Complete Guide To The PSI Exams For International Pharmacists

Written by

Dr. Indu K
Three PSI Exams For International Pharmacists
Created On : Sep 11, 2024 Updated On : Jul 02, 2025 3 min read

Entering the pharmacy profession in Ireland as an international pharmacist requires passing a series of rigorous assessments. These exams ensure that international pharmacists meet the high standards necessary for practice in Ireland. 

The Pharmaceutical Society of Ireland (PSI) administers three key exams to assess and certify pharmacists' competency: 

  • The PSI Equivalence Exam (MCQ) — testing theoretical knowledge.
  • The PSI Equivalence Exam (OSCE) — evaluating clinical skills.

This blog provides a comprehensive overview of the  PSI exams, detailing their structure, purpose, and what candidates can expect.

Note: In Path B of the holistic assessment aptitude, the applicant will be required to give either the MCQ or the OSCE or both of these exams. 

 

1. PSI Equivalence Exam: Multiple-Choice Questions (MCQ)

The MCQ portion of the PSI Equivalence Exam evaluates a candidate’s theoretical knowledge of pharmacy. This exam is crucial for international pharmacists seeking to practice in Ireland, ensuring their understanding aligns with Irish standards.

Structure and Content

The MCQ exam consists of 80 questions and lasts for 2.5 hours, with an additional 15 minutes allocated for reading instructions. It typically covers various domains of pharmacy practice, including:

  • Pharmacology: Understanding drug actions and interactions.
  • Community Pharmacy: Knowledge of daily pharmacy operations.
  • Pharmaceutical Calculations: Accurate medication dosage calculations.
  • Basic Sciences: Fundamental concepts in chemistry, biology, and related fields.

Preparation Tips

  • Study Material: Focus on the PSI’s recommended reading list, which includes core pharmacy textbooks and official guidelines.
  • Practice Questions: Regularly attempt practice exams to familiarise yourself with the format and types of questions.
  • Join Online Courses: Enrol in online courses tailored specifically for the PSI exam preparation to receive structured preparation and expert guidance.

2. PSI Equivalence Exam: Objective Structured Clinical Examination (OSCE)

The PSI Equivalence Exam‘s Objective Structured Clinical Examination (OSCE) is the practical component of the PSI Equivalence Exam, designed to assess a candidate’s clinical skills and ability to apply their knowledge in real-life scenarios.

Structure and Content

The OSCE evaluates practical skills and clinical competency through two parts conducted over two days:

  • Day 1: Written Assessment
    • Duration: 40 minutes
    • Components: 2 written OSCE stations, each lasting 20 minutes
  • Day 2: Verbal Assessment
    • Duration: 60 minutes
    • Components: 6 OSCE stations, each lasting 7 minutes (1 minute to read the question and 6 minutes to answer)

Candidates rotate through stations representing different clinical scenarios, where they must perform tasks such as patient consultations, prescription verification, and drug dispensing.

Preparation Tips

  • Simulated Practice: Engage in mock OSCEs and simulations to gain confidence and enhance clinical skills.
  • Feedback: Seek feedback from peers or mentors during practice sessions to identify areas for improvement.
  • Clinical Guidelines: Stay updated with the latest clinical guidelines and protocols, which are crucial for OSCE success.

 

Steps to Becoming a Pharmacist in Ireland

If you are a foreign-trained pharmacist aspiring to practise in Ireland, follow these steps:

  1. Third-Country Qualification Recognition (TCQR): Non-EU pharmacists must undergo the TCQR process.
  2. Document Verification: Submit necessary documents to the PSI for verification, including transcripts, degree certificates, and proof of professional experience.
  3. PSI Equivalence Exam: Pass the PSI Equivalence Exam, which includes an MCQ and OSCE, 
  4.  Registration: Applicants who have cleared all qualification stages within the TCQR process will be provided with a certificate by the PSI as a ‘qualification appropriate for practice’. With this certificate, the applicant can apply for registration as a pharmacist in Ireland. 
  5. English Proficiency: The English language test is not a part of the qualification process and is required at the point of application for first-time registration.

Final Thoughts

The PSI examination process is meticulously designed to ensure that only competent and knowledgeable pharmacists are allowed to practise in Ireland. Each component of the Equivalence Exam (MCQ and OSCE) and the Professional Registration Exam (PRE) plays an important role in assessing different aspects of a pharmacist’s capabilities.

By understanding the structure and content of these exams and following effective preparation strategies, candidates can confidently take these assessments and start on their professional journey in Ireland.

For comprehensive preparation to pass the exam on first attempt, enrol in PSI Pharmacy Equivalence Exam Preparation Course.

If you have any further queries or doubts, please fill out this form and get free one-on-one counselling. 

FAQs

Q. How to get a pharmacist licence in Ireland?

A. To get a pharmacist licence in Ireland, as an international pharmacist, you must first get your degree assessed and then you must pass the PSI Equivalence Exam (MCQ and OSCE) and the Professional Registration Exam (PRE). You’ll also need to complete an internship and pass an English proficiency test if required.

Q. What is the professional registration exam in Ireland?

A. The Professional Registration Exam (PRE) is an OSCE-based assessment that evaluates a pharmacist’s readiness to practise independently in Ireland.

Q. How much do pharmacists get paid in Ireland?

A. Pharmacist salaries in Ireland vary based on experience, location, and the type of pharmacy practice. On average, pharmacists earn an annual salary of around €74,042 (approximately ₹6,681,120). More experienced pharmacists or those in managerial or specialized roles may earn even higher salaries, while entry-level pharmacists generally start with lower figures.

Dr. Indu K
Dr. Indu K
about the author

Dr. Indu K is a dentist with one year of clinical experience. She seamlessly transitioned into content writing three years ago. Her passion lies in making complex medical information accessible to everyone. She uses her unique blend of medical knowledge and exceptional writing skills to bridge the gap between healthcare and the general audience.

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