Indian Academy of Otorhinolaryngology
Head and Neck Surgery

International Training Fellowships


International Training Fellowships 2019


Masters in Surgery (MCh) in Otorhinolaryngology


Organised by Wrightington Wigan and Leigh NHS Foundation Trust and Edge Hill University


A safe, sustainable and ethical co-development educational programme for International Medical Graduates


Supported by Health Education England and the Greater Manchester Health and Social Care Partnership 

Approved by General Medical Council UK for sponsorship

Accredited by Royal College of Surgeons of England*




The MCh Programme in Otorhinolaryngology

(And sub specialties in Rhinology and Facial Plastics)


The MCh International Training Fellowship (ITF) Scheme has been designed collaboratively by senior clinicians at Wrightington, Wigan and Leigh NHS Foundation Trust (WWL) and academics at Edge Hill University (EHU).  The scheme offers an opportunity for experienced international clinicians, who have already achieved higher postgraduate qualifications, to come to the UK and study for a MCh (in various Surgical specialities)  whilst furthering their clinical training for a period of two to three years.

This programme is a unique blend of academic learning and bespoke clinical training. It consists of three main elements:

  1. a) Clinical research module:  The two components of this are the ‘Critical Appraisal’ module and the ‘Developing a Research Proposal’ module.

Critical Appraisal:  Introduces you to the research process through the recognition of the fundamental stages of research design. Based on the principles of ‘Good Clinical Practice’ and wider health and wellbeing research, you will focus on appraisal of the research question, design, methods, ethical issues, and data management and analysis strategies. In addition, you will be introduced to the principles of critical appraisal and modes of critical analysis in order that knowledge, regarding research design, can be applied to develop appropriate critical appraisal skills

Developing a Research Proposal: Introduces you to the research process, including philosophical fundamentals of both quantitative and qualitative traditions, and a range of research methodologies. The module will guide you through the crucial stages of developing a research proposal. From conceptualisation of the research question, choosing the most appropriate design, planning methods, addressing ethical issues, identifying data management and data analysis strategies, and planning dissemination, the module will introduce you to various clinical and practitioner research approaches and the necessary considerations to enable a rigorous plan of enquiry.

  1. b) A dissertation: All students in this programme will need to complete a 12,000 word thesis. This enables you to focus upon a significant piece of investigative enquiry from conceptualisation through to completion. Within this module, ‘research’ is interpreted as including empirical research involving qualitative and/or quantitative methods, service evaluation, clinical audit, systematic review or a negotiated investigative enquiry unique to your own field of specialism, for example historical/archival research. You will be supervised by a clinician and an academic to complete this work.
  1. c) Clinical modules:  These focus on the application of current knowledge of applied anatomy, physiology and pathophysiology and its relevance to health and disease and contemporary medicine. You will develop a detailed knowledge of applied specialist anatomy, physiology, critically evaluate advances in the application of biomedical science to the diagnosis and management of common medical conditions, and critically appraise evidence in best practice on medical interventions and the management of medical conditions.

These modules explores the critical interpretation of evidence that underpins the delivery of care and the effective application of both evidence and associated leading edge technology in your relevant specialist area of clinical expertise.

Minimum criteria needed to join the Programme and be eligible for GMC registration via the sponsorship route:

  • Must have a primary medical degree recognised by the General Medical Council of the UK,   i.e. MB ChB or MB BS
  • Have obtained a postgraduate qualification in your chosen specialty equivalent to the level of the MRCS or MRCP (UK) e.g. MS/MD, DNB in ENT Surgery or Diplomate of National Board of India (DNB) in Surgery or Medicine, FCPS Pakistan.
  • Demonstrate that you have been engaged in clinical practice/training for at least three out of the last five years.
  • Please note the ’12 month rule’.  IMGs applying for full GMC registration via the sponsorship route, must remain in clinical practice for the 12 months immediately preceding the date the application for GMC registration is made. A period of absence of up to 5 weeks is allowed for the purpose of annual leave. Please ensure that you do not come out of clinical practice during this 12 month period.  GMC registration will not be awarded if you do not meet these criteria.  Please note also that Clinical Observerships are not considered to be medical practice.

  • Have achieved a minimum score of 7.0 in all 4 categories of the Academic UKVI International English Language Testing System IELTS with an overall score of 7.5.     You must take this test at one of the approved SELT Consortium test centres.  
  • For the purpose of your GMC application, the Occupational English Test (OET) is also accepted.  You must achieve a minimum score of B in all four of the categories.    Please note that if you choose to take the OET you are still required to clear the Academic UKVI IELTS, but with a minimum score of 4 overall.
  • Be eligible for a Tier 2 (General) visa and meet employment, pre-employment clearances as required by law to work in UK.
  • If offered a placement we will sponsor the candidate to obtain GMC registration and facilitate the application for an  appropriate visa to work in the United Kingdom

Our expectations:

  • Appropriate academic and clinical skills
  • Appropriate language skills
  • Commitment to NHS standards and behaviours
  • Acceptance of a job plan that combines research and clinical commitment
  • Willingness to work and study over weekend periods
  • Commitment to complete an agreed period of study and training of between 2 and  3 years in the UK

Clinical placements:

The clinical training placements are organised by Wrightington Wigan and Leigh NHS Trust. It is not possible to join the programme without an approved clinical placement in the United Kingdom. We work in partnership with several other hospitals in the UK and are able to offer a wide range of placements based on the needs of the individual. 

You will be paid a full time salary (with any additional overtime supplements) during your placements. The basic pay scale offered is   £36,675 in Year 1, £40,491 in Year 2 £44,307 in Year 3. If your job has on call duties, this will typically add an additional 30% to 50% of the basic pay.

You will be entitled to the same privileges provided to other doctors in your grade working in UK.

All placements will start at International Training fellow year one (which is at a junior level) to understand the NHS standards and acquire the skills to supervise other junior doctors, and progress on to (subject to satisfactory performance) to International Training fellow years 2 and possibly a third year too.  The duration spent at a junior level (particularly in surgical specialities) will vary depending on the individual and the experience obtained prior to commencement in UK. The levels of clinical training and responsibilities increase each year. Although the terms Senior House Officer (SHO) and Registrar are no longer used in UK, they are widely referred to internationally.  International Training fellow year one will typically be at a Senior SHO / Junior Registrar level.

We will be willing to consider the following clinical placements for 2019.  Please note that placements will be  allocated  by  the Pathway Leads whose decision is final.  Requests for particular placements  ( e.g. if you wish to be located near to a family member) will be considered  but cannot be guaranteed.

Otorhinolaryngology (and subspecialty training in rhinology & facial plastics)


Pathway  Leads:                               Otorhinolaryngology                      Prof. Nirmal Kumar, WWL           

                                                     Rhinology & Facial Plastics            Prof. Tim Woolford, Manchester

 Wrightington, Wigan and Leigh NHS Foundation Trust, East Lancashire NHS Foundation Trust, Manchester University NHS Foundation Trust, Pennine Acute NHS Trust, Tameside  & Glossop IC NHS Trust.  The list of placements is by no means exhaustive.

Mentorship and Pastoral arrangements (led by Dr Umesh Prabhu):

The WWL/Edge Hill course has developed extensive mentoring and pastoral support and has a very low drop-out rate. Doctors will be provided with extensive induction in their placements prior to commencement of the post. All doctors will have a designated Clinical Supervisor throughout their programme. During this time they will be attached to relevant firms to inform and introduce them to NHS standards and behaviours.

In addition to this, doctors also have extensive induction and support from the International office of the University and pastoral care from a community of doctors and others from the local area. We have a large database of local doctors and community leaders who are able offer this support.

List of participating Trusts:

 Central Manchester NHS Foundation Trust , East Lancashire NHS Foundation Trust, Pennine Acute NHS Trust,  Salford Royal NHS Trust, University of South Manchester NHS Foundation Trust, Tameside General Hospital, Blackpool Victoria Hospital, Lancashire Teaching Hospitals NHS Trust.


The present course fee is £35,000. This is for the entire programme of 2-3 years.  An initial payment of 50% of the fee is required before commencement of the Programme.  Subsequent instalments can be deducted from salary over a period of up to 24 months.

A small number of grants may be available depending on the chosen speciality of clinical training.

Application and interview process: Application is by CV to be sent to Mrs  Julia Berry.

 Interviews will be held on November 12th 2018 at Taj Bangalore, near Kempegowda International Airport, Bengaluru.

Further information can be obtained by contacting the MCh Office at WWL.

Mrs Julia Berry

MCh/MMed Course Administrator,

Old Synexus Building,

Wrightington Hospital,

Wigan, Lancashire, WN6 9EP

United Kingdom Tel:  0044 1257 256408 


* MCh Otorhinolaryngology, rhinology and facial plastics and other surgical specialty programmes are accredited by the Royal College of Surgeons of England.