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The MTIs should be encouraged to attend resuscitation courses like Advanced Life Support (ALS) as most of them follow the Advanced Cardiac Life Support (ACLS). The trainees can also get familiarised to the new healthcare system via the RCoA approved training courses – ‘Simulation for MTIs’ and ‘New to NHS’.Īllocating MTIs to theatre lists with only a select number of consultants in the initial stages helps them to settle in a new healthcare environment before they commence on-call (out of hours) duties. In addition to a named Educational supervisor (a mandatory requirement stipulated by the RCoA), the MTIs will benefit from having a nominated mentor within the department. Hence, a one-to-one induction customised towards overseas doctors will be beneficial. The MTI trainees often join at a time that doesn’t coincide with the UK training programme. Hospital accommodation should be offered and organised in advance.
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Prior intimation to the MTIs on the need for police verification from their home country would be of great benefit to make the process smoother. Medical staffing has more paperwork, one of which is the Disclosure and Barring Service (DBS). The planning involves resignation from the current job, applying for a Tier 5 Visa to be in time for the GMC identity check (3 month deadline) and collecting the Biometric Residence Permit to be able to start work in the UK. It takes about 3-6 months after verification of the educational qualification by Educational Commission for Foreign Medical Graduates (ECFMG) via Electronic Portfolio of International Credentials (EPIC). Details of the MTI scheme are available on the Royal College of Anaesthetists (RCoA) website. Under the MTI scheme, anaesthetic trainees can also take the FRCA examination.Ī general awareness of the scheme helps the department to provide the MTIs with an appropriate support system. Funding received by training hospitals overseas can be variable thereby impacting on the resources available to provide standardised training. The exposure most of the MTIs receive overseas is heterogeneous - in terms of level of supervision/independence, access to modern equipment and medications, lines of management, level of expectations and communication or interaction with patients. It offers an opportunity not only to fine-tune their clinical acumen, but also to assimilate non-clinical skills (medical education, leadership and management, quality improvement projects) 2. The Medical Training Initiative (MTI) is a training programme to assist doctors with proven capability in anaesthesia/Intensive Care/Pain Medicine from low and middle income countries to undertake further anaesthesia training in the UK, for a maximum of 24 months 1. A dynamic trainee-supervisor relationship to accommodate the changing educational goals and an appropriate mix of strategies can help the MTI trainees attain medical competence.Īnaesthesia, Adult learning, Medical Training Initiative An organised induction programme, a period of familiarisation and good mentorship with patience helps to remove the barriers to learning for the MTI trainees.
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The supervisors can provide advance structures upon which the MTIs can continue to build opportunities and gain confidence to rehearse and apply their new knowledge. They should be encouraged to use the same learning platform as the UK trainees for an all-round development. Therefore, any learning strategy for them should begin with assessment of the educational needs followed by constructivism, feedback and reflection without criticism. The MTI trainees are adult learners with a self-image and pre-existing knowledge. The awareness of these is essential for both the trainees and the supervisors, as these form barriers to learning and need to be addressed before any learning begins. The whole process involves a lot of work and is stressful too, as the trainee has to adapt to a new environment. This initiative benefits both the trainees and the NHS. Every year, a number of overseas anaesthetists move to the UK under MTI, which is a training programme to assist doctors with proven capability in anaesthesia/Intensive Care/Pain Medicine from low and middle income countries to undertake further training in anaesthesia in the UK.