Intended for healthcare professionals

Letters Use of overseas fellowship doctors

Fellowships and international medical graduates: the need for a reappraisal

BMJ 2023; 383 doi: (Published 24 November 2023) Cite this as: BMJ 2023;383:p2765
  1. George I Varughese, consultant physician,
  2. Victoria Burnham, consultant in emergency medicine
  1. University Hospitals of North Midlands NHS Trust, Royal Stoke University Hospital, Stoke on Trent, UK
  1. george.varughese{at}

Davies highlights the challenges of various fellowship schemes for international medical graduates (IMGs).1 Since the medical training initiative (MTI) scheme was established, it has been widely recognised as successful and mutually beneficial.2 The NHS has always relied on IMGs, who make up over 30% of the workforce.3

The MTI scheme supports IMGs through international collaboration with NHS trusts. By facilitating General Medical Council registration, sponsoring …

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