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Applying for the MTI

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

MTI 2018

Applications for MTI 2018 are now closed.

To have your training assessed for the MTI 2019 round, you will need to submit an Assessment of Training form (AoT).

The AoT deadline for MTI 2019 applications is Friday 30 November 2018.



Timeline and key dates

Friday 16 February 2018

MTI 2018 applications deadline

March 2018

Complete applications assessed by the MTI Selection Panel

August / September 2018

Successful applicants start placements in the UK

November 2018

New round of MTI applications opens

30 November 2018

Assessment of Training (AoT) applications deadline for MTI 2019


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.


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 2018 _ [your name] _ [your RCOG registration number]


  1. Application form – will be posted here when the MTI 2019 round opens in November 2018. 

  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 2018.

  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.


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 – form will be posted here when the MTI 2019 round opens in November 2018.
      • 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 – will be posted here when the MTI 2019 round opens in November 2018. 
    • 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. Please take this form to your interview and ask the Chair to complete it during your interview.
    • 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.
    • The interview form must be sent to directly from the IRC Chair/Fellow themselves.
  3. Head of department (HoD) form – will be posted here when the MTI 2019 round opens in November 2018. 
    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 two 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 late March 2018.

  • You will not be contacted until your application is marked by the assessment panel. Please do not enquire about the confirmation of the receipt of the application.
    We receive an incredibly high number of applications and cannot respond to individual enquiries regarding the application and assessment process.

  • After the assessment has taken place, all eligible candidates will be informed about the outcome whether they have been successful or not.

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Placement information

  • Candidates who are successful can expect to start their placements in the UK around August/September 2018. Occasionally the start date will 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.
    After the current 2017-18 round of applications, the next round will open in November 2018.

  • 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.

  • Read information for doctors coming on unpaid advanced level training schemes.

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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.
  • 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. Therefore, doctors with more than 10 years’ experience may find that the MTI scheme is not right for them and their professional needs, and for this reason we would discourage doctors with this level of experience from applying.

  • You must have no right of residence in the UK, EU, EEA or Switzerland. You must also not be in the UK on the 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 form countries outside of these countries may not be able to receive their visa sponsorship certificates.

  • 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.

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