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Applying for the MTI

How to apply for the Medical Training Initiative (MTI) scheme

MTI 2019

Applications for MTI 2019 are closed.


MTI 2020

Applications open on Monday 14 October 2019 and will close on Friday 22 November 2019.

Application dates for the MTI are changing in 2020.

More information, updates on the IRC Interview process and all required application forms will be available for download from the website from the application opening date.



Timeline and key dates for MTI 2020

Monday 14 October 2019

Applications open for MTI 2020

Friday 22 November 2019

Applications close for MTI 2020
Saturday 30 November 2019

AoT applications close for MTI 2020

24/27 January 2020

Complete applications assessed by the MTI Selection Panel

7 February 2020 Finalisation of shortlist
13 March 2020 Completion of IRC interviews
20 March 2020 Finalisation of successful/waitlisted candidates


Checklist for a complete MTI application

Your complete MTI application must consist of the following:

  • PDF or Word document bundle of:
    • Application form
    • Assessment of Training (AoT) letter
    • IELTS score sheet OR Occupational English Test (OET) score sheet
    • Passport copy
    • Certificates, publications, additional attachments
  • 2 professional references – sent to MTI directly by supervisors
  • Interview form – sent to MTI by the IRC Chair/FRCOG interviewer
  • Head of department (HoD) form – sent to MTI directly from the HoD

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Application documents

You must provide a complete application with all the documents listed below.

Please clearly state your name and RCOG registration number on each document.

All forms should be downloaded, completed and emailed to before the deadline.

Any incomplete applications will not be considered.


1-4: Combine your own documents into a bundle

The following documents 1-4 should be completed and combined into one single document (bundle).

You must send this bundle attached in one single email to using the following email subject:
MTI Application 2019 _ [your name] _ [your RCOG registration number]


  1. Application form – [To be posted here when applications open]

  2. Scanned copy of your valid IELTS certificate OR scanned copy of your Occupational English Test (OET). This must be valid until the end of December 2020.

  3. Scanned copy of the Assessment of Training (AoT) letter from the RCOG Examination Department, confirming your assessment of training for the Part 2 MRCOG.

  4. Scanned copy of your passport

The combined bundle should also include scanned copies of any relevant certificates, publications, or additional documents.

All of the above documents must be sent in ONE (1) email, ideally in the same bundle. We will not be able to track documents for MTI application sent in separate emails and different dates. Before submitting the application, please make sure all required documents for the application are correctly attached and complete.


5-7: References, interview and HoD forms

The following documents 5-7 must be completed and sent to directly by/from the supervisors, IRC Chair, and Head of Department themselves.


  1. Two professional references – [To be posted here when applications open]
      • You must ask two (2) referees to complete the reference form for you. One of these must be someone who currently supervises your training.
      • Referees should be Members or Fellows of the RCOG but we will accept references from other supervisors should you have problems with contacting Fellows or Members.
      • Reference forms must be sent to the separately, and must come directly from the referees themselves.
  2. Interview form – This has been sent directly to the Chairs of the International Representative Committees.
    This form will be accessible only by your interviewer.
    • The interview form must be completed during a face-to-face (or Skype) interview with the Chair of the International Representative Committee (IRC) in your country, or the country in which you are working.
    • Contact details of the Chair in your country are listed on the International Representative Committee pages of the Global Health Community section of the website.
    • You must ensure that you contact the Chair in good time, well before the deadline for applications. Please ensure that you give approximately 3 weeks’ notice to your Chairman and send your CV to them in advance of your appointment so they have full knowledge of your academic and professional experience before your interview.
    • If there is no IRC in your country or you have difficulties in contacting the Chair of your IRC, we will accept Interviews conducted by a Fellow of the RCOG.
    • Once you identify the Fellow who agrees to conduct the interview, you must ask them to contact us directly via to obtain the interview form and instructions.
    • In exceptional circumstances, where there is no IRC Chair/ Fellow able to conduct the interview in the country or nearby, the interview will be arranged with the MTI Officer. Please make sure you let us know in advance and book your time slot for the Skype interview.
    • The interview form must be sent to directly from the IRC Chair/Fellow themselves.
  3. Head of department (HoD) form – [To be posted here when applications open]
    Your Head of Department must complete and send the form directly to
    If you do not have a direct Head of Department, please ask the most senior supervisor in O&G to complete this form.
    Please note that the HoD must not be one of your 2 professional referees.


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Application regulations

  • We must receive all parts of your application by the deadline for your application to be eligible. Incomplete applications, or applications received after the deadline, will not be assessed.

  • There is no flexibility in the criteria for the scheme. All applicants must ensure they obtain the correct IELTS/OET score and have the required amount of postgraduate training with no gaps in employment in the last 12 months.

  • Complete applications which meet the full criteria will be taken forward for assessment by the MTI Selection Panel in January 2020.

  • You will not be contacted until your application is marked by the assessment panel and the placement for you is identified. Please accept the automatic reply message as confirmation of receipt of your application.
    We receive an incredibly high number of applications and cannot respond to individual enquiries regarding the application and assessment process.

  • We will inform you if your application has met the standard set at the assessment meeting. However this does not mean that you will receive a job offer. Successful candidates will be matched with available posts in order of the scores obtained during the assessment (highest scoring applicants will be matched with hospitals first). The number of placed applicants will depend of the number of jobs being offered.
  • If you do not hear from us about the placement until end of June 2019, please consider your application unsuccessful and consider applying the following year.
  • Unsuccessful candidates will not be contacted individually.

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Placement information

  • Candidates who are successful can expect to start their placements in the UK around August/September. Occasionally the start date may differ but candidates will receive full information.

  • Successful candidates will be guided through the steps of GMC registration and visa application. Therefore, please do not enquire about this before finding out if you have been successful.

  • We run only one round of MTI applications per year. The 2020 round opens in October 2019.

  • Placements on the MTI scheme are paid. The salary that the MTI doctor receives is in line with trainees at a similar level in the UK.
    Some hospitals take prior international experience into account and some do not. This is at the discretion of the hospital and not the RCOG.

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Entrance criteria

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.

  • 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.
    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.
  • 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 the Assessment of Training approval letter as evidence.
    • To have your training assessed, download the AoT form here.
    • If you obtained the AoT letter in previous years, you should use this document for your MTI application. There is no need to re-apply for the AoT letter if it has been issued to you earlier.
    • For queries about the AoT, please read the AoT FAQs or contact the Exams Department at
  • The Assessment of Training is processed separately by the Examinations Department. The deadline for Assessment of Training for MTI 2019 applicants is Friday 30 November 2018. There are no exceptions to the deadline. AoT applications posted on or after the closing date will not be accepted. 
  • 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 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 dependant visa.

  • 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 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 detail 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.

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