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

109,725 - 145,47

Consultant Psychiatrist – Child and Adolescent Mental Health Service (CAMHS)
South Wales

A dynamic and transformational CAMHS service in South Wales is seeking a Consultant Psychiatrist with a strong interest in child and adolescent mental health. The successful candidate will join a well-established multidisciplinary team delivering specialist care across the region, contributing to service development and clinical leadership within a collaborative and forward-thinking environment. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.

This is a fantastic opportunity to work within a progressive mental health service with access to regional tier 4 services and a population of approximately 380,000. The post supports the organisation’s strategic vision to integrate CAMHS more closely into community settings while developing clinical pathways in areas including eating disorders, complex care, youth justice, and neurodevelopmental disorders.

We welcome applications for full-time, part-time, or flexible working arrangements and will support CESR (Certificate of Eligibility for Specialist Registration) development on an individual basis.

JOB REQUIREMENTS AND DETAILS

  • Salary: £109,725 – £145,478 dependent on Consultant experience.

  • Full GMC registration with a licence to practise is essential.

  • Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.

  • Section 12 approval (or eligibility within 6–12 months).

  • Experience delivering psychiatric care in CAMHS or related services is required.

  • A collaborative, developmental, and family-focused approach, with excellent communication and leadership skills, is highly valued.

  • Opportunities for career development through CPD, peer supervision, quality improvement, and service leadership.

CORE DUTIES OF THIS ROLE

  • Provide consultant-level psychiatric care to children and adolescents as part of a multidisciplinary CAMHS team.

  • Lead clinical care planning, review, and treatment delivery in partnership with colleagues across mental health, health, education, and social care.

  • Work closely with specialist regional services including adolescent inpatient units, eating disorder outreach services, and forensic CAMHS consultation teams.

  • Participate in the CAMHS consultant on-call rota (with prospective cover).

  • Contribute to service improvement, pathway development, and integrated working in line with strategic planning goals.

  • Provide supervision and clinical leadership to junior medical staff and allied professionals.

  • Participate in annual appraisal, job planning, and revalidation, with access to local peer groups and CPD.

  • Uphold principles of clinical governance, information governance, and risk management across the CAMHS Directorate.

LIFE IN SOUTH WALES
South Wales offers a rare combination of coastal beauty, green open spaces, and urban convenience. With beautiful landscapes, affordable living, and excellent local amenities, it is an ideal location for professionals and families alike. The region is well-connected by public transport and road networks and offers easy access to nearby cities and airports.

Healthcare professionals in the area benefit from a supportive and inclusive working environment and access to a wide network of services across health, education, and social care.

If you are passionate about delivering outstanding CAMHS care and want to help shape future services in a supportive, innovative setting, we welcome your application. Please note that we may close this post early if sufficient applications are received.


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 interview preparation sessions.

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

Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:

  • Document gathering and checking.

  • COS and Visa Application support, if applicable.

  • Support sourcing short- and long-term accommodation.

  • Travel arrangements and family support for finding schools and other aspects of pastoral care.

109,725 - 145,478

Consultant Psychiatrist – Acute Inpatient Service
South of England | Close to London

  • Salary: £109,725 – £145,478 dependent on Consultant experience.
  • Recruitment premia £15,000 over 3 years *subject to policy requirements
  • Relocation allowance: up to £8000 *subject to policy requirements

An inclusive and progressive NHS mental health trust in the South of England is seeking a Consultant Psychiatrist with a strong interest in acute inpatient care. The successful candidate will join a compassionate and collaborative multidisciplinary team, providing high-quality psychiatric care to adults and clinical leadership across inpatient services. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.

This is a fantastic opportunity to join a leading NHS Foundation Trust known for integrated working, a strong culture of kindness and respect, and its commitment to clinical excellence and innovation.

Applications are welcome for full-time, part-time, or flexible working patterns. CESR (Certificate of Eligibility for Specialist Registration) support is available and tailored to individual needs.


JOB REQUIREMENTS AND DETAILS

  • Full GMC registration with a licence to practise is essential.

  • Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.

  • Section 12 approval (or eligibility within 6–12 months).

  • Clinical experience in managing acute adult mental illness in inpatient settings is required.

  • Strong teamworking, communication, and leadership skills are essential.

  • Ongoing opportunities for professional development through training, leadership pathways, teaching, and academic engagement.


CORE DUTIES OF THIS ROLE

  • Provide Consultant-level psychiatric care to adult inpatients, in line with the Trust’s Acute Operational Policy.

  • Deliver clinical leadership and active involvement in quality improvement initiatives.

  • Work collaboratively with multidisciplinary teams and contribute to a recovery-focused, trauma-informed approach to care.

  • Coordinate with specialist and community teams to ensure effective patient transitions and continuity of care.

  • Supervise and support junior doctors, specialty trainees, and students.

  • Participate in Consultant on-call rota (details available on request).

  • Engage in audit, teaching, research, and service development activities.


LIFE IN THE SOUTH OF ENGLAND

Located in the South of England, this opportunity offers the perfect balance of professional fulfilment and quality of life. The area combines vibrant urban centres, picturesque countryside, and excellent transport links — with London just 30 minutes away by train, and both Heathrow and Gatwick airports nearby for easy international travel.

This region is known for its historic market towns, outstanding schools, and a wide range of cultural and recreational activities. Whether you\'re relocating alone or with family, it offers something for everyone — from city convenience to coastal calm.

The Trust is committed to inclusivity, wellbeing, and the development of its workforce, offering access to flexible working and a wide range of staff benefits.


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 interview preparation sessions.

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

Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:

  • Document gathering and checking.

  • COS and Visa Application support, if applicable.

  • Support sourcing short- and long-term accommodation.

  • Travel arrangements and family support for finding schools and other aspects of pastoral care.

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

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