Renal Medicine (ST4)
Walk into your Renal Medicine ST4 interview already knowing how you will answer
Rehearse for your Renal Medicine ST4 interview against an AI interviewer who challenges your answers. Get feedback on any session you finish, in seconds.
What is the Renal Medicine ST4 interview, and how do you practise for it?
Renal Medicine ST4 national recruitment interview, run by Physician Higher Specialty Training: two 15-minute online stations with four scored questions and a communication mark. Station 1 is a brief written clinical scenario, then an ethical scenario given verbally with no advance preparation, with communication marked across both. Station 2 is medical registrar suitability, opened by a one-minute presentation on managing the acute unselected take, then suitability for and commitment to renal medicine. The real panel has two interviewers per station; 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 Renal Medicine (ST4) recruitment
Renal Medicine ST4, 2025 recruitment round (Round 2). NHS England competition ratios
- All renal medicine programmes are dual accredited with general internal medicine (GIM), leading to a dual CCT in renal medicine and GIM.
- The North West is the lead recruiter for renal medicine.
- The renal medicine interview has four questions of 5 to 10 minutes each, marked together with communication skills to give five scored areas. Each station lasts 15 minutes, and the interview takes approximately 40 minutes.
- Station 1 opens with a clinical scenario that applicants are given a short while to review, and a hypothetical scenario is then given on completion of the clinical scenario.
- Renal medicine assesses commitment to specialty as part of shortlisting.
- Current intensive care medicine trainees who intend to dual train in renal medicine can be considered as an exception, including a requirement to have successfully completed ST3 in ICM by the advertised post start date.
Checked on 13 October 2026 against Renal medicine. Recruitment changes each year: confirm on the official pages before you apply.
Renal 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 Renal 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 Renal Medicine ST4 interview. Rehearse each one until it feels routine.
Station 1 — Clinical and Ethical Scenarios
Question 1 (about 8 minutes): a brief written clinical scenario of two or three sentences, given a short while to review, then the steps you would take, possible treatments, further information you would gather and how you would communicate with those involved. Question 2 (about 7 minutes): an ethical scenario given verbally with no advance preparation, on its moral, ethical and legal considerations. Communication is marked across both questions.
Station 2 — Registrar Suitability and Commitment
Question 1 (about 10 minutes): medical registrar suitability, opened by your one-minute presentation on managing the acute unselected medical take, then examples of managing a team caring for acute medical admissions, including discharge planning. Question 2 (about 5 minutes): your suitability for and commitment to renal medicine, expanding on your application form.
Sample Renal Medicine (ST4) interview questions
Two questions from the topics that come up most in MedMock's Renal Medicine (ST4) bank.
“A medical student asks to perform a renal biopsy under your supervision because she needs a procedure signed off. The patient is anxious and has not been told a student would be involved. How do you handle it?”
“Tell us about supporting a junior doctor who was overwhelmed during an acute take, using a specific example from your own practice.”
Example scenarios
A sample of the Renal Medicine ST4 scenarios you can practise, each as a spoken conversation.
“A 72-year-old man two weeks after a deceased-donor kidney transplant has a fever, a tender graft and a creatinine that has risen from 130 to 280 µmol/L. How would you approach this?”
“A frail 84-year-old woman with stage 5 chronic kidney disease tells you she wants to be left in peace at home, while her son is pushing for haemodialysis. What are the ethical and legal considerations, and how would you respond?”
“Give us your one-minute summary of managing the acute unselected medical take as the medical registrar. Then tell us about a take on which two patients deteriorated at the same time.”
“Expanding on your application form, tell us what has confirmed that renal medicine is the right specialty for you.”
Renal Medicine (ST4) recruitment dates 2026–27
The next Renal 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 — sRenal 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)
Renal 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 Renal 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 Renal Medicine ST4 interview?
Rehearse real Renal 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 Renal Medicine ST4 interview before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise Renal Medicine ST4 interview scenarios out loud and get any of them marked when you are ready.
Practise your Renal Medicine ST4 interview