StepUp ST4

Specialty briefings

UK Medical Higher Specialty Training — 8 Core Routes

Free, public briefings on the eight ST4 medical specialty interviews: stations, timings, scoring, and competition. Practice question banks, vignettes and mock circuits unlock with a single £99/year membership.

See pricing — £99/year Official PHST directory

Acute Internal Medicine

October–November 1969 · 40 minutes · Qpercom (virtual)

Competition
4.43:1
In bank
6
Scoring
10–50
Station 1
  • Clinical Scenario7–8 min
  • Suitability & Commitment7–8 min
Station 2
  • Medical Registrar Suitability7–8 min
  • Ethics, Professionalism & Governance7–8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Acute Internal Medicine prep

Cardiology

October–November 1969 · 32 minutes · Qpercom (virtual)

Competition
~6.1:1
In bank
8
Scoring
10–50
Station 1
  • Clinical Scenario (ACS/HF/Arrhythmia)8 min
  • Interesting Case Presentation8 min
Station 2
  • Medical Registrar Suitability7–8 min
  • Ethics, Professionalism & Governance7–8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Cardiology prep

Respiratory Medicine

October–November 1969 · 32 minutes · Qpercom (virtual)

Competition
~2.8:1
In bank
13
Scoring
10–50
Station 1
  • Clinical Scenario7–8 min
  • Suitability & Commitment7–8 min
Station 2
  • Medical Registrar Suitability7–8 min
  • Ethics, Professionalism & Governance7–8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Respiratory Medicine prep

Gastroenterology

October–November 1969 · 32 minutes · Qpercom (virtual)

Competition
~3.5:1
In bank
8
Scoring
10–50
Station 1
  • Clinical Scenario (UGIB/IBD/Liver)8 min
  • Interesting Case Presentation8 min
Station 2
  • Medical Registrar Suitability7–8 min
  • Ethics, Professionalism & Governance7–8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Gastroenterology prep

Endocrinology & Diabetes

October–November 1969 · 32 minutes · Qpercom (virtual)

Competition
~2.5:1
In bank
13
Scoring
10–50
Station 1
  • Clinical Scenario7–8 min
  • Suitability & Commitment7–8 min
Station 2
  • Medical Registrar Suitability7–8 min
  • Ethics, Professionalism & Governance7–8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Endocrinology & Diabetes prep

Neurology

October–November 1969 · 32 minutes · Qpercom (virtual)

Competition
~3.8:1
In bank
8
Scoring
10–50
Station 1
  • Clinical Scenario7–8 min
  • Suitability & Commitment7–8 min
Station 2
  • Medical Registrar Suitability7–8 min
  • Ethics, Professionalism & Governance7–8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Neurology prep

Renal Medicine

October–November 1969 · 32 minutes · Qpercom (virtual)

Competition
~2.1:1
In bank
3
Scoring
10–50
Station 1
  • Clinical Scenario7–8 min
  • Suitability & Commitment7–8 min
Station 2
  • Medical Registrar Suitability7–8 min
  • Ethics, Professionalism & Governance7–8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Renal Medicine prep

Geriatric Medicine

October–November 1969 · 32 minutes · Qpercom (virtual)

Competition
~1.9:1
In bank
3
Scoring
10–50
Station 1
  • Clinical Scenario (Frailty / Delirium / Falls)8 min
  • Suitability & Commitment to Geriatrics8 min
Station 2
  • Medical Registrar Suitability8 min
  • Ethics: End-of-Life & Capacity8 min
Appointability: RIS ≥30, no 1s, max two 2s
Open Geriatric Medicine prep