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 AI interviewer who challenges your answers. Get feedback on any session you finish, in seconds.
What is the Respiratory Medicine ST4 interview, and how do you practise for it?
Respiratory Medicine ST4 national recruitment interview, run by Physician Higher Specialty Training: two 16-minute stations with four scored questions and communication marked. Station 1 is a written clinical scenario, then application and training. Station 2 is medical registrar suitability opened by a one-minute presentation, then suitability and commitment to respiratory medicine. 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 Respiratory Medicine (ST4) recruitment
Respiratory Medicine ST4, 2025 recruitment round (Round 2). NHS England competition ratios
- For 2027 recruitment, the PHST page expects the lead recruiter for respiratory medicine to revert to South West Severn.
- The respiratory medicine interview has two stations of 16 minutes each and takes approximately 40 minutes in total. Four questions of 6 to 10 minutes are marked alongside communication skills, giving six scored areas.
- Station 1 has a clinical scenario of 10 minutes, where the applicant is given a scenario and a short time to review it, followed by a review of the application form and training to date lasting approximately 6 minutes.
- Respiratory medicine does not assess commitment to specialty at shortlisting: applications are scored on the self-assessment scoring framework, and commitment is assessed at interview.
- The interview areas are weighted 1.6 for the clinical scenario, medical registrar suitability, and suitability and commitment; 1.2 for application and training and the station 1 communication mark; and 0.8 for the station 2 communication mark.
- Current intensive care medicine trainees who intend to dual train in respiratory medicine can be considered as an exception, including a requirement to have completed ST3 in ICM by the advertised post start date.
Checked on 13 October 2026 against Respiratory medicine. Recruitment changes each year: confirm on the official pages before you apply.
Respiratory 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 Respiratory 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 Respiratory Medicine ST4 interview. Rehearse each one until it feels routine.
Station 1 — Clinical Scenario and Application
Question 1 (about 10 minutes): a brief written respiratory clinical scenario to review, then the steps you would take, treatments, further information and communication. Question 2 (about 6 minutes): your application form, achievements and engagement with training. Communication is scored across the station.
Station 2 — Registrar Suitability and Commitment
Question 1 (about 10 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. Question 2 (about 6 minutes): suitability for and commitment to respiratory medicine. Communication is scored as a separate mark across the station.
Sample Respiratory Medicine (ST4) interview questions
Two questions from the topics that come up most in MedMock's Respiratory Medicine (ST4) bank.
“What specific steps have you taken in the last 18 months to confirm that Respiratory Medicine is the right specialty for your career?”
“Describe a time you had a conflict with a nursing or allied health colleague regarding a patient's management plan. How did you resolve the differences?”
Example scenarios
A sample of the Respiratory Medicine ST4 scenarios you can practise, each as a spoken conversation.
“A 68-year-old man with COPD is drowsy with a pH of 7.21 and a rising carbon dioxide. Talk me through your assessment and management.”
“Give us your one-minute summary of leading the acute take, then tell us what has confirmed respiratory medicine is the right specialty for you.”
Respiratory Medicine (ST4) recruitment dates 2026–27
The next Respiratory 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 — sRespiratory 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)
Respiratory 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 Respiratory 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 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
- Repeatable attempts, a different run every time
Related exams to practise
Be ready for your Respiratory Medicine ST4 interview before you walk in
Start with the £5 taster, a one-off payment for 30 credits: practise Respiratory Medicine ST4 interview scenarios out loud and get any of them marked when you are ready.
Practise your Respiratory Medicine ST4 interview