MTI Deanery Approval Form: Parts 1-3

Part 1: Details of the MTI post

To be completed by the NHS employing organisation, NOT the MTI doctor or applicant
Please read below for details on how this system functions.

Deanery Approval is provided in a 2-stage process:

Stage 1: Fill out the details of the post on Part 1 and details of the employer on Part 2 and use the "Request Approval" button at the bottom of Part 2. This will submit the details of the post to the Deanery, who will provide approval within 2 weeks.

To ensure equality accross the scheme, no details of the candidate will be submitted to the Deanery at this point, as they will only approve the post, not the candidate.

Stage 2: Once approval is received, you will then be emailed letting you know you are required to add the doctor's details to the approval by returning to this form using the link provided in the email. You will then need to use the "Request Approval" button on Part 2 and you will be emailed the final Deanery Approval document, which is now "linked" to the doctor. This must then be added to the main Application form.

We require each approval to be linked to a specific doctor to ensure that a single approval cannot be used for multiple doctors.
Approval requested?
Since no MTI candidate can be listed at this stage, once the Dean has approved the post you will need to ensure you can match the details of the post with the correct candidate, once they have been chosen.
Name of MTI doctor or applicant*

First NameLast Name
Has a medical Royal College or other non-trust organisation been involved in filling this post (e.g. by sponsoring the doctor for GMC registration)?*

YesNo
Please select the organisation from the list below:*
Organisation Acronym
Organisation's email address (this address will be copied into all emails)
Please confirm the correct organisation was chosen*

I Confirm
NHS organisation of the post*
Name of hospital for the post*
Town/city of NHS organisation*
Postcode of NHS organisation*
Start date of placement*

DayMonthYear
Date
End date of placement*

DayMonthYear
Date
Length of placement (in months, maximum 24)*
Hours of work per week (maximum 48 unless agreed otherwise with the candidate)*
Guidance on the UK's Working Time Regulations is available here.
Clinical specialty of the post*
Sub-specialty (if applicable)
Level of post*
Title of post*
Please note that the deanery requires the following additional information:*

TimetableJob description
Any additional documentation relevant to this post can be uploaded here (multiple files can be added)

Cancelof

Part 2: Details of employer personnel
Name*

First NameLast Name
Job title*
Organisation*
Employer email address*
Date*

DayMonthYear
Deanery region*
Deanery email address (the approval request will be sent to this address)
Not providing any of the requested information is likely to cause delays, so please ensure you have added all the required documentation before clicking "request approval" below.
I confirm all the requested information has been provided
Comments or questions for the Dean (if any):
ERROR: You have entered an AOMRC email address in one of the email fields. We kindly request that the AOMRC is not included in any correspondence about an application before it is submitted to us, so please enter the correct email address in the relevant field.

If you have any general questions about MTI applications, please either consult the guidance documents linked throughout this application form or contact the team on mti@aomrc.org.uk.
Please Note: The blue "Next" button will not upload your changes to the form. Please use the green "Request approval" button instead.

Part 3: Authorisation of the post and training

To be completed by the Dean (fields will appear once approval has been requested by the employer)
Please submit this form via the green "Request approval" button on Part 2, otherwise all changes to this form will be lost.

You can navigate back to Part 2 using the grey tabs at the top of this form.
Name of Dean from the TEST region approving the post*
Name of Dean from the East Midlands region approving the post*
Name of Dean from the East of England region approving the post*
Name of Dean from the Kent, Surrey and Sussex region approving the post*
Name of Dean from the London (North) region approving the post*
Name of Dean from the London (South) region approving the post*
Name of Dean from the North East region approving the post*
Name of Dean from the North West region approving the post*
Name of Dean from Northern Ireland approving the post*
Name of Dean from Scotland approving the post*
Name of Dean from the South West region approving the post*
Name of Dean from the Thames Valley region approving the post*
Name of Dean from Wales approving the post*
Name of Dean from the Wessex region approving the post*
Name of Dean from the West Midlands region approving the post*
Name of Dean from the Yorkshire and the Humber region approving the post*
Please tick to confirm that the above post does not disadvantage UK trainees nor adversely affect the training of existing trainees in the training location and provides sufficient educational and training content

I confirm
Job title
Dean's email address
Signature
ERROR: You have entered an AOMRC email address in one of the email fields. We kindly request that the AOMRC is not included in any correspondence about an application before it is submitted to us, so please enter the correct email address in the relevant field.

If you have any general questions about MTI applications, please either consult the guidance documents linked throughout this application form or contact the team on mti@aomrc.org.uk.
Date

DayMonthYear
Date
Should be Empty:

Part 1: Details of the MTI post

Part 2: Details of employer personnel

Part 3: Authorisation of the post and training