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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 a valid Part 1 MRCOG exam pass result which has not expired. This means either:

  • You passed the Part 1 MRCOG exam within the last 10 years, or
  • You attempted the Part 2 MRCOG exam within 10 years of passing the Part 1 MRCOG.

Read full details and regulations on MRCOG exam currency and timeframes.

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 a valid Occupational English Test. Only the medicine version of the OET test will be accepted. 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 OET this means:

  • You must get at least a grade ‘B’ in each test area.

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.

The scores must be obtained within a single sitting and the IELTS/OET certificate must be in date (it has a 2-year validity from the date of issue) on your first day of your employment in the UK. You are requested to provide the English language exam certificate even if your courses were taught in English.

You must provide the RCOG MTI Office with your test certificate dully stamped. Provisional results will not be accepted.

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 living and working of one of DFID 28 countries, low income country or a lower-middle income country (as defined by the World Bank) to be eligible for MTI. This covers you from the point of making your MTI application through to when you go on to be matched for a placement post under the MTI Scheme if wait listed.
  • The General Medical Council (GMC) Professional and Linguistics Assessment Board (PLAB) test is designed for those doctors who intend to move to the UK on a permanent basis. On the contrary, the MTI is a ‘learn and return’ training scheme which is only available for those doctors who intend to come to the UK to undertake training for a maximum of 24 months and then return to their home country upon completion of training. MTI training is NOT a route to permanent work in the UK. Therefore, if you have sat the PLAB you are not be eligible for MTI.
    The following exceptions may apply to individual cases:
    • a candidate who has sat and passed part 1 of PLAB over five years ago would be considered for MTI
    • a candidate who has sat and passed part 1 of PLAB between four and three years ago would be considered providing that they provide a satisfactory reason for the change in route to GMC registration
    • a candidate who has sat and passed part 1 of PLAB within the last three years would not be accepted for MTI.
    As per GMC guidelines if you have previously sat and failed any part of the PLAB Test then you are not eligible for 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.

  • To be eligible for MTI, you must be currently in full time employment in a substantive O&G post when applying for MTI; if you working in another medical specialty or are not currently in employment, you are not eligible to apply.
  • 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.