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MTI GFPEM

Read about the Global Fellowship Programme in Emergency Medicine and its described experience requirements.

By Dr. Mohammad Aqil

Updated and reviewed by EM Gurus, checked 10 October 2026

Last reviewed 10 October 20261 min read

Quick answer

Read about the Global Fellowship Programme in Emergency Medicine and its described experience requirements.

Overview

Global Fellowship Programme Emergency Medicine (GFP-EM), administered by NHS England (formerly Health Education England), aims to advance emergency medicine skills among international doctors. 

Eligibility

  • Experience: 3 years of Emergency Medicine experience

  • English Competency: Valid OET or IELTS score

  • Exams: Passed MRCEM SBA (Part 2)

Application

The MTI route described below closed to new applicants on 31 March 2026. This is a historical process guide.

  • The entire process is typically between 6-8 months.

  • It begins with a review of all necessary documents.

  • Applicants then attend interviews typically scheduled between October and November.

  • Following the interviews, a few hospital placement options are provided to choose from.

  • Applicants must complete a Trac application.

  • Confirmation of sponsorship from the Royal College of Emergency Medicine (RCEM) is required.

  • Completion of the MTI form is the next step in the process.

  • Other steps also incur fees, including RCEM administration, English language testing and the visa application, as well as registration with the General Medical Council (GMC).

  • Finally, applicants on the MTI route had to secure a Temporary Work – Government Authorised Exchange visa.

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Educational guide, not clinical advice. Check current official guidance before acting.