Medical Training Initiative (MTI) for Medicine Doctors

  • April 06, 2023

Here we take a closer look at the Medical Training Initiative (MTI) for international doctors practicing medicine and its sub-specialties. 

Whilst the MTI describes a UK-wide placement scheme for junior overseas doctors, the processes involved vary between specialties.  

This blog focuses on the MTI scheme as administered by the RCP, and the particular of this are summarised below along with a broad look the following: 

Skip ahead to the relevant section if you know what you’re looking for.  

The Medical Training Initiative

The Medical Training Initiative, or MTI, is a training programme that provides junior doctors from all over the world the opportunity to gain clinical training and development in the UK for a maximum of 24 months. 

The MTI as a training scheme is mutually beneficial for both junior doctors and the NHS, in that doctors from several countries and specialisms around the world can work and train in the UK, gaining knowledge and experience which they can take back to their home country, while giving NHS Trusts a high-quality, longer-term alternative for unfilled training vacancies and rota gaps. 

Royal College of Physicians (RCP)

The Royal College of Physicians is the professional body that regulates medicine specialties in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination. 

Take a look at IMG Resources library for complete guides on MRCP to learn more. 

There are several ways you will be supported by the RCP as listed below: 

  • Induction – all MTI candidates are expected to attend an induction at the RCP. The induction is held on a quarterly basis 
  • Free ePortfolio access – this is an electronic portfolio to log all your assessments and training whilst in the UK 
  • Free RCP associate membership – this is for the first year and discounted rate for the second year and comes with a number of benefits 
  • Annual symposium – this is a clinical conference for all RCP MTIs held once a year 
  • Diploma in UK Medical Practice – participants are required to carefully document their training using the ePortfolio system, complete a range of continuing medical education sessions, and submit a written reflection piece at the end of their placement 
  • RCP certificate - at the end of training there is an RCP certificate available to all candidates 
  • Support for any issues that you might encounter relating to your training 


The MTI has been designed specifically with junior doctors in mind, therefore sponsorship will not be offered to consultants, specialty doctors or for locum-appointed service posts (LAS).  

The eligibility criteria differ among MTI programmes, but for the RCP, eligibility includes the following: 

  • Country Requirements - Priority is given to doctors from countries classified as low income or lower middle income by the World Bank and priority countries as described by the Department for International Development. Doctors from outside these countries may also apply, but there may be a long wait time and no guarantee of acceptance. 
  • Primary Medical Qualification: You must hold a recognised PMQ by the GMC and verified by Educational Commission for Foreign Medical Graduates (ECFMG) 
  • Have a Postgraduate Medical Qualification: This can be MRCP Part 1, MD or other higher degree in medicine or a medical subspecialty 
  • Skills & Competencies: You must possess the skills, competencies and understanding of medicine at least equivalent to a UK graduate at the end of their core medical training. 
  • Clinical Experience: You must have 3 years post-qualification experience, including 1 year's internship and at least 1 year in the specialty in which you intend to train while in the UK 
  • Active Medical Practice: Candidates must have been actively practicing clinically for at least three out of the last five years including the past 12 months before the application as well as throughout the application process (the GMC does not consider clinical observerships as clinical practice). 

Please note, the RCP cannot sponsor doctors who have failed the Professional and Linguistic Assessments Board (PLAB) test. 

Additional Requirements

Before you can make an application for the MTI scheme through the RCP, the following criteria must be satisfied: 

  1. Verification of PMQ – your primary medical qualification must be independently verified by the ECFMG via their EPIC service. 
  2. Complete an English Language test – the test must have been completed within two years of application for GMC registration. 
  3. Find an NHS job before applying for the MTI – you are required to apply directly for an NHS post and should have already been formally offered the role before contacting the RCP. The hospitals should also be in support of your intention to seek sponsorship for the post.  
  4. Obtain funding - you should already have funding for your post from either a scholarship, official funding, or a salary. The funding should be equivalent to a UK salary for the level of work being undertaken and must last for the duration of the post. The RCP will not sponsor applicants who are self-funded. 
  5. Certificate of Good Standing - you must be able to provide a certificate of good standing (CGS) from the regulatory body in the countries where you have practised in the last 5 years. The CGS should be no older than 3 months when submitted. 

GMC Registration

All doctors practicing in the UK must be registered with the GMC. For MTI candidates, registration is typically supported by the Royal College, but some NHS Trusts also have the right to register MTI doctors. 

English Language Testing – candidates will also need to provide evidence of English language skills. This can be done by passing either IELTS with overall score of 7.5 and 7.0 in all categories or OET with minimum grade B in all categories. Further information on these tests can be found below: 

Application Process

Once you fulfill all the eligibility criteria and additional requirements laid out by the RCP, you must complete the initial and professional postgraduate experience (PPE) forms and email these along with your CV to

Once your CV, initial form and PPE forms have been received, the RCP will contact the supervising consultant in the UK and confirm the details of your post. You will then be sent an application pack. You should complete the application form and send it to the RCP with all of the following documents: 

  • sponsor form (forms will be provided by the RCP) – must be completed by your consultant or head of department in your home country 
  • two reference forms (forms will be provided by the RCP) 
  • copy of your passport 
  • copy of your IELTS/OET certificate or details of exemption 
  • copies of your medical qualifications 
  • translations of your medical qualifications if they are not in English 
  • letter from the dean of the medical school from which you graduated 
  • copy of certificate of good standing 
  • letter from the UK hospital confirming your appointment 
  • evidence of funding for the post 
  • your statement agreeing to the level of funding which you have received from any of the sources listed 
  • initial fee of £125 

We’ve detailed the general processes involved in MTI applications through the RCP below, from a candidate securing an NHS post, to their eligibility to work in the UK after gaining GMC registration and securing a visa. 

Tier 5 Visa for MTI

The MTI scheme falls under the Tier 5 government authorised exchange visa. This visa must only be used for travel to the UK at the beginning of the placement and will activate after your arrival, lasting for exactly 24 months from your arrival date. 

For a Tier 5 MTI visa, the RCP needs to provide evidence regarding your post to the Academy of Medical Royal Colleges (AoMRC - the official visa sponsor) once the GMC has approved your application in order to get your Tier 5 Certificate of Sponsorship (CoS) issued.  

Once your Tier 5 CoS has been issued it is your responsibility to apply for the Tier 5 visa via

Applications for Tier 5 visas must be made in your home country (or the country you work in), but never from within the UK. 

You can also apply to the AoMRC for Tier 5 dependent visas for your spouse and children, although this is not guaranteed, and you should read the UKVI requirements on this well in advance. 

Please note that Tier 5 visas cannot be extended. 


What are my options after I complete the MTI?

Ordinarily, on completion of the MTI scheme, doctors return to their home country with the training and experience they gained from working in the NHS. 

Some doctors may want to remain in the UK after completing the MTI for a number of reasons. This can be done if the doctor finds another NHS post, in which case, they may be able to switch from the Tier 5 visa to the Tier 2 Health and Care Worker visa

If you want to find another NHS post after completing the MTI, you would follow the same process as any other doctor. You will need to consider what job it is you would like to obtain and what location in the UK you would prefer to relocate to. 

For guidance on NHS jobs in your specialty, please see our live jobs or get in touch with us to learn more about your options in the NHS.

For regular news and updates on the Royal Colleges, GMC registration and working in the NHS, follow us on social media and join the conversation: 



Relevant Jobs


An exciting NHS job opportunity is open for a Consultant Clinical Oncologist specializing in Lung & Breast Cancer at an NHS Trust that has been rated \"good\" over all by the CQC. This NHS Trust has undergone significant development, emphasizing patient and community care excellence. With £58 million in national funding, the Trust boasts a University Hospital status, prioritizing research, education, and training. The Care Quality Commission (CQC) lauds the Trust\'s outstanding performance, with 992 beds and 92% patient recommendation, serving a population of 675,000.

This position aims to strengthen the Oncology team, focusing on lung cancer care and Stereotactic Ablative Body Radiotherapy (SABR). Situated at the dynamic centre within the \"good\"-rated trust, the role contributes to systemic treatment advancements and ongoing research. The Oncology Department at the Combined Haematology Oncology Centre caters to 1-1.5 million residents. Designated as a Cancer Centre since 1996, the Centre collaborates with neighboring hospitals, fostering a multidisciplinary approach. The purpose-built Cancer Centre, equipped with advanced imaging, provides nurse-led services, chemotherapy units, and home-delivered immunotherapy.

The post holder is expected to: 

  • Participate in all facets of departmental activity.

Career development at the Trust includes access to CESR support, specialty training, and opportunities for external duties. The forward-thinking Oncology department initiated SABR practices in 2021 and maintains a dynamic research team supporting various clinical trials.

Life in the area, a historic home of the Royal Navy, offers cultural richness and proximity to scenic countryside. A thriving artistic community, excellent schools, and various development projects contribute to the vibrant atmosphere. The area combines city conveniences with picturesque villages, making it an excellent place to raise a family!

This comprehensive opportunity integrates the Consultant role, SABR RT specialisation, CESR support, and coastal life in the UK, creating a fulfilling and enriching professional and personal experience. 


EEA Candidates: 

  • Recognised European Medical Degree or Specialist Qualification

Non-EEA Candidates:

  • FRCR or equivalent qualification 

UK Based Candidates: 

  • FRCR qualification

This is a great opportunity for any experienced consultant clinical oncologist working towards CESR in Clinical oncology specialist registration in the UK.

88,364 - 119,133

Want to be a part of a supportive and dynamic team as a Consultant in Gastroenterology?

Embrace this exciting chance to be part of a healthcare environment where your expertise will be valued and your contributions deeply appreciated. An excellent NHS Foundation Trust invites talented and dedicated medical professionals to seize an outstanding opportunity in Gastroenterology at one of their hospitals. As a renowned University teaching hospital, the trust places a strong emphasis on Medical and Dental Education, ensuring that all staff receive exceptional training and patients benefit from top-notch care.

Joining their innovative and dynamic Gastroenterology Department promises a rewarding career filled with diverse cases and comprehensive support from a team of skilled healthcare professionals. As a valued member of the thriving Gastroenterology team, you will have ample career development opportunities. Overseas doctors can work towards completing their CESR and explore sub-specialty areas of interest, further expanding their professional horizons. Moreover, there are exciting opportunities to engage in teaching and supervision of undergraduate medical students, fostering the next generation of medical professionals.

In the are where the Trust is situated, you will discover a vibrant community with a rich historical heritage and a welcoming atmosphere. The city\'s picturesque setting, surrounded by the breathtaking landscapes of the Lake District and the coastline, provides a serene backdrop for both work and leisure. The area boasts a renowned university, adding an intellectual and creative dimension to the city\'s spirit. The constant influx of students fosters a commitment to learning and research, ensuring you have access to cutting-edge medical advancements and resources to further enhance your expertise.


EEA candidates: 
•    Recognised European Medical Degree or Specialist Qualification in Gastroenterology
•    Extensive experience in Gastroenterology
Non-EEA candidates: 
•    MRCP 
•    Extensive experience in Gastroenterology

UK-based candidates: 
•    Extensive experience in Gastroenterology
•    Within 6-months of CESR or CCT in Gastroenterology

This is a great job for any experienced overseas Gastroenterologists working towards CESR and specialist registration in the UK.

£40,000 to £80,000

An excellent opportunity for a dynamic & motivated Consultants in Elderly Care Medicine to join a friendly and enthusiastic team. The large and dynamic department is focused in providing the highest quality care possible for older patients. The position provides an opportunity to negotiate job plans to fit specialist interests. They have a new Medical School at the centre of their community, a focus on research, clinical leadership and making their trust a rewarding and friendly place to work, there’s never been a better time to join them.

This is a great opportunity for overseas Consultants who want to establish themselves in the NHS, and grow their career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.


The NHS Foundation Trust is one of the largest hospital trusts in the country, serving a population of around 759,000 people. The trust operates several hospitals and healthcare facilities. They provide a comprehensive range of healthcare services, including specialist services in areas such as cancer care, cardiology, respiratory medicine, and neurology. The NHS Foundation Trust also works closely with local healthcare partners, such as primary care providers and community services, to ensure coordinated and integrated care for patients.

The NHS Foundation Trust has a strong interest in improving the health of the communities they serve through research and innovation. Their hospitals take part in many clinical research studies and recruit high numbers of patients into research trials. They are a teaching Trust, which play a vital role in the education and training of doctors, nurses and other healthcare professionals, working closely with local universities.

The NHS Foundation Trust\'s greatest asset is their hardworking, talented and dynamic workforce - they strive for excellence every day, providing quality care and support to those who use their service. 


The Acute Geriatric services are provided on all 3 main Trust sites. The department provides a multidisciplinary, multi-agency falls prevention service across acute sites. The service has been operating since 2002 and has grown considerably. The Geriatricians are responsible for providing emergency care of the older person from ED/ emergency floor through to discharge. The wards are supported by daily board rounds led by a Consultant Geriatrician and strong multidisciplinary team. 

The sites operate an age-related take at admission, but are implementing frailty identification early in the emergency pathway to enable prompt CGA initiation, working closely with an established Integrated Discharge Team and their community partners. The frail patients with acute medical illnesses are admitted directly to a Frailty ward from A&E. The service provides a comprehensive osteoporosis service, and has a Dementia Team, comprising of a Matron and 2 Band 6 nurses supported by Clinicians.

The post holder is expected to communicate effectively with all other medical and service departments within the hospital, and with GPs and other hospitals, to ensure continuous care for each patient. The post holder is expected to undertake non-emergency work during premium time as required. The post holder will lead on Parkinson disease and movement disorders.


Life in the area offers a mix of urban and rural environments, with a variety of attractions and amenities to enhance the quality of life for residents. The area is renowned for its stunning coastline, featuring picturesque beaches, cliffs and seaside towns, and a vibrant atmosphere during the summer months. The region has a rich historical and cultural heritage. The city also offers a wealth of history, with cobbled streets, medieval architecture, and a vibrant arts scene. The area boasts a diverse and picturesque countryside.

The area is home to several reputable educational institutions, and it has good transportation links. The area is served by rail connections, including the high-speed train service that connects Canterbury and Thanet to London. The place offers a range of recreational activities to cater to different interests. From visiting historical sites and museums to enjoying water sports, golfing, or exploring the countryside, there are numerous opportunities for leisure and relaxation.


The NHS Foundation Trust is one of the most research-active acute Trusts in the region and they encourage all newly appointed Consultants to take on the role of Principal Investigator, with full training and support. The successful candidate will play their part in teaching the next generation of doctors, nurses and other clinical staff. The NHS Foundation Trust will ask you to help recruit junior staff and supervise their education, including their educational contracts, regular appraisal, study leave, annual leave and rotas – and make sure you keep up-to-date on educational development.

???????If you’re a new consultant, you’ll be asked to enroll on an approved educational supervisor accreditation course by their medical educational department.


EEA Candidates:

  • Experience of working in Geriatric Medicine
  • Board Certified Specialist in Geriatric Medicine

Non-EEA Candidates:

  • Experience of working in Geriatric Medicine
  • Full MRCP UK
  • Eligibility for GMC registration
  • OET or IELTS (candidates who have booked their test and have good levels of English will be considered)

UK based applicants

  • Experience of working in Geriatric Medicine
  • Within 6 - 12 months of completing CCT
Overseas doctors with interests in entering specialty training programmes and working towards CCT are urged to apply for these fantastic posts in beautiful locations across the UK.
88,364 - 119,113

Are you a motivated and committed Consultant in Acute Medicine looking for NHS jobs and relocate in the UK? Then this opportunity is perfect for you!

Grab this chance and possibly start your career in the NHS! You will be joining a team that is always starting innovative ways of working to shape the future model of acute medicine. You will be able to take advantage of working within a multidisciplinary team that aims to deliver high quality care. The team is part of one of the largest NHS Trusts in the country, and not only that, it is rated \"good\" by the CQC! This is a great opportunity for overseas Consultants who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

The department is a team of 7 enthusiastic and hardworking consultants that work within the Urgent Care CSU to drive forward their Acute Medicine and SDEC services. The department has two Acute Medical Units with a total of 57 beds and a co-located 4-bedded Enhanced Care Area, called HOBS (High Observation Area). They have a strong commitment to the delivery of same day emergency care which operates a 7-day services and sees approximately 400 patients per week, as well as delivering an excellent and established ambulatory VTE service. You will be given the opportunity to maintain and update your skills and knowledge through appropriate continuing professional development. 

The successful candidate will be expected to:

  • Work in all 3 areas of acute medicine (AMU, Enhanced Care and Same Day Emergency Care) and will contribute to the out of hours rota (currently 1 in 8).
  • Work with the Trust and its consultant staff to deliver service patterns and job plans that meet this objective.
  • Work in patterns that provide senior cover throughout 24 hours per day, seven days per week.

The department sits within one of the largest teaching hospital trusts in Europe, with access to leading clinical expertise and medical technology. They care for people from all over the country as well as the 780,000 residents of their surrounding area. The Trust has a budget of £1.4 billion, with 21,000 staff who ensures that every year they see and treat over 1,700,000 people in their 2,000 beds or out-patient settings, comprising 100,000 day cases, 125,000 in-patients, 260,000 A&E visits and 1,050,000 out-patient appointments.

You will be working in a bustling city that’s rich in culture and heritage. In addition, it is home to one of the largest train stations in the UK, which is conveniently located in the city centre. You will be living in one one of the best places to live in the UK, due to its affordable cost of living and friendly people!

Apply now and get the opportunity to work for an NHS Trust that always works to develop seamless, integrated care helps us to deliver high-quality local care for every patient every time!


EEA Candidates:

  • Experience of working in Acute Medicine
  • Board Certified Specialist in Acute Medicine

Non-EEA Candidates:

  • Experience of working in Acute Medicine
  • MRCP

UK based applicants

  • Experience of working in Acute Medicine
  • Within 6 - 12 months of completing CCT
A Cancer Centre in Wales are looking for a Consultant or Specialist in Medical Oncology with a sub-specialty interest in AOS/Melanoma. They are considering either UK or Overseas trained doctors for a permanent or fixed term contract type. The trust will support with CESR support and/or those looking to enter specialty training in the NHS.

This is a high performing and supportive department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK, and a great opportunity for any overseas oncologists looking for CESR support and great career development in a beautiful part of England, filled with sandy beaches and offering vibrant city living.

What is the Welsh Health Board like?

The Health Board are one of the biggest healthcare groups in the UK, providing primary, community, mental health and acute hospital services for the population of around 390,000. They have a budget of around £1bn and employ approximately 12,500 staff. Besides their three major hospital sites, they are also responsible for community hospitals, health centres, clinics, mental health units, community teams, GP practices and other services provided by dentists, opticians and pharmacists. Their mission is to improve the health, wealth and wellbeing of the people of Wales and the rest of the world.

What is the Oncology Department like?

This Cancer Centre provides a high degree of specialisation for all the major cancers. It has one dedicated ward of 30 beds (with scope to increase to 36 beds at periods of high demand) for both oncology and haematology patients, together with a chemotherapy and haematology day unit, and an aseptic unit on site. There are also two laminar flow rooms for patients requiring bone marrow/stem cell transplantation and one dedicated room for radioactive isotope therapy.

There is a state of the art telemedicine facility allowing regular multi-professional meetings between oncologists, physicians, surgeons and AHPs in Wales. The system has the capacity to transmit and view both high quality radiological images and histopathological slides.  

The staff are highly experienced, consisting of nurses, radiographers, research officers and admin staff. The new consultant will be joining a friendly and forward-thinking consultant team of clinical and medical oncologists who are committed to delivering highest standards of cancer care, alongside a large team of other clinical and non-clinical professionals.

What Career Development and Opportunities are available?

The Cancer Centre is heavily involved in training which takes place at all levels from undergraduate lectures and clinical teaching, through to Foundation and Core Medical trainee clinical and educational supervision, and higher specialist training. They will also provide excellent CESR support.

Life in South Wales

Based in South Wales, the area is fast becoming one of the most popular places to live in the UK. This waterfront location is actually Wales’s second most populated city and county, offering all the benefits and amenities of a built-up urban environment, alongside a 5 mile stretch of a pristine, sandy coastline. 

The city is home to multiple live music venues, showcasing everything from small gigs to orchestral performances. Annually, the city hosts a number of different festivals, attracting artists from across Wales and the UK. Today, new regeneration is planned which will only increase its popularity, amenities, and modernity. The city is experiencing a period of development and a resurgence of new business and investment, with the city council focusing on creating a culture of creativity and an emphasis on attracting tech led businesses.

The area also has good travel links. It is an easy drive to Port Talbot and Cardiff and you can get to London via the M4, and around Wales on the A48. There are also regular trains to Cardiff, Newport and London. For international and domestic flights, Cardiff Airport is just 44 miles away.

Am I eligible for this role?

EEA candidates: 
•    Recognised European Medical Degree or Specialist Qualification in Medical Oncology
•    Extensive experience in AOS/Melanoma oncology
Non-EEA candidates: 
•    MRCP
•    Extensive experience in AOS/Melanoma oncology
UK-based candidates: 
•    Extensive experience in AOS/Melanoma oncology
•    Within 6-months of CESR or CCT in Medical Oncology

This is a great job for any experienced overseas Medical Oncologists working towards CESR and specialist registration in the UK.

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