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MTI 2023 update and FAQs

Key dates, updates to eligibility criteria and applications process, and answers to frequently asked questions

A number of changes will come into effect to the eligibility, applications process and selection criteria for the RCOG MTI Scheme in 2023. Please find further details in the FAQs below.

Timeline and key dates for MTI 2023

Monday 10 October 2022

Applications open for MTI 2023

Monday 31 October 2022
at 23.59 UK time

Assessment of Training (AoT) deadline for MTI 2023

Friday 25 November 2022
at 23:59 UK time

Applications close for MTI 2023

January 2023

Completed applications assessed by the MTI Selection Panel

Friday 27 January 2023

Finalisation of shortlist

Friday 10 March 2023

Completion of IRC interviews for shortlisted candidates

Monday 20 March 2023

Finalisation of successful / waitlisted candidates



Why has the eligibility criteria and applications process for MTI changed?

Due to the impact of COVID on education and training in the UK and resultant significant drop in demand for MTI trainees, after careful consideration the College decided not to run a fresh applications round for prospective candidates for MTI in 2022.  Instead this was used as an opportunity to reflect upon the scheme, to see what could be improved to further strengthen, support and augment the scheme and cement its long term viability. 

In light of the feedback received from past /present MTI Trainees and host Trusts through the College’s MTI annual survey, changes are being made to the eligibility criteria and applications process for the RCOG MTI Scheme which will come into effect for the 2023 round.

These changes have been made as part of the Colleges quality assurance of the MTI scheme and have gone through a robust approval process in line with College governance. The College is committed to meeting the needs of both IMG’s in MTI training and host Trusts in the UK, to making the scheme accessible and increasing participation from eligible IMG from across the globe, and as part of efforts to further reduce attrition rates within MTI training.

What changes have been made to the eligibility criteria?

The following change will come into effect for the 2023 MTI round:

  • Number of years experience in O&G post PMQ has been reduced from 10 years down to 8 years. This brings MTI training on par with UK ST3 recruitment which also has an 8 year limit.

What changes have been made to the applications process?

The following change will come into effect for the 2023 MTI round:

  • Matching fee: Introduction of matching fee for those successfully shortlisted and matched for a training post in the UK – see details below.
  • MTI Logbook: MTI applicants will be required to complete a log book (Word document 76kb) and submit this as part of their application. The log book will objectively evidence your procedures and clinical activities and will need to be signed off by your current HoD. Introduction of the log book will help to ensure consistent standards in quality of applications and ensure only those doctors are shortlisted for MTI who have the skills and experience to progress to ST3 in the 3-6 month window expected in MTI training. 
    MTI log book (Word document 76kb)

What changes have been made to the selections process?

The following changes will come into effect for the 2023 MTI round:

  • The RCOG encourages IMG’s to apply for MTI only once they have passed the Part 1 and 2 exam. This is based on feedback from current MTI trainees who report they struggled to step up to ST3, acclimatise to life in the UK and sit parts 2 and 3 in the 24 months of MTI training. However, please note passing the MRCOG Part 2 is still not a requirement for applying for the scheme.
  • Those shortlisted for MTI after the assessments process will undergo a panel interview which will involve IRC Chairs, LG Chairs, MTI Regional Champions and other UK clinicians. This brings MTI training interviews on par with UK ST3 interviews and is an additional measure being introduced in helping to ensure candidates selected are at the experience level required to step up to Registrar level in the 3-6 month window and have a good understanding and realistic expectations of training in the UK.

What other changes have been/will be made for MTI Training in 2023?

The introduction of a Training Agreement for MTI

As part of the efforts to reduce attrition rates in MTI a Training Agreement for MTI doctors has been created and MTI Trainees will be asked for read, review and sign the agreement before taking up an MTI training post through the College’s scheme. This agreement will assist with managing expectations, it makes clear what is expected by the RCOG as sponsor by the IMG doctor as well as the host Trust in terms of training and education. It sets out clearly the pathways for what a trainee in difficulty or having issues needs to do. Trainees will be asked to review and sign the contract once they have their visa in place and before commencing in post.

Annual Review of Competencies (ARC) for MTI

The RCOG MTI Champions in collaboration with the Head of School / TPD for the Region will lead and conduct an ‘Annual Review of Competencies’ (ARC), with assessment criteria set against the requirements of the MTI Training Matrix (PDF). The outcomes will be: Competencies achieved OR not achieved. Those MTIs achieving satisfactory progress at the 2-year period will be awarded a certificate of completion of the MTI programme. There will be informal assessment of progress at 6 months to ensure trainees have stepped up to ST3, and then formal ARC at 12 and 18 months.

What fee do I have to pay in the MTI 2023 round if I am successfully matched for an MTI Training post?

Please note fee proposals are currently going through committee ratification. Fees are tbc but we envision this to be a nominal charge and it will be banded by country in line with membership rates. All those shortlisted for MTI in the 2023 round will be provided with this information, assuming this is ratified, in Spring 2023.

Are there any other fees and costs I will incur as part of MTI if I am matched for a training post?

The GMC will have a separate fee for their application and you will also need to cover the visa fees. Also, take into account that when you move to the UK you may have to arrange your accommodation and sustain yourself for a month until you receive your first salary. Other expenditure will include the NHS healthcare surcharge (although this will be reimbursed once you start your training in the UK) for yourself and any dependents and an indemnity insurance (which is highly recommended for doctors practising in the UK). More information on relocation fees can be found in the Academy of Medical Royal College’s Relocation Guide (PDF). All MTI trainees will also need to join the Trainees Register when they arrive in the UK to get access to the Training ePortfolio and eLearning resources.

Why is the College introducing a matching fee for those successfully shortlisted and matched for an MTI training post? What will these fees being used for?

To ensure the future viability of the MTI scheme the College is introducing a fee for those successfully matched for an MTI training post through the scheme to cover some of the administration costs involved in placing doctors, to include administering the GMC registration and obtaining the CoS for the visa, as well as the work involved in supporting them throughout the 2 years of training including administering the MTI events programmes, ARC, buddying scheme and other QA projects.

The RCOG MTI Office has a responsibility to support the quality of training, education and assurance processes to ensure that this period of training and experience in the UK is as useful as possible for overseas doctors and the fees also contribute towards this work including free to attend induction event and materials and annual meeting events.

By introducing a small fee the College can secure a greater package of support and ultimately improve the quality of MTI participant’s time in training within the UK.

Is the College ‘making a profit’ from the MTI Scheme?

Due to the impact of COVID on the College and subsequent reduction in income the College has had to introduce a nominal fee to make the activities of the RCOG MTI Office sustainable in the long term, which includes funding all of the educational support for MTI and quality assurance work which is led by the MTI Office.

The fees the College are introducing do not cover all of the direct and indirect costs of administering and operating the MTI scheme.

The MTI Scheme does not generate a profit and the focus of the scheme remains philanthropic, focused on improving the care of women and girls across the globe.

This contribution towards covering the costs will ensure the MTI scheme is able to deliver on its primary purpose of contributing to the improvement of the quality of healthcare in developing countries and ensuring trainees get maximum benefit from the time spent in training in the UK.

Are there any grants/funding towards the matching fee(s)?

We regret the RCOG cannot provide any funding or grants for MTI applicants.

What is the deadline for paying the fees? What happens if I do not pay the fee by the deadline?

The matching fee is only payable if and when you are successfully shortlisted for MTI and matched for an MTI training post in the UK in the MTI 2023 round. You must make the payment as soon as is feasible and within 4 weeks of issue of the fee on your RCOG account.

Please note: Until payment has been received, we will not be able to commence with processing your post, which includes GMC sponsorship and issue of CoS for the visa.

If we haven’t received your payment within 4 weeks of issue and haven’t heard from you we will assume you no longer wish to pursue the MTI training post, the offer will be withdrawn and matched with another candidate on the MTI waiting list.

If you are having any difficulties in making the payment by the deadline please contact to discuss this as soon as possible.

How can I pay the fees?

The RCOG will set up the online payment of the matching fee on your RCOG account and contact you by email with instructions on how to pay the fee.

Payment must be made in £ GBP sterling and payment should be made online by credit or debit card. Please note we cannot accept payment by instalments, payment in local currencies or payment by cheque or cash.