Specialist Training in South Africa

Comprehensive guidance on specialist registrar training pathways for international medical graduates in South Africa.

Important Notice

Acceptance into specialist training programs and placement in training posts are not guaranteed. Selection decisions are made by universities and teaching hospitals based on their criteria, availability of positions, and regulatory requirements.

Specialist Registrar Training

Postgraduate medical training leading to specialist qualification through supervised clinical practice in teaching hospitals.

University & Teaching Hospital Roles

Universities provide academic oversight while teaching hospitals deliver clinical training and supervision.

CMSA Fellowship Examinations

The Colleges of Medicine of South Africa (CMSA) administer fellowship examinations required for specialist registration.

Training Pathway

1
Complete medical degree and internship
2
Obtain HPCSA registration in appropriate category
3
Secure registrar training position at accredited hospital
4
Complete CMSA Part I examination within specified timeframe
5
Complete research dissertation/assignment
6
Complete CMSA Part II examination
7
Obtain specialist registration with HPCSA

Key Considerations

  • Training positions are limited and highly competitive
  • Each university has distinct application processes and timelines
  • HPCSA registration status affects eligibility for training posts
  • Previous clinical experience and research strengthen applications
  • Supernumerary (self-funded) positions may be available in some departments

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