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 interview panel that challenges your answers that asks the demanding follow-ups. Get instant feedback on every answer and walk in calm, sharp and prepared.
What is the General Internal Medicine ST4 interview, and how do you practise for it?
The General Internal Medicine ST4 interview assesses how you reason and communicate under pressure in front of a panel. The most effective preparation is rehearsing your answers out loud to realistic questions — with MedMock you practise against an AI panel that asks the demanding follow-ups and get instant feedback.
Last reviewed June 2026
Knowing the material is not the same as performing on the day
The General Internal Medicine ST4 interview is won in the room, not on paper. Strong candidates lose offers because they ramble, lose their thread on a follow-up, or fail to convey their reasoning clearly under pressure.
The solution is rehearsal — out loud, against someone who probes like a real panel. Yet mock interviews are hard to arrange, expensive when available, and candidates rarely get more than one or two before the real interview.
General Internal Medicine ST4 interview practice, on demand
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 gives you an interview panel that challenges your answers, available 24/7. Pick a question, have a genuine spoken conversation, and get instant, examiner-style feedback the moment you finish — scored against what genuinely matters in the General Internal Medicine ST4. No rota conflicts, no study partner, no waiting your turn. Simply practise whenever you have ten minutes.
How it works
Choose a question
Choose the kind of question or scenario you want to rehearse — ethics, motivation, a clinical dilemma, and more.
Have the conversation
Speak naturally, out loud. The AI panel listens and asks the demanding follow-ups, exactly like the real interview.
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.
Why candidates practise with MedMock
Practise out loud, any time
No study partner, no booking, no rota clash. Open MedMock at 6am or midnight and run a full question in minutes.
All 2 questions, endless variations
You will never simply memorise answers. Each run is different, so you build the real skill — adapting in the moment.
Examiner-level feedback in seconds
Know exactly where you lost marks and how to address it, instead of guessing why a mock session went poorly.
Turn nerves into muscle memory
By the time you sit the General Internal Medicine ST4, the format feels familiar — because you have already done it dozens of times.
A fraction of the cost of courses
Avoid the hundreds of pounds you would spend on a one-off interview course, and practise unlimited scenarios instead.
Practise anywhere, from your phone
On a break, during the commute, between jobs on the ward — your preparation goes wherever you do.
Practise every scenario
MedMock covers the questions 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).
Example scenarios
A sample of the scenarios you will practise — each plays out as a live, spoken conversation, not a script to read.
“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) practice — your questions answered
How realistic is MedMock's General Internal Medicine ST4 practice?
Every scenario is built around the real General Internal Medicine ST4 interview format and the domains examiners assess. You speak out loud and the AI panel asks genuine follow-ups, so it feels far closer to the day than reading notes or rehearsing silently.
How does the feedback work?
As soon as you finish a question, MedMock gives you instant, examiner-style feedback and a score — highlighting what you did well, what cost you marks, and exactly what to work on next.
Can I practise specific General Internal Medicine ST4 questions?
Yes. You can pick any of the 2 questions to drill a weak area, or run a mixed set to simulate the real interview.
Do I need a study partner or a fixed time slot?
No. That is the point — MedMock is available 24/7 and you practise alone, out loud, whenever it suits you. No coordinating diaries, no waiting for a course date.
Is MedMock right for me if I am sitting the General Internal Medicine ST4?
If your General Internal Medicine ST4 interview involves speaking — thinking on your feet in front of a panel — then spoken rehearsal is exactly what MedMock is built for.
How much does it cost?
Far less than a one-off interview course, with unlimited practice. Everyone starts with a free trial — no card required — so you can see how it works before paying. See current options on our pricing page.
Disclaimer: National medical recruitment formats and Royal College examination criteria are subject to change annually. While Medmock strives for absolute accuracy based on the latest HEE/NHS England cycles, always consult your official applicant handbook or Royal College website for the definitive, up-to-date station requirements for your specific cohort.
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
- Unlimited attempts, endless variations
Related exams to practise
Be ready for your General Internal Medicine ST4 interview before you walk in
Start rehearsing General Internal Medicine ST4 interview scenarios out loud today, get instant feedback, and turn exam-day nerves into something you have already done a hundred times.
Practise your General Internal Medicine ST4 interview