# Practising for Internal Medicine Training (CT1) with MedMock

Canonical page: https://medmock.com/exams/internal-medicine-training-ct1

## 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.

An illustrative example station, written by MedMock with example feedback, is at https://medmock.com/exams/internal-medicine-training-ct1/example

## About Internal Medicine Training (CT1) recruitment (official sources, checked 2026-10-13)

- 2025 recruitment round, NHS England figures for Internal Medicine Training CT1: 8841 applications for 1678 posts, a competition ratio of 5.27.
- 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.

Sources: https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/competition-ratios/2025-competition-ratios https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-scoring https://www.imtrecruitment.org.uk/recruitment-process/planning-your-application/assessment-methods https://www.imtrecruitment.org.uk/about-imt/about-imt https://www.imtrecruitment.org.uk/about-imt/overview-imt-recruitment

## What happens in the real Internal Medicine Training (CT1) (checked against the official source on 2026-10-07)

The Internal Medicine Training (IMT) CT1 interview (2027 recruitment round) is held online on Qpercom Recruit and has two stations of 11 minutes each, lasting about 30 minutes including the time between stations. Each station has its own pair of scoring interviewers. You are scored on seven areas, each marked 1 to 5 by both interviewers.

- **Station 1: application, suitability, ethics and communication** (11 minutes): Opens with a two-minute presentation giving an overview of your achievements most relevant to becoming an internal medicine trainee, then questions on your suitability for IMT (six minutes in all), followed by an ethical, professionalism and governance scenario given verbally, lasting up to five minutes. Your communication is also marked across the whole station.
- **Station 2: clinical scenario and patient handover** (11 minutes): A brief clinical scenario is read to you, followed by up to ten minutes of questions, with extra information or data possibly given as it progresses; you then give a one-minute handover of the patient to a colleague.

Marking: Two interviewers independently mark each of seven areas from 1 to 5, giving 14 marks and a raw interview score out of 70; 3/5 is considered satisfactory. The areas are application and achievements, suitability for IMT, the ethical, professionalism and governance question and communication in Station 1, and investigations/diagnosis/management, communication and handover in Station 2. Weighted scores are then combined into a total out of 96, used for ranking.

Passing: To be appointable you must have no score of 1/5, no more than two scores of 2/5, and a raw interview score of 42 or above.

Sources: https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-structure-and-content https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-scoring https://www.imtrecruitment.org.uk/news/changes-to-the-2026-imt-recruitment-process https://www.imtrecruitment.org.uk/news/imt-2027-website-update-in-the-autumn
Full format page: https://medmock.com/exams/internal-medicine-training-ct1/format

## How to prepare for the Internal Medicine Training (CT1) interview (facts checked against official sources on 2026-09-27)

Your IMT ranking comes from the interview alone, so prepare every scored area of the two 11-minute online stations, as published for 2026 and expected to be largely unchanged for 2027: a two-minute presentation on your achievements, questions on your suitability for internal medicine, an ethics, professionalism and governance scenario, a clinical scenario read aloud to you and a one-minute handover. Communication is marked in both stations, and to be appointable you need no score of 1, no more than two scores of 2 and a raw score of at least 42 out of 70.

1. **Plan the two-minute achievements presentation** — Station 1 opens with a two-minute overview of your achievements most relevant to training in internal medicine. IMT Recruitment advises headlines with brief descriptions, and gives credit for achievements showing skills transferable to IMT even if they were not gained in physician-related activity. You are stopped at two minutes, and slides and screen sharing are not allowed.
2. **Prepare for questions on your application and suitability** — Next you are asked about your suitability to be an internal medicine trainee, which may include clarifying questions about your achievements and application. Suitability is scored on knowledge and enthusiasm for medicine and commitment to a career as a physician, so review your application form beforehand and prepare specific examples rather than general statements.
3. **Practise ethics and governance scenarios using Good Medical Practice** — The ethics, professionalism and governance question starts with a hypothetical situation given verbally and lasts up to five minutes. It is not a clinical question: it deals with the moral, ethical and legal issues, may be followed by questions on GMC Good Medical Practice and is assessed against its principles. Practise talking such scenarios through aloud.
4. **Practise clinical scenarios you hear rather than read** — In Station 2 a brief scenario of a few sentences is read to you, and you may make notes while it is read. Up to ten minutes of questions can cover next steps, differential diagnoses, treatments, further information and how you would communicate with patients, family or colleagues, and data such as an ECG may be added. Ask a colleague to read you acute medical scenarios and question you.
5. **Rehearse the one-minute handover** — The station ends with a one-minute handover spoken as if to the colleague receiving the patient, scored on relaying information clearly, concisely and accurately. Practise fitting the patient, your working diagnosis, what has been done and what is outstanding into the minute.
6. **Treat communication as scored throughout** — Station 1's communication mark covers the clarity and structure of your presentation and how you communicate in every answer; Station 2's covers how you would communicate in the scenario and with the interviewers. Each communication mark has a weighting of 1.6, as high as any area.
7. **Aim for consistency across all seven areas** — Each area is marked 1 to 5 by two interviewers, and 3/5 is performance at the level expected during F2. The appointability rules are designed so that outstanding answers in one area cannot make up for weak ones elsewhere, so practise your weakest area as much as your strongest. The format page sets out all seven areas.
8. **Set up for Qpercom Recruit** — There is no blur-background feature, so choose a quiet, well-lit room with nothing distracting behind you, and test your camera and microphone with another person. Have your passport ready, or a photo-card driving licence if you have no passport, for the identity check.

Official resources:

- IMT Recruitment: Structure & content (https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-structure-and-content): The official description of both stations, including the presentation guidance and what the clinical scenario questions can cover.
- IMT Recruitment: Interview scoring (https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-scoring): The 1 to 5 scoring frameworks, the appointability rules and the weighting of each area.
- IMT Recruitment: Interview preparation (https://www.imtrecruitment.org.uk/recruitment-process/interview/preparing-for-interview): Identity documents, technical set-up and the probity rules for the day.
- Internal Medicine Training CT1 2027 person specification (https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/person-specifications/person-specifications-2027/internal-medicine-training-ct1-2027): The eligibility and selection criteria for the 2027 round.
- Internal Medicine (JRCPTB, The Federation) (https://www.thefederation.uk/training/specialties/internal-medicine): The Internal Medicine Stage 1 curriculum that IMT trains you to.
- GMC Good medical practice (https://www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice): The principles the ethics, professionalism and governance question is assessed against.

Common mistakes examiners report:

- Running over two minutes or preparing slides: the presentation is stopped at two minutes, and visual aids and screen sharing are not allowed. (source: https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-structure-and-content)
- Changing your answers to match other candidates' accounts: IMT Recruitment says questions change regularly and advises against it. (source: https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-structure-and-content)
- Over-claiming on your application: blatant or persistent over-claiming leads to a probity investigation and can make you not appointable. (source: https://www.imtrecruitment.org.uk/recruitment-process/interview/preparing-for-interview)
- Using AI tools during the interview: applicants found doing so are disqualified and may be referred to their regulator. (source: https://www.imtrecruitment.org.uk/recruitment-process/interview/preparing-for-interview)

Sources: https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-structure-and-content https://www.imtrecruitment.org.uk/recruitment-process/interview/interview-scoring https://www.imtrecruitment.org.uk/recruitment-process/interview/preparing-for-interview https://www.imtrecruitment.org.uk/recruitment-process/planning-your-application/assessment-methods https://www.imtrecruitment.org.uk/news/imt-2027-website-update-in-the-autumn https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/person-specifications/person-specifications-2027/internal-medicine-training-ct1-2027 https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/overview-of-specialty-training/recruitment-timelines https://www.thefederation.uk/training/specialties/internal-medicine https://www.gmc-uk.org/professional-standards/the-professional-standards/good-medical-practice
Full guide: https://medmock.com/exams/internal-medicine-training-ct1/prepare

Recruitment dates: Applications 22 October 2026 to 19 November 2026 (national Round 1); Interviews within the national Round 1 window, 11 January 2027 to 2 April 2027 (source: IMT Recruitment, checked 2026-09-24).
All Internal Medicine Training (CT1) dates: https://medmock.com/exams/internal-medicine-training-ct1#dates

## Stations you can practise

- **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) questions

- *Station 1 – Question 1: Application and suitability for IMT & Question 2: Ethical, professionalism and governance:* Discuss the duty of candour after a clinical error you witnessed.
- *Station 1 – Question 1: Application and suitability for IMT & Question 2: Ethical, professionalism and governance:* Tell us about an experience of recognising adult safeguarding concerns that demonstrates your suitability for internal medicine training.

## Example scenarios

- *Station 2 – Clinical scenario and patient handover:* 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.
- *Station 1 – Question 1: Application and suitability for IMT & Question 2: Ethical, professionalism and governance:* 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?

## 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, £45 per month for 300 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 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.

## 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