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Medical Training Initiative (MTI) scheme

MTI and COVID-19

The UKVI has published information on visas on GOV.UK due to the COVID-19. For any immigration related queries, please contact the Coronavirus Immigration Team email .

Visas – Information from UKVI

On Tuesday 24 March, UK Visas and Immigration (UKVI) published guidance on GOV.UK on immigration provisions for individuals affected by travel restrictions associated with coronavirus (COVID-19). These changes are now in effect and full details are available at gov.uk/guidance/coronavirus-covid-19-advice-for-uk-visa-applicants-and-temporary-uk-residents

A summary of the changes are:

Visa extensions

  • No individual who is in the UK legally, but whose visa is due to, or has already expired, and who cannot leave because of travel restrictions related to COVID-19, will be regarded as an overstayer, or suffer any detriment in the future.
  • A visa will be extended to 31 May 2020 if an individual cannot leave the UK because of travel restrictions or self-isolation related to coronavirus (COVID-19). Individuals must contact the Coronavirus Immigration Team email to advise of their situation. Individuals must contact the Coronavirus Immigration Team email
  • The Coronavirus Immigration Team will update relevant details on UKVI databases. Individuals will be advised that UKVI have noted their details; they will not be subject to enforcement action; and this period will not be held against them in future applications.
  • This requirement to contact Coronavirus Immigration Team applies to individuals of any nationality whose leave expires between 24 January 2020 and 30 May 2020.

Switching to a long-term UK visa

  • During these unique circumstances individuals will be able to apply from the UK to switch to a long-term UK visa until 31 May. This includes applications where they would usually need to apply for a visa from their home country.
  • They will need to meet the requirements of the route they are switching into and pay the UK application fee.
  • Those whose leave expires between 24 January and 31 May 2020, including those whose leave has already been automatically extended to 31 March 2020, are eligible to apply .
  • They can apply online.

We will keep this page updated as more information becomes available.


Introduction to the Medical Training Initiative (MTI) scheme and how to apply for the scheme, either as a trainee or an NHS hospital/trust.

If you’re already taking part in the RCOG’s MTI scheme as a trainee or as an NHS hospital/trust, please visit the MTI resources page.

Introduction to the MTI scheme

The MTI scheme allows International Medical Graduates (IMGs) to come to the UK for a maximum of 2 years to train within the National Health Service (NHS).

IMGs benefit greatly from the knowledge, skills and techniques learned within the NHS and can use them to improve the level of patient care in their home country on their return.

In addition, UK hospitals who provide a placement for IMGs benefit from increased workforce capacity and the skills and knowledge that IMGs can share with their UK colleagues.

During the placement, IMGs follow a similar assessment process to UK trainees. The expectations of IMGs in terms of their performance and targets should be based on the same standards as UK trainees at ST2 level initially, until, with support from the hospital, they move to ST3-4 level for the majority of their placement.

Applying for the MTI

Requirements and how to apply for the MTI

Information for UK hospitals

Offering an MTI trainee a post at your hospital

MTI process explained

Information about MTI process, Certificate of Sponsorship and visas

FAQs for doctors

Doctors applying to the RCOG MTI scheme

FAQs for UK hospitals

UK hospitals providing a placement for a MTI doctor

MTI Resources

Resources for trainees and hospitals who are already involved with the MTI scheme

Elsewhere on the site

Working in Britain for non-UK doctors
General guidance about working and training in O&G for doctors from outside the UK
Global health work
Find out about the RCOG's work to tackle maternal mortality and morbidity worldwide