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2027 entryOctober–November 2026

The Interactive Simulator for UK Higher Specialty Interviews.

Medical, surgical and obstetrics & gynaecology. Station circuits timed to your specialty's real format — PHST for the medical specialties, national selection for surgery and O&G — with scenarios and model answers written for each.

One station is free — no account needed.

Clinical scenarios
280+
Clinical scenarios
Specialties
20
Specialties
RIS-calibrated
/50
RIS-calibrated
  • PHST-aligned scoring
  • Qpercom multi-station format
  • GMC Good Medical Practice
  • Published sources cited

Why StepUp ST4

Everything that matters. Nothing generic.

Focused practice for the interview you are actually preparing to sit.

Your specialty's format

Questions, reading time and station length follow the published format for your chosen specialty.

Practice under pressure

Run a full circuit or drill one sub-station with question-level timers and realistic hard stops.

Feedback you can use

Compare each attempt with structured model answers, key points and Score-5 anchors.

The whole interview

Prepare clinical, portfolio, registrar, ethics and management stations in one place.

Evidence before promises

Built around the published interview.

Recruitment formats and competition figures are linked to their published sources. Clinical material is reviewed against current national and specialty guidance.

Explore specialty coverage
specialty clinical topics & vignettes
280+
medical, surgical and O&G specialties
20
complete station free — no account needed
1

How it works

Choose. Practise. Improve.

A simple loop that turns unfamiliar questions into a repeatable interview structure.

  1. 1

    Choose your specialty

    Open the library and interview format built for your application.

  2. 2

    Practise

    Answer aloud under the same reading time, pacing and hard stops.

  3. 3

    Improve

    Reveal the model answer, score your attempt and repeat your weakest areas.

MRCP launch offer · ends 30 October

40 clinical scenarios free + 30% off full access

Two fully worked clinical scenarios from each of our 20 specialties — opening, A–E, escalation and the follow-up questions examiners ask. Free with a StepUp ST4 account.

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Annual access with code

£69.30£99for your first year
Applied automatically at checkout from this page. Ends 30 October.
  • Every specialty, station and mock circuit
  • Examiner-grade model answers & Score-5 anchors
  • Renews at £99/year · cancel anytime

Begin your preparation

Walk in like you've already passed.

One annual membership unlocks every station, specialty and simulator. No tiers, no per-specialty upsells.

  • 280+ specialty clinical scenarios & vignettes
  • Score-5 mark schemes & answer anchors
  • Unlimited full mock interviews in your specialty's real station format
  • Portfolio calibration & scoring rubric
  • Every core medical specialty library

Annual plan

2027 entry
£99/ year

One payment covers your whole recruitment cycle — every specialty included.

Unlock full platform — £99/year

Billed annually · auto-renews · cancel anytime

Your next step

Start with the specialty you want.

See its interview format, competition evidence and complete preparation library.

Browse specialties