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However, knowing a strong answer isn't the same as delivering it well under pressure, which is why we provide:
- Study Groups with candidates across the country
- Unlimited Live Mocks with real people
- Peer Feedback on your mocks from a wide range of candidates
10 years’ experience preparing doctors for interviews
Users of the Medibuddy Renal Medicine ST4 Revision Platform have secured some of the most competitive training jobs in recent rounds. Ask around, there's a good chance the trainees in the year above you used us too.
Always up to date
Did you know the interviews change every year? That's why we review and update every Question Bank on the platform twice a year, so you know you're always practising with scenarios based on the latest interview structure.
Network and practise real interview scenarios with other candidates
Question Bank
See every scenario, and how to answer it well
Over 60 scenarios across both interview stations, which tell you exactly how to respond to each question.
Study Groups
Connect with candidates across the country
Most people only ever practise with one or two friends. Study Groups connect you with candidates right across the country sitting the same Renal Medicine ST4 interview.
Live MocksBeta
Practise interview technique with different candidates
Arrange or get matched on demand with other candidates and run real scenarios out loud under interview conditions. Those who practise with the widest range of people tend to score the highest.
Peer FeedbackBeta
Reviewed by candidates across the platform
Submit your recorded mocks to candidates across the platform and get honest, varied feedback. Reviewing other people's mocks teaches you just as much.
The question bank, and other candidates to practise with, all in one platform.
Renal Medicine ST4 interview prep has two parts
The Revision Platform gives you the questions, this year's model answers, and other candidates to practise them out loud with. The Renal Medicine ST4 Knowledge Course teaches the clinical topics behind those answers, so when the panel pushes past your first response in the clinical station, you've got somewhere to go. Most candidates take both.
Renal Medicine ST4 Revision Platform • £144.99
Gain access to over 60 scenarios across both stations, and collaborate with other candidates through Study Groups, Live Mocks and Peer Feedback.
Get instant accessRenal Medicine ST4 Bundle • £189.99
Save £44.99
The Revision Platform, plus the Renal Medicine ST4 Knowledge Course. A model answer shows you how to structure your response, while each Knowledge Course module teaches one renal topic in depth, so you can keep going when the panel asks challenging follow-up questions.
Get the bundleWhat candidates say
Scored well, secured their post
A few of the candidates who prepared with us for the Renal Medicine ST4 interview.
Verified candidate
"The clinical scenarios were pitched exactly right. Having a structure ready meant I could work through an acutely unwell renal patient calmly under pressure."Secured first-choice deanery
Verified candidate
"Practising the ethical and registrar questions out loud with other candidates was the single most useful thing I did before the day."Ranked highly
Part 1 • See the questions
The Medibuddy 2027 Renal Medicine ST4 Question Bank
What's inside
What's included in the Renal Medicine ST4 Question Bank
Clinical Scenarios
Renal cases and emergencies where you play the registrar, each with a worked answer showing how to structure your response.
Ethical Scenarios
The moral and legal dimensions of realistic situations, with structured model answers so you can reason through them clearly on the day.
Medical Registrar Suitability
Questions on managing the acute unselected take and leading a team, with model answers that show you're ready to work as a medical registrar.
Suitability & Commitment
Your chance to show your motivation for renal medicine, your future goals and why you're suited to ST4, with example questions and model answers.
Reflecting how renal medicine is really weighted
The clinical scenario and the suitability and commitment questions carry the heaviest weighting, and communication is marked across the first station. Our model answers are structured with that in mind, alongside the ethical and registrar themes.
Try it
Try an example Renal Medicine ST4 question
Miss T is a 26-year-old woman who presents to the emergency department with a one-week history of persistent headaches. She is in acute kidney injury with a creatinine of 420, urea 36 and eGFR 13, on a background of normal kidney function four months earlier.
Observations: heart rate 82, blood pressure 175/100, SpO2 93% on air, respiratory rate 20, temperature 36.7.
Urine dip shows blood +++, protein ++, nitrites negative and leucocytes negative.
How would you approach this?
That's one scenario. There are over 60 more.
Renal Medicine ST4 Revision Platform • £144.99
Includes every scenario in the Question Bank, and access to Study Groups, Live Mocks with other candidates and Peer Feedback.
Get instant accessRenal Medicine ST4 Bundle • £189.99
Save £44.99
Everything above, and the Renal Medicine ST4 Knowledge Course: 8 lectures covering the presentation, investigation and management behind the clinical station, so you're ready when the questions go deeper.
Get the bundleActively maintained
How we keep our Question Banks up to date
The Renal Medicine ST4 interview changes from year to year, and the biggest fear for any candidate is getting to interview day and realising you've revised with a question bank that's totally outdated.
Updated for 2027 InterviewsThat's why we review and update every Question Bank twice a year, so you know you're revising with scenarios that are likely to come up. We do this in April after the previous year's interviews, and again in the autumn when the new recruitment guidance is published.
Updated for 2027 interviews
2 clinical scenarios updated.
Part 2 • Practise them live
The only interview resource where you can practise live with other candidates from across the country
Our Renal Medicine ST4 Question Bank tells you exactly how to answer real interview scenarios. But how you practise with them will determine how many marks you score. Simply reading answers off a screen won't prepare you for the intense scrutiny you'll face in the interview. And only practising with the same few colleagues or friends limits the amount of feedback you'll get. Medibuddy gives you unique access to Renal Medicine ST4 candidates across the country, so you can learn from a variety of perspectives and hear a far wider range of feedback than your own circle could ever give you.
When you prepare in isolation, you're relying on your own interpretation of the interview process, which is one of the quickest ways to get found out on the day. Study Groups connect you with other doctors across the country who are also applying to Renal Medicine ST4, so you can engage and network with people preparing for the same interview as you. Everyone brings different experience from different hospitals and deaneries, meaning you won't ever miss out on the key bits of information that could swing the interview in your favour.
Candidates who don't take part in mocks often struggle to adapt to the pressure of the interview. Your knowledge might be correct, but without convincing delivery the interviewers will score you poorly. The best way to improve your delivery is to take part in as many live mocks as possible, which is why we haven't put a cap on how many you can do. We also know how difficult it can be to organise mocks with other people, so all you have to do is join the waiting room and we'll match you with a different Renal Medicine ST4 candidate each time. Take turns as both the interviewer and candidate on real Question Bank scenarios, so you can see exactly how other candidates perform in real time, while refining your own interview technique.
Preparing alone means you won't know how you're coming across during the interview. And preparing with the same few candidates means you'll miss opportunities to improve, which is why it's so important to get as many opinions as possible on your performance. With Medibuddy, you can record a mock and submit it for feedback from other candidates on the platform, so you receive a wider range of feedback and refine your answers with each person you practise with. Reviewing other people's mocks is just as valuable, as it shows you how strong candidates handle the same scenarios, which is one of the fastest ways to improve.
Pick your plan
Choose the Revision Platform, the Knowledge Course, or both
However, if you're doing well, the interviewers will often probe further to test the depth of your clinical knowledge. It's usually how they decide whether to award the top mark, and these are the questions you can only answer well with a thorough understanding of the topic.
The clinical station rests on that depth. A model answer shows you how to structure your reasoning, but structure only takes you as far as your clinical knowledge goes.
That's what the Renal Medicine ST4 Knowledge Course is for: 8 video lectures and around 3.5 hours on the renal topics the clinical station is built around, taught by renal registrars who've been through ST4 selection.
The Knowledge Course is £89.99 on its own. Most candidates add it for £45 as part of the Bundle, which is £189.99 instead of £234.98, so you save £44.99 buying both together.
What the Renal Medicine ST4 Knowledge Course covers
VasculitisRenal TransplantIndividual Kidney DiseasesHaemodialysisHaemodialysis ComplicationsChronic Kidney DiseaseAdvanced Kidney DiseaseAcute Kidney InjuryEvery lecture covers:
Core clinical understanding
Presentation and recognition
Investigation and management principles
Safety considerations and complications"The presentations were excellent for the purpose of interview preparation. The sessions covered the clinical aspects of the conditions covered."More about the Renal Medicine ST4 Knowledge Course
| Renal Medicine ST4 Revision Platform | Renal Medicine ST4 Knowledge Course | Best value • save £44.99Renal Medicine ST4 Bundle | |
|---|---|---|---|
| Question Bank: 60+ unique scenarios across both stations |  |  |  |
| Clinical, ethical, registrar and suitability scenarios | | | |
| Study Groups & Live Mocks with other candidates | | | |
| Peer Feedback: give and receive feedback from a wide range of candidates | | | |
| 8 video lectures, around 3.5 hours of clinical teaching | | | |
| Renal topics taught in depth | | | |
| Prepared for curve-ball clinical follow-ups | | | |
| Buy • £144.99 | Buy • £89.99 | Buy • £189.99 |
Instant access on web and the Medibuddy app. The Revision Platform and the Bundle both include Study Groups, Live Mocks and Peer Feedback.
The interview
What to expect from the Renal Medicine ST4 interview
Renal medicine is a competitive specialty. In 2025, 206 doctors applied for 58 posts, around three to four applicants for every place.
The interview has two stations with four questions, and takes around 40 minutes in total.
Station 1
Clinical Scenario
A case-based renal scenario assessing your clinical judgement and safe, structured management. This is one of the most heavily weighted parts of the interview.
Station 1
Ethical Scenario
You work through the moral and legal dimensions of a situation. Explain your reasoning, refer to relevant guidance, and show how you would handle it safely and professionally.
Station 2
Medical Registrar Suitability
Questions on managing the acute unselected take and leading a team, showing your readiness to work as a medical registrar.
Station 2
Suitability & Commitment
You’ll be asked about your motivation for renal medicine, your future goals and why you’re suited to ST4. This is also one of the most heavily weighted parts of the interview.
How the interview is scored
The questions are marked against the Renal Medicine ST4 person specification, with the clinical scenario and suitability questions weighted most heavily and communication scored across the first station. Our model answers are structured against those criteria, so you know exactly what a strong, well-organised answer looks like at each station.
Get ready
How to prepare for the Renal Medicine ST4 interview
Start with the Question Bank
Work through over 60 scenarios across both stations, each with a worked answer from a candidate who scored well in the 2026 interview. Start by reading how a strong answer is formed, then think about how you'd deliver it.
Talk the hard ones through in Study Groups
Study Groups are your biggest opportunity to network and connect with other candidates sitting the same interview as you. Everyone on the platform is in the same boat, so don't be scared to get involved and ask questions. Someone in your study group might just help you work through a scenario you've been struggling with.
Rehearse out loud in Live Mocks
Live mocks are where you begin to put everything you've learned into practice, and we know from experience that those who practise with a wide range of candidates usually do the best. Organise mocks with people from one of your study groups, or get matched with a random Renal Medicine ST4 candidate, then take turns as interviewer and candidate using real scenarios until answering out loud under pressure feels normal.
Get reviewed with Peer Feedback before the day
Once you've recorded a mock, you can have other community members review it. This lets you see how you come across to other people, and gives you time to refine your delivery as you revise, rather than being caught out on the day. Reviewing other people's mocks is just as crucial, as you see how other candidates navigate the same scenarios.
Build the clinical depth behind your answers
When a panel pushes past your first answer, real clinical knowledge is what carries you. The Renal Medicine ST4 Knowledge Course teaches the renal topics tested in the clinical station in depth, so add it if you want to be ready for the follow-up questions as well as the scenarios themselves.
Questions
Frequently asked questions
What does the Renal Medicine ST4 interview involve?
Two stations with four questions, taking around 40 minutes in total. Station 1 covers a Clinical Scenario and an Ethical Scenario, with communication marked across both. Station 2 covers Medical Registrar Suitability and Suitability and Commitment.
How competitive is the Renal Medicine ST4 interview?
Competitive. In 2025, 206 doctors applied for 58 posts, around three to four applicants for every place, which is why a structured, well-rehearsed approach matters.
Who writes the model answers?
High-scoring candidates who sat the Renal Medicine ST4 interview in 2026, and secured some of the most competitive posts.
Can I practise with other candidates?
Yes. Every Revision Platform purchase gives you the opportunity to connect with other candidates through Study Groups, Live Mocks and Peer Feedback.
How do the Live Mocks work?
All you have to do is join the waiting room, and we match you with another Renal Medicine ST4 candidate. You then take turns as interviewer and candidate on real Question Bank scenarios, so you gain experience answering out loud to a real person before you ever sit in front of the panel.
What are Study Groups and how do they help?
Study Groups are community forums for doctors across the country preparing for the same Renal Medicine ST4 interview. You can ask questions, share what you're struggling with, and compare how you'd approach a scenario.
Can I get feedback on my interview performance?
Yes. After you've recorded a mock, you can ask other members to review it, so you can see which part of your answer needs fine-tuning.
How do you keep the Renal Medicine ST4 Question Bank up to date?
We review and update it twice a year: in April after that year's interviews, and again in the autumn when the new recruitment guidance is published, so you always practise with the current two-station format.
How long do I get access for?
Access runs for 12 months from the purchase date.
What's the difference between the Question Bank and the Renal Medicine ST4 Knowledge Course?
The Question Bank is over 60 practice scenarios with worked answers and all the live-practice features. The Renal Medicine ST4 Knowledge Course provides the clinical depth behind your answers, with around 3.5 hours of content across 8 video lectures on the topics tested in the clinical station. Most candidates use both, and the Bundle saves £44.99.
Start preparing for the Renal Medicine ST4 interview
The Revision Platform gives you over 60 scenarios to practise and refine with other candidates through Study Groups, Live Mocks and Peer Feedback.