Palliative Medicine (ST4)
Walk into your Palliative Medicine ST4 interview already knowing how you will answer
Rehearse for your Palliative Medicine ST4 interview against an AI interviewer who challenges your answers. Get feedback on any session you finish, in seconds.
What is the Palliative Medicine ST4 interview, and how do you practise for it?
Palliative Medicine ST4 national recruitment interview: two 15-minute stations with four scored questions. Station 1 is suitability and commitment, then medical registrar suitability opened by a one-minute presentation. Station 2 is an ethical scenario played out as a role play with a simulated patient or relative after five minutes with a short written briefing, a reflection on it for the interviewers, then an ethics, professionalism and clinical governance question given verbally. 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 Palliative Medicine (ST4) recruitment
Palliative Medicine ST4, 2025 recruitment round (Round 2). NHS England competition ratios
- Palliative medicine has been a Group 1 specialty since 2022, with doctors dual accrediting with Internal Medicine, so applicants must show evidence of stage 1 IM capabilities through an accredited training programme or Alternative Certificate.
- Palliative medicine training is four years, including a maximum of 12 months in relevant Internal Medicine posts delivered in three-to-six-month blocks, with participation in the acute unselected take.
- The Midlands is the lead recruiter for palliative medicine.
- The palliative medicine interview has four questions of 5 to 8 minutes, with the ethical scenario split into two areas to give five scoring areas. Each station lasts 15 minutes, and the interview takes approximately 40 minutes.
- In the ethical scenario, applicants review the scenario for five minutes, then take part in an 8-minute role play with an experienced actor. The actor gives feedback to the panel on communication and professionalism, which contributes to the score.
- Palliative medicine assesses commitment to specialty as part of shortlisting.
Checked on 13 October 2026 against Palliative medicine. Recruitment changes each year: confirm on the official pages before you apply.
Palliative Medicine ST4 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 Palliative Medicine ST4.
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 Palliative Medicine ST4 interview. Rehearse each one until it feels routine.
Station 1 — Commitment and Registrar Suitability
Question 1: your suitability for and commitment to palliative medicine, achievements and engagement with training. Question 2: medical registrar suitability, opened by a one-minute summary of your experience of the acute unselected take.
Station 2 — Ethical Scenario and Governance
Question 3: five minutes to prepare from a short written briefing, then an 8-minute role play with a simulated patient or relative in an ethical scenario with a palliative theme, then 2 minutes reflecting on it for the interviewers. Question 4: an ethics, professionalism and clinical governance question given verbally.
Sample Palliative Medicine (ST4) interview questions
Two questions from the topics that come up most in MedMock's Palliative Medicine (ST4) bank.
“What experience do you have of advance care planning discussions, and what did you learn from them?”
“Tell us about an audit you have completed and what came of it.”
Example scenarios
A sample of the Palliative Medicine ST4 scenarios you can practise, each as a spoken conversation.
“Tell us what drew you to palliative medicine and what you have done to test that choice; then give us your one-minute summary of leading the acute take.”
“You are about to speak with the daughter of an 83-year-old woman who is in the last days of life on a medical ward. She would like her mother's subcutaneous fluids stopped, but her brother wants them continued.”
Palliative Medicine (ST4) recruitment dates 2026–27
The next Palliative Medicine (ST4) recruitment date we hold is: Applications 19 November 2026 to 10 December 2026 (national Round 2). Checked against Physician Higher Specialty Training Recruitment (PHST) on 24 September 2026.
Time until Applications 19 November 2026 to 10 December 2026 (national Round 2)
— d — h — m — sPalliative Medicine (ST4) is recruited through NHS England’s national recruitment round 2, which the national timeline says is for ST3/ST4 posts. Applications are made on Oriel.
Recruitment dates change. MedMock is not affiliated with Physician Higher Specialty Training Recruitment (PHST); confirm every date, application window and venue on the official site before you apply. Physician Higher Specialty Training Recruitment (PHST)
Palliative Medicine (ST4) 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 Palliative 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.
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 Palliative Medicine ST4 interview?
Rehearse real Palliative Medicine ST4 scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Repeatable attempts, a different run every time
Related exams to practise
Be ready for your Palliative Medicine ST4 interview before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise Palliative Medicine ST4 interview scenarios out loud and get any of them marked when you are ready.
Practise your Palliative Medicine ST4 interview