# Practising for Geriatric Medicine (ST4) with MedMock

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

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

Physician Higher Specialty Training Geriatric Medicine (Health Care of the Elderly) ST4 national recruitment interview. Two examiner-led stations: Station 1 pairs a clinical scenario (frailty, falls, dementia, end-of-life, polypharmacy) with a suitability and commitment to specialty probe; Station 2 pairs an ethical scenario with a medical-registrar-suitability question opening with a one-minute presentation on 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.

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

- 2025 recruitment round, NHS England figures for Geriatric Medicine ST4: 323 applications for 157 posts, a competition ratio of 2.06.
- The lead recruiter for geriatric medicine is North West.
- Geriatric 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 15 minutes each, with four questions of between 5 and 10 minutes, and takes approximately 40 minutes.
- The specialty decides after applications close whether to assess commitment to specialty at shortlisting; if not, applications are scored on the self-assessment framework and commitment is covered at interview.
- The interview includes an ethical scenario and a question on suitability and commitment to higher training in the specialty.
- 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/geriatric-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 Geriatric Medicine (ST4) dates: https://medmock.com/exams/geriatric-medicine-st4#dates

## Stations you can practise

- **Station 1** — Q1 Clinical scenario — written case (frailty, comprehensive geriatric assessment, delirium/falls/dementia, ceilings of care, end-of-life). Probes diagnostic and management reasoning plus communication with patients/family/colleagues. Q2 Suitability and commitment to higher specialty training in geriatric medicine.
- **Station 2** — Q1 Ethical scenario — hypothetical moral/ethical/legal scenario (capacity, DoLS, best-interests, DNACPR conflict, deprivation of liberty, end-of-life withdrawal) discussed for ~7 minutes. Q2 Medical-registrar suitability — opens with a one-minute presentation on your experience leading the acute unselected medical take and managing the MDT, followed by examples drawn from your registrar experience (no slides, notes for personal use only).

## Sample Geriatric Medicine (ST4) questions

- *Station 2:* An 85-year-old woman lacking capacity has a treatable urinary sepsis. Her daughter, her health and welfare attorney, refuses antibiotics. What are the issues here and how would you approach this?
- *Station 1:* An 86-year-old woman with advanced frailty (CFS 7), moderate dementia and a CT-confirmed left frontal subdural is admitted after a fall. The family want 'everything done'; she has no advance care plan. Walk me through your assessment, your conversation with the family, and how you would set ceilings of care.

## Example scenarios

- *Station 1:* An 86-year-old woman with advanced frailty (CFS 7), moderate dementia and a CT-confirmed left frontal subdural is admitted after a fall. The family want 'everything done'; she has no advance care plan. Walk me through your assessment, your conversation with the family, and how you would set ceilings of care.
- *Station 2:* A 92-year-old man with severe dementia is refusing IV antibiotics for aspiration pneumonia and trying to pull out his cannula. His daughter (LPA for health and welfare) wants treatment continued. The nursing team are asking about restraint. Discuss your approach to capacity, best-interests, and the least-restrictive option.

## 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 Geriatric 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.

## 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