The published national format has two 11-minute stations, with communication assessed in each. Your course covers both stations, including the two-minute achievements presentation and one-minute clinical handover.
Station 1
Achievements, suitability and professional judgement
11 minutes · Four scored areas
Discuss your application and achievements, explain your suitability for IMT and respond to an ethical, professionalism or governance scenario. Your communication is also assessed throughout this station.
Course focus: a concise two-minute presentation, relevant evidence and thoughtful, clearly explained answers.
Station 2
Clinical reasoning, communication and handover
11 minutes · Three scored areas
Work through an unfamiliar clinical scenario, explaining investigations, diagnosis and management as information develops. Communication is assessed separately, and the station ends with a one-minute handover.
Course focus: safe priorities, explicit reasoning and a clear, concise summary for a colleague.
The sections below explain how we help you approach each part. Practice focuses on the skills being assessed, not predicting the questions you will receive.
01
Station 1: application, achievements and suitability for IMT
The interview begins with an exploration of your achievements and suitability for Internal Medicine Training. You need to do more than list what is on your application. The interviewers are interested in what your achievements demonstrate, which experiences are most relevant to becoming an internal medicine trainee and whether you can communicate your motivation and suitability convincingly.
During the course, we help you identify the strongest evidence from your own experience and present it concisely without turning your answer into a chronological tour of your CV.
02
Your two-minute IMT presentation
You are required to begin the interview with a two-minute verbal presentation on your achievements relevant to becoming a trainee in internal medicine. Two minutes is a very short time. The challenge is selecting the right evidence, creating a clear structure and giving enough context for your achievements to mean something without becoming lost in detail.
We work on how to decide what deserves to be included, how to create a coherent narrative and how to deliver the presentation naturally rather than sounding as though you are reciting a memorised script. The published presentation guidance asks you to focus on achievements relevant to becoming an internal medicine trainee. Your answer should connect the evidence to that purpose, rather than simply list everything you have done.
03
Station 1: ethics, professionalism and clinical governance
You will also be presented with an ethical, professional or governance scenario that you have not seen in advance. The course helps you approach these questions systematically: identifying the central issue, recognising the relevant professional principles, considering the people affected and explaining what you would actually do.
Topics may involve areas such as consent, capacity, confidentiality, safeguarding, mistakes, professional conduct, escalation and reflection. The objective is not to recite ethical principles or GMC guidance. You need to demonstrate that you can apply professional judgement to the situation you have been given.
04
Communication in Station 1
Communication is now scored separately in Station 1, so how you communicate your answers matters in its own right. You need to be structured and concise, answer the question directly and communicate your reasoning in a way that is easy for the interviewers to follow.
Throughout the course, feedback therefore considers not only what you say but how effectively you communicate it.
05
Station 2: the clinical scenario
In Station 2, you are given a clinical scenario and asked questions about how you would assess and manage the patient. The scenario may develop as the discussion progresses, with additional information or data provided by the interviewers.
You will learn how to:
- Identify the immediate priorities within an unfamiliar clinical scenario
- Develop an appropriate differential diagnosis
- Select and justify relevant investigations
- Explain management decisions clearly
- Demonstrate safe escalation and prioritisation
- Recognise communication, professional and patient-safety issues within the scenario
- Avoid turning your answer into an unfocused list of everything you know
The aim is not to test obscure medical knowledge. It is to help you demonstrate safe clinical reasoning at the level expected of an applicant to Internal Medicine Training.
06
Communication in the clinical scenario
Communication is also scored separately in Station 2. This includes how you would communicate with patients, relatives and colleagues within the scenario, as well as how clearly you communicate with the interviewers themselves. We therefore look at the way you explain decisions, adapt your communication to the people involved and maintain structure even when the scenario changes.
07
The one-minute clinical handover
The clinical scenario finishes with a one-minute handover of the patient to a colleague. A good handover needs to be concise, clinically relevant and easy for the recipient to follow. You cannot simply repeat everything that has been discussed during the scenario. The course gives you opportunities to practise selecting the information that matters, organising it logically and delivering it accurately within the time available.