MTI - applicant information

Step 1:  Apply for an MTI post

If you meet all the eligibility criteria, you may be able to apply for an MTI post, which has prospectively been approved by the College.

Step 2:  Upon appointment to an MTI post

When you have been successfully appointed to an approved MTI post, please email the International Training team at internationaltraining@rcoa.ac.uk. We will also ask you to complete the online MTI application form and upload the following supporting documents:

• certified copy of Primary Medical and Postgraduate degrees
• verification of Primary Medical Degree and Postgraduate Degree (by the Educational Commission for Foreign Medical Graduates)
• confirmation of appointment from the UK employing authority (offer letter)
• certified copy of IELTS/OET Certificate
• valid Certificate of Good Standing
• confirmation that an initial fee of £128 has been paid
• scanned copy of your passport.

*The applicant should provide the names and contact details of their nominated referees and the College will contact them directly.

Once your application has been checked we will ask your Trust to make the payment of an MTI Trust fee (£1,472). Once the Trust fee has been received and your application approved, we will email you a letter confirming that you have been accepted onto the MTI scheme. If you require sponsorship for GMC registration, we will request an administrative fee from you.

Step 3:  Applying for GMC registration

All doctors treating patients in the UK need to be registered with the General Medical Council (GMC). Doctors successfully appointed through the MTI will receive GMC registration sponsored by the College. Once step two (outlined above) is completed, and you receive our approval letter, you will need to make your application to the GMC.  

When your application is started, you will be provided with a GMC reference number. You will need to pass this number to the College, so that we can complete a Certificate of Sponsorship (CoS) to support your application.  We will send this CoS directly to the GMC.

Once your application is completed, the GMC will contact you to confirm this, and invite you to attend an identity check upon your arrival in the UK. Once this is completed, you will have your GMC registration approved and your name will be placed onto the GMC register and you will be able to start your clinical work.

Step 4:  Applying for Temporary Work - Government Authorised Exchange (formerly Tier 5) visa

In order to take up your MTI post in the UK, you will need to be in possession of a valid Temporary Work - Government Authorised Exchange (formerly Tier 5) visa.

As an MTI candidate, you will receive a CoS which you will need in order to apply for your Temporary Work - Government Authorised Exchange (formerly Tier 5) visa from UK Visa and Immigration (UKVI). To get this, the HR department of your UK employing Trust will need to complete the Academy's (AoMRC) online MTI application form. The form will be approved by the International Training team and the Academy (who are the visa sponsors for the MTI scheme). Please ensure that you also complete and sign the Data Protection Consent form and email the final copy to internationaltraining@rcoa.ac.uk.

The AoMRC will then send the CoS to International Training directly when this has been processed and we will then send to you so that you can use this to apply for your visa. Please be aware that the MTI application form can only be sent to the AoMRC once the GMC has emailed you an invitation to attend an identity check, as the AoMRC requires a copy of this email to issue your CoS.

Once you are in possession of your CoS you can make the appropriate leaving plans with your current overseas hospital. You should also keep in touch with your hospital Trust and the College, so that you can confirm your start date.