Medical Training Initiative
PLEASE NOTE: The 2017 MTI
Scheme is no longer accepting applications from
We are still accepting applications from Trusts wishing to fill
vacant posts, until midnight of 31st March. Please
submit a Trust
Post Submission Form to firstname.lastname@example.org in order to submit
a vacancy for consideration.
The 2018 round will likely open to those doctors wishing to
submit applications around October 2017.
For further information, and to be included on the mailing list
for updates on next year's scheme, please email email@example.com.
What is the MTI Scheme?
The Medical Training Initiative (MTI) is designed to enable a
small number of International Medical and Dental Graduates to enter
the UK to experience training in the NHS for up to two years before
returning to their home country. Under the scheme, training
capacity not required for planned UK/EEA training numbers is made
available for overseas doctors and dentists who meet the required
eligibility criteria. The paid posts are approved by Deaneries/LETB
and the Academy of Medical Royal Colleges acts as the UK Sponsor to
enable participants to apply for a Tier 5 visa with the UK Borders
How does it work?
On receipt of a complete application from a doctor, the RCPsych
will send an acknowledgement. The application will then be
processed and all those candidates that meet the requirements will
be invited to a video interview at a predetermined date in either
February or March. Successful candidates will be granted the
opportunity of sponsorship by the RCPsych to register with the GMC
and to apply for a Tier 5 working visa valid for up to 24 months,
dependent on agreement of a core training post with a Trust. Please
note that this does not automatically mean that a post in the UK
will be available; posts on the MTI programme can only be filled if
they are not needed to meet planned UK/EEA training numbers.
The RCPsych will try to "match" successful applicants with
available core trainee posts in the UK. Once a match has been
confirmed, the employing Trust and associated Deanery will both
sign an agreement to take on the doctor as a core trainee and
submit this to RCPsych by 30th April. The applicant will then need
to apply to the GMC to join the Medical Register. Once the GMC has
approved an application to join the Medical Register, they will
send an invitation for the doctor to come for an identity check,
RCPsych will then send an application to the AoMRC who will issue a
Certificate of Sponsorship (CoS) that the individual can use to
obtain the Tier 5 Visa allowing them to work in the UK. The doctor
then arrives in the UK, joining the trust to begin work at the
beginning of August.
The flowchart below outlines the various steps involved in this
How do I apply as a Doctor?
Entry Criteria for Doctors
Must hold a primary medical qualification recognised by the UK
General Medical Council (GMC)*.
Have completed an acceptable internship (or equivalent) of not
less than 12 months following undergraduate training**.
Have at least three years’ experience working in Psychiatry in
the last five years, including the last 12 months.
Have achieved a minimum overall score of 7.5 in the
International English Language Testing System (IELTS) Academic Test
within the last 18 months, and at least 7.0 in each
Have been engaged in at least 2 years of full-time clinical
practice, including the last 12 months.
Be resident overseas at time of application and have no rights
of residence in the UK/EU/EEA/Switzerland.
Obtained, or are working towards, a postgraduate qualification
Have not previously made any unsuccessful attempts to register
with the GMC (e.g. PLAB test) within the previous 12 months up to
the point of the application deadline. Have also not exceeded the
GMC’s limit on unsuccessful attempts at the PLAB test (If unsure,
please see GMC website).
* For GMC list of recognised
qualifications, please see
For internationally accepted Medical
Institutions, please see here
** For GMC requirements regarding
acceptable internships, please see
*** For the GMC’s English language
requirements, please see
For details of
your local IELTS exam centre please see
How do I apply as a Trust?
If you are working within the medical staffing department of
your trust and wish to fill empty core trainee posts with MTI
International Fellows, you can submit an application on behalf of
the trust for posts commencing in August to be considered as part
of the 2017 scheme. For each doctor that is successfully matched
with a post, the trust would be required to pay an administrative
fee of £750 to RCPsych. In order to apply, please simply complete
the Trust Post Submission
Form once for each post you have available and return
them to firstname.lastname@example.org by
Midnight of 31st March 2017.
Post Specification for Trusts
Only vacant Core Training posts in your Trust can be
filled by an MTI Doctor. Vacant posts must be authorised for use by
MTI International Fellows by the appropriate
The RCPsych recruits MTI candidates and ensures that they have
met the standards set out above. Trusts are not required to sponsor
any visa applications as this is taken care of by the national
scheme sponsor - the Academy of Medical Royal Colleges (AoMRC). The
Medical Training Initiative is a government authorised exchange
operated under Tier 5 of the Points Based System.
The MTI application process involves the applicant, the RCPsych,
the GMC, the Trust and the Deanery as well as the AoMRC and UK Visa
& Immigration - it can take several months to secure a
position, and approximately 3 months for a Doctor to complete the
necessary registrations from the point at which Trusts submit their
signed agreements to RCPsych.
MTI International Fellows should be offered an NHS induction, a
Trust induction and a departmental induction. They should also have
access to the same training opportunities as other trainees in the
department. As the Medical Training Initiative is a training scheme
International Fellows on the MTI Programme cannot fill service
MTI International Fellows should engage in the revalidation
process, even if their date for revalidation never comes up whilst
they are working in the UK. Therefore they need to link to a
Responsible Officer, engage in an annual appraisal process and
collect supporting information exactly as any other doctor should.
The designated body should be their Trust.
How much does it cost?
MTI Fee for Doctors
MTI International Fellows are required to pay RCPsych an
administrative fee to RCPsych.
Associated Costs for Doctors
- GMC Registration Fees
- UKVI Tier 5 Visa Fees
- IELTS Test Fees
MTI Fee for Trusts
Trusts are required to pay RCPsych an administrative fee of £750
for each post that is matched successfully with an MTI doctor.
What else do I need to know?
The 2017 Scheme is no longer accepting applications. The 2018
scheme will likely begin accepting applications around
Further details about the MTI scheme, including
advice for Trusts and for individuals, can be found on the Academy
of Medical Royal College’s Website: www.aomrc.org.uk/mti
further information is required please contact Prof. Mohammed
Al-Uzri, Specialist Advisor for MTI and/or Elen Cook International
Liaison Manager at email@example.com / +44
(0)203 701 2584