Endocrinology & Diabetes Mellitus (ST4)
Walk into your Endocrinology & Diabetes Mellitus ST4 interview already knowing how you will answer
Rehearse for your Endocrinology & Diabetes Mellitus ST4 interview against an AI interviewer who challenges your answers. Get feedback on any session you finish, in seconds.
What is the Endocrinology & Diabetes Mellitus ST4 interview, and how do you practise for it?
Physician Higher Specialty Training national ST4 selection — two examiner-led 20-minute stations, each pairing a clinical scenario with a registrar-suitability presentation half. Communication marked in parallel. 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 Endocrinology & Diabetes Mellitus (ST4) recruitment
Endocrinology and Diabetes Mellitus ST4, 2025 recruitment round (Round 2). NHS England competition ratios
- The lead recruiter for endocrinology and diabetes mellitus is South West Severn.
- Endocrinology and diabetes mellitus 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 20 minutes each, with four questions of 10 minutes plus a communication mark, giving five scored areas and lasting approximately 45-50 minutes.
- The interview includes one clinical scenario on endocrinology and one on diabetes.
- Interviewees give a presentation of no more than three minutes on what makes them suitable for higher specialist training in endocrinology and diabetes.
- The specialty assesses commitment to specialty as part of shortlisting.
- To be appointable at interview, none of the ten interview scores can be 1/5, no more than two can be 2/5, and the raw interview score must be 30 or above.
Checked on 13 October 2026 against Endocrinology & diabetes mellitus. Recruitment changes each year: confirm on the official pages before you apply.
Endocrinology & Diabetes Mellitus 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 Endocrinology & Diabetes Mellitus 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 Endocrinology & Diabetes Mellitus ST4 interview. Rehearse each one until it feels routine.
Station 1
Clinical Scenario in endocrinology (~10 min, anchored to SfE Emergency Endocrine Guidance — thyroid storm, adrenal crisis, severe hypercalcaemia, pituitary apoplexy, phaeochromocytoma, severe hyponatraemia) + Medical Registrar Suitability (~10 min, opens with strict 1-min presentation on acute-take experience; probes IMT Stage 1 CiP1 acute unselected take + CiP2 MDT including discharge planning).
Station 2
Clinical Scenario in diabetes (~10 min, anchored to JBDS-IP DKA / HHS / hypoglycaemia / pregnancy / perioperative / SGLT2i euDKA, NICE NG28 / NG17 / NG203 / NG3 / NG19, ABCD HCL position, NaDIA / NDFA benchmarks) + Suitability & Commitment to E&D HST (~10 min, opens with strict 3-min candidate-led presentation on suitability for HST followed by panel discussion of career to date and specialty fit). Communication marked in parallel throughout.
Sample Endocrinology & Diabetes Mellitus (ST4) interview questions
Two questions from the topics that come up most in MedMock's Endocrinology & Diabetes Mellitus (ST4) bank.
“A 60-year-old with poorly-controlled type 2 diabetes. Discuss escalation options.”
“A 45-year-old with Cushing's syndrome. Discuss workup and management.”
Example scenarios
A sample of the Endocrinology & Diabetes Mellitus ST4 scenarios you can practise, each as a spoken conversation.
“A 32-year-old with newly diagnosed Graves' disease presents to ED agitated, AF at 168, sweating, temperature 39.4°C. Take me through your management — then give me your 1-minute presentation on your experience managing the acute unselected medical take as the medical registrar.”
“A 25-year-old with type 1 diabetes presents to resus with pH 6.98, K+ 6.4, glucose 38, ketones 6.8, AKI. Walk me through your management — then give me your 3-minute presentation on what makes you suitable for higher specialist training in endocrinology and diabetes.”
Endocrinology & Diabetes Mellitus (ST4) recruitment dates 2026–27
The next Endocrinology & Diabetes Mellitus (ST4) recruitment date we hold is: Applications 19 November 2026 to 10 December 2026 (national Round 2). Checked against Physician Higher Specialty Training Recruitment (PHST) on 24 September 2026.
Time until Applications 19 November 2026 to 10 December 2026 (national Round 2)
— d — h — m — sEndocrinology & Diabetes Mellitus (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 Physician Higher Specialty Training Recruitment (PHST); confirm every date, application window and venue on the official site before you apply. Physician Higher Specialty Training Recruitment (PHST)
Endocrinology & Diabetes Mellitus (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 Endocrinology & Diabetes Mellitus 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.
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 Endocrinology & Diabetes Mellitus ST4 interview?
Rehearse real Endocrinology & Diabetes Mellitus 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
Related exams to practise
Be ready for your Endocrinology & Diabetes Mellitus ST4 interview before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise Endocrinology & Diabetes Mellitus ST4 interview scenarios out loud and get any of them marked when you are ready.
Practise your Endocrinology & Diabetes Mellitus ST4 interview