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, 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.
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:
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:
Please note, the RCP cannot sponsor doctors who have failed the Professional and Linguistic Assessments Board (PLAB) test.
Before you can make an application for the MTI scheme through the RCP, the following criteria must be satisfied:
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:
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 mti@rcplondon.ac.uk.
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:
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.
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 https://www.gov.uk/browse/visas-immigration/work-visas.
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.
https://www.rcplondon.ac.uk/education-practice/advice/medical-training-initiative
https://www.rcplondon.ac.uk/file/19236/download
https://www.rcplondon.ac.uk/file/23841/download
https://www.rcplondon.ac.uk/file/4534/download?token=QyAzDCP8
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:
A NHS Trust in the South East of England is looking for a Specialist Doctor in Medical Oncology with an interest in Breast. The Oncology department includes a team of consultants and is supported by a large group of specialty doctors and clinical fellows. This Medical Oncology role is open to both UK-based and international applicants, with those holding FRCR/MRCP especially encouraged to apply.
Anyone requiring portfolio support (formerly known as CESR) can have their needs reviewed on a case-by-case basis.
Doctors with FRCR/MRCP and an interest in breast cancer are encouraged to apply. The salary will range from £96,990 – £107,155.
Deliver high-quality oncology care, including chemotherapy, hormone therapy, and targeted therapy.
Participate in multidisciplinary team meetings and provide leadership for tumour site specialisations.
Supervise and mentor junior medical staff, contributing to teaching and research activities.
Engage in clinical governance and audit work to maintain high standards of care.
This region offers a balance of busy towns and peaceful countryside. There are excellent schools, reliable transport links to London and Europe, and a wide range of leisure activities — including historic sites, coastal attractions, and cultural events. The area combines accessibility with quality of life, making it attractive for professionals and families alike.
When applying through IMG Connect, you’ll receive full support from a specialist recruitment team who will guide you through every step. Support includes:
CV preparation and tailored feedback sessions.
Application support with in-depth NHS and recruitment insights.
At least two video-based interview preparation sessions.
Help with contract discussions and offer negotiations, including relocation packages.
Once you’ve accepted your offer, you’ll have access to a dedicated relocation executive to assist with:
Document collection and checks.
COS and visa support where needed.
Short- and long-term accommodation options.
Travel planning.
Family support, including help finding schools and settling in.
An NHS hospital in South East England is looking for a Consultant in Clinical Oncology with an interest in Upper and Lower GI cancers. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration, GMC Specialist Register, CCT, or CESR are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
GMC registration with a license to practice, CESR, or a GMC-recognised qualification such as FRCR is required for this role. Anyone with an interest in Upper and Lower GI cancer should apply. The salary will be between £105,504 – £139,882 dependent on experience.
Provide expert oncology care for patients diagnosed with Upper and Lower GI cancers, overseeing treatment plans and managing patient care.
Participate in multidisciplinary team (MDT) meetings across sites to coordinate treatment.
Contribute to research and clinical trials within the Oncology department, promoting innovation in GI cancer treatment.
Engage in teaching opportunities with medical students and junior doctors, especially in preparation for the launch of a new postgraduate medical programme.
This hospital is located in the South East of England, a region known for its mix of lively coastal cities and peaceful countryside towns. It offers great transport links to London, top-performing schools, and diverse leisure options, including historic landmarks, nature trails, and vibrant cultural scenes. The area is rich in maritime and military history, making it a unique and engaging place to live and work.
CV Preparation with a bespoke session with one of our specialists
Application support with expert knowledge of NHS specialisms & recruitment practice
At least two video calling interview preparation sessions
Contract and offer negotiations for salary, relocation packages, tenure, and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
Document gathering and checking
COS and Visa Application support if applicable
Support sourcing short- and long-term accommodation
Travel arrangements
Family support for finding schools and any other aspects of pastoral care
An NHS district general hospital in Yorkshire is looking for a Consultant Dermatologist with an interest in skin cancer and minor skin surgery. The Dermatology department comprises a team of locum consultants, an experienced Specialty Doctor, and a Biologic Nurse Consultant, supported by a large team of middle grade doctors. This Dermatology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) or SCE are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Full GMC registration and significant experience in general dermatology and minor surgery, are required for this role. Anyone with an interest in skin cancer management and dermatological surgery should apply. The salary will be between £109,725 and £145,478 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
LIFE IN THE NORTH OF ENGLAND
???????This hospital is situated in the north of England, with popular residential areas including vibrant cities and picturesque countryside locations. Urban dwellers may enjoy city life in places like Sheffield or Leeds, while rural enthusiasts might prefer the surrounding villages and national parks. The region offers great schools, excellent transport connections, and a wide variety of leisure activities for all lifestyles. Historically significant for its industrial roots, the area remains a vital and evolving part of British heritage and modern living.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
An NHS cancer centre in Northern Ireland is seeking a Consultant Clinical Oncologist with a specialist interest in Upper GI and Breast cancers. The department includes 11 oncology consultants and is supported by a team of middle grade doctors and specialty trainees. This position is open to both UK-based and international doctors, particularly those with FRCR or European Specialist Registration.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
Applicants should have full GMC registration and at least 6 years of postgraduate experience in Clinical Oncology. The salary for this role is between £88,799 and £119,723, dependent on experience.
Manage patients with Upper GI and Breast cancers across inpatient and outpatient settings.
Engage in tumour site-specific MDTs and contribute to treatment planning and decision-making.
Support the training and mentoring of oncology registrars and junior doctors.
Contribute to service development, teaching, and clinical governance.
Based in the north-west region of Northern Ireland, this location offers both city and rural living, with access to scenic countryside, the coast, and neighbouring towns. The area features well-rated schools, convenient transport infrastructure, and rich opportunities for cultural, historical, and recreational pursuits. It’s a growing destination for healthcare professionals seeking balance between professional development and quality of life.
CV Preparation with a bespoke session with one of our specialists
Application support with expert knowledge of NHS specialisms & recruitment practice
At least two video calling interview preparation sessions
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
Document gathering and checking
COS and Visa Application support if applicable
Support sourcing short- and long-term accommodation
Travel Arrangements
Family support for finding schools and any other aspects of pastoral care
An NHS district general hospital in the South West of England is looking for a Consultant in Medical Oncology with an interest in NET and HPB cancers. The Medical Oncology department comprises a team of 11 consultants and is supported by a large team of middle grade doctors and specialist nurses.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
This oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or MRCP are most encouraged to apply.
Anyone with an interest in NET and HPB cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
Take ownership of site-specific oncology services, primarily in NET and HPB cancer.
Participate in outpatient clinics, support patients undergoing day case treatments, and assist the Acute Oncology Service.
Contribute to education and training of junior medical staff and engage in multidisciplinary team working.
Participate in clinical governance, audits, and contribute to ongoing research and service development.
LIFE IN THE SOUTH WEST
This role is based in a beautiful coastal region in the South West, with access to popular towns and seaside resorts perfect for both urban and rural living. The area features excellent schools, well-connected transport options, and a wide range of outdoor activities from beach days to countryside walks. With its blend of natural beauty and cultural history, the region is a top choice for medical professionals relocating to the UK.
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HOW WILL IMG CONNECT SUPPORT YOU?
CV Preparation with a bespoke session with one of our specialists
Application support with expert knowledge of NHS specialisms & recruitment practice
At least two video calling interview preparation sessions
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
Document gathering and checking
COS and Visa Application support if applicable
Support sourcing short- and long-term accommodation
Travel Arrangements
Family support for finding schools and any other aspects of pastoral care