# Practising for Gastroenterology (ST4) with MedMock

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

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

Physician Higher Specialty Training national ST4 interview for Gastroenterology (hepatology is a sub-specialty interest within it): two 15-minute stations, each with its own pair of interviewers. Station 1 is a brief written clinical scenario, then a four-minute presentation you prepare in advance; Station 2 is suitability and commitment, then medical registrar suitability, opened by a one-minute presentation on the acute unselected take. Communication is scored in both stations. Both interviewers score each area 1 to 5, and to be appointable none of the twelve scores may be 1, no more than two may be 2, and the raw interview score must be at least 36 out of 60. MedMock's feedback is practice scoring, not an appointability decision. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.

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

- 2025 recruitment round, NHS England figures for Gastroenterology ST4: 383 applications for 104 posts, a competition ratio of 3.68.
- The lead recruiter for gastroenterology is Scotland (NHS Education for Scotland).
- Gastroenterology 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.
- Each of the two interview stations lasts 15 minutes, with four questions of between 5 and 10 minutes, and the whole interview takes approximately 40 minutes.
- Interviewees give a presentation of no more than four minutes on either an interesting case they have been involved in or an interesting recent development in gastroenterology.
- The specialty assesses commitment to specialty as part of shortlisting.
- 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.
- Like other physician specialties recruited through PHST, this specialty holds its interview online using Qpercom Recruit.

Sources: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/competition-ratios/2025-competition-ratios https://www.phstrecruitment.org.uk/specialties/gastroenterology https://www.phstrecruitment.org.uk/recruitment-process/interview/interview-general-format

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 Gastroenterology (ST4) dates: https://medmock.com/exams/gastroenterology-st4#dates

## Stations you can practise

- **Station 1** — About 7 minutes on a brief written clinical scenario you review beforehand, then your presentation of no more than four minutes on 'An interesting case I have been involved in' or 'An interesting recent development in gastroenterology', and about four minutes of discussion. Communication is scored across the station.
- **Station 2** — About 7 minutes on your suitability for and commitment to gastroenterology, then about 8 minutes on medical registrar suitability: a one-minute presentation summarising your experience of managing the acute unselected medical take, then questions on leading the take and the multidisciplinary team, including discharge planning.

## Sample Gastroenterology (ST4) questions

- *Station 2:* What are your personal development goals for your first year as a gastroenterology registrar?
- *Station 1:* A 48-year-old man with cirrhosis is being considered for a liver transplant. What are the key criteria for listing, and how would you explain the assessment process to the patient and their family?

## Example scenarios

- *Station 1:* You are called to ED. A 58-year-old man with known alcohol-related cirrhosis presents with large-volume haematemesis, HR 125, BP 88/52. Talk us through your immediate assessment and management.
- *Station 2:* Describe a situation where you had to manage competing priorities on the acute unselected medical take. What did you learn?

## 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 Gastroenterology 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