Advocacy

Advocacy & Achievements

Seven years of sustained national advocacy for fair training access, immigration reform, professional dignity, and meaningful representation for international doctors in Ireland.

Constructivestakeholder engagement
Evidence-informedpublic awareness
Professionalrepresentation
Sustainableworkforce focus
From Train Us For Ireland to IAID

Seven years of national advocacy and reform

The Irish Association of International Doctors (IAID) emerges from a seven-year national struggle and reform movement initiated under the banner “Train Us For Ireland 🇮🇪.”

This movement was born from the collective challenges faced by International Medical Graduates (IMGs) in Ireland—including barriers to training, unequal career progression, immigration difficulties, and lack of representation.

For seven years, sustained advocacy and engagement have worked to highlight these systemic issues and push for meaningful reform within the Irish healthcare system.

Campaigns that moved reform
  • 01Petitions
  • 02Open letters
  • 03Public statements
  • 04Stakeholder engagement
8public campaign records

Public campaigns that carried doctors’ voices

Petitions, open letters, public statements, and stakeholder engagement turned shared experience into clear calls for change. These campaigns record the movement’s principal public asks; the achievements below record the reforms that followed.

Train and Retain campaign artwork describing career progression barriers for non-EEA doctors View campaign 01 Training & retention · 2020

Train and Retain International Doctors

The movement called for equal access to specialist training, transparent career progression, recognition of an alternate pathway, and action on the employment and immigration barriers driving international doctors away from Ireland.

680 petition supporters
International doctors working together in an Irish hospital during the Stamp 4 campaign View campaign 02 Immigration equality · 2022

Faster Stamp 4 Access and Equality for Doctors

This successful campaign sought earlier Stamp 4 access, equal treatment of Stamp 4 categories in training allocation, and fairer professional support for international doctors outside formal training schemes.

Successful · 2,574 signatures
Preview of the Critical Skills Employment Permit submission for immigrant NCHDs Read open letter 03 Employment security · 2021

Critical Skills permits for immigrant NCHDs

An open-letter campaign challenged contract structures that kept many non-training NCHDs from accessing Critical Skills Employment Permits, long-term job security, and the associated family and residency benefits.

Open letter · 600+ signatures
Illustration of frontline workers used for the fast-track citizenship petition View petition 04 Citizenship recognition · 2021

Fast-track citizenship for frontline workers

During the pandemic, the movement petitioned for legislation recognising frontline workers’ service and wrote to TDs and senators seeking priority processing for long-delayed citizenship applications.

National petition & Oireachtas outreach
Hospital doctors representing the locum reform and fair pay campaign Read coverage 06 Fair work · 2023

Locum reform and fair pay

Train Us For Ireland brought low and inconsistent locum rates, restrictive terms, and the impact of rising living costs into public discussion, calling for revised rates and a fairer national approach.

Public advocacy & media engagement
First-page preview of IAID's open letter supporting doctors during visa processing delays Read open letter 07 Recruitment fairness · 2026

Protecting doctors during visa processing delays

IAID’s open letter asks employers and national stakeholders not to withdraw job offers where a doctor’s start date is affected solely by government visa processing. It calls for consistent support, regular communication, earlier recruitment, and practical liaison while applications remain pending.

Open letter · 84 signatures
First-page preview of IAID's open letter on postgraduate training entry for overseas IMGs Read open letter 08 Training access · July 2026

Fair access to postgraduate training applications

IAID raised concerns that requiring an existing Irish immigration permission at the application stage can exclude otherwise eligible overseas IMGs. The letter seeks an immediate review, a provisional application pathway, transparent recruitment data, and meaningful consultation.

Open letter to ICGP and RCPI
Movement milestones

Major achievements of the movement

Through advocacy, dialogue, and national engagement, the movement contributed to key developments including:

01 · Training access

Specialist training eligibility

In November 2020, a legal barrier was removed for non-EEA-qualified doctors whose internships were not previously deemed equivalent to an Irish internship. Eligible doctors could pursue Trainee Specialist Division registration and compete for postgraduate training, subject to the usual Medical Council and recruitment requirements.

View the official policy record
02 · Equal opportunity

Stamp 4 training access

In 2021, postgraduate training policy was widened so Stamp 4 holders joined Irish, EU and UK candidates in the first allocation group for available specialist training places.

Read the Department of Health statement
03 · Recognition

Alternate Training Pathway

The movement records IMC recognition of the Alternate Training Pathway (CSD) as an important step towards recognising doctors’ structured training and experience through an additional route.

04 · Work permits

Two-year multisite permit

Introduced in December 2021 for non-EEA doctors in the public health system, the two-year multisite General Employment Permit enabled one permit to cover work across multiple hospital sites and reduced repeated administration.

View the official immigration announcement
05 · Immigration reform

Stamp 4 after 21 months

From September 2022, non-EEA doctors with 21 months on a General Employment Permit could request a Stamp 4 support letter. Their spouses or partners could also receive permission allowing them to work.

Read the employment-permit notice
06 · Fair pay

Locum pay reform

The campaign helped establish locum pay and conditions as a national workforce issue, supporting attention to revised hourly rates and a fairer, more consistent approach for doctors across Ireland.

Read the locum-reform coverage
Continuing advocacy

Issues brought into national focus

Most recently, the movement has raised national awareness regarding:

Immigration administration

Passport and family visa delays

IAID has raised awareness of passport, visa, and family-reunification delays that place strain on doctors and their families, disrupt long-term planning, and can affect workforce retention.

Professional registration

IMC registration delays

IAID supports clearer guidance, realistic timelines, and constructive attention to administrative delays affecting doctors preparing to enter or progress within the Irish healthcare workforce.

Workplace dignity

Bullying and racial discrimination

IAID promotes dignity, inclusion, and fair treatment, while raising awareness of bullying and racial discrimination affecting immigrant doctors working across Ireland.

Workforce sustainability

Healthcare workforce retention

IAID contributes international doctors’ perspectives to discussions on retention, career progression, family stability, workplace culture, and the conditions that help skilled doctors continue serving patients in Ireland.

These issues have been highlighted through professional advocacy, engagement with stakeholders, and contributions in Irish media, with a firm commitment to dignity, fairness, and respect for all doctors working in Ireland.