How will I benefit from MTI?

As an MTI trainee you will receive specialty training supervised by a qualified NHS consultant. In most instances the training plan is tailored to suit your educational objectives and the work you wish to undertake on returning home.

We will sponsor your GMC registration and sponsor your visa or support the NHS Board/Trust in applying for your visa (whichever visa route is most appropriate for you).

You will receive the same salary as a UK doctor unless you have funding from your home country.

Do I qualify for MTI?

Before we consider accepting an application, you must have:

  • Full MRCP(UK) or other suitable advanced postgraduate qualifications which will be considered in context of the other skills and experience
  • An overall IELTS Academic test result of at least 7.5, with at least 7.0 in all components or an OET result at grade ‘B’ or above achieved in each component for the profession ‘MEDICINE’; IELTS or OET results must have been achieved in a single sitting of the test within the past 2 years
  • Worked in a clinical practice setting for 3 of the past 5 years, including continuously in the last 12 months
  • 12 months' experience in the specialty or specialties you are applying for 
  • their primary medical qualification independently verified by the Educational Commission for Foreign Medical Graduates (ECFMG) 

How much does it cost?

We sponsor successful applicants’ GMC registration and visa applications but do not offer financial support.

Application fee

A £100 application fee is charged to all applicants. This is a non-refundable application fee payable when we accept an application. We do our best to identify suitable opportunities for all applicants but cannot always guarantee this.

Administration fee

Our administration fees are determined according to economy of the country where you work (as classified by the World Bank)

  • High-income economies                           £500
  • Upper-middle-income economies             £300
  • Lower-middle-income economies             No fee
  • Low-income economies                            No fee

Please note the application fee will be deducted from any administration fee charged.

Other costs

The current fee for GMC registration can be found on the GMC website alongside guidance on the process. You are responsible for paying these, the fee for the ECFMG check and the visa application fees, we do not pay them on your behalf. You will also need to pay your costs for travelling to the UK.

Where can I work and for how long?

We support placements all over the UK. While we can place trainees in most specialties, we cannot always guarantee that a suitable placement will be found in all specialties.

Placements are for a minimum of 12 months up to 2 years, the exact duration depends on the particular placement.

MTI  does not lead to Certificate of Completion of Training (CCT). Upon completion trainees receive a certificate from the College confirming that they have undertaken an International Training Fellowship in the specialty and a letter outlining the competencies they have gained experience in.

How do I apply?

If you meet all our essential criteria and wish to apply please send to

  • Your full academic CV
  • A copy of your IELTS/OET test results
  • A cover email clearly stating your nationality, preferred specialty, the duration of post you prefer and when you would be available to start work.

There is no application deadline as we recruit all year round. Interviews are conducted online with recruiting consultants for a particular post and are not held overseas. You will have to satisfy RCPE that you possess the knowledge, skills and experience required for practising as a fully registered medical practitioner in the UK.

Recruitment process

  1. If we identify a suitable post we will send you the job description.
  2. If you agree to be put forward for consideration we then send your CV to the recruiting consultant.

If we progress the next stage is selection by interview.  You must submit a formal application and the application fee before an interview is arranged. Further guidance on the formal application will be provided and will require a satisfactory health & probity declaration, references and copies of degree certificates. It is important that you remain in clinical practice throughout the application process.

  1. Interviews are conducted remotely online via WebEx or a similar platform. The structured interview will include questions on management of acutely ill patients and ethical/legal  issues.

If a job offer is made following a satisfactory interview then you start your online application for GMC registration and send us your reference number. We then submit a Certificate of Professional Sponsorship to the GMC. The GMC also require a satisfactory Certificate of Good Standing from you, obtained within the last 3 months.

  1. Following confirmation of GMC registration we then arrange a visa Certificate of Sponsorship for you to submit with your online visa application.
  2. Trainees must liaise directly with the NHS to agree start dates, contracts and arrange occupational health and safeguarding checks.

If you have already been offered a NHS post please contact us for further details of how we may be able to support your GMC registration and visa application through MTI:

How long does it take?

Successful MTI applications for those from priority countries take an average of 6 months from first  applying to arrival in the UK. We recommend you contact us 6 months before your intended work date,  or 12 months before if you are from a non-priority country.


As an MTI  trainee you will receive specialty training in the post under supervision  by a qualified NHS consultant. We quality assure posts to ensure that they contain sufficient educational and training content. In most instances the training plan is tailored to suit your educational objectives and the work you wish to undertake on returning home. If you identify opportunities for research, audit or relevant  conferences we encourage you to  discuss and agree these  with your educational supervisor.

On-call duties in general/ acute medicine are often part of the training post and these help maintain NHS services as well as providing you with experience of general medicine in the  NHS.


You will undertake a period of local induction and close supervision to become familiar with local practices and protocols until both you and your supervising consultant are satisfied that you are competent and ready before commencing your full role or starting any on-call or night shifts, if this is part of your training post.

We also organise induction sessions on UK practice with the GMC and advertise these to current MTI  trainees as appropriate. You will also have access to relevant induction sessions at the Royal College of Physicians of London and we will notify you of these if appropriate.

Ongoing placement support for trainees

We provide a range of support during your placement:

  • Mentors: we assign you a mentor - usually a senior Fellow of the College
  • ePortfolio: you will receive free use of the JRCPTB’s ePortfolio for supporting professional achievement, reflection and learning and managing your progress
  • College Membership: you will receive free Collegiate or Associate Membership giving access to a range of educational resources including discounted rates for educational events and courses and access to our Education Portal
  • Feedback: we request regular feedback from you and your supervisor to ensure that everyone is happy that progress is being made and training needs are being met

Feedback from former MTI  trainees

“During my time in training, I was able to grow my clinical knowledge base in renal and acute medicine... the experience gained will be applied directly to my work on return. I attended courses relevant to my interests and was able to meet persons, develop relationships and share experiences.

"I'm very grateful for the support especially the easily accessible wide variety of knowledge available at the Royal College learning website [Education Portal]"

“Participation in MTI was the best thing that has happened to me in my career”