Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn

Diploma in Otolaryngology Head and Neck Surgery (DOHNS)

The purpose of the Diploma of Otolaryngology Head and Neck Surgery is to test the breadth of knowledge, the clinical and communication skills, and the professional attributes considered appropriate by the College for a doctor intending to undertake practice within an Otolaryngology department in a non-consultant career grade or trainee position. It is also intended to provide a test for those who wish to practise within another medical specialty, but who have an interest in the aspects of where that specialty interacts with the field of otolaryngology. 

Applications are now being accepted for the Diploma in Otolaryngology Head and Neck Surgery (DOHNS). Apply online here

DO-HNS Part 1

This is a written exam which assesses candidates’ knowledge of applied basic science and theoretical optics.

DO-HNS Part 2 (OSCE)

The DO-HNS OSCE consists of up to 28 active stations. This includes approximately five stations designed to assess clinical skills, clinical examination, clinical history- taking and communication skills. There are a further approximately 23 stations where candidates are presented with questions to be answered on a written question/ answer sheet. These stations allow assessment of anatomy and physiology, pathology/ histology, audiometry, otology, rhinology, laryngology, neck conditions, written communication skills, radiology, ENT surgical/medical instruments and paediatric ENT surgery. 


Candidates who successfully complete each of the above parts of the examination will be awarded a Diploma of Membership in Otolaryngology Head and Neck Surgery. Alternatively, candidates may wish to undertake the MRCS Part A examination and then take the DO-HNS Part 2 OSCE. If successful, such candidates will receive the award of MRCS (ENT).

Additional information 

Find out more information about examination structure, content and regulations here. To enquire or ask a question about the DO-HNS examination, please email