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ST4 Medical Specialty

General Internal Medicine ST4 Interview Masterclass

Broad, safe, decisive — the dual-CCT generalist.

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

Competition
~3.2:1
Scenarios
0
RIS
10–50
Open General Internal Medicine topic library Launch General Internal Medicine Mock Simulator Browse 0+ General Internal Medicine Scenarios Review General Internal Medicine Model Answers
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Specialty focus areas

High-yield prep targets unique to General Internal Medicine.

Station 1 — Multi-system Clinical Hub

  • Undifferentiated presentations: chest pain, breathlessness, collapse.
  • Multi-morbidity & polypharmacy decision-making.
  • Discharge planning and community escalation.

Station 2 — Generalist Leadership Hub

  • Why dual-CCT in GIM — articulate the commitment.
  • Service redesign for the medical take.
  • Ethics: ceilings of care, frailty and shared decision-making.

Interview format

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

Station 1

  • Clinical Scenario7–8 min
  • Suitability & Commitment7–8 min

Station 2

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

General Internal Medicine preparation material

Scenarios, frameworks and model answers mapped to this specialty.

No specialty-specific scenarios yet. The shared portfolio, management and ethics bank still applies — try the question bank or run a mock.
How to prep for General Internal Medicine
  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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