# Practising for Stroke Medicine (ST4) with MedMock

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

## What is the Stroke Medicine ST4 interview, and how do you practise for it?

Stroke Medicine ST4 national interview, recruited through the Physician Specialty Recruitment Office: two 10-minute stations with four scored questions. Station 1 is your application and training, then a balanced argument on a stroke service or research question; Station 2 is your prepared case presentation, then suitability for and commitment to stroke medicine. There is no clinical case and no reading time. MedMock lets you practise it out loud against an AI interview panel, with examiner-style feedback on any station you finish.

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

- 2025 recruitment round, NHS England figures for Stroke Medicine/General (Internal) Medicine ST4: 145 applications for 32 posts, a competition ratio of 4.53.
- The stroke medicine and general internal medicine (GIM) programme comprises two years of GIM and a year of stroke, so successful applicants can go from completing IM stage 1 to CCT after a further three years of training.
- Applicants must have completed IM stage 1, or have an alternative certificate, by the time of interview.
- For 2027 entry, applications open at 10am on Thursday 19 November 2026 and close at 4pm on Thursday 10 December 2026, and all interviews take place on Wednesday 20 January 2027.
- The stroke medicine interview has four questions of 4 to 6 minutes each. Each station lasts 10 minutes, and the interview takes approximately 25 minutes including the time between stations.
- The stroke medicine interview includes a case presentation of no more than 3 minutes, followed by approximately 3 minutes of questioning.
- The four interview questions are weighted 2.5 for application and training, 1.8 for stroke medicine service and research, 2.5 for the case presentation and 1.2 for commitment to stroke medicine.

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

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

## Stations you can practise

- **Case Presentation and Commitment** — Station 2: your prepared three-minute presentation on an interesting case you have been involved in, or a case that has changed your practice, with questions on it, then questions on your suitability for and commitment to stroke medicine.
- **Application, Training and Stroke Service** — Station 1: questions on your application, career, achievements and engagement with training, then you are asked to argue both sides of a stroke service or research question and reach a view. Despite the practice station's name, there is no clinical case.

## Sample Stroke Medicine (ST4) questions

- *Application, Training and Stroke Service:* Tell me about experience you have gained beyond your day-to-day rotations, for example time out of programme, a fellowship, work abroad or a role in a professional organisation, and what it added.
- *Case Presentation and Commitment:* How would you describe your communication with families during a stroke admission, particularly early on when things are uncertain?

## Example scenarios

- *Case Presentation and Commitment:* Present an interesting case you have been involved in, or a case that has changed your practice, then tell us what has confirmed your commitment to stroke medicine.
- *Application, Training and Stroke Service:* Talk us through your career to date and how you have engaged with training; then give us the arguments for and against centralising hyperacute stroke services.

## 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 Stroke 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