# Practising for ACCS Emergency Medicine (ST1) with MedMock

Canonical page: https://medmock.com/exams/accs-emergency-medicine-st1

## What is the ACCS Emergency Medicine ST1 interview, and how do you practise for it?

NHS England national recruitment interview for Acute Care Common Stem (ACCS) Emergency Medicine ST1, which has had no core training (CT1) entry since 2025/2026. There are two 10-minute stations: a portfolio station and a clinical/ethical station. Commitment to the specialty and communication are assessed. Two panel members score each station and one of them asks the questions. There is no reading time, no written scenario and no role-play. The interview score is combined with your MSRA score to rank applicants. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.

## About ACCS Emergency Medicine (ST1) recruitment (official sources, checked 2026-10-13)

- 2025 recruitment round, NHS England figures for ACCS Emergency Medicine CT1/ST1: 5081 applications for 357 posts, a competition ratio of 14.23.
- For 2026/2027 ACCS Emergency Medicine recruitment, the interview has 2 stations of 10 minutes each: one portfolio station and one clinical/ethical station.
- The ACCS Emergency Medicine interview is online and is run through Qpercom Recruit. It assesses commitment to the specialty and communication skills.
- ACCS Emergency Medicine recruitment is managed as a centralised process, working alongside the Royal College of Emergency Medicine.
- The MSRA score is used to shortlist if interview capacity is exceeded. Shortlisted applicants are invited to an online interview, which is scored.
- The final ranking score combines the MSRA, weighted 40%, with the interview, weighted 60%. The scores are scaled before they are combined.
- Applications for ACCS Emergency Medicine close at 4pm on Thursday 19 November 2026 and must be submitted through Oriel.

Sources: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/competition-ratios/2025-competition-ratios https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/emergency-medicine/core-emergency-medicine/overview-of-core-training/applying-for-core-training https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/emergency-medicine/core-emergency-medicine/overview-of-core-training/interviews https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/emergency-medicine/core-emergency-medicine/overview-of-core-training/overview-of-core-training https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/emergency-medicine/core-emergency-medicine/overview-of-core-training/appointability-preferencing-and-offers

Recruitment dates: Applications 22 October 2026 to 19 November 2026 (national Round 1); Interviews within the national Round 1 window, 11 January 2027 to 2 April 2027 (source: NHS England Medical Specialty Recruitment, checked 2026-09-24).
All ACCS Emergency Medicine (ST1) dates: https://medmock.com/exams/accs-emergency-medicine-st1#dates

## Stations you can practise

- **Portfolio Station** — The portfolio station: panel questions on your application and portfolio, including your commitment to emergency medicine.
- **Clinical/Ethical Station** — The clinical/ethical station: the panel puts a clinical or ethical scenario to you and asks how you would approach it. Communication is assessed. There is no simulated patient or relative.

## Sample ACCS Emergency Medicine (ST1) questions

- *Portfolio Station:* Present your motivation for ACCS Emergency Medicine training pathway.
- *Clinical/Ethical Station:* A 79-year-old woman is brought in acutely confused by her family, who say she was normal yesterday. What is your approach to assessment?

## Example scenarios

- *Clinical/Ethical Station:* A patient with a suspected head injury who has been drinking wants to leave the emergency department before they have been assessed. How would you approach this?
- *Portfolio Station:* What have you done so far that shows your commitment to a career in emergency medicine?

## How a practice session works

1. **Choose a station** — Choose the kind of question or scenario you want to rehearse — ethics, motivation, a role-play, and more.
2. **Have the conversation** — Speak naturally, out loud. The AI interviewer listens and asks the demanding follow-ups, just as a real interviewer would.
3. **Get instant feedback** — The moment you finish, you get specific, examiner-style feedback and a score — what you did well, what cost you marks, and precisely what to fix before the next attempt.

## Price

Start with a one-off £5 taster: 30 credits (30 minutes of speaking practice), not a subscription. After that, or instead, £45 per month for 300 credits. One credit is one minute of spoken practice, or two typed exchanges, and where the examiner or patient speaks first, that opening line is free. Examiner scorecards, mark schemes and model answers for finished sessions are included at no extra credit cost. Cancel at any time. Full details: https://medmock.com/pricing

## Frequently asked questions

### How does the feedback work?

When you finish a station you can have it marked, and the scorecard comes back in seconds — what you did well, what cost you marks, and exactly what to work on next. Scorecards, mark schemes and model answers are included at no extra credit cost.

### Can I practise specific ACCS Emergency Medicine ST1 stations?

Yes. You can pick either station to drill a weak area, or run a mixed set to simulate the real interview.

### How much does it cost?

You can start with a one-off £5 taster: 30 credits, which is 30 minutes of speaking practice, with no subscription. After that, or at any time, you can choose a monthly plan, which includes a monthly credit allowance. Current prices are on the pricing page.

## About MedMock

MedMock is a web app for practising the spoken parts of UK medical and dental exams and interviews out loud. The candidate talks; an AI patient, examiner or interview panel answers in real time by voice; and when the station ends MedMock marks the performance against that exam's assessment domains and shows the model answer.

It covers 104 spoken exams and interviews — OSCEs, vivas, structured oral exams, simulated consultations, and specialty-training and consultant interviews. It does not cover written or multiple-choice papers, and it is not a question bank.

It was founded by Mr Sam Nahas, MBBS BSc MEd FRCS (Tr & Orth), a practising consultant orthopaedic surgeon in the UK, with co-founder and CTO Arjan Jandu. It is operated by VirtualPatients Ltd (company no. 16303492).

Pricing: a one-off £5 taster of 30 credits to try it (not a subscription, one per account), and a monthly subscription from £20 to £129 depending on the exam (student exams cost least, fellowship exit exams and consultant interviews most), or £199 to £275 for the Intensive plans, which carry more credits. One credit is one minute of spoken practice, or two typed exchanges, and where the examiner or patient speaks first, that opening line is free. Examiner scorecards, mark schemes and model answers for finished sessions are included at no extra credit cost. Subscriptions can be cancelled at any time.

It runs in a web browser on a laptop or phone; spoken practice needs a microphone. There is no public demo: practice needs an account with credits, usually from the taster or a monthly plan.

MedMock is for adults aged 18 or over. Sign-up asks every new account to confirm it.

MedMock is a revision tool. The patients, examiners and cases are fictional and AI-generated; it is not clinical guidance and is not affiliated with or endorsed by any Royal College, the GMC, the GDC or any examining body.

Start with the £5 taster: https://medmock.com/auth/signup