Medical training initiative (MTI)

The Royal College of Psychiatrists (RCPsych) Medical Training Initiative (MTI) is designed to enable a small number of International Psychiatry 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, vacant CT3 posts are made available for overseas doctors who meet the eligibility criteria. NHS Trusts and employing bodies that would like to employ an MTI International Fellow can find out more in the 'How do NHS Trusts/Employing Bodies apply?' section below. 

The paid CT3 posts are approved by Deaneries/LETB as suitable for training. The RCPsych provides GMC Sponsorship and the Academy of Medical Royal Colleges (AoMRC) acts as the UK Sponsor to enable participants to apply for a Tier 5 visa with the UK Borders Agency.

Doctors applying to the MTI scheme must:

  • hold a primary medical qualification recognised by the UK General Medical Council from an internationally accepted medical institution. Successful applicants must have this qualification verified by the Education Commission for Foreign Medical Graduates (ECFMG) (RCPsych will advise when to do this).
  • 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 12 months leading up to GMC registration).
  • understand that the scheme is aimed at trainees and that those in training grades will be given preference, therefore it may not be possible to interview all eligible candidates.
  • in the last 18 months have completed the International English Language Testing System (IELTS) Academic Test and achieved a minimum overall score of 7.5 (and at least 7.0 in each category) OR have achieved a grade B or over in each testing area of the medical version of the Occupational English Test (OET). The scores must be from your most recent sitting of the IELTS or OET.
  • be resident overseas at time of application and have no rights of residence in the UK. EU/EEA/Switzerland residents are now eligible to apply.
  • have obtained, or be working towards, a postgraduate qualification in psychiatry.
  • have not previously made any unsuccessful attempts to register with the GMC (e.g. PLAB test) or exceeded the GMC’s limit on unsuccessful attempts at the PLAB test (Doctors who have failed - and not subsequently passed - either part 1 or part 2 of the PLAB test or who have previously been turned down for sponsorship by an approved sponsor are not generally considered as suitable candidates for sponsorship. If unsure, please see GMC website for clarification)
  • have not failed any examination that forms part of your psychiatric training, including between the time of application and the time of sponsorship.

Costs for doctors

Applications to start MTI placements in August 2022 will open on Monday 25 October 2021 and will close at 23.59 GMT on Monday 17 January 2022.

To apply, you should:

  • send all documents in PDF or Word format only
  • submit each part of the application as one document (for example A1 should be submitted as one document, not several individual pages)
  • submit your application in one single email
  • digital signatures will be accepted.

To apply please complete the below MTI Application forms and submit to

If you encounter any difficulties using these forms, please contact

This diagram illustrates the application process:


Due to the ongoing coronavirus pandemic, the MTI team are still accepting applications from Employing Bodies for MTI start dates throughout 2021 and 2022. 

Trusts and employing bodies that would like to employ an RCPsych MTI International Fellow should read the RCPsych MTI Employer Guidance and submit an RCPsych MTI Employing Body Submission Form to

There is an Employing Body administrative fee of £750 for each doctor RCPsych successfully matches with a post.

If you have any questions, please email

Visas: information from UKVI

UK Visas and Immigration (UKVI) have published advice for UK visa applicants and temporary UK residents affected by coronavirus (COVID-19) which we recommend you read through. As a health worker in the NHS, you will be eligible for a one-year visa extension if your visa expires between 1 April 2021 and 30 September 2021. 

Coronavirus (COVID-19) and travelling to the UK

Travel guidance and restrictions are constantly changing. We recommend checking government advice on coronavirus (COVID-19) regularly to stay up to date with the latest rules.

Immigration Health Surcharge refund

Doctors on the MTI, and their dependents, can now receive full reimbursements of the Immigration Health Surcharge (IHS), for any period from 31 March 2020. To request a refund, complete the AoMRC IHS refund form.

Get in contact to receive further information regarding a career in psychiatry