General Internal Medicine (ST4)
Walk into your General Internal Medicine ST4 interview already knowing how you will answer
Rehearse for your General Internal Medicine ST4 interview against an AI interviewer who challenges your answers. Get feedback on any session you finish, in seconds.
What is the General Internal Medicine ST4 interview, and how do you practise for it?
Physician Higher Specialty Training national ST4 recruitment for higher specialty training in General Internal Medicine — two examiner-led stations: a clinical scenario with suitability/commitment, then an ethical scenario with a one-minute Medical Registrar suitability presentation on managing the acute unselected take. 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 General Internal Medicine (ST4) recruitment
General (Internal) Medicine ST4, 2025 recruitment round (Round 2). NHS England competition ratios
- The lead region for general internal medicine is the Midlands.
- General internal medicine is a Group 1 specialty: applicants need to have completed the internal medicine training (IMT) stage 1 programme or equivalent.
- The interview has two stations of 16 minutes each, with four questions of between 6 and 10 minutes, and takes approximately 40-45 minutes.
- The four interview questions cover a clinical scenario, suitability and commitment, an ethical scenario and medical registrar suitability.
- 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 General internal medicine. Recruitment changes each year: confirm on the official pages before you apply.
General Internal 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 General Internal 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 General Internal Medicine ST4 interview. Rehearse each one until it feels routine.
Station 1
Question 1 – Clinical scenario (~8 min): a written acute medical scenario with examiner-led probes on steps, treatments, further information and communication with patients/family/colleagues. Question 2 – Suitability and commitment (~8 min): focused on commitment to higher GIM training and expansion on the application form. Two marks: clinical responses, and communication skills with patients/colleagues/interviewers.
Station 2
Question 1 – Ethical scenario (~6 min): hypothetical moral/ethical/legal scenario reviewed briefly then discussed. Question 2 – Medical Registrar suitability (~10 min): one-minute unaided presentation on your experience managing the acute unselected medical take (roles, supervision, MDT size, patient numbers, non-clinical duties), followed by questions on managing an acute unselected take and managing a multi-disciplinary team including effective discharge planning (the two named CiPs from the Internal Medicine Stage 1 curriculum).
Sample General Internal Medicine (ST4) interview questions
Two questions from the topics that come up most in MedMock's General Internal Medicine (ST4) bank.
“ED has 8 medical referrals waiting; you have a peri-arrest on a ward and an SHO struggling with a sick patient. Discuss your acute take prioritisation and team management.”
“You are the medical registrar on a Saturday take. A 70-year-old presents with severe community-acquired sepsis, lactate 4 and BP 80/50. Talk me through your initial assessment, immediate management and escalation decisions.”
Example scenarios
A sample of the General Internal Medicine ST4 scenarios you can practise, each as a spoken conversation.
“You are the medical registrar on a Saturday take. A 70-year-old presents with severe community-acquired sepsis, lactate 4 and BP 80/50. Talk me through your initial assessment, immediate management and escalation decisions.”
“A 78-year-old with capacity is refusing IV antibiotics for severe sepsis and wants to self-discharge. Discuss the ethical issues and how you would approach this as the medical registrar.”
General Internal Medicine (ST4) recruitment dates 2026–27
The next General Internal Medicine (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 — sGeneral Internal 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 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)
General Internal 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 General Internal Medicine 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 General Internal Medicine ST4 interview?
Rehearse real General Internal 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
Related exams to practise
Be ready for your General Internal Medicine ST4 interview before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise General Internal Medicine ST4 interview scenarios out loud and get any of them marked when you are ready.
Practise your General Internal Medicine ST4 interview