Medical Training Initiative in Pathology - MTI(path)

We are now accepting applications for the MTI (Trust Route) Scheme. All applicant applying for this scheme will need to have secured a post before making an application. 


Please note: the following information applies only to doctors who have qualified outside the UK or EU and who wish to come to the UK for a limited period of specialised training in pathology. All applicants will now have to be on a Tier 5 visa under the auspices of the Medical Training Initiative (MTI).

The Medical Training Initiative (MTI) was launched by the Department of Health in 2009. It is designed to allow medical graduates to come to the UK to undertake clinical training in the NHS for a maximum of 24 months before returning to their home country, providing they have the support of the relevant Royal College.

As part of the scheme, The Royal College of Pathologists (RCPath) will act as the ‘professional sponsor’ for medical graduates, through the Academy of Medical Royal Colleges (AoMRC).

How can I gain sponsorship?

The College offers two routes to gaining sponsorship through its MTI(Path) scheme: MTI(Path) College and MTI(Path) Trust.

  • The MTI(Path) College route is for those who haven’t been offered a placement but would like to undertake clinical training in the NHS for a maximum of 24 months before returning to their home country
  • The MTI(Path) Trust route is for those applicants who have themselves secured a suitable placement within an NHS Trust in the UK.

What posts are available? 

We offer sponsorship to Trainees in the following specialties;

The Joint Royal Colleges of Physicians Training Board (JRCPTB) oversees training in immunology. Further information on their MTI scheme can be found on the Royal College of Physicians website

Only some of the placements on the MTI Scheme are paid and the trainee receives a salary. However, funding needs to be organised by the trainee for the unpaid MTI Scheme placements.

In this case, the trainee needs to have funding available from an official source e.g. home institution, government, scholarship etc. The funding should be above the UK national minimum wage (or at least £16,000 p.a).

What kind of visa will I be entitled to?

The Academy of Medical Royal Colleges (AoMRC) – the overarching visa sponsor for the initiative – is responsible for issuing the Tier 5 Certificate of Sponsorship (CoS). This enables an applicant to apply for their Tier 5 visa, which is issued for a maximum two year period. The certificate of sponsorship will only be issued if the application is supported by RCPath. 

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.

How do I apply?

If you wish to apply, you need to complete and submit the following complete documents to

  • completed application form
  • eligibility checklist
  • CV template
  • equality and diversity monitoring form
  • supporting documentation detailed in the checklist found at the end of the application form.

The assessment of the application for MTI Scheme takes between two to six months. Therefore, you should ensure sufficient time to complete the application process before your intended start date. All applicants must also post a hardcopy of their application pack to the following address:

MTI Scheme
The Royal College of Pathologists
6 Alie Street
E1 8QT

Pre-registration verification of qualifications

From 11 June 2018, all applicants seeking registration with a licence to practise will have their primary medical qualification independently verified before being granted registration, if they:

  • Qualified at a medical school outside of the UK, EEA or Switzerland OR
  • Are a national of a country outside the UK, EEA or Switzerland who graduated from a medical school outside the UK AND
  • Do not already hold provisional registration with a licence to practice.

Verification will be carried out by the Educational Commission for Foreign Medical Graduates (ECFMG) through their online system, Electronic Portfolio of International Credentials (EPIC) service. Please visit the GMC website for detailed information on the process. 

Applications started before 11 June

Applications for provisional or full registration with a licence to practise which have not been submitted to the GMC and paid for by midnight on 10 June, will be closed on 11 June as the GMC will need to update their system. If you start another application on or after 11 June, you will need to have your primary medical qualification (and post graduate qualification, if you have one) verified by the Educational Commission for Foreign Medical Graduates (ECFMG) before the GMC can grant registration with a licence to practise.

Please note that applications that are submitted incomplete will be automatically rejected and that any applications submitted without the IELTS test results will not be assessed. Applications will not be processed until the payment of a non-refundable administration fee is received by the College.

Download our application pack

To ensure your application is processed, please ensure all the relevant documents and evidence are clearly labelled based on the 'Supporting documentation list' (e.g. 1. Primary Medical Education certificate) and returned together with the application. We will not be able to assess any applications submitted without the IELTS test results. 

Frequently Asked Questions

The application process

How can I find out if I'm eligible for this scheme?

Do I have to pass the FRCPath Part I examination in order to be eligible for the MTI(path)?

How will I know when applications are open?

How do I apply?

Scheme Fees

What can I do to prepare?

How can I find out more about the sponsorship process?

Information for Trainees

Will I be paid a salary whilst on the MTI(path) scheme?

Why are only some of the MTI(Path) posts funded?

I would like to apply for an unfunded post. What information do I need to supply?

How do I know if my Primary Medical Qualification (PMQ) is acceptable?

I haven’t undertaken any specialty training. Would I still be eligible for the scheme?

Do I need to clear PLAB in order to apply for the MTI(Path) scheme?

What English Language test do I have to pass?

Will my scholarship be subject to tax whilst in the UK?

I am currently in the UK on a Tier 2 dependent visa. Can I apply for the scheme from the UK?

Can the MTI(Path) contribute to a CESR application?

Can I shift from one speciality to another after completing one year? For example from histopathology to neuropathology

Information for Trusts

How do Trusts benefit from the MTI scheme?

How can I offer an MTI trainee a post at my hospital?