# Practising for Genitourinary Medicine (ST4) with MedMock

Canonical page: https://medmock.com/exams/genitourinary-medicine-st4

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

PHST Genitourinary Medicine ST4 interview: two 20-minute stations. Station 1 is a clinical scenario (with a separate communication mark) and medical registrar suitability; Station 2 is a written ethical scenario, then a prepared presentation on your suitability for and commitment to the specialty. These practice stations group those questions by type. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.

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

- 2025 recruitment round, NHS England figures for Genitourinary Medicine ST4: 46 applications for 45 posts, a competition ratio of 1.02.
- The lead recruiter for genitourinary medicine is the Midlands.
- Genitourinary medicine 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 50 minutes.
- Interviewees give a presentation of no more than 4 minutes on why they are interested in a career in genitourinary medicine and the evidence supporting their suitability and commitment.
- The specialty does not assess commitment to specialty at shortlisting, scoring applications purely on the self-assessment framework; commitment is assessed at the interview.
- 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.

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

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 Genitourinary Medicine (ST4) dates: https://medmock.com/exams/genitourinary-medicine-st4#dates

## Stations you can practise

- **Clinical Station** — A short written clinical scenario in sexual health or HIV medicine discussed with the panel, then medical registrar suitability, opened by a one-minute summary of your experience of the acute unselected take.
- **Ethical Scenario** — A brief written ethical scenario raising moral, ethical or legal issues — capacity, consent, safeguarding, partner notification, confidentiality — discussed with the panel. There is no separate governance question in the published format.
- **Suitability and Commitment** — Your prepared presentation of up to four minutes on why you are interested in genitourinary medicine and the evidence for your suitability and commitment, then discussion of your training and career to date.

## Sample Genitourinary Medicine (ST4) questions

- *Clinical Station:* A 19-year-old female presents with a vaginal discharge and a positive Chlamydia trachomatis NAAT from her GP. She has no symptoms of pelvic inflammatory disease. Outline the recommended treatment and partner management.
- *Ethical Scenario:* A patient is brought to every appointment by her partner, who insists on staying in the room, answers questions on her behalf, and checks her phone before she leaves. What are the issues here and how would you approach this?

## Example scenarios

- *Clinical Station:* A 34-year-old man re-attends with a painless penile ulcer present for four weeks; new male partner six weeks ago. Walk me through your differential, investigations, and management.
- *Ethical Scenario:* A 19-year-old woman with mild learning disability asks for emergency contraception; her 38-year-old partner has unprotected sex with her several times a week. She tells you she has capacity. Discuss how you balance autonomy and safeguarding.
- *Suitability and Commitment:* Present why you are interested in a career in genitourinary medicine and the evidence you have for your suitability and commitment to the specialty.

## 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 Genitourinary 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.

## 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