Acute Internal Medicine (ST4)
Walk into your Acute Internal Medicine ST4 interview already knowing how you will answer
Rehearse for your Acute Internal Medicine ST4 interview against an interview panel that challenges your answers that asks the demanding follow-ups. Get instant feedback on every answer and walk in calm, sharp and prepared.
What is the Acute Internal Medicine ST4 interview, and how do you practise for it?
The Acute Internal Medicine ST4 interview assesses how you reason and communicate under pressure in front of a panel. The most effective preparation is rehearsing your answers out loud to realistic questions — with MedMock you practise against an AI panel that asks the demanding follow-ups and get instant feedback.
Last reviewed June 2026
Knowing the material is not the same as performing on the day
The Acute Internal Medicine ST4 interview is won in the room, not on paper. Strong candidates lose offers because they ramble, lose their thread on a follow-up, or fail to convey their reasoning clearly under pressure.
The solution is rehearsal — out loud, against someone who probes like a real panel. Yet mock interviews are hard to arrange, expensive when available, and candidates rarely get more than one or two before the real interview.
Acute Internal Medicine ST4 interview practice, on demand
Physician Higher Specialty Training national ST4 selection: two examiner-led stations — Station 1 (15 min) combines a pre-read Clinical Scenario (~7 min) with a Medical Registrar Suitability viva (~8 min) opened by a one-minute presentation on managing the acute unselected medical take; Station 2 combines Suitability & Commitment to acute internal medicine (~7 min) with an Ethical, Professionalism and Governance hypothetical (~8 min) given verbally. A parallel communication-skills mark runs through Station 1.
MedMock gives you an interview panel that challenges your answers, available 24/7. Pick a question, have a genuine spoken conversation, and get instant, examiner-style feedback the moment you finish — scored against what genuinely matters in the Acute Internal Medicine ST4. No rota conflicts, no study partner, no waiting your turn. Simply practise whenever you have ten minutes.
How it works
Choose a question
Choose the kind of question or scenario you want to rehearse — ethics, motivation, a clinical dilemma, and more.
Have the conversation
Speak naturally, out loud. The AI panel listens and asks the demanding follow-ups, exactly like the real interview.
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.
Why candidates practise with MedMock
Practise out loud, any time
No study partner, no booking, no rota clash. Open MedMock at 6am or midnight and run a full question in minutes.
All 2 questions, endless variations
You will never simply memorise answers. Each run is different, so you build the real skill — adapting in the moment.
Examiner-level feedback in seconds
Know exactly where you lost marks and how to address it, instead of guessing why a mock session went poorly.
Turn nerves into muscle memory
By the time you sit the Acute Internal Medicine ST4, the format feels familiar — because you have already done it dozens of times.
A fraction of the cost of courses
Avoid the hundreds of pounds you would spend on a one-off interview course, and practise unlimited scenarios instead.
Practise anywhere, from your phone
On a break, during the commute, between jobs on the ward — your preparation goes wherever you do.
Practise every scenario
MedMock covers the questions you will face in the Acute Internal Medicine ST4 interview. Rehearse each one until it feels routine.
Station 1
Q1 Clinical Scenario (~7 min, pre-read): examiner-led discussion of an acute internal medicine case — what steps you would take, possible treatments, further information you would gather, and how you would communicate with patients, family and colleagues. Q2 Medical Registrar Suitability (~8 min): opens with a one-minute candidate presentation — 'A summary of your experience managing the acute unselected medical take as the medical registrar' — covering roles and duration, level of responsibility and supervision, MDT size and profile, patient numbers, and non-clinical duties, followed by examiner expansion questions on the two CiPs (managing an acute unselected take; managing a multi-disciplinary team and effective discharge planning). Q3 Communication mark assessed in parallel throughout the station.
Station 2
Q1 Suitability & Commitment (~7 min): examiner-led probe on suitability for and commitment to acute internal medicine, expanding on application-form material. Q2 Ethical, Professionalism and Governance (~8 min): verbal hypothetical scenario (not pre-read) testing moral, ethical and legal reasoning anchored in GMC Good Medical Practice.
Example scenarios
A sample of the scenarios you will practise — each plays out as a live, spoken conversation, not a script to read.
“A 78-year-old woman is in AMU with new fast atrial fibrillation, rate 165, BP 88/56, cold and clammy. Walk us through your assessment and immediate management, and how you would set up the team to support you. Then a one-minute presentation on your experience managing the acute unselected take, followed by questions on running a busy AMU take.”
“Tell us why you have chosen Acute Internal Medicine over General Internal Medicine, and what experience supports that choice. Then a hypothetical: you discover a senior colleague has been documenting a NEWS2 score they have not actually measured, in order to meet a trust audit target — how would you handle it?”
Acute Internal Medicine (ST4) practice — your questions answered
How realistic is MedMock's Acute Internal Medicine ST4 practice?
Every scenario is built around the real Acute Internal Medicine ST4 interview format and the domains examiners assess. You speak out loud and the AI panel asks genuine follow-ups, so it feels far closer to the day than reading notes or rehearsing silently.
How does the feedback work?
As soon as you finish a question, MedMock gives you instant, examiner-style feedback and a score — highlighting what you did well, what cost you marks, and exactly what to work on next.
Can I practise specific Acute Internal Medicine ST4 questions?
Yes. You can pick any of the 2 questions to drill a weak area, or run a mixed set to simulate the real interview.
Do I need a study partner or a fixed time slot?
No. That is the point — MedMock is available 24/7 and you practise alone, out loud, whenever it suits you. No coordinating diaries, no waiting for a course date.
Is MedMock right for me if I am sitting the Acute Internal Medicine ST4?
If your Acute Internal Medicine ST4 interview involves speaking — thinking on your feet in front of a panel — then spoken rehearsal is exactly what MedMock is built for.
How much does it cost?
Far less than a one-off interview course, with unlimited practice. Everyone starts with a free trial — no card required — so you can see how it works before paying. See current options on our pricing page.
Disclaimer: National medical recruitment formats and Royal College examination criteria are subject to change annually. While Medmock strives for absolute accuracy based on the latest HEE/NHS England cycles, always consult your official applicant handbook or Royal College website for the definitive, up-to-date station requirements for your specific cohort.
Ready for your Acute Internal Medicine ST4 interview?
Rehearse real Acute Internal Medicine ST4 scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Unlimited attempts, endless variations
Related exams to practise
Be ready for your Acute Internal Medicine ST4 interview before you walk in
Start rehearsing Acute Internal Medicine ST4 interview scenarios out loud today, get instant feedback, and turn exam-day nerves into something you have already done a hundred times.
Practise your Acute Internal Medicine ST4 interview