Preparing for the Imperial College School of Medicine interview

Mar 18, 2025

3 mins

Excelling at Imperial College School of Medicine interviews, you'll need a thorough understanding of the UK's healthcare landscape, the NHS structure, current national health policies, pressing social issues in London, and significant health-related developments across the United Kingdom and globally.
This guide offers comprehensive insights to help you provide thoughtful, well-informed responses that demonstrate both your commitment to medicine and your awareness of the broader communities you aspire to serve as a future physician within the NHS and beyond.

1. The ICSM Interview: Structure, Themes, and What They’re Really Assessing

ICSM uses a Multiple Mini Interview (MMI) format with 6-8 stations assessing ethics, communication, and critical thinking.
Key details:
  • Scenario Stations: Role-play patient interactions (e.g., breaking bad news to a Bengali mother in Tower Hamlets) or debate policies like NHS privatization.

  • Data Interpretation: Analyze graphs on London-specific health trends (e.g., childhood obesity rates in Newham vs. Kensington).

  • Panel Interview: Faculty grill you on motivation, with curveballs like, “How would you redesign ICSM’s curriculum to address health AI literacy?”

Themes: NHS values (compassion, equity), interdisciplinary innovation (Imperial’s engineering-medicine nexus), and global health (40% of ICSM research tackles LMIC issues).

Insider Tip: ICSM prioritizes systemic thinking. When discussing patient cases, link individual care to broader determinants (e.g., air pollution in Brent impacting asthma rates).

2. UK Healthcare Policy: The NHS in Crisis and Evolution

The NHS is both a beacon and a battleground. Key policies shaping ICSM’s priorities:
  1. Health and Care Act 2022: Created Integrated Care Systems (ICSs) to merge NHS, social care, and public health. In London, North West London ICS partners with ICSM on diabetes prevention in South Asian communities.

  1. Workforce Plan 2023: Aims to double medical school seats by 2031. ICSM’s response? Its Urban Health Partnership trains GPs in underserved boroughs like Barking.

  1. Core20Plus5: NHS England’s mandate to reduce inequalities. ICSM researchers lead trials on polypharmacy in elderly migrants in Hackney—where 45% of residents are foreign-born.

Tip: Cite ICSM’s Institute of Global Health Innovation when proposing tech-driven solutions (e.g., AI triage in A&E waitlists).

3. Current Events & Social Issues: London’s Frontlines

Local Flashpoints
  • Junior Doctor Strikes (2023-2024): Longest walkouts in NHS history over 26% pay erosion. ICSM students volunteer at St. Mary’s Hospital A&E during strikes—mention this solidarity.

  • Cost-of-Living Crisis: 33% of Londoners skip meals to pay bills, worsening diabetic emergencies. ICSM’s Food as Medicine Clinic in Wembley prescribes veg boxes.

  • Climate Health: London’s ULEZ expansion reduced NO2 by 46% in central zones. ICSM’s Transition Zero team models asthma ER savings.

National Issues with London Stakes
  • Migrant Health: 35% of London’s NHS staff are foreign-born. Debate the UK’s new visa surcharge hike during MMIs.

  • Mental Health Tsunami: 1 in 4 young Londoners have probable mental disorders. ICSM’s CYP-MH program embeds therapists in schools in Croydon.

Tip: Reference ICSM’s HEAL-GPS initiative (homeless health outreach) to show grasp of marginalised populations.

4. The 5 Questions ICMS is most likely to ask during your medical school interview

  1. “How would you improve cervical cancer screening uptake among Somali women in Brent?”
  1. “A patient refuses the COVID booster, citing misinformation. How do you respond?”
  1. “Should the NHS fund gene therapies costing £1M per dose? Justify.”
  1. “Describe a time you advocated for someone. What systemic barriers existed?”
  1. “Why ICSM over other London schools? How will our MBBS/PhD program shape your goals?”

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