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ST4 Medical Specialty

Respiratory Medicine ST4 Interview Masterclass

NIV, asthma, oncology MDT and SBAR under pressure.

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

Competition
~2.8:1
Scenarios
13
RIS
10–50
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Specialty focus areas

High-yield prep targets unique to Respiratory Medicine.

Station 1 — Acute Respiratory Hub

  • Type 2 respiratory failure: NIV criteria, escalation ceiling.
  • Acute severe asthma BTS/SIGN and life-threatening features.
  • Tension pneumothorax — ATLS 10th ed sites and chest drain governance.
  • SVC obstruction, massive haemoptysis — oncology liaison.

Station 2 — Respiratory Reg Hub

  • Lung cancer MDT — your contribution as the registrar.
  • Bronchoscopy / pleural procedures — WHO checklist, consent, complications.
  • Ethics: smoking cessation, advance care planning in COPD.

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

Premium Practice Question Bank, Vignettes & Mock Circuits

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

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How to prep for Respiratory 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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