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Medical Training Initiative (MTI) scheme

The MTI Scheme is now closed for new applications in 2026 and onwards.

Effective 31 March 2026

Further details regarding the Scheme closure by NHS England can be found on the Academy of Medical Royal College’s (AoMRC) website.


The AoMRC have advised that the MTI scheme remains in operation for those MTI trainees who are currently ‘in programme’ and the RCOG will continue to provide support as they complete their training placement.


Email enquiries can be addressed to: AoMRC MTI inbox - mti@aomrc.org.uk or to the RCOG at  mti@rcog.org.uk 

If you’re already taking part in the RCOG's MTI scheme as a trainee or as an NHS hospital/trust, please visit the MTI resources page.

The Medical Training Initiative (MTI) scheme allows international medical graduates to come to the UK to train within the NHS.

The MTI scheme allows International Medical Graduates (IMGs) to come to the UK for a maximum of 2 years to train within the National Health Service (NHS).

IMGs benefit greatly from the knowledge, skills and techniques learned within the NHS and can use them to improve the level of patient care in their home country on their return.

In addition, UK hospitals who provide a placement for IMGs benefit from increased workforce capacity and the skills and knowledge that IMGs can share with their UK colleagues.

During the placement, IMGs follow a similar assessment process to UK trainees. The expectations of IMGs in terms of their performance and targets should be based on the same standards as UK trainees at ST2 level initially, until, with support from the hospital, they move to ST3-5 level for the majority of their placement.

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