The Medical Training Initiative (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.

Through the MTI, trainee doctors from countries outside the European Union are offered the opportunity to learn from experienced consultants within the UK national health system.

The MTI Scheme was established by the UK Department of Health in February of 2009 as an immigration category under the Tier 5 Government Authorised Exchange (GAE) class of the points based immigration system. The Tier 5 GAE permits entry to the UK for overseas nationals coming to undertake exchanges or educational initiatives sponsored by government departments.

The Academy of Medical Royal Colleges took on the role of National Sponsor of the scheme in March of 2010. As National Sponsor the Academy is responsible for the issuance of Tier 5 certificates of sponsorship to be used for visa application. Additionally, the Academy plays a role an integral role in promotion.

The prioritisation and allocation criteria was updated in January 2017 to reflect the Department of Health’s main focus for doctors from the DFiD 28 and L&LMI countries to benefit from the scheme and, therefore giving priority to developing healthcare systems. The new criteria reflects the principles and intent of the scheme, more information can be seen on the Prospective Applicants page.

If you have a query about the MTI programme or an individual application, the most effective way to contact us is to email: with the full name of the doctor interested in, or applying for, an MTI placement in the email subject.