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. The scheme is underpinned by the Diploma in UK Medical Practice which all candidates are expected to achieve.

Now in its eighth 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.

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 which are either on the UK Department for International Development's priority list or are defined by the World Bank as low- / lower middle-income countries (see document below).

Unfortunately, applicants from countries not on this list may have a significant wait with no guarantee that they will be issued a certificate of sponsorship.

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, to enable participants to fully demonstrate the breadth of experience gained
  • an annual symposium.

Applying to train in the UK

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

If you have already been offered a post, please fill in the 'Initial application form' below and return it to mti@rcplondon.ac.uk along with a copy of your CV.

If you are interested in attending an MTI interview in your country, please visit our Medical Training Initiative interviews page for further information on upcoming interviews, requirements and 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.