NELFT has designed and delivered an MTI programme for international graduates joining the Trust’s MTI scheme. This involved a robust period of induction, including simulation activities, close supervision and mentoring as well as supporting the logistical adaptation to a new county and the NHS. We curated a monthly teaching programme delivered exclusively to the MTI doctors, led by their needs identified by the group. We have also created an MTI specific Balint group. MTI doctors are supported in attending and contributing to the wider academic activities in the trust and accessing training for their specific learning needs (e.g., Royal College Exams). An MTI tutor has been appointed to support this group of doctors.