International Graduates

Information for International Medical Graduates

The Medical Training Initiative (MTI)

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 national scheme designed to allow a small number of doctors to enter the UK from overseas for a maximum of 24 months, so that they can benefit from training and development in NHS services before returning to their home countries.

The Royal College of Emergency Medicine’s International Sponsorship Scheme provides successful applicants with sponsorship for full GMC registration with a license to practice, without taking the Professional and Linguistic Assessment Board (PLAB) test. 

The Academy of Medical Royal Colleges are the MTI scheme Sponsor and are responsible for the issuance of Tier 5 certificates of sponsorship to be used for visa application. Full guidance can be found here -

Work, Learn, Return (WLR)

Recruitment to the Work, Learn, Return (WLR) scheme (originally called the Overseas Development Project, ODP) has now ended. 

Applying for UK training posts

Information can be found here for IMGs who wish to apply, in competition with UK trainees, for a GMC-approved UK EM training programme leading to CCT or CESR-CP.

Applying to join an Emergency Medicine training programme in the UK
ACCS EM recruitment will be coordinated by Shared Services London, in association with the Royal College of Emergency Medicine, for CT1/ST1 posts throughout England, Wales and Scotland. The person specifications can be found here.

Specific guidance for overseas nationals can be found here at the applicant guidance page under the “Right to work in the UK” tab 

GMC Registration

Please note that as stated in the person specifications, applicants need to be eligible for full registration, and hold a current licence to practise from the GMC at intended start date. For information on the various routes to GMC registration visit the GMC website, then answer the filtering questions to select the route that is applicable to you.

ePortfolio for International Trainees

The RCEM ePortfolio is available for International trainees.  Special arrangements are in place for trainees in Ireland and Iceland.  UK trainees have their own ePortfolio section


The College has an eLearning resource, RCEMLearning, content of which has been mapped to the curriculum.  For access information, please contact Sharlene Lewington (