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1. Entrance criteria: Am I eligible for the MTI?

Criteria for MTI eligibility

You must meet the following criteria to be considered for selection.



You must have passed the Part 1 MRCOG exam.

You may hold the Part 2 MRCOG exam. If you attempted and failed it, you are still eligible for the MTI scheme.

You must not hold the Part 3 MRCOG.


Language testing

You must have a valid International English Language Testing System (IELTS) certificate, IELTS Academic, OR you must hold a valid Occupational English Test (OET) score of A or B. OET can either be paper-based exam or the OET@Home computer based test. Please note that the IELTS Indicator test is not accepted by GMC
For IELTS Academic this means:

  • A score of at least 7.0 in each of the four domains of the academic test (speaking, listening, reading and writing) as well as a score of no less than 7.5 overall.
  • If you score less than 7.0 in any of the four domains of the test we will not be able to accept your certificate, even if your combined score overall is 7.5. This score must be achieved within a single sitting and the IELTS certificate must be in date (it has a 2-year validity) on your first day of your employment in the UK. You are requested to provide the IELTS certificate even if your courses were taught in English.

For more information, please see the GMC's website on Evidence of your knowledge of English.

You can now sign up for a free Understanding IELTS online course to prepare for your language exam.


Assessment of Training (AoT)

You must have 4 years of supervised postgraduate practice in O&G which has been approved by the RCOG Examination Department. This process is referred to as 'Assessment of Training' (AoT). You will need to submit your Assessment of Training approval letter as evidence.

If you obtained the AoT letter in previous years, please use this document for your MTI application. There is no need to re-apply for the AoT approval letter if it has been issued to you earlier.

If you have not had your training assessed, download the AoT form here and following the application process carefully:

  • Send your completed AoT application form to the Exams Department and include 'MTI 2021 applicant' in the subject line of your email.
  • The AoT application deadline (for MTI 2021 applicants) is Friday 20 November 2020.
    This is so that your AoT application can be fully processed, and an approval letter sent to you, in time for the MTI application deadline. There are no exceptions to the AoT deadline. AoT applications sent after the closing date will be processed for the following MTI round.

Your AoT approval letter must be submitted as part of your application bundle of documents by the MTI application deadline of Friday 11 December 2020.

For queries about the AoT, please read the AoT FAQs or contact the Exams Department at


Other criteria

  • The MTI scheme is specifically designed for doctors in training under supervision with fewer than 10 years' experience of working in the specialty. The focus of training is general, at UK ST level years 3-5, aiming to pass Part 2 and Part 3 MRCOG.
  • We will not consider applications from doctors with more than 10 years' experience in Obstetrics and Gynaecology.

  • You must have no right of residence in the UK, EU, EEA or Switzerland. You must also not be in the UK on a dependent visa.

  • You must not have held a UKVI Tier 5 visa in the preceding 5 years. A further tier 5 visa cannot be issued within this period.
  • You must be a resident of one of DFID 28 countries, low income country or a lower-middle income country (as defined by the World Bank). Applicants from other countries may find that they may not receive their visa sponsorship certificates, even if found to be eligible at the assessment stage.

  • You must not have previously attempted and failed the General Medical Council (GMC) Professional and Linguistics Assessment Board (PLAB) test. If you re-sat and subsequently passed the PLAB test, you are eligible to apply for the MTI.

  • The GMC requires trainees to have been engaged in medical practice for 3 years of the last 5 years, including the most recent 12 months. Clinical attachments/observerships do not count. Please contact the GMC to clarify any doubts regarding your gaps in employment and your eligibility to be registered as the GMC may consider exceptional cases.

  • All applicants for the MTI scheme will need to provide details of all posts from the time of obtaining their primary medical qualifications in their employment history. Any gaps in employment (unless clearly explained, e.g. maternity leave) will result in rejection of the application.