The Medical Training Initiative:Providing a placement for a doctor

Important information for hospitals

Overview of MTI

The Medical Training Initiative (MTI) enables international medical graduates (IMGs) to spend two years training in general obstetrics and gynaecology in the UK within an NHS hospital. The RCOG is one of many Medical Royal Colleges which facilitates the placement of these doctors. It is also a sponsor for GMC registration for doctors who come through the scheme.

Placements offered by hospitals to the RCOG for IMGs must be fully paid. They should provide full access to training in both obstetrics and gynaecology, identical to the training offered to UK trainees, to enable IMGs to progress towards and pass their Part 3 MRCOG whilst on the scheme.They should be released for teaching sessions along with Deanery trainees and provided with similar induction, educational supervision and appraisals. RCOG expects MTI trainees to attend an Induction Event at the College in September.

Doctor applications and assessment

The RCOG takes the assessment of IMG applications seriously. Doctors must fulfil strict criteria set by the RCOG and GMC. Full details of these criteria are available on the RCOG website’s MTI pages. The RCOG has a responsibility to hospitals to vet and assess applications rigorously so that only applications from doctors with high standard of skill, knowledge and English language are put forward to hospitals to then interview (remotely) on the assumption that the placement will then be offered to them.

Providing a placement at your hospital

Hospitals who wish to provide a two-year placement for MTI doctors must complete all forms within this document. Hospitals must commit fully when submitting a request for an MTI doctor and must not withdraw an offer particularly at a late stage of the process of getting a doctor to the UK. This has severe implications upon MTI doctors who will have made life-changing decisions in order to be ready to move themselves and their families to the UK.

Update for 2017: Charges to hospitals

For the College to ensure a quality service to both hospitals and doctors, in 2016, it began implementing acharge to hospitals for placing a doctor in post. This charge was introduced to enable the RCOG to maintain a high standard of assessment, induction and ongoing mentorship/support in view of the rising number of doctors coming on to the scheme.

The charge to hospitals per placement offered is now £2500 plus VAT. This charge reflects the costs required to cover the RCOG’s administrative and assessment activity and the two-day free induction course provided to new MTI doctors, particularly that funding previously offered by the Department of Health has now stopped. This charge falls into the middle range of charges levied by all other Medical Royal Colleges. The charge also includes a small contingency for those doctors left financially inconvenienced when aplacement has been withdrawn.

All hospitals are required to submit payment to the RCOG immediately after submitting the forms within this document and on receipt of an invoice from the College. Hospitals who withdraw their placement from the scheme will not be reimbursed.

Charges are per placement per doctor so hospitals who offer more than one placement will be charged per placement offered.

To ensure both the hospital and the RCOG are clear on commitments to the MTI scheme, both are required to sign the Memorandum of Understanding on page 3 outlining each party’s responsibilities.

Instructions to hospitals

  1. Please read fully the Memorandum of Understanding (MoU) on page 3 outlining hospitals’ responsibilities to the MTI scheme and sign and date.
  2. Complete the MTI placement form on pages4-5.
  3. Complete the MTI confirmation of charging form on page 6 and fill in the invoice request details on page 7. This will allow us to issue an invoice for your hospital. Please attach the purchase order document/number to this document as well.
  1. Prepare a full job description and job timetable for the placement.
  2. Submit all of these documents(MoU Placement Form, Confirmation of charging, invoice request, full job description, job timetable and purchase order number) to RCOG MTI via email:

Please note that only fully completed applications will be taken forward for matching with doctors.

The MTI assessment panel and initial matching takes place in February/March. Hospitals are strongly recommended to submit their completed applications by this time.

For more information and enquiries, please visit the Hospitals page on the RCOG website.

Memorandum of Understanding between:

Party 1 - The Royal College of Obstetricians and Gynaecologists, London

and

Party 2 - Name of hospital (please complete)______
Party responsibilities:

The RCOG

  • To administer applications from international doctors to the MTI scheme and ensuring all candidates put forward to be assessed for placement opportunities meet the specified criteria.
  • To ensure all eligible applications are rigorously assessed by members of the RCOG MTI Assessment Panel
  • To endeavour to ensure hospitals interested in offering a placement to the scheme can access comprehensive information on how to do this.
  • To send eligible candidate applications to hospitals to review where appropriate.
  • To support the doctor and hospital through the process of candidates’ GMC registration and visa applications as far as reasonably possible.
  • To make hospitals aware of appropriate educational guidance for MTI doctor placements.
  • To support hospitalsand doctors when appropriate and fully within the capacity and expertise of the RCOG’s remit as an MTI scheme provider should an issue arise with their placement or fitness to practice.

The hospital

  • To fully commit to and honour the placement provided to a doctor from the MTI scheme.
  • To ensure the placement provides general training in obstetrics and gynaecology at mid-grade, pre-Part 2/3 MRCOG level.
  • To fully complete all documents within this pack and send to the MTI Lead at the RCOG.
  • To return promptly to the RCOG, any required paperwork for the RCOG to be able to apply for the Tier5 Certificate of Sponsorship from the Academy of Medical Royal Colleges.
  • To carry out all necessary background employment checks for the doctor which are not part of the RCOG MTI administrative process.
  • To encourage and facilitate the doctor to be able to attend the two-day MTI induction event at the RCOG in mid-September.
  • To provide the MTI doctor with all training opportunities, study leave time and budget allowance, and access to educational activities similar to those provided to all other trainees.
  • To allocatea named experienced educational supervisor and ensure pastoral support for the MTI doctor in the department.
  • To inform the RCOG should any problems arise during the doctor’s placement.
  • To work supportively with the doctor and RCOG if need be to address issues which occur during the doctor’s placement.

Signed on behalf of the RCOG

______
Mr Dhiraj Uchil MRCOG, RCOG MTI Officer

Date______

Signed on behalf of ______hospital
Name:______

Date: ______

MTI Placement Form

The MTI Placement Form asks for basic details on the post. Please note that the College is only able to sponsor for clinical training, and cannot sponsor doctors to provide service cover only, to undertake research based posts or the clinical element of a postgraduate degree. Nor can we sponsor for Staff Grade posts.

Please either type or complete this form in BLOCK CAPITALS.

Name of the Trust/Hospital:
Address:
Details of the Consultant: Name and title of the UK Consultant:
Position Held (College Tutor/Clinical Director/Clinical Lead/Educational Supervisor/Other please specify):
Tel No:Fax No:
Email Address:
Name and Position of Trust HR contact:Tel No:Fax No:
Email Address: :
General Manager/Assistant ManagerName of the person responsible for payment:
Tel No: Fax No:
Email Address:
Details of the Post
Title of the post offered:
Grade of the post
Proposed start date(please be as precise as possible): / Start and end dates of the 24 month post:
Planned duration at ST2 level if any (this should ideally be a maximum of 3 months):
Name of Deanery responsible for the hospital:
To confirm that this post will not adversely affect training/experience of UK traineesYes/No
Name and position of Deanery officer who will support this (e.g. TPD/HoS/Assoc Dean/Dean/other)
To confirm that the post is not just covering service/rota gaps and appropriate training will be offered Yes/No
Does the post hold approval by the Postgraduate Dean?Yes/No
If it does not you will need to request ad personam approval, orconfirmation of support for the post from the Deanery if this is a Trust based post.
Supporting letter will need to be enclosed.
Is the post paid or unpaid? (Please circle as appropriate) Paid/Unpaid
If paid, confirmation that salary will be paid appropriate to respective NHS band, ST3 level as a minimum
Yes/No
If unpaid, how will the doctor be funded?(e.g. Overseas govt/university/institution) please circle
Salary per month: ……………………… £
There will be appropriate study leave funding from the Trust for the doctor Yes/No
Confirmation of paidacclimatisation period (by Trust) before IMG takes up on call responsibilityYes/No
Please note that acclimatisation period of more than two weeks should be paid.
Duration –2 weeks/1 month/2 months (pl circle as appropriate)
I confirm that the details given in the form are accurate, and I permit the College to hold the information given on this form for the purposes of the College in accordance with the Data Protection Act (no information will be passed to external bodies).
Signed: ...... Date: ......

MTI confirmation of charging form

To be completed by the most appropriate member of staff at the hospital

Name of hospital:

______

Name of supervising consultant(s) for the post(s)

______

______

Name of HR contact:______

I confirm that the above-named hospital offers (insert number) ______placement(s) for a doctor/doctors applying to the MTI scheme. I confirm that the total amount owed to the RCOG for the placement of these doctors is______(not including VAT charged at 20%).

I confirm that I have understood that should the above-mentioned hospital withdraw the position for a doctor/doctors, the full amount is non-refundable.

I confirm that the purchase order is attached to this documentation in order that the RCOG may issue the above-mentioned hospital with an invoice for the total amount.

Signed______

Printed name______

Date______

Position at the hospital______

Email______

Telephone______

MTI Invoice Request

Please fill in this invoice request with the details of your organisationtogether with the purchase order and we will forward the request to the Finance department at the RCOG. The Finance department will endeavour to process this and return the invoice to you as soon as possible but at least within 3 days of receipt in the department. The recipient’s address must be provided in full, below. This will be included on the face of the invoice.

*mandatory fields

1. / Customer/member’s name*
2. / Membership Number (if relevant)
3. / E-mail address of a person/department responsible for payment*
4. / Organisation Name*
5. / House/Flat No.*
6. / Street Name *
7. / Town/City*
8. / Country*
9. / Post Code*
10. / Purchase Order Number*
11. / Invoice lines* - please provide the following details for each line of the invoice:
Budget code
(xxx-xxx-xxx) / Description of code
/ Any additional narrative you want shown / Gross Amount / VAT / Net Amount
470220/AAA/GHU / MTI Placement
12. / Any customer enquiries regarding this invoice should be addressed to be addressed to: