MTI information for Trusts

Please be aware that the MTI application process involves obtaining documentation from the applicant, the applicant's home country medical authorities, home country sponsors, home country referees, recruiting NHS Trust and sponsor, the LETB, the GMC and the Academy of Medical Royal Colleges and it can take several months from the point of application to the doctor joining the post.

Guidance can be downloaded here

The following deaneries have put EM posts forward for the MTI:

  • East of England
  • East Midlands 
  • Kent, Surrey & Sussex
  • London
  • North of Scotland
  • North Western 
  • Northern Ireland
  • Thames Valley 
  • West Midlands
  • Yorkshire & The Humber
If you would like to have one or more MTI trainees for your ED then please get in touch with the Head of School of Emergency Medicine in your region.

MTI trainees in Emergency Medicine can be sourced by the College or directly by the Trust, however, they must meet our eligibility criteria in order to take part in the scheme. 

The Trust must provide full details of the post that they are looking to place an MTI doctor. The post must meet the requirements of the MTI scheme, the College and the LETB/Deanery.  

Once a suitable candidate has been identified, the Consultant from the Trust who will be supervising the trainee will be asked to conduct a telephone interview with the candidate (the College will forward an interview template for this purpose). 

The Trust is not required to sponsor any visa applications as this is taken care of by the national scheme sponsor (currently the Academy of Medical Royal Colleges). The Medical Training Initiative is a government authorised exchange operated under Tier 5 of the Points Based System.
MTI trainees should be offered an NHS induction, a trust induction and a departmental induction. They should also have access to the same training opportunities as other trainees in the department.

The full guidance on the MTI scheme can be found here -

Please note:
The Medical Training Initiative is a training scheme, MTI trainees cannot fill service posts.

Posts for this scheme must be training capacity that is currently unused by a UK/EEA Trainee.

 It is not possible to work in a substantive, honorary or fixed term NHS consultant post in the UK under this scheme - in order to do so doctors must be on the GMC Specialist register. Specialists who have not undergone a UK training programme are now able to apply for evaluation of their specialist training, qualifications, experience and knowledge to determine whether it is equivalent to the UK CCT. More information can be found here -

For more information please contact Victoria De Witt at or 020 7400 6106 (direct line).