Medical Training Initiative (Paediatrics)

Our MTI(p) scheme enables non-UK/EEA paediatricians, with MRCPCH or other postgraduate qualifications, to undertake high quality postgraduate training in paediatrics for a maximum of 24 months, before returning to work in their home countries.

What are the benefits to candidates?

International Fellows on the MTI(p) scheme work in an RCPCH-approved clinical setting, exposing them not only to the specified area of paediatrics but also to child protection, safe prescribing and medico-legal practice.

The scheme provide Fellows with the opportunity to enhance and develop skills across a range of areas including leadership and management, developing guidelines, conducting audit and research and understanding of clinical governance. The main focus is to work in an environment with a patient-centered approach.

We encourage Fellows to engage in reflective practice and coaching/mentoring.

The College is committed to providing a training opportunity that benefits the Fellow, their home country and the NHS units in which they will be working.

What type of posts are offered?

Posts are offered at a 'middle grade' level, equivalent in standard to Level 2 of the UK ST training curricula. After a period of three to six months induction at a more junior levels, it is expected that candidates will progress sufficiently to spend the remaining 18-21 months working at a more senior level.

Eligibility criteria

Applicants must:

  • Be resident overseas at the time of application and have no rights of residence in the UK/EEA
  • Have sat and passed the Academic IELTS ("UKVI Academic IELTS" is not a requirement) - the required score is 7.5 overall, with a minimum score of 7.0 in each section - speaking, reading, writing & listening*
  • Have completed an acceptable internship (or equivalent) of not less than 12 months following undergraduate training (in accordance with the General Medical Council legislation)
  • Hold a primary medical qualification accepted by the General Medical Council
  • Hold an appropriate postgraduate paediatric qualification (preferably gained within the last three years) OR full MRCPCH
  • Have been engaged in medical practice for a minimum of 36 out of the last 60 months including the most recent 12 months
  • Have been employed throughout the 12 months preceding an application to the GMC - any gaps in employment of over four weeks may mean your GMC application is rejected**
  • Hold a record of satisfactory training of at least 36 months’ clinical training in paediatrics (including general paediatrics, neonatology, paediatric sub-specialties and no more than six months of a non-paediatric speciality during this 36 month period

(*The test is valid for two years from the date it was taken. No other English language examination will be accepted. Candidates must hold a valid Academic IELTS certificate at the point of application. The IELTS can be completed in either a British Council or IDP centre).

(**Please contact the GMC on 0044 0161 923 6602 if you have any employment gaps in the most recent 12 months. You may be required to provide additional documentation to explain any gaps).

Applicants also need to ensure you meet the requirements in the MTI(p) person specification (PDF, 28 KB, 4 pages).

Application fees

All applicants are required to pay £75 (£78 if paid by card) application fee when the application form is submitted to the College.

Once enrolled on the scheme, applicants will be required to pay ePortfolio fees of £208, which will enable access to RCPCH ePortfolio, for the first 12 months of training. (For 24 month placements, a further £208 will be required to cover the second year of training).


The College offers two application routes for this scheme:

Testimonials from MTI Fellows

"Overall it has met and exceeded my expectations. I have gained confidence and independence in clinical practice which will help me immensely in resuming consultancy in India."

- MTI Fellow – August 2016

"Overall it was a very good experience.

I worked very closely with my educational supervisor. I could actively participate in all aspects of in- and outpatient care with her supervision. I also had many opportunities for learning through discussions. Other educational opportunities included an audit on newborn screening, poster presentations and international conferences.

I also had the opportunity to participate in the metabolic laboratory and metabolic dietetic services. The staffs in these units were very helpful and I find the experience pleasant and very educational."

 - MTI Fellow - August 2016


If you have any questions about the scheme, please contact