Emergency Medicine (ST4)
Walk into your Emergency Medicine ST4 interview already knowing how you will answer
Rehearse for your Emergency Medicine ST4 interview against an AI interviewer who challenges your answers. Get feedback on any session you finish, in seconds.
What is the Emergency Medicine ST4 interview, and how do you practise for it?
Emergency Medicine ST4 national recruitment interview, coordinated by NHS England North East and Yorkshire: three 10-minute stations — Prioritisation, Clinical/Ethical Scenario and Communication — each after 5 minutes of reading time when a document is shared with you, about 45 minutes in all. You need at least 60% of the final weighted interview score to be appointable, and the Communication station breaks ties first. The scoring domains are not published. Pitched at ACCS-EM trainees entering ST4. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.
Last updated 29 October 2026
About Emergency Medicine (ST4) recruitment
Emergency Medicine ST4, 2025 recruitment round (Round 2). NHS England competition ratios
- The Emergency Medicine interviews are online and consist of 3 stations of 10 minutes each: Prioritisation, Clinical/Ethical Scenario and Communication.
- To be eligible for ST4 Emergency Medicine, applicants must have completed the core elements of ACCS Emergency Medicine training by the intended start date.
- By the initial offers date, applicants must hold MRCEM (Primary, Intermediate and OSCE) or have completed the FRCEM Intermediate Certificate (Primary, Intermediate and SJP).
- If application numbers exceed interview capacity, self-assessment scores are used to shortlist for Emergency Medicine.
Checked on 13 October 2026 against National Emergency Medicine ST4 Recruitment | Health Education Yorkshire and Humber and Emergency Medicine ST4 2026. Recruitment changes each year: confirm on the official pages before you apply.
Emergency Medicine ST4 interview practice, on demand
MedMock gives you an AI interviewer who challenges your answers, available 24/7. Pick a station, have a spoken conversation, and ask for examiner-style feedback when you finish, scored against what genuinely matters in the Emergency Medicine ST4.
How it works
Choose a station
Choose the kind of question or scenario you want to rehearse — ethics, motivation, a role-play, and more.
Have the conversation
Speak naturally, out loud. The AI interviewer listens and asks the demanding follow-ups, just as a real interviewer would.
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.
Practise every scenario
MedMock covers the stations you will face in the Emergency Medicine ST4 interview. Rehearse each one until it feels routine.
Clinical/Ethical Scenario Station
After 5 minutes of reading, a 10-minute examiner-led discussion of a realistic ED clinical or ethical dilemma — paracetamol overdose with capacity refusal, fragility hip fracture under MCA, NAI safeguarding, refusal of PCI in STEMI, status epilepticus, eclampsia, etc. Tests Mental Capacity Act 4-pillar fluency, RCEM Best Practice citation, safeguarding pathway, Duty of Candour vs PSIRF separation, and registrar-grade escalation thresholds.
Prioritisation Station
After 5 minutes of reading, a 10-minute examiner-led discussion of prioritising patients, staff and resources under pressure. METHANE major-incident declaration, JESIP bronze-silver-gold command, Triage Sieve / Sort / JumpSTART, reverse triage with named-clinician handover, OPEL 1-4 escalation, full-capacity protocol, competing-acuity resus decisions. Anchored in RCEM major-incident standards and the Civil Contingencies Act 2004 Cat 1 Responder framework.
Communication Station
The handbook names this station but does not describe it. Here, after 5 minutes of reading, you speak to a role-player — a patient, relative or colleague — about a difficult emergency department conversation. It is the first tie-break station.
Sample Emergency Medicine (ST4) interview questions
Two questions from the topics that come up most in MedMock's Emergency Medicine (ST4) bank.
“An 85-year-old nursing home resident is admitted with severe aspiration pneumonia and septic shock. He has advanced frailty and no documented advance care plan. Discuss your management and how you would decide on ceilings of treatment.”
“A 40-year-old woman with signs of sepsis secondary to a urinary infection is refusing IV antibiotics because she 'doesn't like hospitals' and wants to go home. Assess her capacity to refuse treatment.”
Example scenarios
A sample of the Emergency Medicine ST4 scenarios you can practise, each as a spoken conversation.
“A 22-year-old is brought in by police 90 minutes after ingesting 32 grams of paracetamol with vodka, claiming she wants to leave. She is alert, tearful and refuses bloods. Walk me through your approach.”
“It is 02:00. The ED is at 280% capacity, ambulances are queuing in the car park, and you have just been told the on-call ITU bed has been given to a transfer from another hospital. Discuss your management.”
“A 34-year-old woman was sent home three weeks ago with a wrist sprain. A radiologist has now found a scaphoid fracture on her original X-ray, and she has come back with ongoing pain. Explain what has happened.”
Emergency Medicine (ST4) recruitment dates 2026–27
The next Emergency Medicine (ST4) recruitment date we hold is: Applications 19 November 2026 to 10 December 2026 (national Round 2). Checked against NHS England Medical Specialty Recruitment on 24 September 2026.
Time until Applications 19 November 2026 to 10 December 2026 (national Round 2)
— d — h — m — sEmergency Medicine (ST4) is recruited through NHS England’s national recruitment round 2, which the national timeline says is for ST3/ST4 posts. Applications are made on Oriel.
Recruitment dates change. MedMock is not affiliated with NHS England Medical Specialty Recruitment; confirm every date, application window and venue on the official site before you apply. NHS England Medical Specialty Recruitment
Emergency Medicine (ST4) practice — your questions answered
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 Emergency Medicine ST4 stations?
Yes. You can pick any of the 3 stations 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.
Formats change from year to year: check the official candidate guidance or applicant handbook from the body that runs your exam or interview (the Royal Colleges, NHS England, the GMC and others) for your sitting.
Ready for your Emergency Medicine ST4 interview?
Rehearse real Emergency Medicine ST4 scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Repeatable attempts, a different run every time
Be ready for your Emergency Medicine ST4 interview before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise Emergency Medicine ST4 interview scenarios out loud and get any of them marked when you are ready.
Practise your Emergency Medicine ST4 interview