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ST4 Medical Specialty

Geriatric Medicine ST4 Interview Masterclass

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

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

Competition
~1.9:1
Scenarios
3
RIS
10–50
Open Geriatric Medicine topic library Launch Geriatric Medicine Mock Simulator Browse 3+ Geriatric Medicine Scenarios Review Geriatric Medicine Model Answers
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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

Geriatric Medicine preparation material

Scenarios, frameworks and model answers mapped to this specialty.

Clinical Scenario
1 scenario
Acute delirium with falls in frailty

An 87-year-old with dementia is admitted after two falls and confusion. CFS 7, lives alone, normally walks with a frame. Manage the admission.

Open scenario
Management & Leadership
1 scenario
Polypharmacy review service redesign

Your trust audit shows 35% of >75s are discharged on >10 medications. You've been asked to lead a QI project to reduce inappropriate polypharmacy. Outline your approach.

Open scenario
Ethics & Professionalism
1 scenario
Family disagreement about end-of-life care

A 92-year-old with end-stage dementia is admitted with aspiration pneumonia. The patient lacks capacity. One daughter insists on 'everything including ITU', the son wants comfort care. How will you proceed?

Open scenario
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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