If you have been accepted on the MTI Scheme and are coming to or currently are in the UK on an MTI training post then this section may act as an important resource for you. If you have any questions that extend beyond what is listed in this section them please contact firstname.lastname@example.org
The Academy believes that doctors coming to the UK on the MTI should be well acquainted with medical professionalism in the UK. Therefore it is recommended that MTI doctors become familiar with the GMC’s Good Medical Practice and Medical Students: Professional Values and Fitness to Practice. The Academy also recommends that doctors complete the GMC’s Good Medical Practise in Action, an online resource to test your knowledge of medical ethics in the UK.
An online Induction for international doctors is also available on the e-learning for Healthcare website. It is designed for all new non-UK qualified doctors that are employed or sponsored in the UK, including MTI doctors. The programme introduces internationally qualified doctors, who are new to UK clinical practice, to national ethical, social, legal and professional aspects. The programme has 26 interactive e-learning modules. Sessions include case-based scenarios and are intentionally generic in content, making them useful for doctors of any specialty and grade. Doctors who have completed the programme have found that it increased their knowledge about UK clinical practice and said that it was useful in enhancing the patient care they provide.
The Professional Support Unit also offers a range of courses and Communication Skills Workshops specifically for MTI doctors.
We have been asked to draw your attention to some information from HMRC regarding income tax of MTI doctors. They say:
“In order to avoid confusion HMRC would like to clarify its position as to how these doctors are treated in the UK with regard to income they receive and possible interaction with a relevant tax treaty. It appears that some overseas doctors arriving in the UK under the MTI regard this temporary posting as an educational placement rather than employment related and regard themselves as students.
As such they are then claiming the benefits of the Student Article of a relevant tax treaty. This is incorrect as in most cases the overseas doctors secure a contract of employment at the appropriate level for their previous training and experience with an NHS trust before coming to the UK. HMRC views these doctors as fully qualified medical practitioners who are using the MTI to gain additional clinical experience in order to advance their careers. As such, the duties (including any formal training within those duties) undertaken within that contract of employment are the same as any other medical professional under a similar contract of employment. Any training undertaken would be part of the normal development an employee would undertake while performing the duties of the job, gaining valuable experience and enhancing their technical expertise in their role.
As a consequence HMRC does not regard an overseas doctor coming to the UK under MTI as solely coming to the UK as a student and any remuneration paid in connection with the employment should be taxed in accordance with the UK’s domestic rules.”
© 2021 Academy of Medical Royal Colleges.