# Practising for Clinical Pharmacology & Therapeutics (ST4) with MedMock

Canonical page: https://medmock.com/exams/clinical-pharmacology-and-therapeutics-st4

## What is the Clinical Pharmacology & Therapeutics ST4 interview, and how do you practise for it?

Clinical Pharmacology & Therapeutics ST4 national interview, recruited through Physician Higher Specialty Training: two 20-minute stations, each with two scored questions and a communication mark; including the time between stations, the interview takes approximately 50 minutes. CPT is dual-trained with Internal Medicine. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.

## About Clinical Pharmacology & Therapeutics (ST4) recruitment (official sources, checked 2026-10-13)

- 2025 recruitment round, NHS England figures for Clinical Pharmacology and Therapeutics ST4: 16 applications for 8 posts, a competition ratio of 2.00.
- Clinical pharmacology and therapeutics (CPT) training is combined with general internal medicine (GIM), leading to dual accreditation in CPT and GIM.
- East of England is the lead recruiter for clinical pharmacology and therapeutics.
- The CPT interview has two stations of 20 minutes each and takes approximately 50 minutes. Four questions of 10 minutes each are marked alongside communication skills, giving six scored areas.
- Station 2 includes a presentation of no more than five minutes on 'An interesting recent development / research finding, relevant to clinical pharmacology & therapeutics', followed by a discussion on research and academic medicine.
- CPT does not assess commitment to specialty at shortlisting: applications are scored on the self-assessment scoring framework, and commitment is assessed at interview.
- The interview areas are weighted 1.6 for the clinical scenario, suitability and commitment, and presentation/research/academic; 1.2 for medical registrar suitability and the first communication mark; and 0.8 for the second communication mark.

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

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 Clinical Pharmacology & Therapeutics (ST4) dates: https://medmock.com/exams/clinical-pharmacology-and-therapeutics-st4#dates

## Stations you can practise

- **Clinical Scenario** — 20-minute station in two halves: about 10 minutes on a hypothetical clinical situation you are involved in — the steps you would take, possible treatments, further information you need and how you would communicate — then about 10 minutes on medical registrar suitability, opened by a one-minute prepared presentation on the acute unselected take.
- **Research & Academic** — 20-minute station in two halves: about 10 minutes on your suitability for and commitment to clinical pharmacology and therapeutics, then your prepared five-minute presentation, its discussion, and a general discussion of research and academic medicine.

## Sample Clinical Pharmacology & Therapeutics (ST4) questions

- *Research & Academic:* Where do you see yourself sitting between an academic career and a more NHS-focused consultant career, and why?
- *Research & Academic:* What's your experience of antimicrobial stewardship, and how does it relate to the skills this specialty needs?

## Example scenarios

- *Clinical Scenario:* A 78-year-old man admitted after falls takes eleven medicines, and his GP has just started clarithromycin. The ward team ask for your advice. What would you do?
- *Research & Academic:* What has confirmed your commitment to clinical pharmacology and therapeutics, and how do you see research fitting into your career?

## 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 Clinical Pharmacology & Therapeutics 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