Internal Medicine Training (CT1)
Walk into your Internal Medicine Training CT1 interview already knowing how you will answer
Rehearse for your Internal Medicine Training CT1 interview against an AI interviewer who challenges your answers. Get feedback on any session you finish, in seconds.
What is the Internal Medicine Training CT1 interview, and how do you practise for it?
The IMT interview has two 11-minute examiner-led stations. Station 1 opens with your two-minute presentation on your achievements, then questions on your application and suitability for IMT and an ethics, professionalism and governance scenario given verbally. Station 2 is a brief clinical scenario read to you as the station starts, up to ten minutes of questions on it, and a one-minute handover of the patient to a colleague. Here, one examiner asks the questions. 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 Internal Medicine Training (CT1) recruitment
Internal Medicine Training CT1, 2025 recruitment round (Round 1). NHS England competition ratios
- The IMT interview assesses seven aspects of the candidate. Two interviewers each give a mark of 1 to 5 on every aspect, so 14 marks are awarded and the raw interview score is out of 70.
- To be appointable at IMT interview, no score can be 1/5, no more than two scores can be 2/5, and the raw interview score must be 42 or above.
- The IMT interview has two stations. Station 1 covers application and achievements, suitability for IMT, ethics, professionalism and governance, and communication; Station 2 covers a clinical scenario with patient handover.
- With weighting applied to each area, the IMT raw interview score out of 70 becomes a total score out of 96.
- IMT applicants assess themselves against an application scoring matrix, giving a score out of 30, and must have documents proving every claim, as evidence could be requested in a randomised audit.
- The IMT programme is three years, although trainees can apply for a number of specialties after completing the second year.
- The Physician Specialty Recruitment Office (PSRO) coordinates recruitment to the IMT programme, which replaced Core Medical Training from August 2019. Since July 2023 the PSRO has been based within NHS England.
Checked on 13 October 2026 against Interview scoring | IMT Recruitment, Assessment methods | IMT Recruitment, About IMT | IMT Recruitment and Overview - IMT recruitment. Recruitment changes each year: confirm on the official pages before you apply.
Internal Medicine Training CT1 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 Internal Medicine Training CT1.
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 Internal Medicine Training CT1 interview. Rehearse each one until it feels routine.
Station 1 – Question 1: Application and suitability for IMT & Question 2: Ethical, professionalism and governance
- Presentation – You are required to start the interview with a two-minute presentation: “Give an overview of your achievements to date which are most relevant to your application to be a trainee in internal medicine.” You will be stopped at two minutes. Notes for personal use only; no aids/resources allowed.- Questions (Application and achievements & Suitability for IMT) – Up to four minutes of questioning about your achievements and suitability for internal medicine training; may include clarifying questions about your presentation. - Question 2 (Ethical, professionalism and governance) – You will then be asked a scenario-based question focusing on ethics, professionalism or governance (moral, ethical, legal issues) guided by GMC Good Medical Practice. Hypothetical scenario provided when Question 1 ends. This will last up to five minutes.
Station 2 – Clinical scenario and patient handover
- The scenario – There is no reading time. When you enter the station a brief clinical scenario (a few sentences) is read to you; you may make notes while it is read.- Questioning – Up to ten minutes of questions covering next steps (investigations, differential diagnoses, treatments, further information gathering) and communication with patients/family/colleagues. Further information, such as results or an ECG, may be given as the scenario progresses.- Handover – One-minute patient handover to a colleague, speaking as if directly to them.- Areas for assessment – (1) Investigations/diagnosis/management; (2) Communication skills; (3) Handover: relaying information clearly, concisely and accurately.
Sample Internal Medicine Training (CT1) interview questions
Two questions from the topics that come up most in MedMock's Internal Medicine Training (CT1) bank.
“Discuss the duty of candour after a clinical error you witnessed.”
“Tell us about an experience of recognising adult safeguarding concerns that demonstrates your suitability for internal medicine training.”
Example scenarios
A sample of the Internal Medicine Training CT1 scenarios you can practise, each as a spoken conversation.
“A 70-year-old on the medical ward becomes acutely short of breath with bibasal crackles and hypoxia. Talk through your initial stabilisation, then hand the patient over to the medical registrar.”
“You are asked to prescribe fluids for a dying patient, but you believe they will worsen the patient's secretions and cause distress, and the family want them given. How would you approach this?”
Internal Medicine Training (CT1) recruitment dates 2026–27
The next Internal Medicine Training (CT1) recruitment date we hold is: Applications 22 October 2026 to 19 November 2026 (national Round 1). Checked against IMT Recruitment on 24 September 2026.
Open now: Applications 22 October 2026 to 19 November 2026 (national Round 1)
Internal Medicine Training (CT1) is recruited through NHS England’s national recruitment round 1, which the national timeline says is for CT1/ST1 posts. Applications are made on Oriel.
Recruitment dates change. MedMock is not affiliated with IMT Recruitment; confirm every date, application window and venue on the official site before you apply. IMT Recruitment
Internal Medicine Training (CT1) 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 Internal Medicine Training CT1 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 Internal Medicine Training CT1 interview?
Rehearse real Internal Medicine Training CT1 scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Repeatable attempts, a different run every time
Guides to help you prepare
Related exams to practise
Be ready for your Internal Medicine Training CT1 interview before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise Internal Medicine Training CT1 interview scenarios out loud and get any of them marked when you are ready.
Practise your Internal Medicine Training CT1 interview