Published March 11, 2024 | Updated October 9, 2024
By Dr. Maliha Darmini
This is Dr. Maliha Darmini, an IMG in the UK. Trying to balance my medical expertise with the craft of storytelling.
Gastroenterology is a popular choice, and competition is tough. In the first round of 2023, there were 309 applications for 111 positions, making a ratio of 2.78 applicants for each spot. The competition in the first round of 2022 was similar, with just over 3 applicants per post.
So, to get a national training number for gastroenterology you need to put in the effort!
In this article, we go through:
Key Documents
Gastroenterology ST4 Recruitment Timeline
Check the schedule for crucial dates during the selection process on the recruitment timetable. The gastro application process follows the general higher speciality medical recruitment timeline.
Vacancies published | Wednesday 13th November 2024 by 5pm |
Applications open | Thursday 14th November 2024 at 10am |
Applications close | Thursday 5th December 2024 at 4pm |
Interviews | Thursday 2nd January to Friday 11th April 2025 (Gastro dates TBA) |
Initial offers out | Thursday 15th April 2025 by 5pm |
Interview Feedback | TBA |
Post start date | Wednesday 6th August 2025 |
Application
After submission of your complete application form, your application will undergo an assessment to determine your suitability for an interview. Assessors will evaluate how well you meet various essential and desirable qualifications, covering areas like:
Important: To accept a position, you need to have accomplished MRCP – Part 1 and Part 2 – before the offer date.
Check out Person Specification for more details.
Interview Format
Let’s uncover the Ins and outs of the gastroenterology interview at the ST4 stage.
We will explore:
We’ll break down what to expect, giving you a clear picture of how to shine in the ST4 gastroenterology interview.
The interview will be taken Online via Microsoft Teams or Qpercom Recruit, a particular medium used in speciality recruitment.
All stations include two scoring interviewers. In some cases, a third clinician may assist with questioning and logistics, but scoring will only be done by two interviewers.
Interview Stations
Like other Specialties, The interview will be a multi-station approach. It will be divided into two stations; each station contains two questions.
You’ll be given 5 to 10 minutes for each response. The entire interview is estimated to last around 40 minutes with the time between stations.
Station 1 – Clinical
Question 1: Clinical Scenario
Duration: Approximately 7 minutes.
You will be given a clinical scenario before the question with limited information that involves a hypothetical situation where you play a role.
You will be expected to play the role of a doctor – usually as a gastro registrar. Note that the interviewers don’t expect you to be at the same knowledge level as a current gastro ST4, but as an IMT3 who has some specific knowledge in gastroenterology.
Sample Question
A sample question, provided by Optimise Interviews:
You are the gastroenterology registrar on the acute take. You are asked to see a 34-year-old man with abdominal pain and jaundice. Please discuss how you would proceed.
The scenario will be led by your interviewers, who will guide you through taking the following steps:
- Talk through the steps you would take, including your prioritisation of tasks
- Discuss the potential management of the patient or possible treatments
- Talk about the additional information you’d gather
- Discuss how you’d approach communicating with patients, family, and colleagues
You will be assessed on your suggestions and responses, including the interpersonal skills you display.
Question 2: Clinical Presentation
Duration: Approximately 8 minutes (4 min presentation + 4 min Q&A)
This question entails delivering a four-minute presentation on either:
In this presentation, you are not trying to impress them with your achievements or clinical ability. Instead, the focus is on communication skills – how well you can communicate your understanding of the topic to the interviewers.
If you reach the four-minute mark and haven’t finished, you will be asked to stop. This isn’t to say that this is a complete disaster – rather, this is to make sure the interviewers can spend time asking questions. However, if you’re running quite late this will leave a bad impresison.
You won’t be able to share a screen or anything you’ve written down, but you are allowed to prepare some cue cards on “small cards”.
You will be assessed on the level, depth, structure, and content of your presentation – focusing on your understanding of the topic.
Station 2 – Professional Suitability
Question 1: Suitability & Commitment
Duration: Approximately 7 minutes
This interview segment, lasting around seven minutes, evaluates your appropriateness and dedication to Gastroenterology. It offers an opportunity to elaborate on the details you supplied in your application form.
In other words, you answer the interviewers’ questions using your portfolio, showing:
You should be prepared in advance for this station, using your portfolio as a guide.
Maximising Your Achievements
A few tips to maximise your answers include:
Question 2 – Medical Registrar Suitability
Duration: Approximately 8 minutes
The last question centres on the non-clinical aspects of being a medical registrar. It specifically addresses two Capabilities in Practice (CiPs) from the Internal Medicine Stage 1 Curriculum:
In this station, interviewers initiate the discussion with a question, allowing no pre-preparation time. The anticipated duration for this question is approximately 8 minutes.
You’ll be tasked with detailing your experience in leading a team responsible for acute medical admissions, providing illustrative examples throughout. You might be asked about how you have or would deal with:
Again, during this question, you should try to follow a structured approach such as BARER.
Interview Scoring
The gastro ST4 interview is scored by question, with each interviewer giving you a score out of 5 (with two separate scoring areas in your first clinical question). The scoring is as follows:
Appointability
Anything below a 3 is an area of concern and could affect your appointability.
If you score a 1 on any of the questions, from either interviewer, you will be deemed unappointable. That means you can score 5/5 on every question except one, but if you get a 1/5 on that question you won’t receive an offer.
You can only score two of your ten interview scores at 2/5, and your raw interview score must be 30 or above (out of 50) – this means an average of 3/5.
To summarise, you are appointable if:
- Your raw interview score is 30/50 or above
- You get a maximum of two 2/5 marks (out of 10 total scoring opportunities)
- You don’t get any 1/5 marks
Should you meet these criteria, your scores will be weighted to determine whether you make the cutoff for a training number.
Weighting
If you’re found to be appointable, your score is then weighted.
Note that your answers to the clinical scenario, as well as your suitability & commitment, are the most heavily weighted.
Your weighted score out of 80 is the combined with your application score (based on the ST4 scoring criteria), which provides the final 20% of your total score.
Appointable candidates are then ranked based on their final score out of 100. You will receive a job post in the first round of offers if you get into the top selection based on the job post cutoff (e.g. if there are 20 posts available, you’ll be offered a post if you are in the top 20 scores).