is ranked inside the world's top 250 universities (Times Higher Education 2026) and was placed first in the world for Good Health and Well-being in the THE Impact Rankings 2025.
Campus, city and teaching hospitals
RCSI's campus sits on St Stephen's Green and York Street in the heart of Dublin, with its flagship 26 York Street building housing one of Europe's largest clinical-simulation and surgical-skills centres. It is a compact, city-centre, professional environment, not a parkland campus.
Where you train
- Beaumont Hospital and Connolly Hospital (Blanchardstown) as the principal teaching hospitals
- The wider RCSI Hospitals Group, including the Rotunda maternity hospital and Our Lady of Lourdes Hospital, Drogheda
Can you return to the US or Canada after graduating?
An Irish medical degree from RCSI is internationally recognised, but how you get home matters and is worth planning from your first year. Here is what the route back looks like:
North American applicants can read the full route home, including the USMLE, ECFMG and the residency match, in our Atlantic Bridge Programme guide.

Want expert help applying to RCSI?
From personal statement editing and interview coaching to GAMSAT tutoring and our all-in-one Ultimate Package, we support applicants to RCSI at every stage. Tell us where you are applying from and we will recommend the right option.
Apply to Ireland and the UK with one mentor
A doctor mentor plans your school list across both countries, then works on your statements and interviews with you. Graduate entry applicants can add 1-1 GAMSAT tutoring.
RCSI: frequently asked questions
What are the entry requirements for medicine at RCSI?
For 2027 entry, non-EU school leavers apply directly to RCSI between 1 November 2026 and 15 January 2027 (North Americans apply through Atlantic Bridge). You send a two-page personal statement, sit the Casper test on Sunday 17 January 2027 and need IELTS 6.5 with no band below 6.0; shortlisted applicants are interviewed one to one on Zoom. The 2027/28 non-EU fee is €62,000 a year, or €63,500 for graduate entry, plus a €135 NUI fee. EU, UK and Irish fee-status applicants apply through the CAO with the HPAT.
How do international students apply to medicine at RCSI?
North America (Canada and the US): apply through the Atlantic Bridge Programme.
Other non-EU, including the Gulf, Asia, Africa and UK residents on a visa: apply directly to RCSI online. RCSI does not use agents for medicine or dentistry; Kuwaiti and Omani government scholars apply through their ministries.
EU, UK, Irish and EEA fee status: apply through the CAO, but only if you meet the residence test below (UK citizens need 3 of the last 5 years living in the EU, EEA, UK or Switzerland).
Irish medical schools decide your route by fee status, not passport alone. EU, UK, EEA and Swiss citizens usually need to have lived in the EU, EEA, UK or Switzerland for 3 of the last 5 years to qualify for EU fees. Anyone assessed as non-EU, including UK residents on a visa, applies through a non-EU route.
What do non-EU applicants send to RCSI?
How you apply: Directly to RCSI online (Kuwaiti and Omani government scholars apply through their ministries).
Personal statement: Two pages, double spaced, no set question. RCSI suggests covering your background, why RCSI and medicine, your skills, activities and work experience.
CV: Not requested. You upload documents that show your activities and experience instead.
References: Non-academic references, plus one academic referee whom RCSI contacts directly.
Test: Casper on Sunday 17 January 2027 (US$85) for privately funded school leavers; register before 15 January. IELTS 6.5 with no band below 6.0.
Interview: One-to-one on Zoom with the admissions team, focused on motivation and background. RCSI says there are no technical or ethical questions.
Deadline: 1 November 2026 to 15 January 2027 (€75 fee).
How much does medicine at RCSI cost for international students?
Non-EU undergraduate medicine at RCSI costs €62,000 per year (2027/28), and graduate entry €63,500 per year (2027/28). EU students who qualify for the Free Fees Initiative pay only ancillary charges (around €3,000 a year); EU graduate entry is part-funded by the HEA. RCSI also charges a €135 NUI fee on top of tuition. Dentistry (BDS) costs €64,000 a year for non-EU students, plus €135 and €4,000 in consumables spread over Years 2 to 5.
Does RCSI offer graduate entry medicine?
4-year Graduate Entry Medicine, the first programme of its kind in the Republic of Ireland (introduced 2006), with 30 EU and 52 non-EU places for 2027. You need a degree in any discipline with a competitive GPA, plus a GAMSAT or MCAT taken within the last four years. RCSI gives MCAT 503 or GAMSAT 60 as a guide to who is invited to interview, not a hard minimum. Graduate entry applicants do not sit Casper, and non-EU applicants who already hold a degree can apply only to graduate entry. The non-EU graduate entry fee is €63,500 per year (2027/28).
Do I need to sit Casper for RCSI?
Yes, if you are a privately funded non-EU school leaver applying for medicine or dentistry, whether you apply directly or through Atlantic Bridge. The 2027 sitting is online on Sunday 17 January 2027 (US$85), and you must register before the 15 January application deadline. RCSI uses Casper to shortlist for interview. Graduate entry applicants and Kuwaiti or Omani government-sponsored applicants do not sit it.
Can I return to practise in the US or Canada after studying medicine at RCSI?
Yes. RCSI graduates pursue US practice on the standard international medical graduate route: ECFMG certification, the USMLE exams and the ERAS/NRMP residency match. RCSI is the one Irish medical school that participates in the US Federal Direct Loan (Stafford/Grad PLUS) programme for eligible US students, and it offers structured careers support for up to three years after graduation, including for the US match.
Canadian graduates return through the Medical Council of Canada route (the MCCQE and NAC examinations) and the CaRMS R-1 match, which is open to Canadian citizens and permanent residents. RCSI's large North American alumni network includes graduates who have matched at institutions such as McGill, McMaster and the University of Toronto.
Why is RCSI a popular choice for international medical students?
RCSI is Ireland's only university dedicated entirely to medicine and the health sciences, which gives it a single-minded focus that students notice from day one: there is no arts faculty or sprawling general campus, just medicine, dentistry, pharmacy, physiotherapy and advanced therapeutic technologies taught together in the centre of Dublin. That focus, plus a long surgical heritage going back to 1784, is a large part of why it is so well known internationally.
It is also one of the most international medical schools in Europe. More than a fifth of its medicine students come from Canada or the United States, and it has a North American alumni network of over 2,000 practising doctors, so North American applicants arrive to find a large, established community, not a handful of overseas students. RCSI is ranked inside the world's top 250 universities (Times Higher Education 2026) and was placed first in the world for Good Health and Well-being in the THE Impact Rankings 2025.
Is a medical degree from RCSI recognised in the UK?
Yes. The MB BCh BAO is recognised by the UK GMC for registration. Graduates can register with the GMC and enter the UK Foundation Programme.





