Medical Training Initiative (MTI)



The Royal College of Anaesthetists offers training opportunities for Anaesthetists from Low and Lower Middle Income Countries (according to World Bank Definitions) and includes a focus on DFID 28 countries via the Medical Training Initiative (MTI).  The scheme provides a route for high quality International Medical Graduates (IMGs) to obtain sponsorship for their GMC registration and also sponsorship for a Tier 5 visa, which will allow them to undertake a training placement in a UK hospital for a maximum period of 24 months. 

Anaesthetists who undertake training via the MTI route will benefit from world class clinical training, and also gain non-clinical skills such as medical education and leadership.  These skills will be significant benefit, not only to the Doctors themselves, but also to healthcare systems and patients in their home countries. 

The MTI scheme is philanthropic in nature and not a route suitable for Doctors who intend to remain in the UK for longer than 24 months.  MTI posts must be approved by the RCoA, to ensure MTI Doctors receive adequate support and training which will benefit their home country and the UK Hospital whilst they are in the UK. 

MTI sponsorship will equip International Medical Graduates with:

  • GMC registration (please note that offers of sponsorship as a route to GMC registration are based upon the GMC's decision and approval and are only valid once this has been granted).
  • Facilitating Tier 5 visa application.
  • Eligibility to sit the FRCA examinations.

Eligibility Criteria

In order to be eligible for the MTI, International Medical Graduates need to satisfy the requirements of the GMC and the College. These are outlined below.

The General Medical Council's criteria

The GMC’s minimum requirements are to:

  • have a basic medical qualification acceptable to the GMC;
  • have your qualifications verified by the Educational Commission for Foreign Medical Graduates. More information can be found on the GMC website;
  • have completed at least one year in an internship post (Pre-registration House Officer);
  • have been qualified as a doctor for at least three years;
  • provide evidence of being engaged in medical practice for a minimum 3 years out of the last 5 years outside of the European Union, including the most recent 12 months;
  • provide evidence of good standing from the applicant’s local Medical Regulatory Council;
  • demonstrate knowledge of English by obtaining an overall score of 7.5, with minimum scores of 7.0 in speaking, listening, reading and writing, in the 'Academic' test of the International English Language Testing System (IELTS) or at least a grade 'B' in each testing area (speaking, listening, reading and writing) in the Occupational English Test (OET). N.B IELTS and OET certificates are valid for only two years;
  • have not previously failed any part of the PLAB Test;

The Royal College of Anaesthetists’ criteria

Any applicant for sponsorship must:

  • provide evidence of all GMC criteria;
  • be the resident of a Low or Low Middle Income country;
  • not have sat the PLAB before;
  • at time of MTI application, IMG must be living and working outside of the UK and European Union for the last 12 months minimum;
  • provide evidence of at least 3 years anaesthesia training outside of the UK and European Union;
  • provide two structured, supportive references from supervising consultants, both must have worked with applicant within the last 5 years;
  • provide evidence of a Tier 5 Visa application (i.e. confirmation letter from UK hospital);
  • provide evidence of postgraduate qualification acceptable to the RCoA (Please contact the Global Partnerships office before appointment);
  • have your postgraduate qualification (along with your Primary Medical degree)  verified by the Educational Commission for Foreign Medical Graduates
  • obtain a formal appointment to a pre-approved MTI UK post;
  • must not have British or European citizenship (as a dual national).

We welcome applications from IMGs from DFiD countries, along with Low Income and Lower Middle Income countries defined by the World Bank. Please note that as well as being from an eligible country, you will also need to meet the eligibility criteria outlined above. Also, please be aware that applicants from High Income countries will not be accepted (this includes citizens from MTI-eligible countries living and working in High Income countries). 

Applicants from Upper Middle countries will also be considered for MTI. However, please be aware that priority will be given to applicants from DFiD and low and middle income countries. 

Please click on the image below to see a larger, clearer version in pdf.



Royal College of Anaesthetists' Fees

  • Initial fee: £130 per application. 
  • Final Fee: £525 per applicant. This fee is only applicable to those applicants who require a Certificate of Sponsorship to register with the GMC.

Please be advised that, once paid, the fees are not refundable. 

Other relevant information

Please also note that the Home Office will never call migrants and ask for verification or information regarding their visa status. Furthermore, migrants will never be required to pay the Home Office outside of visa application fees, which are paid for through the UKVI website. You will never be asked to transfer money into a bank account by the Home Office or UK Visa and Immigration.

There is a section on the UKVI website titled Fraud, tricks and scams: guidance.  Please take care not to share the details of your visa with anyone outside of your Trust, College, and the Academy of Medical Royal Colleges.

Global Partnerships Department, RcoA

Info for overseas doctors who wish to come to the UK for a limited period of specialist training before returning home
Guidance for UK hospitials who wish to bring international medical graduates via the RCoA's MTI scheme