Neurology ST4 Interview Format 2022

For those starting their training in August 2022, a new curriculum will be followed and trainees now enter at ST4 level. The ST4 Neurology Interview currently consists of five question areas as set out below. 5-6 minutes is allocated to each area and the entire interview will be approximately 30 minutes. 

Neurology ST4 Interview Areas

Question 1 – Presentation 

The topic for this question is ‘An interesting case I have been involved in/a case that has changed my practice’. 

You will be expected to present an interesting (neurological!) case you’ve been involved with. This doesn’t have to be ground-breaking stuff; any case that you found interesting personally will do. Choose wisely.

The interviewers will expect you to present the case over 3 minutes, followed by some discussion. This will be without multimedia back up: imagine presenting a patient over a cup of coffee. A few minutes of questioning will then ensue, so make sure you get across the salient points. If you know the diagnosis, be prepared to discuss differentials and treatments. Your knowledge of the in-depth particulars are not being assessed; rather the interviewers are looking for a clear communication style and that you recognise the learning points of the case being presented.

Tips for success; practice in front of a mirror and film yourself. Our Neurology ST4 Interview question bank provides examples of presentations to give you an idea of how to approach this question area. 

Question 2 – Medical Registrar Suitability

This question is similar to the clinical management station that you find in other interviews. It will assess how well you manage logistical issues like prioritisation, delegation and team working. 

You will verbally be given a question by the interviewers, and this question area will last approximately 5 minutes. 

Question 3 – Professionalism & Governance

Questions will centre around your understanding of professionalism and standards in the specialty; knowledge of professional bodies involved in the practice of the speciality, recent publications related to the above and also general aspects of governance. Successful candidates will reflect their own experience in their answers; e.g. if asked about improving or identifying a problem within a service, you may wish to talk about the QIP you led the year previously and what the next steps are.

We recommend you familiarise yourself with Good Medical Practice. 

Question 4 – Application and Training

For this question, ensure you are familiar with the application that you submitted, as here you will be asked further questions about this as well as any training you have undertaken so far. The interviewers are assessing you on your ability to thoroughly answer the questions asked, your career so far and your achievements.

Question 5 –  Suitability and Commitment 

Here you will be asked questions such as why you wish to pursue a career in Neurology, why you would be a good neurologist, what experiences of neurology you have etc. It is a good idea to have answers to these questions prepared and really think about what inspired you to study neurology in the first place. 

Interview Scoring 

For each of the five topics above, you will be rated out of 5, by two markers, based on how well you perform. This means there is a total of 50 points on offer. As a guide, marks are awarded according to the following quality markers: 

0/1 – very poor answer; does not grasp concept.

2 – Poor answer; falls below standard required for commencement of ST4.

3 – Average Answer; Standard expected of an average candidate completing IMT.

4 – Good Answer; Above average ability.

5 – Excellent Answer; a high performing trainee.

Your raw interview score (RIS) is the sum of all 10 scores you receive, which will be between 10 and 50. Final points from the interview will be processed through a predefined formulae to combine the interview score with your short list score. The final mark will be published /110.3. The process of this and the formulae are available on the ST4 recruitment website.

Of note, candidates scoring ≤1 points will automatically be ranked as unappointable to an ST4 post and you cannot have more than two of your 10 scores as 2/5.

Good luck!

Further reading

More tips on smashing your Neurology interview.
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