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Core Surgical Training CT1 · Interview Preparation 2027

30 minutes. Three stations.
One shot at surgery.

The CST interview tests management decisions, clinical judgement, and surgical portfolio — all in one 30-minute session. Practice every section with AI until the answers come naturally.

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5,000+ applicants compete each year · All 3 stations covered · Instant scored feedback · Available 24/7

Apps open: Oct 2026MSRA shortlisting: Dec 2026Interviews: Feb–Mar 2027

The Format

Know exactly what's coming.

The CST interview is 30 minutes online via Qpercom. Three sections, same panel, no breaks.

01

Management Question

10 mins

You're given a scenario: a ward crisis, a struggling colleague, a leadership dilemma. Examiners assess how you think through problems — not just what you know, but how you decide, prioritise, and escalate. Frameworks like SPIES and CAMP help structure your answer.

Decision-makingLeadershipProfessionalism
02

Clinical Scenarios

10 mins

Two clinical questions — typically emergency presentations or post-operative complications. You'll need to demonstrate safe, structured clinical thinking: A-E assessment, differentials, investigations, escalation. Surgical emergencies and common post-op complications are the core focus.

Clinical judgementEscalationPatient safety
03

Portfolio Station

10 mins

Assessors review your uploaded evidence for 10 minutes before the station begins. Then they ask two questions about two domains from your portfolio. You need to know your own evidence cold — and articulate it confidently under questioning.

AchievementsReflectionCommitment to surgery

Score Breakdown

10%
45%
45%
MSRA Score
Management + Clinical
Portfolio

The Problem

How surgical applicants prep. And where they fall short.

01

You know the answer. You just can't say it under pressure.

You've read the scenarios. You know SPIES and CAMP. But when a consultant is staring at you through a screen and the clock is running, the frameworks disappear. Knowing the content and performing under pressure are two different skills. You've only practised one.

02

Your portfolio is strong. Your presentation of it isn't.

45% of your score comes from the portfolio station. Most candidates upload excellent evidence — then fumble when asked to explain it. You haven't rehearsed talking through your achievements out loud with a stranger asking probing follow-up questions.

03

The turnaround is brutal.

MSRA results come out in January. Interview invites follow almost immediately. By the time you know you've been shortlisted, you may have less than four weeks until the interview. Most candidates aren't ready.

The Solution

Practice out loud. Until it's automatic.

AI voice practice for all 3 sections

Voice AI

Speak through management scenarios, clinical cases, and portfolio questions with an AI that responds in real time — pushing back, probing your reasoning, asking the follow-up questions examiners actually ask.

Management, Clinical, and Portfolio — all covered

Full coverage

Management crises (colleague issues, escalation dilemmas, ward emergencies) · Surgical clinical scenarios (post-op complications, A-E emergencies) · Portfolio walkthroughs (commitment to surgery, audits, research, teaching)

Instant feedback mapped to CST criteria

Immediate

After every section: a score, what you missed, what examiners were looking for, and a model answer. Mapped to the actual CST assessment domains — not generic interview feedback.

How It Works

Three steps to interview-ready.

1

Choose your section.

Management, Clinical, or Portfolio. Pick a scenario difficulty. Start the timer.

2

Talk through it.

Speak your answer out loud. The AI responds like an examiner — asking follow-ups, challenging your reasoning, pressing on gaps.

3

Review your score.

See where you lost marks, what the model answer looks like, and what to drill next.

Social Proof

From shortlisted to scrubbed in.

The management station completely blindsided me in mocks. MLAbuddy let me drill it 20+ times until I stopped freezing. First choice deanery, starting August.

Dr. James O.

CST1 · London Deanery

My portfolio was strong but I couldn't articulate it under pressure. After a week of portfolio station practice on MLAbuddy, I was confident walking in.

Dr. Priya N.

CST1 · Yorkshire & Humber

As an IMG the turnaround between MSRA results and interview was terrifying. MLAbuddy meant I could practise at midnight after shifts. It made the difference.

Dr. Khalid A.

CST1 · West Midlands

📢 PSA

Some platforms charge per attempt.
We never have.

No credits. No limits. Practice every station as many times as you need — free. That's how revision should work.

5,400+Students practising
£0To get started
Unlimited attempts
5★Average rating

Why not just use a question bank?

FeatureMLAbuddy CSTQuestion Banks1-to-1 Mocks
Speak answers out loud

scheduled

Unlimited practice attempts

reading

Management scenario roleplay

limited

Instant scored feedback

delayed

Portfolio station walkthroughs

sometimes

Available 24/7
Price

£XX/mo

£50–100 one-off

£80–150/session

Pricing

One price. Unlimited practice.

Free

£0

Forever free

  • 3 practice sessions per week
  • Management + Clinical stations only
  • Basic feedback summary
Start free →
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Pro

£XX

per month

  • Unlimited sessions across all 3 stations
  • Full CST rubric-mapped scoring
  • Model answers after every section
  • Portfolio station access
  • Priority support
Get full access →

Less than one one-to-one mock session. Unlimited attempts.

One round. No retries. Be ready.

Interviews open February 2027. Applications close November 2026. Start your first station free — no card needed.

Start your free station →

Join 1,000+ doctors prepping on MLAbuddy this cycle.

Your questions, answered.

Ready when you are

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