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Applying for the MTI

RCOG MTI Scheme – Placement

Update Thursday 5 May 2020

In light of the joint statement received from the Academy, HEE and NHS Employers around the MTI Scheme and COVID-19, the RCOG is pleased to recommence placements under the RCOG MTI Scheme.

The Academy have advised we may continue with recruitment into the MTI Scheme subject to a number of conditions which must be assured by the Trust offering the placement. This is to guarantee appropriate training, education and support for MTI Doctors in the workplace within their specialty. We will not place MTI candidates within a Trust that is not able to provide us with these assurances.

We are asking all Trusts that have already requested a placement under the MTI Scheme 2020 and all those requesting a placement going forwards to complete an RCOG MTI Scheme 2020 - Training and Education Pledge to be signed by the Trust’s College Tutor and returned to  

If an organisation is unable to provide the required assurances or has concerns about how this would be achieved during the current pandemic, they should contact so that we can discuss individual circumstances in greater details.

Once we have received a completed RCOG MTI Scheme 2020 - Training and Education Pledge, in addition to the other documentation required (MTI Scheme Memorandum of Understanding (MoU)) and Placement Form, job description, timetable and a purchase order) and provided your Trust is able to assure us of the appropriate standards of education and training for the MTI Doctor(s) you intend to place, we will begin the process of matching Trust placements with shortlisted MTI candidate’s as from 26th May 2020.  The deadline for requesting an MTI placement in this round has now been extended to Wednesday 30th September 2020.


When are MTI trainees likely to commence in post under the current scheme?

The RCOG will work with the individual Trust and MTI Doctor to facilitate a start date taking into account the current circumstances around the COVID-19 pandemic and individual countries travel restrictions. The majority of placements are expected to commence from September and October 2020.

What if a Trust cannot guarantee appropriate training and support for MTI Doctors in the workplace?

Please liaise with the RCOG MTI Office who will be able to offer individual advice at

We will be able to defer any existing placement requests to the MTI 2021 scheme where appropriate.

What if the situation/circumstances within the workplace change before the MTI Doctor commences in post?

The MTI Office will keep in regular contact with the Trust and the MTI Doctor throughout the matching and placement process and we emphasise the need to be flexible around start dates for MTI trainees as the situation continues to evolve.

If the situation within your Trust changes and you can no longer guarantee the appropriate standards of education, supervision and training please notify the RCOG MTI Office as soon as possible at

MTI 2021

Dates for MTI 2021 are detailed below. The MTI 2021 application form, professional reference form and HoD form will all be available to download from the website once applications open on Monday 2 November 2020.



Timeline and key dates for MTI 2021

Monday 2 November 2020
Applications open for MTI 2021
Friday 20 November 2020
Assessment of Training (AoT) deadline for MTI 2021
Friday 11 December 2020
at 23:59 UK time

Applications close for MTI 2021
January 2021 Complete applications assessed by the MTI Selection Panel
Friday 29 January 2021
Finalisation of shortlist
Friday 12 March 2021 Completion of IRC interviews for shortlisted candidates
Monday 22 March 2021 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) approval 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
  • Head of department (HoD) form – sent to MTI directly by HoD

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Application documents

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

Please clearly state your name (in full as it appears in your passport) 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 2021 _ [your name in full] _ [your RCOG registration number]


  1. Application form (Word document 921kb)

  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 2021.

  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.


5-6: Professional references and HoD forms

The following documents 5-6 must be completed and sent to directly by/from the supervisors and Head of Department themselves.


  1. Two (2) professional references (Word document 905kb)
      • 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. Head of department (HoD) form (Word document 905kb)
    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 2021.

  • You will not be contacted until your application is marked by the assessment panel. 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.

  • If your application has met the standard set at the assessment meeting, you will then be required to attend an interview with the local International Representative Committee (IRC) chairs. Following this, you will be informed whether you have been successful / waitlisted in the MTI 2020 round. 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 2020, please consider your application unsuccessful and consider applying the following year.
  • Unsuccessful candidates will not be contacted individually. We regret we are unable to provide individual feedback to unsuccessful candidates.

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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.

  • 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. All trainees can expect to commence their MTI training at an equivalent salary to ST3 level. 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.

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