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ST4 Medical Specialty

Renal Medicine ST4 Interview Masterclass

AKI, hyperK, GN — and dialysis access governance.

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

Competition
~2.1:1
Scenarios
3
RIS
10–50
Open Renal Medicine topic library Launch Renal Medicine Mock Simulator Browse 3+ Renal Medicine Scenarios Review Renal Medicine Model Answers
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Specialty focus areas

High-yield prep targets unique to Renal Medicine.

Station 1 — Renal Emergencies Hub

  • AKI staging & KDIGO bundle; nephrotoxin stewardship.
  • Severe hyperkalaemia — ECG, treatment ladder, dialysis trigger.
  • Rapidly progressive GN — urgent immunosuppression discussion.
  • Symptomatic hypercalcaemia — fluids, bisphosphonate vs denosumab.

Station 2 — Renal Reg Hub

  • Dialysis access pathway and vascular surgery liaison.
  • Why renal — transplant, dialysis or general nephrology angle.
  • Ethics: conservative kidney care, withdrawal of RRT.

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

Renal Medicine preparation material

Scenarios, frameworks and model answers mapped to this specialty.

Clinical Scenario
3 scenarios

An 80-year-old has K+ 7.2 on routine bloods. They feel mildly unwell. What is your approach?

Open scenario
Suspected rapidly progressive glomerulonephritis

A 55-year-old presents with malaise, haemoptysis and creatinine 420 (baseline 90). Urine dip: blood +++, protein ++. How will you proceed?

Open scenario
Severe symptomatic hypercalcaemia

A 68-year-old with newly diagnosed myeloma presents drowsy and dehydrated. Adjusted calcium 3.8 mmol/L. Manage.

Open scenario
How to prep for Renal 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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