A clinical-grade prep platform for UK Higher Specialty Training interviews. Score your portfolio against the PHST framework, simulate 22-minute stations under pressure, and rehearse with consultant-style mark schemes.
75-year-old presents with sudden breathlessness and chest pain. CTPA confirms saddle PE with right heart strain. Walk us through your acute management.
Situation: haemodynamically borderline PE with RV strain
Background: hormone therapy, recent immobility post-op
Assessment: high-risk PE — sPESI 2, troponin positive
Recommendation: ICU, anticoagulate, consider thrombolysis
Why StepUp ST4
Engineered with registrars who have sat — and passed — the panel. No recycled MCQs. Real stations, real frameworks, real timing.
Interactive self-assessment across all six portfolio domains. Dynamic totals as you select between local poster vs national oral, single-cycle audit vs closed-loop QI.
Mirror the real online interview format. Strict countdown timer, tabbed sub-stations, and a recording surface so you rehearse under genuine time pressure.
Every clinical answer scaffolded with SBAR for handover and SPIES for ethical dilemmas — the exact structures interviewers listen for.
Reveal what the panel is looking for after each attempt — early escalation, red-flag identification, structured management — and self-grade against it.
The stations
Acute presentations, management plans, escalation.
Why this specialty, achievements, evidence.
Teamwork, QI, service development, NHS structure.
Capacity, confidentiality, raising concerns, GMC.
Specialties covered
Clinical stems are mapped to each specialty curriculum. Portfolio, management and ethics stations are shared because panels ask them universally.
Run a full 22-minute mock interview right now — clinical stem, portfolio probe, ethical dilemma, mark scheme.