Supernumerary Registrar Positions in South Africa

What are Supernumerary Positions?

Supernumerary registrar positions are self-funded training posts in South African hospitals and teaching institutions.

Unlike standard registrar positions which are funded by the Department of Health, supernumerary positions are funded by the trainee themselves or through external sponsorship.

These positions provide an opportunity for international medical graduates to gain specialist training experience in South Africa.

Key Characteristics

Supernumerary positions share many similarities with standard registrar posts but have important distinctions:

• Self-Funded: The trainee covers all costs including salary, hospital fees, and training costs.
• Training Equivalent: Clinical training and supervision are typically equivalent to standard registrar positions.
• Limited Availability: Not all departments offer supernumerary positions, and availability varies by year.
• Registration Requirement: HPCSA registration in an appropriate category is still required.

Eligibility Requirements

To be considered for a supernumerary registrar position, candidates typically need to meet the following requirements:

• Valid medical degree from a recognized institution
• Completed internship or equivalent training
• HPCSA registration (or eligibility for registration)
• Relevant postgraduate experience in the specialty of interest
• Proof of funding for the duration of training
• Acceptance by the relevant university department

Application Process

The application process for supernumerary positions varies by institution but generally involves:

1. Research: Identify departments that offer supernumerary positions in your specialty.
2. Contact: Reach out to the department head or training coordinator to express interest.
3. Submit Application: Provide CV, qualifications, motivation letter, and proof of funding.
4. Interview: Attend an interview with the department selection committee.
5. Acceptance: If accepted, complete hospital registration and administrative requirements.

Costs and Funding

Costs for supernumerary positions vary significantly by institution, specialty, and duration.

Typical costs may include:

• Monthly salary equivalent for the registrar position
• Hospital administrative fees and malpractice insurance
• University registration and examination fees
• CMSA fellowship examination fees
• Living expenses and accommodation

Important: Candidates should budget carefully and confirm all costs with the institution before committing to a supernumerary position!

Advantages and Considerations

Advantages:

• Access to specialist training in South Africa
• Hands-on clinical experience in a recognized training program
• Opportunity to build professional networks
• Pathway to CMSA fellowship examinations
• Flexibility in timing and specialty choice

Considerations:

• Significant financial commitment required
• Positions are limited and competitive
• Does not guarantee future funded registrar posts
• Visa and immigration requirements must be met
• Training duration may differ from standard programs

Important Notes

• Always verify current availability and requirements directly with the relevant university department!
• Ensure HPCSA registration status is appropriate for the intended training.
• Consider the long-term career implications of supernumerary training.
• Seek professional advice if uncertain about the suitability of this pathway.