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ST4 Medical Specialty

Geriatric Medicine ST4 Interview Masterclass

CGA, frailty, end-of-life — and system leadership for older people.

October–November 1969 · 32 minutes · Qpercom (virtual) · 2 per station

Competition
~1.9:1
Scenarios
3
RIS
10–50
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Specialty focus areas

High-yield prep targets unique to Geriatric Medicine.

Station 1 — Frailty & Acute Care Hub

  • CGA-led admission avoidance and frailty unit triage.
  • Delirium — TIME bundle, capacity assessment.
  • Falls workup — orthostatic, syncope vs mechanical, bone health.
  • Polypharmacy & STOPP/START review.

Station 2 — Geriatrics Reg Hub

  • End-of-life conversations and treatment escalation plans.
  • Why geriatrics — system, community and integrated care lens.
  • QI project: polypharmacy review service redesign.

Interview format

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

Station 1

  • Clinical Scenario (Frailty / Delirium / Falls)8 min
  • Suitability & Commitment to Geriatrics8 min

Station 2

  • Medical Registrar Suitability8 min · 1 minute talk
  • Ethics: End-of-Life & Capacity8 min

Premium Practice Question Bank, Vignettes & Mock Circuits

Scenarios, frameworks and examiner-grade model answers mapped to Geriatric Medicine.

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How to prep for Geriatric 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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