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ST4 Medical Specialty

Cardiology ST4 Interview Masterclass

ACS, arrhythmia, heart failure — and a polished interesting case.

February 2026 · 32 minutes · Qpercom (virtual) · 2 per station

Competition
~6.1:1
Scenarios
4
RIS
10–50
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Specialty focus areas

High-yield prep targets unique to Cardiology.

Station 1 — Acute Cardiology Hub

  • STEMI/NSTEMI pathway, door-to-balloon, dual antiplatelet choices.
  • Complete heart block & peri-arrest arrhythmia.
  • Acute decompensated heart failure: IV diuresis, vasodilators, inotropes.
  • 4-minute interesting case structure: hook → workup → decision → learning.

Station 2 — Cardiology Reg Hub

  • Cath lab activation governance and consent under stress.
  • Why cardiology — sub-specialty interest tied to portfolio.
  • Ethics: device deactivation, advanced HF and family conversations.

Interview format

2 stations · scored 1–5 per domain · appointability: RIS ≥30, no 1s, max two 2s.

Station 1

  • Clinical Scenario (ACS/HF/Arrhythmia)8 min
  • Interesting Case Presentation8 min · 4 min talk

Station 2

  • Medical Registrar Suitability7–8 min · 1 minute talk
  • Ethics, Professionalism & Governance7–8 min

Cardiology preparation material

Scenarios, frameworks and model answers mapped to this specialty.

Clinical Scenario
3 scenarios
STEMI with cardiogenic shock

Anterior STEMI complicated by cardiogenic shock — talk us through your management.

Open scenario
Complete heart block with syncope

An 82-year-old presents after a witnessed syncopal episode. ECG shows complete heart block with a ventricular escape of 28 bpm. BP 84/52. How will you manage?

Open scenario
Acute decompensated heart failure

A 70-year-old with known HFrEF (EF 25%) presents with acute breathlessness, frothy sputum, bilateral crackles to the apices, SpO2 86% on air. Talk us through your management.

Open scenario
Portfolio & Commitment
1 scenario
Interesting case presentation: cardiology

Present an interesting case from your clinical practice in 4 minutes that demonstrates registrar-level decision-making.

Open scenario
How to prep for Cardiology
  1. 1. Master 5-6 acute clinical stems using A-E + SBAR.
  2. 2. Rehearse a 1-minute "why this specialty" pitch tied to your portfolio.
  3. 3. Prepare an interesting case presentation (4 min + Q&A).
  4. 4. Drill ethics scenarios with the SPIES / Four Quadrants framework.
  5. 5. Run a timed mock under exam conditions weekly.
  6. 6. Calibrate against the portfolio self-assessment.
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