StepUp ST4
All stations/Station 1

Station 1 — Clinical & Portfolio

Acute clinical reasoning + commitment to specialty

≈ 15–16 minutes 2 examiners (same panel for both sub-stations) 2 sub-stations

Two back-to-back sub-stations with the same panel on Qpercom. The panel first tests how you manage an acute clinical scenario, then probes your portfolio and commitment to the specialty you've applied to.

Sub-stations

Same panel of examiners moves through both in sequence.

Sub-station 1A7–8 minutes

Clinical Scenario

An unseen acute medical vignette. You verbalise assessment, differentials, immediate management, escalation and safety-netting at registrar level.

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Sub-station 1B7–8 minutes

Portfolio & Commitment to Specialty

Same panel, new domain. Examiners probe why this specialty, evidence of commitment, achievements, audit/QI, teaching, research and reflective practice.

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