The Medical Training Initiative (MTI) is a UK scheme that allows a fixed number of international medical graduates work and train within the NHS for a maximum of 24 months.

The primary purpose of the MTI scheme is to contribute to improving the quality of healthcare in developing countries. Therefore allocation of MTI placements is given in  a priority order. More information on this can be found in the prospective applicants section.

The scheme aims to share knowledge, experience, and best practice which benefits:

  • The international doctor, who gets training and development from the NHS
  • Their home country, to which they return with knowledge, skills and experience
  • And the NHS, which has spare training capacity filled by suitable graduate doctors.

MTI news and updates


Suspension of Certificates of Sponsorship (COS)
June 2023


The Academy has written to all MTI Leads to inform then that Hospitals with overdue reports will have their Certificates of Sponsorship (COS) suspended until the required information is received. The sanction will apply to all COS assigned as of Monday 3 July 2023. If the required paperwork is not sent within the correct time frames, then we have no option but to pause processing COS requests to that organisation. Read the full letter below.

Questions about individual applications

If you have a query about an individual application, please email us at with the full name of the doctor interested in, or applying for an MTI placement in the email subject.

You can also contact the relevant trust or medical royal college that is processing your MTI application for information.

We recommend that before contacting us you confirm that the trust or medical royal college responsible for submitting your application to us has done so. We will be unable to help if we have not yet received your application form.