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Destination: Ireland

Ireland's practical gate, rehearsed long before you sit it.

The Pre-Registration Examination System is how many internationally trained doctors reach the Irish Medical Council register — and Level 3 is its clinical, face-to-face half. OSCEY gives you the patient, the clock and the debrief before you ever see the real circuit.

Level 3clinical assessmentIrelandwhere you will practise
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Formats change — always confirm with the Irish Medical Council's PRES pages.

PRES Level 3 exam badge
The bigger picture

The road to Ireland

PRES Level 3 is one gate on a longer road. Knowing exactly where you stand on it changes how you prepare.

  1. Medical degree & internship the foundation

    A primary medical qualification plus an acceptable internship — the baseline the Irish Medical Council assesses.

  2. PRES Level 2 or exemption the written step

    The knowledge-based level of the PRES — or an accepted exemption, depending on your qualifications and history.

  3. PRES Level 3 you are here

    The clinical level of the Pre-Registration Examination System: an OSCE of practical stations examining whether you can practise safely in Ireland.

A common route — yours may differ. Entry requirements, exemptions and formats are set by the official bodies; this page links to them wherever it matters.

Inside the exam

What PRES Level 3 actually tests

PRES Level 3 is the clinical component of Ireland's Pre-Registration Examination System, taken by doctors whose qualifications require examination before Irish Medical Council registration. It is an OSCE: a circuit of stations with simulated patients, covering history-taking, examination, clinical reasoning, communication and emergency skills.

Like every licensing OSCE, Level 3 is as much about how you consult as what you know. Candidates routinely report that the stations feel fair — and that eight or ten minutes disappears faster than expected. Familiarity with the rhythm of an OSCE morning is the cheapest marks available, and it only comes from practising whole stations, whole circuits, out loud.

  • History-taking — structured, hypothesis-driven, patient-centred
  • Examination — competent technique with running commentary
  • Clinical reasoning — sensible differentials and safe plans
  • Communication — clear English, honest explanations, shared decisions

This is the circuit OSCEY builds for practice runs.

Station by station

A PRES-style station, up close

Scroll through one OSCEY station in PRES Level 3 colours — the same rhythm the real circuit will demand of you.

OSCEY candidate brief: task, role and setting cards for a PRES Level 3 practice stationOSCEY candidate brief: task, role and setting cards for a PRES Level 3 practice station
Live OSCEY station: simulated patient in the consultation room during a PRES Level 3 practice stationLive OSCEY station: simulated patient in the consultation room during a PRES Level 3 practice station
OSCEY debrief after a PRES Level 3 practice station: skill changes by domain and exam-aligned practice estimateOSCEY debrief after a PRES Level 3 practice station: skill changes by domain and exam-aligned practice estimate
1 The door sign

The door sign

You are the doctor in a Dublin emergency department. A young woman has been brought in with vertigo. Assess, examine and discuss your plan. Outside the door, you rehearse your first sentence — it sets the whole station's tone.

  • Classic ED presentations
  • Reading-time countdown included
2 Inside the room

Inside the room

Ten minutes to take the history, perform the relevant examination — asking aloud for the findings you need — and land a plan the patient understands. OSCEY's patient answers, worries and withholds, so the consultation behaves like the real thing.

  • Examination with narrated findings
  • A patient who reacts to you
3 The debrief

What the examiner saw

The debrief shows strong data gathering, a management plan that skipped discharge advice, and interpersonal marks that dipped when you interrupted. Concrete, fixable, and waiting for you after every single station.

  • Domain-by-domain practice estimates
  • Your full transcript to review
Train for it

Built for the PRES circuit

Level 3 is a performance exam: the candidates who look like they have done a hundred stations usually have. OSCEY makes the hundred possible.

  • Full mock circuits: 12 stations, 2 timed rests, 10 minutes each
  • Classic OSCE presentations across medicine, surgery and emergency care
  • Speaking practice in clear, consultation English — from anywhere
  • Examiner-style debriefs that show exactly where marks went
  • Case Codex: re-run the stations that beat you, before Dublin does
  • The full station library: 868 stations across 27 specialties, weighted the way an OSCE is
OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes OSCEY Case Codex: completed cases with coverage, practice bands and keep-for-next-time notes
Questions

PRES Level 3, asked and answered.

The six questions candidates ask most about this exam. The full FAQ covers the app itself — circuits, scoring and privacy.

What is the PRES?

The Pre-Registration Examination System — the examination route used by the Irish Medical Council for doctors whose qualifications require assessment before registration in Ireland. Level 2 is knowledge-based; Level 3 is the clinical OSCE.

Who needs to take PRES Level 3?

Typically doctors trained outside the EU whose qualifications are not automatically recognised and who do not hold an accepted exemption. Eligibility is individual — the Irish Medical Council's website explains which route applies to you.

How many stations are in PRES Level 3?

The Medical Council sets the format and can change it. OSCEY's PRES circuit uses 12 scored stations and 2 timed rests (14 slots) with 10-minute stations as a realistic practice format — confirm the current structure on the official PRES pages.

Where is PRES Level 3 held?

In Ireland, at assessment venues arranged by the Medical Council — historically in Dublin. Dates, venues and booking are published on the Irish Medical Council's website.

Is OSCEY affiliated with the Irish Medical Council?

No. OSCEY is an independent practice tool published by veridir. It is not affiliated with, endorsed by, or approved by the Irish Medical Council or the RCSI. Confirm all exam arrangements on the Council's official PRES pages.

Can OSCEY scores predict my PRES result?

No. OSCEY bands and percentages are practice estimates from individual stations. They guide preparation; they are not a prediction, an official mark, or a pass decision.

Ireland starts with one spoken station.

Download OSCEY, open one of the four free stations, and run your first PRES Level 3 station tonight — out loud, against the clock, debriefed before you sleep.

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OSCEY simulates patients. Your microphone audio is processed by Google Gemini to run the consultation and is not retained after the station. OSCEY provides practice feedback and practice score estimates only — not an official exam result, not a prediction, and not clinical advice. Not affiliated with or endorsed by the GMC, AMC, MCC, MCNZ, the RCSI or any other examining body.