Medical Training Initiative

The Medical Training Initiative (MTI) is a mutually beneficial scheme that provides junior doctors from all over the world with the opportunity to work and train in the UK, while giving trusts a high-quality, longer-term alternative to using locums to fill rota gaps.

Now in its ninth year, the Royal College of Physicians (RCP) scheme is the largest of all UK college programmes, with more than 300 international medical graduates currently working in the UK. Its role is to:

  • interview applicants and match successful doctors to posts in the UK (where necessary)
  • facilitate General Medical Council (GMC) registration
  • provide sponsorship for Tier 5 MTI visa.

Once in the UK the RCP supports doctors on the scheme by providing:

  • GMC-endorsed induction
  • free use of the ePortfolio system for recording continuing professional development (CPD)
  • access to the RCP / Liverpool School of Tropical Medicine Diploma in UK Medical Practice

Applying to train in the UK

The RCP can help international doctors who have already found a suitable post in the UK (Route A), and also frequently interviews applicants in their own country before matching successful candidates to suitable posts (Route B).

If you have already been offered a post, please download the initial application form and the professional postgraduate experience form and return them to along with a copy of your CV.

The initial form is for new route A applications and should be returned with your CV and the professional postgraduate experience form
This form is for new route A and route B application. This should kept up to date during the application process (until GMC registration is complete).
RCP Medical Training Initiative – a guide for applicants
Please see this document for information on the application process.

Information for UK trusts

Trusts are invited to submit time-limited ST level posts which include a training component. These can be funded from savings on locum costs or by converting trust posts to MTI posts.

The RCP then identifies and interviews appropriate applicants before inviting the trust to interview successful candidates by telephone to ensure their suitability for the post.

Once an appointment is confirmed, the RCP facilitates GMC registration and the supporting Tier 5 MTI visa.

Applications can be made to the MTI team via by completing a post submission form and job description template. 

The fee for this would be £2700 per doctor (as of 17 January 2019). 

Job description template - trusts with new or current applications should ensure the template is completed and returned to the MTI team.
MTI post submission form - for trusts only. Please complete and return this form along with the job description for any new post avaliable.

Important information regarding GMC and tier 5 sponsorship.

GMC sponsorship

Please note that, as part of GMC registration, international medical graduates will now be required to have their primary medical qualification independently verified by the Educational Commission for Foreign Medical Graduates (ECFMG) through their online system – known as the Electronic Portfolio of International Credentials (EPIC) service. Applicants to the MTI scheme will need to set up an online EPIC account and have their qualification verified before we are able to provide GMC sponsorship.

If you have already had your qualification verified by the ECFMG you will not need to have it verified again but you will require an EPIC account in order for the GMC to review this.

Visa sponsorship

Please note that, when issuing certificates of sponsorship for the Tier 5 visa, the Academy of Medical Royal Colleges (AoMRC) now prioritises countries that are either identified as Department for International Development (DFiD) priority countries or are World Bank low income and lower middle income countries.

Unfortunately, applicants from countries not on these lists may have a significant wait with no guarantee that they will be issued a certificate of sponsorship. We recommend that you apply to the scheme as early as possible to reduce delays.


The MTI team is available to respond to telephone queries from individual doctors on +44 (0)20 3075 1631 at the following times:

  • Monday–Thursday: 11.00–15.00 GMT
  • Friday: 10.00–14.00 GMT.

If you are unable to speak to us during these hours please contact the RCP Global office on +44 (0)20 3075 1304 and a message will be passed on to the MTI team to contact you via email .