Respiratory Medicine (ST4)
Walk into your Respiratory Medicine ST4 interview already knowing how you will answer
Rehearse for your Respiratory Medicine ST4 interview against an interview panel that challenges your answers that asks the demanding follow-ups. Get instant feedback on every answer and walk in calm, sharp and prepared.
What is the Respiratory Medicine ST4 interview, and how do you practise for it?
The Respiratory Medicine ST4 interview assesses how you reason and communicate under pressure in front of a panel. The most effective preparation is rehearsing your answers out loud to realistic questions — with MedMock you practise against an AI panel that asks the demanding follow-ups and get instant feedback.
Last reviewed June 2026
Knowing the material is not the same as performing on the day
The Respiratory Medicine ST4 interview is won in the room, not on paper. Strong candidates lose offers because they ramble, lose their thread on a follow-up, or fail to convey their reasoning clearly under pressure.
The solution is rehearsal — out loud, against someone who probes like a real panel. Yet mock interviews are hard to arrange, expensive when available, and candidates rarely get more than one or two before the real interview.
Respiratory Medicine ST4 interview practice, on demand
Physician Higher Specialty Training national selection for ST4 entry into Respiratory Medicine. Two stations / four questions: a clinical scenario (with communication assessed throughout), application & training, medical registrar suitability anchored in the Internal Medicine Stage 1 curriculum, and suitability & commitment to respiratory medicine.
MedMock gives you an interview panel that challenges your answers, available 24/7. Pick a question, have a genuine spoken conversation, and get instant, examiner-style feedback the moment you finish — scored against what genuinely matters in the Respiratory Medicine ST4. No rota conflicts, no study partner, no waiting your turn. Simply practise whenever you have ten minutes.
How it works
Choose a question
Choose the kind of question or scenario you want to rehearse — ethics, motivation, a clinical dilemma, and more.
Have the conversation
Speak naturally, out loud. The AI panel listens and asks the demanding follow-ups, exactly like the real interview.
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.
Why candidates practise with MedMock
Practise out loud, any time
No study partner, no booking, no rota clash. Open MedMock at 6am or midnight and run a full question in minutes.
All 4 questions, endless variations
You will never simply memorise answers. Each run is different, so you build the real skill — adapting in the moment.
Examiner-level feedback in seconds
Know exactly where you lost marks and how to address it, instead of guessing why a mock session went poorly.
Turn nerves into muscle memory
By the time you sit the Respiratory Medicine ST4, the format feels familiar — because you have already done it dozens of times.
A fraction of the cost of courses
Avoid the hundreds of pounds you would spend on a one-off interview course, and practise unlimited scenarios instead.
Practise anywhere, from your phone
On a break, during the commute, between jobs on the ward — your preparation goes wherever you do.
Practise every scenario
MedMock covers the questions you will face in the Respiratory Medicine ST4 interview. Rehearse each one until it feels routine.
Clinical Scenario
A brief respiratory clinical scenario (acute severe asthma, NIV in T2RF/COPD exacerbation, massive PE, pneumothorax, lung cancer pathway, ILD work-up, pleural disease). 2-3 minutes to review, then panel-led questions on next steps, investigations, treatment options and communication with patients / family / colleagues. Communication is marked here. (~10 min)
Application & Training
Questions on your application form, achievements to date, audit / QI cycles, research, teaching, and engagement with training. Probes evidence of commitment and learning & development. (~5 min)
Medical Registrar Suitability
Non-clinical medical registrar competencies anchored in two Internal Medicine Stage 1 CiPs — managing the acute unselected take, and leading an MDT including effective discharge planning. Opens with a strict one-minute presentation summarising your medical registrar experience (no slides; notes for own use only), then panel examples drawn from your practice. (~8 min)
Suitability & Commitment to Respiratory Medicine
Motivation, career trajectory and fit for higher specialty training in respiratory medicine. Probes why respiratory, your understanding of the specialty, and what you bring to it beyond the application form. (~5 min)
Example scenarios
A sample of the scenarios you will practise — each plays out as a live, spoken conversation, not a script to read.
“A 68-year-old man with known COPD presents with drowsiness, RR 30, pH 7.21, PaCO2 9.1 kPa, HCO3 32. Talk me through your immediate assessment, escalation, and how you would set up and titrate non-invasive ventilation — including how you would communicate the plan and ceiling of care with the patient and his daughter at the bedside.”
“Walk us through a quality improvement project in respiratory medicine you have taken through to closure — your role, the methodology, the measurable outcome, and what you would do differently next time.”
“Give us your one-minute summary of leading the acute unselected medical take, then talk us through a take in which two patients deteriorated simultaneously while the medical SHO asked you to support a difficult family conversation.”
“Why respiratory medicine, and what specifically have you done in the last 12 months — beyond what is on your application form — that confirms this is the right specialty for you?”
Respiratory Medicine (ST4) practice — your questions answered
How realistic is MedMock's Respiratory Medicine ST4 practice?
Every scenario is built around the real Respiratory Medicine ST4 interview format and the domains examiners assess. You speak out loud and the AI panel asks genuine follow-ups, so it feels far closer to the day than reading notes or rehearsing silently.
How does the feedback work?
As soon as you finish a question, MedMock gives you instant, examiner-style feedback and a score — highlighting what you did well, what cost you marks, and exactly what to work on next.
Can I practise specific Respiratory Medicine ST4 questions?
Yes. You can pick any of the 4 questions to drill a weak area, or run a mixed set to simulate the real interview.
Do I need a study partner or a fixed time slot?
No. That is the point — MedMock is available 24/7 and you practise alone, out loud, whenever it suits you. No coordinating diaries, no waiting for a course date.
Is MedMock right for me if I am sitting the Respiratory Medicine ST4?
If your Respiratory Medicine ST4 interview involves speaking — thinking on your feet in front of a panel — then spoken rehearsal is exactly what MedMock is built for.
How much does it cost?
Far less than a one-off interview course, with unlimited practice. Everyone starts with a free trial — no card required — so you can see how it works before paying. See current options on our pricing page.
Disclaimer: National medical recruitment formats and Royal College examination criteria are subject to change annually. While Medmock strives for absolute accuracy based on the latest HEE/NHS England cycles, always consult your official applicant handbook or Royal College website for the definitive, up-to-date station requirements for your specific cohort.
Ready for your Respiratory Medicine ST4 interview?
Rehearse real Respiratory Medicine ST4 scenarios out loud and get instant, examiner-style feedback.
- Instant, personalised feedback
- Real voice-to-voice conversation
- Unlimited attempts, endless variations
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Be ready for your Respiratory Medicine ST4 interview before you walk in
Start rehearsing Respiratory Medicine ST4 interview scenarios out loud today, get instant feedback, and turn exam-day nerves into something you have already done a hundred times.
Practise your Respiratory Medicine ST4 interview