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 -

Helpful online resources 

There are a number of resources that can help smooth the transition from working overseas to working within the NHS in the UK. 

Welcome to UK practice

WTUKP is a free half-day learning session provided by the GMC to help doctors new to practice, or new to the country, to understand the ethical issues that will affect them and their patients on a day to day basis. 

In the session, you will:

- Look at the role of the GMC and their standards and guidance on what makes a good doctor
- Learn from the real life experiences of senior UK doctors through their video 'Things I wish I'd known'
- Work through interactive ethical scenarios on issues faced by doctors new to UK practice, including consent, confidentiality, raising concerns 0-18 care and prescribing
- Create your own learning log with tips and reflections to take away with you

The GMC hold these sessions both at their London and Manchester offices

e-LFH Induction for International Doctors 

This is a free e-Learning package to support all new international doctors working in the NHS provided by e-Learning for Healthcare (e-LFH). 

The Induction for International Doctors programme is a web-based educational resource developed by Central Manchester University Hospitals NHS Foundation Trust (CMFT) in partnership with HEE e-Learning for Healthcare (e-LfH), to introduce internationally qualified doctors, who are new to UK clinical practice, to ethical, social, legal and professional aspects of UK clinical practice. The programme has a number of interactive e-learning sessions produced by CMFT, along with a number of sessions taken from other e-LfH programmes which supplement the focus of the programme.

eLearning Induction Package for International Medical Graduates new to training within the NHS 

The London and South East Postgraduate Medical and Dental Education website has an eLearning induction package produced by North East London NHS Foundation Trust and the Professional Support Unit. This resource has been created primarily to support IMGs with various practical resources to assist with the transition to the UK. 

Academy of Medical Royal Colleges - MTI Relocation Guide

This helpful guide has been produced by the Academy of Medical Royal Colleges to in collaboration with the Royal Colleges, to give international doctors participating in the Medical Training Initiative (MTI) scheme general advice about moving to the UK. The guide is not exhaustive but it does cover some of the key things that MTI doctors will need to arrange and may find useful to know when moving to the UK.

Whilst this guide has been produced for those coming to the UK via the Medical Training Initiative Scheme, it does hold some very helpful practical information that international medical graduates coming to work in the UK via other routes may also find helpful. 


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.

Work, Learn, Return (WLR)

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

ePortfolio for International Trainees

The RCEM ePortfolio is available for International trainees this is accessed as a feature of membership. For details of how to sign up for Membership in order to access ePorfolio, please click here .
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, the content of which has been mapped to the EM curriculum. RCEM Learning is available to all Members of the Royal College of Emergency Medicine, to sign up for Membership please click here.

For issues with access, please contact Sharlene Lewington: