# Practising for Respiratory Medicine (ST4) with MedMock

Canonical page: https://medmock.com/exams/respiratory-medicine-st4

## 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.

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

- 2025 recruitment round, NHS England figures for Respiratory Medicine ST4: 413 applications for 104 posts, a competition ratio of 3.97.
- 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.

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

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 Respiratory Medicine (ST4) dates: https://medmock.com/exams/respiratory-medicine-st4#dates

## Stations you can practise

- **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) questions

- *Station 2 — Registrar Suitability and Commitment:* What specific steps have you taken in the last 18 months to confirm that Respiratory Medicine is the right specialty for your career?
- *Station 2 — Registrar Suitability and Commitment:* 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

- *Station 1 — Clinical Scenario and Application:* 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.
- *Station 2 — Registrar Suitability and Commitment:* 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.

## 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 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.

## 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