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UK Cardiology ST4 Interview – How to Prepare and Succeed

Dreaming of a career in Cardiology in the UK? The ST4 interview is a crucial hurdle, and preparation is everything! The interview is 45 minutes long, typically structured into these three key domains:


1️⃣ Clinical Station – You’ll face a cardiology case scenario (e.g., STEMI, arrhythmias, valvular disease). Your ability to assess, diagnose, and manage effectively under pressure is tested.


2️⃣ Communication & Ethical Station – This can range from breaking bad news about a poor prognosis to handling an ethical dilemma, like DNAR decisions. Empathy, clarity, and ethical reasoning are key.


3️⃣ Portfolio & Suitability Station – You’ll be scored on your CV (publications, audits, teaching, and leadership). Be ready to justify why you’re committed to cardiology and what makes you a strong candidate.


💡 Success Tips:

✅ Use the STAR method for structured answers.

✅ Know the latest ESC/BHF/NICE guidelines.

✅ Show passion for the speciality beyond just exam scores.


Competition is tough, but with the right strategy, you can secure your dream job in cardiology. Best of luck!




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