OET vs IELTS – which should I choose? 

  • March 20, 2022
 

For overseas doctors looking to register with GMC, passing an English Language test is essential. 

Doctors regularly ask us which test is the most suited for IMGs to sit and which is more suited to the medical professional? There are different scenarios in which you’ll need to provide a pass in an English test. This article should hopefully help you decide which English Language Test would suit you best and includes the following topics: 


If you are an IMG relocating to the UK to start a doctors job, you will be required to take an English Language exam, enabling you to register with the GMC (General Medical Council).


What are IELTS & OET? 

Both IELTS (International English Language Testing System) and OET (Occupational English Test) are used to test the English language levels of healthcare professionals in different parts of the world. 

They are chosen by different regulatory bodies to ensure that doctors and other healthcare professionals have the correct level of English to communicate at a high level with patients and colleagues, so as to provide safe and effective care. 

For international doctors relocating to the UK, it is important to start by saying that both the IELTS and OET are accepted by the General Medical Council (GMC). 


Which test is accepted by which registration body? 

The good news is that recent changes to the rules means that both IELTS and OET are accepted for GMC registration and your Tier 2 visa for both EEA and non-EEA applicants. Check out the recent updates here

We have created the table below to help you check if you are taking the right test:

 

GMC registration

Tier 2 Visa (CoS)

Academic IELTS

YES (7.5 overall, no less than 7.0 in all sections)

NO

Academic IELTS UKVI

YES (7.5 overall, no less than 7.0 in all sections)

YES (4.0 in all sections) 

OET

YES (Score of B+ in all areas) 

YES

OET and Tier 2 visas: Only one test now required for both UK registration and visa purposes. 

What are the similarities and differences? 

Similarities:

Each consists of four areas, one for each English language skill: reading, listening, writing and speaking

Both tests take place in one day. 

Both give a graded score (not pass or fail)

Both are recognised by the GMC and other healthcare regulatory bodies in the UK

Differences:

The content of each exam is different

IELTS tests overall academic English (as an IMG you must select the Academic IELSTS UKVI test as this is the one recognised by the healthcare regulatory bodies, i.e. GMC & Home office). 

What does this mean in practice? This includes the ability to write essays, follow lectures, understand academic articles, journals and newspapers, discuss a wide range of topics including social, environmental, educational and cultural trends.

The OET is different, the OET has been designed specifically for medical professionals, including nursing, medicine, radiography, occupational therapists and so on. Be sure to choose the correct exam for you - medicine! 

The OET tests healthcare English, including the ability to communicate effectively in medical scenarios, write referral letters, understand a patient consultation, or follow a text from a medical journal. 

Your preparation will need to be different

This doesn’t mean that one will require more or less preparation, just that you will need to study varied pathways and prepare different topics and vocabulary.

IELTS involves learning a much wider amount of vocabulary on a range of academic subjects so that you will be prepared to read academic texts quickly and effectively, understand lectures, talks and questions, giving opinion in detail. 

You will have to prepare how to write reports on a variety of data and essay types. 

Written texts are to be of a high standard, including complex structures and grammar. 

OET involves learning a wide range of healthcare related and profession specific language. The test will require you to follow clinical scenarios, understand medical texts and talks. You will need to write a healthcare letter, such as a referral. To get the right score, this must be at an advanced level. 


Successful IMGs who have passed, have told us that learning a range of exam techniques helps you to work quickly and effectively during the test day. 


What do I need to score in each test for GMC registration? 

IELTS

IELTS is marked out of 9 in each paper. For GMC registration an overall score of 7.5 must be achieved, with a minimum of 7.0 in each area of the test.

OET:

OET is marked grades A to E in each paper. For GMC registration a minimum of grade B is required in all areas to pass the exam, or a point score of 350 points across all areas of the test. 

Where and when can I sit the English Language Tests? 

IELTS is available in over 140 countries, with tests held up to 4 times per month. Check if there is a venue near where you live

OET is available 14 times per year in 40 countries, with the number of cities and venues increasing each year. Check if is there is a venue near where you live

How do I prepare for either exam? 

Preparing for any English Language Test, whether you have chosen IELTS or OET, requires learning a huge amount of vocabulary, learning how to write specific reports or essays, using a high level of grammar and structure, learn how to engage with a range of scenarios and acquire a set of key exam techniques. 

You should take time to research each area of the tests in detail, but don’t worry, help is at hand, for more information on how to prepare, take a look at our blog series on English Language testing

Can I be exempted from the English language test?

Some specialisms that are hard to fill such as emergency medicine and various specialist medicines, however NHS hospitals do not like offering exemptions - and they are only offered to candidates who exhibit excellent language capabilities at interview. IMG Connect strongly recommends all doctors to practice for and pass an English language test. Get in touch if you would like to know more about exemptions or think you are eligible.

Which test do I choose? 

Neither exam is easier than the other. Both IELTS 7.5 and OET B show you have an advanced level in English. It really is up to you! 

You may find OET simpler to understand as it is healthcare related and tests the language you use in daily practice. 

The same can be said about IELTS, you may find the general nature of the topics more suited to you. 

I have my ELT in place, what next?

Depending on what other qualifications you have in place, you may have to pass an accepted postgraduate qualification in order to be eligible for full GMC registration. Regardless, passing your English test is a huge achievement and will take you that one giant step closer to working in the NHS. So congratulations!

For more useful blogs & articles on English Language Tests to help you find your dream job in the NHS - take a look at our IMG Library.

Don’t hesitate to get in touch with an IMG Consultant to discuss UK job options in the NHS and English Language Tests, including discussions regarding a typical doctor salary in the UK and the most suitable locations for you. 


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Relevant Jobs

99,532 - £107

An NHS district general hospital in the West Midlands is looking for a Specialist Grade Haematologist with an interest in haemato-oncology, laboratory haematology and blood transfusion. The Haematology department comprises a team of 3 consultants and is supported by a large team of middle grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath (or equivalent) are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.

JOB REQUIREMENTS AND DETAILS

FRCPath (or equivalent) and broad experience in clinical and laboratory haematology are required for this role, and anyone with an interest in clinical trials, haemato-oncology, education, or blood transfusion should apply. The salary will be between £96,990 to £107,155 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide clinical support in both inpatient and outpatient settings, working closely with consultants and the multidisciplinary team.

  • Participate in the delivery of chemotherapy and specialist care via the dedicated oncology/haematology unit.

  • Contribute to clinical governance, teaching of junior doctors and nurse practitioners, and development of service pathways.

  • Assist with laboratory haematology duties including blood film reporting, and advise on transfusion and diagnostic services.

LIFE IN THE WEST MIDLANDS

This hospital is located in a picturesque region of the West Midlands, with access to both rural retreats and small city living. Residents enjoy a mix of traditional market towns and vibrant city centres, with good schools, easy rail access to Birmingham, and plenty of green spaces for outdoor activities. The area has deep historical roots, from medieval cathedrals to Roman forts, offering a unique combination of heritage and modern living.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
CV Preparation with a bespoke session with one of our specialists
Application support with expert knowledge of NHS specialisms & recruitment practice
At least two video calling interview preparation sessions
Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
Document gathering and checking COS and Visa Application support if applicable
Support sourcing short- and long-term accommodation
Travel Arrangements Family support for finding schools and any other aspects of pastoral care

105,504- 139,882

An NHS hospital in South East England is looking for a Consultant in Clinical Oncology with an interest in Upper and Lower GI cancers. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration, GMC Specialist Register, CCT, or CESR are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

GMC registration with a license to practice, CESR, or a GMC-recognised qualification such as FRCR is required for this role. Anyone with an interest in Upper and Lower GI cancer should apply. The salary will be between £105,504 – £139,882 dependent on experience.

CORE DUTIES OF THIS ROLE

  • Provide expert oncology care for patients diagnosed with Upper and Lower GI cancers, overseeing treatment plans and managing patient care.

  • Participate in multidisciplinary team (MDT) meetings across sites to coordinate treatment.

  • Contribute to research and clinical trials within the Oncology department, promoting innovation in GI cancer treatment.

  • Engage in teaching opportunities with medical students and junior doctors, especially in preparation for the launch of a new postgraduate medical programme.

LIFE IN SOUTH EAST ENGLAND

This hospital is located in the South East of England, a region known for its mix of lively coastal cities and peaceful countryside towns. It offers great transport links to London, top-performing schools, and diverse leisure options, including historic landmarks, nature trails, and vibrant cultural scenes. The area is rich in maritime and military history, making it a unique and engaging place to live and work.


HOW WILL IMG CONNECT SUPPORT YOU?

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure, and more

  • Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:

    • Document gathering and checking

    • COS and Visa Application support if applicable

    • Support sourcing short- and long-term accommodation

    • Travel arrangements

    • Family support for finding schools and any other aspects of pastoral care

105,504 to 139,882

An NHS district general hospital in Yorkshire is looking for a Consultant Dermatologist with an interest in skin cancer and minor skin surgery. The Dermatology department comprises a team of locum consultants, an experienced Specialty Doctor, and a Biologic Nurse Consultant, supported by a large team of middle grade doctors. This Dermatology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) or SCE are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Full GMC registration and significant experience in general dermatology and minor surgery, are required for this role. Anyone with an interest in skin cancer management and dermatological surgery should apply. The salary will be between £109,725 and £145,478 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality general dermatology services, including urgent and routine outpatient clinics.
  • Participate in subspecialty clinics, particularly for skin cancer diagnosis, management, and surgery.
  • Contribute to departmental management, teaching, and supervision of junior doctors and medical students.
  • Support service development and clinical governance through audit, guideline development, and education initiatives.

LIFE IN THE NORTH OF ENGLAND

???????This hospital is situated in the north of England, with popular residential areas including vibrant cities and picturesque countryside locations. Urban dwellers may enjoy city life in places like Sheffield or Leeds, while rural enthusiasts might prefer the surrounding villages and national parks. The region offers great schools, excellent transport connections, and a wide variety of leisure activities for all lifestyles. Historically significant for its industrial roots, the area remains a vital and evolving part of British heritage and modern living.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care
105,504- 139,882

An NHS cancer centre in Northern Ireland is seeking a Consultant Clinical Oncologist with a specialist interest in Upper GI and Breast cancers. The department includes 11 oncology consultants and is supported by a team of middle grade doctors and specialty trainees. This position is open to both UK-based and international doctors, particularly those with FRCR or European Specialist Registration.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Applicants should have full GMC registration and at least 6 years of postgraduate experience in Clinical Oncology. The salary for this role is between £88,799 and £119,723, dependent on experience.

CORE DUTIES OF THIS ROLE

  • Manage patients with Upper GI and Breast cancers across inpatient and outpatient settings.

  • Engage in tumour site-specific MDTs and contribute to treatment planning and decision-making.

  • Support the training and mentoring of oncology registrars and junior doctors.

  • Contribute to service development, teaching, and clinical governance.

LIFE IN NORTHERN IRELAND

Based in the north-west region of Northern Ireland, this location offers both city and rural living, with access to scenic countryside, the coast, and neighbouring towns. The area features well-rated schools, convenient transport infrastructure, and rich opportunities for cultural, historical, and recreational pursuits. It’s a growing destination for healthcare professionals seeking balance between professional development and quality of life.


HOW WILL IMG CONNECT SUPPORT YOU?*

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure and more

  • Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel Arrangements

  • Family support for finding schools and any other aspects of pastoral care

107,144 - 142,369
An NHS teaching hospital in Scotland is looking for a Consultant Haematologist with an interest in Thrombosis and Obstetrics Haematology. The Haematology department comprises a team of 8 consultants and is supported by a large team of middle grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath qualifications are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.

CORE DUTIES OF THIS ROLE
  • Deliver Haematology services across multiple NHS hospital sites, with inpatient care based at the main centre.
  • Conduct outpatient clinics, lab-based diagnostics, MDT participation, and administrative responsibilities.
  • Participate in the on-call rota (1 in 8), including weekend ward rounds and lab duties.
  • Support the development of junior doctors and engage in audit, research, and quality improvement.
LIFE IN SCOTLAND

The hospital is based in the central belt of Scotland, with urban living options like Glasgow and more rural choices such as the Clyde Valley. The region offers a good range of schools, strong public transport, and plenty of leisure activities for both professionals and families. Historically rich and industrially significant, this area has evolved into a hub for modern healthcare delivery and research.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions
  • Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements Family support for finding schools and any other aspects of pastoral care

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