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ST4 Medical Specialty

Gastroenterology ST4 Interview Masterclass

Bleeds, IBD flares, decompensated liver — and a sharp case talk.

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

Competition
~3.5:1
Scenarios
4
RIS
10–50
Open Gastroenterology topic library Launch Gastroenterology Mock Simulator Browse 4+ Gastroenterology Scenarios Review Gastroenterology Model Answers
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Specialty focus areas

High-yield prep targets unique to Gastroenterology.

Station 1 — GI Emergencies Hub

  • Upper GI bleed: Blatchford, Rockall, terlipressin & endoscopy timing.
  • Acute severe UC — Truelove & Witts, day-3 rescue therapy.
  • Decompensated liver disease — SBP, HE, HRS bundles.
  • Severe pancreatitis — WATERFALL fluid strategy.

Station 2 — Gastro Reg Hub

  • Endoscopy training pathway and JAG governance.
  • Why gastroenterology — IBD, hepatology or luminal sub-interest.
  • Ethics: transplant listing, alcohol cessation, capacity.

Interview format

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

Station 1

  • Clinical Scenario (UGIB/IBD/Liver)8 min
  • Interesting Case Presentation8 min · 4 min talk

Station 2

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

Gastroenterology preparation material

Scenarios, frameworks and model answers mapped to this specialty.

Clinical Scenario
3 scenarios

A 45-year-old alcoholic presents with haematemesis and melaena. Outline your approach.

Open scenario
Acute severe ulcerative colitis

A 28-year-old with known UC presents with 10 bloody stools per day, abdominal pain, HR 112, temp 38.2. Talk through your assessment and management.

Open scenario
Severe acute pancreatitis with organ failure

A 52-year-old with gallstones presents with severe epigastric pain, lipase 2400, lactate 4.2, SpO2 90% on air, oliguric. Walk us through your management.

Open scenario
Portfolio & Commitment
1 scenario
Interesting Case Presentation — Gastroenterology

Deliver a 4-minute interesting case presentation followed by 4 minutes Q&A.

Open scenario
How to prep for Gastroenterology
  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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