Cardiology ST4 Interview Course
Prepare for one of the most competitive medical specialities by mastering frameworks needed to secure your first choice job
Key Features
50+ Expert Topics
Over 100 Questions
New 2027 Updates
Member Only Discussions
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About
The Cardiology ST4 interview is competitive – an intense 2-station viva with about four applications for every post in 2025 (540 applications for 134 posts, NHS England figures).
To secure your first-choice job and preferred deanery, you need more than knowledge – you need structure, focus, and the ability to perform under pressure. In short, you must prepare for this interview with the same strategy you’d bring to an exam.
This course gives you clear frameworks for each station, step-by-step guidance from high-scoring cardiology trainees, and practical tools to refine your delivery. By the end, you’ll know exactly how to approach every scenario, communicate confidently, and stand out as a polished, well-prepared future Cardiology registrar.
Every module mirrors the real Cardiology ST4 interview so your preparation feels focused and realistic. You’ll learn the skills that consistently separate high-scoring candidates at national selection, applying proven frameworks across clinical, management, and communication while targeting the domains that carry the most marks and make the biggest difference to your overall score.
What You'll Learn
- Understand the Cardiology ST4 interview format and scoring domains
- Structure clear, high-scoring answers using proven frameworks
- Tackle challenging scenarios with high-level registrar thinking
- Communicate effectively in difficult conversations and interactions
- Refine your delivery, timing and confidence with realistic scenarios
- Focus your preparation efficiently on the areas that score the highest
Course Content
Overview & Strategy
Interview Content
How To Prepare For The Interview
Key Knowledge And Requirements
Communication
Practice And Managing Scenarios
Tools
Common Issues And Pitfalls
Suitability And Commitment
Overview
Strategy & Tips
Example Questions
Medical Registrar Suitability
Introduction
One Minute Presentation
Managing An Acute Unselected Take
Domain 1: Professional Values And Behaviours
Domain 2: Professional Skills
Domain 3: Professional Knowledge
Domain 4: Capabilities In Health Promotion And Illness Prevention
Domain 5: Capabilities In Leadership And Teamworking
Domain 6: Capabilities In Patient Safety And Quality Improvement
Managing A Multi-disciplinary Team Including Effective Discharge Planning
Domain 1: Professional Values And Behaviours
Domain 2: Professional Skills
Domain 5: Capabilities In Leadership And Teamwork
Ethical, Professionalism And Governance
Introduction
DVLA Guidance
Procedural Competence
Requesting Investigations For Work Colleagues
Bullying
Emailing The Incorrect Email Address
Post Pacemaker Implant Complication
Delegating Under Pressure In A Busy Catheter Lab
Sustainability In Cardiology
Capacity For ICD Implantation
Bed Pressures
Choice of stent for PCI
Cardiology Clinical Scenarios
Cardiology Clinical Scenarios
Introduction
Hypotension Following A Coronary Angiogram
Shortness Of Breath Post Atrial Fibrillation Ablation
New Onset Heart Failure
Chest Pain Following Pembrolizumab Therapy
Palpitations In A Patient With Wolff Parkinson White Syndrome
Symptomatic Bradycardia
Chest Pain Following 5 Fluorouracil Therapy
Symptomatic Palpitations
Syncope During A Football Match
Exertional Chest Pain And Palpitations
Non Cardiac Surgery
Aortic Stenosis
Mitral Regurgitation
Dilated Cardiomyopathy
Infective Endocarditis
Syncope At Home
Pericarditis
Hypoxia After Cardioversion
Bradycardia In A Patient With A Pacemaker
Recurrent ICD Shocks
Flexible Learning
Mock Interview Dates
Choose your preferred date then select Mock Only or Pro Bundle
Authors
Neil is a Cardiology Registrar and PhD candidate at King’s College London, who began specialty training in 2020 as an Academic Clinical Fellow in the South Thames Deanery. He holds an MBChB (Hons), a first-class BSc in Anatomical Sciences (University of Manchester), and MRCP, with Distinction-level postgraduate certificates. His interests span electrophysiology, atrial fibrillation, and cardiac imaging, and he holds BSE TTE accreditation. He is a recipient of a highly competitive Medical Research Council Clinical Research Training Fellowship.
Why Medset?
Speciality interviews are competitive – and we know what it takes to succeed. Since 2013, we’ve helped thousands of doctors secure training posts by mastering the frameworks, question styles, and high-yield topics that lead to top-ranked offers.
Next-Gen Learning
Our next-generation learning platform Examable® combines expert content with progress tracking, personalised stats, smart notes, podcasts, and discussion boards – giving you everything you need to get that competitive edge.
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FAQ
What is the Cardiology ST4 National Recruitment interview?
A structured, online interview with 2 stations (~50–55 minutes total).
• Station 1: Suitability & commitment, plus “medical registrar suitability” with a 1-minute acute take presentation, and an ethics/professionalism question.
• Station 2: Two timed clinical scenarios, with communication scored across the station.
Scoring uses paired assessors with weighting across six scored areas.
How competitive is Cardiology ST4?
Competition varies year to year. In 2024 it was about 3.94 applicants per post nationally. NHS England figures show 4.03 applications per post in 2025 (540 applications for 134 posts); the 2026 figures are not yet published.
When is the Cardiology ST4 interview?
Are interviews still held online?
Yes. All HST specialty interviews are online via the national platform.
£129
Key Features
- 50+ expert written topics
- Over 100 clinical questions
- Common & curveball stations
- New 2027 interview updates
- Mock Interview with Pro Bundle
£329
Key Features
- Full online mock interview
- Led by experienced cardiologists
- Personalised feedback
- Common & curveball stations
- Online course with Pro Bundle