The MTI scheme allows a small number of International Medical Graduates (IMG’s) to enter the UK to experience training and development in the NHS for a maximum of 2 years, before returning to their home country.  Entry is permitted under the Tier 5 Visa according to the UK immigration laws

International Medical Graduates will be supervised during their experience by an experienced Consultant.




The application process for an MTI is a joint process between medical Royal Colleges, HEWM, NHS Trusts and the Academy of Medical Royal Colleges (AoMRC) with support from the Department of Health.  For further information regarding the role of AoMRC, please visit their website:


Health Education West Midlands

HEWM approve applications submitted by Trusts to ensure continuity of the process.  

MTI application form and the national MTI guide is set out by AoMRC: