# Practising for Cardiology (ST4) with MedMock

Canonical page: https://medmock.com/exams/cardiology-st4

## What is the Cardiology ST4 interview, and how do you practise for it?

Cardiology ST4 national recruitment interview, run by Physician Higher Specialty Training: two 22-minute online stations, each with its own pair of interviewers. Station 1 asks three questions: suitability and commitment, medical registrar suitability opened by a one-minute presentation, and an ethical, professionalism and governance question given verbally. Station 2 is a written clinical scenario, then a second clinical scenario given verbally, with communication marked across the station. Here one examiner asks the questions. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.

## About Cardiology (ST4) recruitment (official sources, checked 2026-10-13)

- 2025 recruitment round, NHS England figures for Cardiology ST4: 540 applications for 134 posts, a competition ratio of 4.03.
- The lead recruiter for cardiology is Wessex.
- Cardiology is a Group 1 specialty: applicants need to have completed the internal medicine training (IMT) stage 1 programme or equivalent, and all programmes dual specialise with general internal medicine.
- The interview has two stations of 22 minutes each, with five questions plus a communication mark, giving six scored areas and lasting approximately 50-55 minutes.
- Interviewees give a one-minute presentation summarising their experience managing the acute unselected medical take as the medical registrar.
- The specialty does not assess commitment to specialty at shortlisting, scoring applications purely on the self-assessment framework; commitment is assessed at the interview.
- To be appointable at interview, none of the twelve interview scores can be 1/5, no more than two can be 2/5, and the raw interview score must be 36 or above.

Sources: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/competition-ratios/2025-competition-ratios https://www.phstrecruitment.org.uk/specialties/cardiology

Recruitment dates: Applications 19 November 2026 to 10 December 2026 (national Round 2); Interviews within the national Round 2 window, 11 January 2027 to 9 April 2027 (source: Physician Higher Specialty Training Recruitment (PHST), checked 2026-09-24).
All Cardiology (ST4) dates: https://medmock.com/exams/cardiology-st4#dates

## Stations you can practise

- **Station 1 — Suitability, Registrar Suitability and Ethics** — Question 1 (about 10 minutes): your suitability for and commitment to cardiology, expanding on your application form. Question 2 (about 7 minutes): medical registrar suitability, opened by your one-minute presentation on managing the acute unselected take. Question 3 (about 5 minutes): an ethical, professionalism and governance situation given verbally, underpinned by GMC Good Medical Practice.
- **Station 2 — Two Clinical Scenarios** — Question 1 (about 13 minutes): a written clinical scenario, given a short while to review, then questions on it. Question 2 (about 9 minutes): a second clinical scenario given verbally with no advance notice. Communication is marked across the whole station.

## Sample Cardiology (ST4) questions

- *Station 2 — Two Clinical Scenarios:* Here's a cross-team conflict. You believe a frail 85-year-old with severe symptomatic aortic stenosis should be discussed for intervention, but the surgical team disagrees. Talk me through how you would handle it.
- *Station 1 — Suitability, Registrar Suitability and Ethics:* A patient due for a permanent pacemaker seems unclear about the risks when the registrar checks consent shortly before the procedure, despite having signed a form completed by a junior colleague. What should the registrar do?

## Example scenarios

- *Station 1 — Suitability, Registrar Suitability and Ethics:* Tell us why cardiology is the right specialty for you; then give us your one-minute summary of managing the acute unselected take as the medical registrar.
- *Station 2 — Two Clinical Scenarios:* A 60-year-old woman with recurrent unexplained syncope is found to have complete heart block. Talk us through your management, and how you would explain the plan and the driving advice to her.

## 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, £69 per month for 350 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 Cardiology ST4 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