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Medical Training Initiative Scheme in UK: Response by UK AMRC.

I respond to the editorial "Medical training initiative scheme by United Kingdom: What is its worth?" published in Pakistan Journal of Medical Sciences 2011;27:481-3.

The Academy of Medical Royal Colleges took over the role of National Sponsor of the Medical Training Initiative in May 2010 to ensure that it delivers high quality training in the UK for overseas trainees to the benefit of both the individual trainee and their country of origin. The Medical Training Initiative provides a maximum of 24 months of postgraduate medical training in the UK for trainees who may not have similar training opportunities in their own country.

Following pressure from the UK Medical Royal Colleges, the UK Government set up the Medical Training Initiative (MTI) in February 2009. The MTI Scheme gives overseas doctors Royal College certified training posts that offer experience and training in the UK. These are not service posts, except in as much as UK training combines some service provision with training, and one of the reasons that the Academy of Medical Royal Colleges took over MTI was to ensure that all incoming trainees enter posts which provide comparable training to that received by UK based trainees. These posts can allow candidates to take Royal College examinations, and/or to receive a certificate from the Royal College or Postgraduate Dean attesting to the type and quality of training completed.

The MTI uses extra training capacity within the UK and offers bona fide training which is often available because of the manpower planning limits on the number of UK base trainees allowed to train in a given medical field. Every effort is made through the recruitment process of the Medical Royal Colleges to ensure that the training that the overseas applicant undertakes corresponds with their personal career plans and learning objectives.

Reference in the editorial to the national Minimum Wage in relation to the MTI scheme is misleading. The AoMRC advises that all doctors coming on the MTI scheme are paid the same amount as a UK trainee at an equivalent level. We know of no cases where an MTI doctor has earned less than the basic salary of a UK trainee.

The MTI is not a route to settlement within the UK. We believe that one of the main advantages of the MTI Scheme over other immigration routes is that it does not contribute to the 'brain drain' from countries in need of advanced medical training and highly skilled medical personnel, as all of the doctors coming to the UK on the MTI must return home by the end of 24 months.

I hope this clarifies the MTI. If there are any further questions please do not hesitate to contact the AoMRC MTI office directly.

Prof. Sir Neil Douglas, MD DSc Hon MD FRCPE Chairman, UK Academy of Medical Royal Colleges For author's response see Page 953

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Author:Douglas, Neil
Publication:Pakistan Journal of Medical Sciences
Article Type:Letter to the editor
Geographic Code:4EUUK
Date:Sep 30, 2011
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