Medical Training Initiative (MTI) - Trainees

Information for trainees

The Royal College of Emergency Medicine is one of the Medical Royal Colleges taking part in the Medical Training Initiative (MTI). The MTI is a government authorised exchange under Tier 5 of the Points Based System allowing overseas trainees to obtain training in the UK for up to two years. The Royal College of Emergency Medicine’s International Sponsorship Scheme offers Emergency Medicine training opportunities within the MTI.

Successful applicants can obtain full GMC registration without taking the Professional and Linguistic Assessment Board (PLAB) test.

The Royal College of Emergency Medicine matches successful applicants to training posts. Posts are available for between 6 and 24 months. At the end of their training period in the UK trainees have to return to their home country.

A downloadable document with the full scheme information can be found here

Please note that the International Sponsorship Scheme is only applicable to those taking part in the Medical Training Initiative.

Please be aware that, even if eligible, participation in the scheme is dependent on an appropriate post being available. The likely time-frame for the process is approximately 3-4 months.

We currently have a number of Trusts that are actively seeking placements to be filled as soon as possible, please email for further details -


The sponsorship scheme is designed for trainees and consultants selected as likely to benefit from a period of training in the UK.

To be eligible for sponsorship you must be one of the following:

  1. a current trainee in an overseas Emergency Medicine training programme (You should have the support of your training programme director for your plan to spend a period of time training in the UK)
  2. a consultant who has completed a specialist training programme in Emergency Medicine (You should have the support of your employer for your plan to spend a period of time training in the UK)
  3. a consultant who has trained in a specialty other than Emergency Medicine with at least 12 months experience in Emergency Medicine (You should have the support of your employer for your plan to spend a period of time training in the UK)

Candidates must:

  • Not (normally) hold EEA citizenship or EEA rights of residency.
  • Hold a Primary Medical Qualification acceptable to the GMC for full registration.
  • You will be asked to provide details of your registration and licensing for all the medical regulatory authorities of any countries where you have practiced or have held registration or a licence in the last five years. You will need to provide Certificates of Good Standing (CGS) from any country you have practiced or been registered or licensed with since you were granted provisional registration. To read more about this please visit the GMC's registration and application webpages
  • Have been in continuous medical practice for the most recent twelve months leading up to your application 
  • Have completed at least three years postgraduate training including an internship.
  • Have an institutional sponsor in their home country specifying the post they will return to.
  • Provide evidence of satisfactory progression through training. Acceptable evidence would be documentation of passing any required postgraduate exam, a logbook or training portfolio (if applicable), evidence of clinical governance activity, appraisal documentation. Evidence should cover both generic Emergency Medicine and acute specialties. Any evidence should be validated by the overseas sponsor.
  • Be certified in at least one life support course - ATLS, APLS or ALS (or RCEM recognised equivalent).
  • Have achieved a minimum score of 7.0 in each section (speaking, listening, reading and writing) of the academic module of the IELTS (International English Language Testing System) and an overall minimum score of 7.5. You must be able to provide a test report form that reflects that this test was taken within the last 2 years. More information regarding Knowledge of English Language can be found on the GMC website.
  • Provide contact details of two referees. If you are a trainee these should be your current educational supervisor and one other Emergency Medicine specialist currently or recently involved in your training. If you have already completed your specialty training you should get two references from doctors currently supervising you. Your referees will be contacted directly by the Royal College.

Please note that doctors who have failed the PLAB are not eligible for sponsorship.

Please note that this is not a route to permanent UK employment, placements are for a maximum of 24 months. Once a participant has completed their placement, they must return to their home country.

An assessment of your application can only be made once all of your evidence has been received. The Royal College will recommend successful applicants to the GMC for full registration.

Copies of documents that are not in English must be submitted with an accurate translation, the GMC has guidelines that translated copies must meet.

The GMC must be satisfied that the doctor has been selected under quality assurance arrangements designed to safeguard the interests of patients and to provide support for the trainee before granting registration.

Once your application has been approved by the Royal College you will need to complete the application for registration on the GMC website and read the GMC guidance on what evidence should be provided to support the application. You will need to produce original documentation to the GMC on arrival in the UK to confirm your registration.


The Medical Training Initiative is a government authorised exchange operated under Tier 5 (Temporary Worker) of the Points Based System. The Academy of Medical Royal Colleges will issue a certificate of sponsorship for each successful applicant. This certificate supports application for entry to the UK under Tier 5.

Please note that changes to the IELTS requirement from UKVI from April 2015 will noteffect the Medical Training Initiative. These changes relate to those applying for Tier 1, 2 or 4 visas where there is a proof of English Language requirement. Sponsorship for these visa Tiers are not available within the MTI. 

Administration Fee

The fee for the administration of an individual application is £215 or £115 for applicants based in lower and lower middle income economies (as defined by the World Bank). You will be charged the fee when your application has been accepted.

Please note that the GMC's Registration application fee is a separate fee and is payable to the GMC directly on submitting your application.

Application Pack

Application forms can be obtained from Victoria De Witt (email:  

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