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Supporting you at Every Step of your

IMT & ST4 Medical Interview Preparation

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Our 2024 Statistics

13

Specialties Covered

100 +

Videos including mock Q&As

99 %+

Would recommend our course

74 %

Scored > 90% at interview

13

Specialties Covered

100 +

Videos including mock Q&As

99 %+

Would recommend our course

74 %

Scored > 90% at interview

Sign up for Round 2 courses here

From Application to Success

From application form clinics to personalised feedback from your full mock interview- our Speciality-specific programmes will support you at every step. O.I. is the largest network of specialty trainees from across the country brought together for the purpose of Specialty Interview preparations- join today!

Peer-to-peer support

Our community of successful trainees guide you through your interview process. Get honest advice and feedback from dozens of your predecessors- not just on the Courses but through the OI ‘Communities’ afterwards too.

Flow chart of interview structured approach

Proven interview techniques

Everyone is different. We do not recommend a ‘one-size-fits-all’ approach to the Interview- it’s so transparent. By working with a diverse faculty and hundreds of applicants we help you identify your strengths (and weaknesses!) efficiently

Vignettes, videos and podcasts

We have vignettes for the common stations in your specialty. Clinical Knowledge update videos that focus on the interview-relevant facts. And podcasts and videos of strong and poor model answers with feedback. So you can read, listen or watch on your mobile or computer anytime.

Our IMT & ST4 Medical Interview Courses

When you sign up, you will receive details and prep materials for our famous Interview Course- with Interactive sessions just for your Specialty, an afternoon of mock circuits and personalised feedback to get you Interview ready. You also get immediate access to the hours of video, audio and written vignettes to start learning and practicing right now! And we have developed ‘OptimiseResearch’ to cover the Academic components expected of a high-performing trainees

10th January

Internal Medical Training (IMT)

Led by Dr Justin Chong, Dr Sashi Ganesananthan, Dr Alexis Adam, Dr Tamara Aaron, Dr Yasmin Nikookam and more top-ranking IMTs

  • On-demand access to the 2025 workshops and breakout sessions from the Course with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
21st February

Infectious Diseases ST3/4

Led by Dr Robert Gray & Dr Ronak Shah

  • Live workshops and ID breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
  • Designed for ST3 and ST4 CIT interviews
14th February

Haematology ST3

Led by Dr Priya Sriskandarajah

  • Live workshops and Haem breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
17th January

Geriatric Medicine ST4

Led by Dr Joseph Hetherington

  • Live workshops and Geris breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
21st February

Endocrinology ST4

Led by Dr Layla Thurston & Dr Marcus Martineau

  • Live workshops and Endo breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
21st February

Dermatology ST3

Led by Dr Narin Shareef

  • Live workshops and Derm breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
14th February

Rheumatology ST4

Led by Dr Samir Patel

  • Live workshops and Rheum breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
21st February

Neurology ST4

Led by Dr Charles Wade

  • Live workshops and Neuro breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
14th February

Renal Medicine ST4

Led by Dr Giada Azzopardi

  • Live workshops and Renal breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
21st February

Gastroenterology ST4

Led by Dr Michael Colwill

  • Live workshops and Gastro breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
21st February

Respiratory Medicine ST4

Led by Dr Tom Mason

  • Live workshops and Resp breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
14th February

Cardiology ST4

Led by Dr Balrik Kailey and Dr Nikhil Ahluwalia

  • Live workshops and Cardio breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
14th February

Oncology ST3

Led by Dr Shahin Ghezelayagh

  • Live workshops and Cardio breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
14th February

Palliative Care ST4

Led by Dr Joseph Hetherington

  • Live workshops and Palliative Care breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
14th February

Acute Medicine

Led by Dr Joseph Hetherington

  • Live workshops and Acute Medicine breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions
Date TBA

ACF

Led by Dr Joseph Hetherington

  • Live workshops and ACF breakout sessions with strategies and examples of each station
  • Online videos, podcasts and vignette libraries
  • Whatsapp groups for ongoing discussions and practice sessions

Hear from your predecessors!

We have a whole page of >50 reviews if you want to see more.

Just wanted to say thanks to the whole Optimise team after ranking top for my Neurology application. The info provided from the start (pre-application) through to pre-interview prep, including mock interviews, was super useful and really gave a great structure and focus to my preparation. Although I had help from colleagues too I don’t think I would have achieved this outcome without the course to provide the baseline structure. Thank you!

OptimiseNeuro 2025- Rank: 1st

Optimise Interviews was a vital resource for me in my preparation for my NTN interview. I utilised all the resources, including knowledge videos, sample cases and, most usefully, the teaching day with mock interviews. These helped me to build up confidence going into the interview and I found the WhatsApp group useful for direct contact to the course organisers and get advice from fellow interviewees. Thank you to all of Team Optimise for helping me to secure a Cardiology number – I am so grateful.

Cardio 2024 attendee- Rank: 1st

The course and preparatory materials on the website were everything I needed to excel in my interview. It was well worth it!!!!

OptimiseRheum 2025- Ranked top 10

Very useful course run by competent and up to date registrars with real-life experience of the interview

OptimiseResp 2025- Rank: 4th

The optimise course and online content was critical to my success in my renal HST application. The course provided so many valuable tips and the mock interview was very helpful with great feedback. The online content Is a treasure trove of useful information which really helped structure and guide my interview prep. I would recommend the optimise course and online resource for anyone who wants to excel in their hst interview and achieve their top ranked job!

OptimiseRenal 2025- Rank: 3rd

I scored very well in my application. At least 50% of this was due to optimise interviews alone. In particular, I was impressed by the detail of the video resources provided, the focus on high yield topics, and above all, the amazing support and communication which came directly from the organisers. I truly feel that anyone who applies for higher specialty training would be at a disadvantage if they do not undertake the optimise interviews courses.

OptimiseEndo 2025- Rank: 8th

I struggled to get a good rank last year (178) and optimize really helped me improve my interview skills. My rank this year is 25 (with station score of 10,10,10,10,9. I am the same kind of doctor now as I was last year but the only difference is to present your best version in a short imline interview and this course was a massive help in ensuring that. Thank you guys for your help. 

OptimiseIMT 2025- Rank: 25th

The Optimise Course was the single most important ingredient in my interview preparation. I am so grateful for the course not only for waking me up and giving me the perfect balance of fear and motivation to work my hardest, but also providing a fantastically time efficient, direct, high intensity, high yield resource that more than justified the cost in time and money over and over again. I have now accepted an offer from my first choice deanery North Central East London. Thank you so much!

OptimiseGastro 2025

Optimise Interview Cardiology provided candidates with high quality contents including mock questions, knowledge update videos and many more. I made the right decision of subscribing their channel and it has obviously helped me a great deal in the actual interview. 
The mock circuit was exceptionally useful and the individual feedback enabled me to revise the areas that needed improving. I would highly recommend Optimise Interview for anyone who’s preparing for ST interview. 

OptimiseCardio 2025

I think the course played a huge part in me getting my rank. Most useful were Rob’s overviews of microbiology (v informative) and the general interview advice videos from Balrik and Nikhil about interview techniques and condensing your answers. Id really recommend this resource for anyone doing specialty interviews – thanks again!

I.D. 2024 attendee- Rank: 2nd

I am extremely thankful to all of you for the guidance on approach to ST4 interviews.
I am happy to let you know I managed to secure both renal and rheumatology number and I have opted for Rheumatology:)

Thank you so much again.

Optimise Rheum and Renal 22

Just wanted to say thanks to the whole Optimise team after ranking top for my Neurology application. The info provided from the start (pre-application) through to pre-interview prep, including mock interviews, was super useful and really gave a great structure and focus to my preparation. […] I don’t think I would have achieved this outcome without the course to provide the baseline structure. Thank you!

Neuro 2024 attendee- Rank: 1st

Thank you so much to the Optimise team for organising a fantastic course with really helpful resources! The team provided excellent advice on the best strategies for interview preparation, structuring answers and scoring higher level points on the day. Will highly recommend!

IMT 2024 attendee. Score 80/80

Very useful course run by competent and up to date registrars with real-life experience of the interview.

Resp 2024 attendee- Rank: 4th

Optimise interview is the best and possibly only resource needed to score highly in the Cardiology interview. Thanks to the whole team!

Cardio 2024 attendee- Rank: 2nd

I think this was a brilliant course! Compared to other resources which were essentially just question banks, this felt so much more in depth and personalised. Having the videos to work through during my own time followed by the mock really helped me get into that interview mindset. Thanks!

OptimiseIMT 2024

Optimise Interviews was a vital resource for me in my preparation for my NTN interview. I utilised all the resources, including knowledge videos, sample cases and, most usefully, the teaching day with mock interviews. These helped me to build up confidence going into the interview and I found the WhatsApp group useful for direct contact to the course organisers and get advice from fellow interviewees. Thank you to all of Team Optimise for helping me to secure a Cardiology number – I am so grateful.

OptimiseCardio 2025

The course has been an excellent tool for my preparation. It gave me a clear idea on what to expect in my interview and what the examiners want to see in you as the potential candidate.
The interviewer feedback was useful to guide on how to frame the answers and the mistakes to avoid in the actual interview. I’m glad I chose to attend this course, as it helped me achieve a high score and to get my chosen specialty in the region that I wanted. So, I would definitely recommend this course to anyone who will be applying in the future rounds.

OptimiseCardio 2025

Practising with a registrar in the afternoon session of the course was invaluable. I received specific and constructive feedback which helped me front load and structure my answers well. I got my first choice in dermatology.

OptimiseDerm 2025

Any questions?

When should I start preparing for my ST4 or IMT interview?

I’ll break this into two components-

1. Knowledge and Experience and 2. Interview Technique

1. Knowledge and Experience: You’ve been working on this for many years. Whether explicitly or not, if you hold the Person Specification or Mark Scheme up against your CV, you’ll see you’ve probably ticked many of these boxes already- and you didn’t do that with your eyes closed. If you haven’t looked at your Person Specification, do it now. At our Application Form Preparation Webinar we go through what you can do to maximise your score from your achievements and what you can do from 3 months pre-interview.

2. Interview Technique: We put this question to our successful candidates from previous years (see the Tips and Tricks videos within your Package). Most candidates applying for ST4 said they actively started preparation for Interview in January. A small number started in February (using the Interview Course as their foundation). This means you should treat the Interview like an upcoming exam and devote the time that something like this deserves. This was repeatedly emphasised by our successful candidates. That means practicing with peers, preparing your answers and putting into practice all the technical skills you learnt at the Course. Put in the work to get the outcome you deserve! For trainees applying for IMT interview, the consensus was to start much earlier- from November, as soon as the Application Form was being drafted.

What is the Person Specification

This specialty specific document covers the eligibility criteria as well as the desirable characteristics for a Registrar in that Specialty (i.e. what you need to demonstrate in your interview).

You can read your individual Person Specification below (we strongly recommend you do so before your interview!) but to start with, we’ve highlighted some of essential aspects that are shared across the specialties- focusing on the desirable criteria:

Clinical knowledge & expertise:

This encompasses a deep understanding of diseases, medical conditions, treatment protocols, and evidence-based practice. It involves both theoretical knowledge and practical application in patient care.

Academic skills:

This might include abilities related to research, teaching, and continuous learning. It often involves skills in critical appraisal, understanding medical literature, and contributing to the scientific community through research and education.

Personal skills:

This is a broad category that usually includes interpersonal skills, professionalism, empathy, resilience, and the ability to work effectively within a team. It’s about how well a doctor interacts with patients, colleagues, and the wider healthcare system.

Communication Skills:

  • Demonstrates clarity in written/spoken communication, and capacity to adapt language to the situation, as appropriate
  • Able to build rapport, listen, persuade and negotiate

Management and Leadership Skills:

  • Evidence of involvement in management commensurate with experience
  • Demonstrates an understanding of NHS management and resources
  • Evidence of effective multi-disciplinary team working and leadership, supported by multi-source feedback or other workplace based assessments

Organisation and Planning:

  • Capacity to manage/prioritise time and information effectively
  • Capacity to prioritise own workload and organise ward rounds
  • Evidence of thoroughness (is well prepared, shows self-discipline/commitment, is punctual and meets deadlines)

Specialty Specific Person Specification links:

IMT

Cardiology ST4

Gastroenterology ST4

Renal ST4

Respiratory ST4

Dermatology ST3

Endocrinology ST4

Rheumatology ST4

Neurology ST4

Geriatrics ST4

Haematology ST4

Combined Infection Training ST3

Combined Infection Training ST4

Does my Study Budget cover this Interview Course?

For ST3/ST4 applicants:

We had many attendees do this last year. Both IMT3s and Fellows.

For IMT3s applying through HEE: Interview courses are ‘desirable’/’aspirational’ category and so you should follow the protocols in your Deanery. This can take time so please apply early as it needs to be submitted to your School before the Course date to be processed.

For Fellows: Most Hospitals have an education fund that is managed by your Training Director and many Fellows successfully applied for this. Don’t ask, don’t get!

For IMT applicants:

For FY2s applying through HEE: You are allowed one “Course aligned to career intentions for entry into relevant specialties”. The Course Code is FND0013. Again, please apply early for this as it must be submitted BEFORE the Course date. Click here for the full guidance.

For Fellows: Your Trust should have protected Funds to support your Study Leave needs. Speak to your Educational Supervisor and reference the HEE Foundation Course list above.

Can you prepare for an interview?

Unlike written exams, there is no single way to prepare for your ST4 interview. That’s abundantly clear when you hear the Interviews of the successful applicants from previous years- no two stories are the same. However, there are some common themes that suggest preparation was incredibly important to them.

If there are things you can do to improve your score by 1% that can jump you several places up the rankings to get your preferred job in your preferred Deanery. And so taking the time to really understand what’s expected of you and what to expect on interview day is the first step in ensuring you do meaningful preparation. Secondly, understanding which components of your CV are highest value and how to demonstrate them most effectively is crucial when you have 30 minutes to sell yourself. On the Course, we go through how to identify this for yourself and different strategies to ensure you score the points for it. Finally, practice, practice, practice- was the mantra of the highest ranking candidates we worked with, whether that’s with your Registrars, your Consultants, your friends- the more you practice the more prepared you will be to perform on the big day. If you come on the Course, we’ll go through dozens of practice stations in the Workshops and Mock Circuits and our Whatsapp groups are a great way to meet other trainees applying alongside you to buddy up with and practice after the Course using our online Vignettes.

How can I find out about the 2022/2023 application timeline and interview dates?

The timeline hasn’t been published yet. Take a look at the 2021/22 timeline below and we expect similar dates this year round. Except for the interview dates- these can vary significantly. They are usually released around February time and we review them on the Course so watch this space!

I think my application form was scored incorrectly is there anything I can do?

If you attended our Application Form Workshop we go through how to score yourself and do everything you can to avoid this situation. (Prevention is better than treatment!) But if this happens, there is an appeals process which we describe as there have been successful appeals in the past from our Candidates with their score revised- so don’t write it off!

Feel free to contact us if you’re in this situation and we’d be happy to discuss the process further with you.

I want to apply to multiple different specialties, is that allowed?

Yes it is and several candidates have done it before (with multiple offers as well!). However, you should think hard if it’s best for you as it is additional time and effort commitment that you are taking away from your initial application. You will need to be especially organised about this and essentially prepared two separate applications (a copy and paste job will not cut it!) and think especially about how you will demonstrate meaningful commitment to specialty. We make special arrangements for any individuals signing up to two Optimise Interview packages so please get in touch with us early if this applies to you.

What are the differences between the face-to-face interviews and virtual?

Not only is there a new station (the Med SpR station) but the running order, examiner set-up and techniques for virtual ST4 interviews differ from the old face-to-face, across the table interviews. We go through these in detail on the Course and help make

What is special about this Interview Course?
  1. 1. All our materials and content are entirely designed by SpRs currently in training posts in the NHS. (The IMT Course has been produced by IMTs and SpRs)
  2. 2. We have recently been through the Interview Process ourselves.
  3. 3. We are a diverse group of Trainees with different personalities. This is not a single person’s perspective and that means you are more likely to find a style and technique that plays to your strengths.
  4. 4. Our Specialty content and Specialty Course components are designed and run by Registrars from your Specialty.
  5. 5. We are multi-modality- you have the live Interview Course and Mock Circuit, you have the ‘Practice Communities’ for private Forum-style discussions with your peers, you have written vignettes for your specialty, you have videos and you have podcasts. So whether you’re commuting on the bus, driving home for Christmas or working on your laptop late into the night, we have materials suited to you.
  6. 6. We are dynamic- if you ask for us to produce content for a tough question you’ve thought of- we’ll make it!
  7. 7. We are growing- each year the highest scoring candidates come in to the Optimise Interviews Faculty and help produce more content and materials to help you learn from their experiences. We’re running out of space on our About Us page…and we love it!