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FAQs for doctors: stages of the MTI process

More details for doctors about the stages of the MTI process


You don’t know if your MTI application was successful or not

If you submitted a completed application for the MTI within the deadline, it will be forwarded to the Assessment Panel. The Assessment usually takes place in January (however the RCOG reserves the right to change the date of assessment should it be necessary).

Collecting the results and finalising the list of successful MTI candidates can be a lengthy process, so please note that there is no fixed date by which you should hear from us. The selected applicants will be ranked according to the assessment scores and put on the placement list.

We will only be able to inform you about the outcome when we have an available post that we can offer you.

We strive to contact all of the successful candidates early enough so that they are ready to start work between July to September (or later if specified by the hospital or the UKVI and visa availability).

If you do not receive any communication from the MTI office before the end of June 2020, you should consider your application unsuccessful and consider applying next year.


Your colleague has received communication from the MTI office and you haven’t.

If you know someone who applied for the MTI has been contacted by us earlier, it does not necessarily mean you were unsuccessful. We will be in touch with you at the most appropriate and feasible time.


If you have not heard from us after knowing your application was successful.

Last year, we introduced a new system for hospitals that wish to offer an MTI post. This system is somewhat longer and more complex. Although we can estimate the number of available placements for each year in March/April, there may still be some vacancies available later in the year.

Therefore, if you have not heard from us, it may be that your application was sent to the hospital but we have not heard back about their decision yet.

A delay may also occur if a hospital decided to withdraw the placement offer for any reason. In this case, we will attempt to place you somewhere else.

Please be reassured that you will be informed as soon as we have further information.


If you are waiting for the interview with the hospital.

The hospitals will inform us of the interview details. Once we have been informed, you will be sent the ‘Next steps’ letter which explains what you need to do. Please make sure you are in contact with the Trust regarding the time and date of the interview.


If you started your GMC application/ have questions regarding GMC registration.

Once you register with the GMC online and pay the full registration fee, the GMC will send you an email with the list of documents you are required to post. Please copy/scan these documents and send them to us via email as a pdf bundle.

One of the documents listed is the Certificate of Sponsorship form (CoS) from an authorised sponsor (RCOG). This document will be issued for you and we will forward all of the documents to the GMC simultaneously. You will then hear from the GMC about next steps within two weeks. Please follow all of the GMC’s instructions. Please note that the CoS is not the Certificate of Sponsorship you will later need for the visa application.

If you have questions regarding GMC registration, please contact the GMC directly. The RCOG is not qualified to offer this advice and does not have access to the forms. GMC registration is the applicant’s responsibility.


If you received an email from the GMC granting you full licence to practice.

Once you receive this email from the GMC, you will be invited to schedule an ID check. Please follow the instructions carefully and forward this email to us. If you are unsure about the date you are planning to start work, check with the hospital. For most doctors, this is in the first two weeks of August, but it is not uncommon to start later. Schedule your appointment accordingly. The majority of MTI doctors have their ID checks a few days before/after their start date.

Your next step will be applying for the visa. In order to apply for the visa, you will need a Certificate of Sponsorship (which is not the same CoS that the RCOG issues for the GMC). The visa sponsorship is issued by the Academy of Medical Royal Colleges (AoMRC). Please note that AoMRC have introduced a ticketing system, which means there may be an additional delay in obtaining your CoS. This is a Home Office regulation regarding the limit of CoS issued each month.


If you are waiting for the Certificate of Sponsorship to apply for the visa.

In order to receive the Certificate of Sponsorship, the Academy requires specific documentation from the RCOG. These forms are filled by your employer (hospitals and Deaneries). It can take considerable time for the hospitals to complete and return these to the MTI. Please be patient and reassured that we are doing everything we can to speed this process up. We ask you to please refrain from contacting us about the CoS during this time, as we are not able to reply to these queries.

Once we have received all the required documents, we will include you in the CoS email request to the Academy. There is nothing you are required to do at this stage.


After you receive your Certificate of Sponsorship.

Before applying for the Tier5 visa using the CoS, please check it for any spelling mistakes or errors. If you spot a mistake, please let us know and copy in the Academy (Medical Training Initiative) . We are not responsible for errors on your visa and we will not be able to help if you submit an incorrect CoS.

Please apply for the visa using the CoS. For any questions regarding visa application please contact the visa advisor in your country or UKVI. The RCOG is not qualified to give visa advice.