# Practising for Neurology (ST4) with MedMock

Canonical page: https://medmock.com/exams/neurology-st4

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

Neurology ST4 national recruitment interview, run by Physician Higher Specialty Training: two 15-minute stations, four questions and five scored areas, with two interviewers scoring each station. Station 1 is your application, training, suitability and commitment, then a three-minute presentation on an interesting case. Station 2 is medical registrar suitability opened by a one-minute presentation, then an ethics, professionalism and governance situation put to you verbally. It is not a portfolio interview: no portfolio is taken in and nothing is given to read. In the real interview you prepare both presentations beforehand; here you get preparation time on screen. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.

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

- 2025 recruitment round, NHS England figures for Neurology ST4: 197 applications for 55 posts, a competition ratio of 3.58.
- The Neurology Curriculum (2022) includes stroke medicine as a subspecialty, and all trainees also dual-accredit in Internal Medicine over an indicative period of five years.
- Thames Valley is the lead recruiter for neurology.
- The neurology interview has two stations of 15 minutes each, with a separate pair of interviewers scoring each station. It takes approximately 35-40 minutes including the time between stations.
- Station 1 includes a presentation of no more than three minutes on 'An interesting case I have been involved in/a case that has changed my practice', followed by about four and a half minutes of discussion.
- Neurology does not assess commitment to specialty at shortlisting: applications are scored purely on the self-assessment scoring framework, and commitment is assessed at interview.
- In the weighted interview score, medical registrar suitability and professionalism and governance are each weighted 2.0, compared with 1.5 for the presentation.

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

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 Neurology (ST4) dates: https://medmock.com/exams/neurology-st4#dates

## Stations you can practise

- **Station 1** — Question 1 (about 7.5 minutes): your submitted application, training to date, and your suitability for and commitment to neurology, scored as two areas. Question 2 (about 7.5 minutes): a three-minute presentation without slides on 'An interesting case I have been involved in, or a case that has changed my practice', then about 4.5 minutes of discussion of its salient points, differentials, treatment and learning points.
- **Station 2** — Question 1 (about 7.5 minutes): medical registrar suitability, opened by your one-minute summary of managing the acute unselected take, then questions on leading the take and the multidisciplinary team, including discharge planning. Question 2 (about 7.5 minutes): an ethics, professionalism or governance situation described aloud with no advance sight, which may lead to questions on GMC Good Medical Practice.

## Sample Neurology (ST4) questions

- *Station 1:* If you have undertaken an additional qualification or course, how has it contributed to your development?
- *Station 2:* You accidentally send an email containing identifiable patient information to the wrong recipient outside the hospital. What would you do?

## Example scenarios

- *Station 1:* Tell us what drew you to higher specialty training in neurology and what your training so far has shown you, then give your three-minute presentation on a case that changed your practice.
- *Station 2:* Give us your one-minute summary of leading the acute take. Later in the station: a colleague tells you a senior doctor has been documenting reviews they did not do. What would you do?

## 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 Neurology 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