Every year, Ireland welcomes hundreds of international doctors to help fill critical workforce gaps in our healthcare system. These doctors bring expertise, fresh perspective, and commitment. But here’s what many don’t realise:
The first 90 days after a doctor’s arrival are the most important for long-term success — and retention.
Whether you’re a hospital manager, medical HR lead, or a doctor preparing to relocate to Ireland, this guide is for you.
Why the First 90 Days Matter
At MatchMedics, we’ve helped relocate and place doctors from over 20 countries into roles across Irish public and private hospitals. From this experience, we’ve seen a pattern:
If a doctor feels lost, unsupported, or overwhelmed within the first 3 months, the placement is at risk — no matter how talented they are.
For hospitals, this means wasted time and recruitment costs.
Challenges Doctors Face in the First 3 Months
Even the most experienced doctors can find working in Ireland an adjustment. Common challenges include:
- Healthcare System Differences
- Paperwork & Practical Life Admin
- Isolation
For Irish Hospitals: 3 Retention Strategies That Work
Hospitals play a critical role in setting international doctors up for success. We recommend focusing on the following during those crucial first 90 days:
Assign a Buddy or Mentor
Doctors relocating to Ireland often leave behind family, friends, and familiarity. Having a colleague who can support them socially and professionally helps create belonging from day one. This doesn’t need to be a formal programme — even a friendly registrar or senior nurse as a “go-to” can make a difference.
Communicate Expectations Clearly
Ensure new hires understand:
- Their rota and how it may change week-to-week
- Escalation processes for clinical concerns
- Team structure and their place in it
Don’t assume familiarity with the Irish system — even experienced doctors from abroad often need time to adjust to local norms.
Onboarding Does Not Equal Integration
While paperwork and IT access are important, integration goes beyond that. Think: team introductions, hospital tours, clinical pathways briefings, and feedback sessions after the first few weeks.
Did you know? Research from the Irish Medical Organisation (IMO) suggests doctors are more likely to stay when they feel included and valued — not just “processed” into the system.
For International Doctors: What to Expect in Ireland
Relocating to Ireland as a doctor is exciting — but there are practical and emotional hurdles.
Here’s what we advise every candidate we place:
1. Expect Autonomy — and Responsibility
Irish hospitals can often operate with lean teams. SHOs and Registrars may find themselves making clinical decisions with less supervision than in their home countries.
Be proactive about asking questions and clarifying expectations early.
2. Tackle Practical Tasks Early
In your first few weeks, you’ll need to:
- Register for a PPS number (Citizens Information)
- Open an Irish bank account
- Secure accommodation (ideally before arrival)
We recommend arriving in Ireland at least a few weeks before your contract begins, if possible.
3. You Will Need Time to Adjust
Healthcare systems vary — from documentation to communication styles. It’s normal to feel out of your depth initially, even with years of experience.
Lean on your recruiter and your hospital’s support system. You’re not expected to have all the answers on day one.
The Biggest Mistake? Silence on Both Sides
We’ve seen placements unravel because a doctor was struggling quietly — and the hospital only found out after resignation. Likewise, hospitals sometimes assume “no news is good news” when a doctor is unsure, isolated, or frustrated.
Regular check-ins — from both hospital HR and recruiters — are the single most effective way to prevent early exits.
Final Thoughts
The solution to high turnover isn’t just recruiting more doctors — it’s supporting the ones you already hired.
✅ Hospitals: Invest in onboarding strategies.
✅ Doctors: Prepare, communicate, and lean on the support around you.
Get in Touch
If you’re a hospital seeking long-term staffing solutions — or a doctor preparing to relocate to Ireland — we’re here to help.