UK India Emergency Medicine International Training (EMIT) Programme

2 November 2018 

Health Education England (HEE), the Royal College of Emergency Medicine (RCEM), and the Society of Emergency Medicine India (SEMI) are today announcing the launch of a new pilot scheme aimed at placing UK-India co-operation at the center of efforts to leverage the opportunities for trainees in Emergency Medicine who wish to gain experience and training in the UK using a robust ethical framework. If this pilot scheme proves successful, it is hoped that this initiative will develop into a long term and ongoing programme.


The current workforce shortages facing the NHS are mirrored in many countries, including India where trained emergency physicians are in short supply. Almost all face challenges in education, deployment and retention of the workforce in their Emergency Departments. This programme recognises the global nature of these challenges and seeks to find a mutually beneficial way to solve them by providing a high-quality international training fellowship scheme between the two countries.

While the UK works towards self-sufficiency in domestic supply through expanded training places, it is clear that, in the interim, additional Specialist Emergency Doctors, will be needed to meet the needs of the NHS. HEE is clear that Global Engagement should work to meet these needs in a mutually beneficial way rather than denuding the workforces of partner countries. This is in line with the UK's international obligations. 
This project is also in line with SEMI’s commitment for EM capacity building to deliver affordable, high quality and evidence-based emergency care to all Indian citizens. Further this scheme encourages return of Indian emergency physicians trained in the UK’s NHS system, who will carry expertise to help build, strengthen & maintain the safety net of emergency care services in India; aiming to meet the requirements of India’s various health policy goals. 
Rather than rely solely on agencies to provide additional international workforce supply to the NHS in 2018, HEE, RCEM, and SEMI are for the first time together, partnering to pilot a new approach through a ‘learn, earn, and return’ scheme for emergency medicine trainee doctors. 

The scheme will include:

  • Enhanced induction both in India and in England to support staff in meeting the standards of the GMC and making the transition from India to England as easy as possible whilst simultaneously improving the EM educational & training infrastructure in India. 
  • Additional clinical educator and pastoral support to support doctors in developing and enhancing clinical competence during their time in England.
  • Support from SEMI and other partners to encourage a return to India following a three-year programme into a role where their skills and abilities are valued and rewarded.

The pilot will recruit the first group of doctors in the pilot year into the scheme, to support the workforce goals of the ‘Securing the future workforce for emergency departments in England’ report in a manner which meets the UK Government’s international obligations regarding international recruitment. 

Further details of the scheme, including the minimum requirements for entry and how to apply will be announced at SEMI’s National EM conference (EMCON 2018) at Bangalore on 17 November 2018.

Health Education England
Royal College of Emergency Medicine
Society of Emergency Medicine India

Notes to Editors
For further information please contact: EarnLearnReturn@rcem.ac.uk