OET - a guide for overseas doctors
- July 18, 2022
The Occupational English Test (OET) medicine version is specifically designed for healthcare professionals.
The exam tests your ability in reading, writing, speaking and listening and it is used by overseas doctors to demonstrate their ability to communicate effectively in English to support their application to register and practice medicine in the UK.
For doctors who prefer OET, compared to IELTS, the good news is that OET is now accepted by both the GMC and the UK Home Office - meaning that only one test now required for both UK registration and visa purposes
As an IMG coming to work in the UK, there are different scenarios in which you’ll need to provide a pass in an English test. In this article, we outline the key facts about OET, including the following topics:
- What is the OET?
- Content and structure
- Listening
- Reading
- Writing
- Speaking
- What scores do I need?
- Does time matter?
- When and where can I sit the test?
- How can I prepare?
- What resources are available online for each subtest?
- Passed? What next?
CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
What is the OET?
The OET tests communication in English with an emphasis in medical and healthcare professional settings.
It is recognised by the General Medical Council (GMC), and is fast becoming a common choice to prove a candidate’s ability to communicate in a healthcare environment, such as the NHS.
As an overseas doctor you must select and sit the medicine version of the test, this is the only one accepted by the GMC for the purposes of registration for a license to practice.
Content and structure:
The OET tests your ability in four areas of English language communication:
Listening:
This section consists of three parts and tests a candidate’s ability to understand a range of materials, such as lectures or consultations.
Part A – consultation extracts (5 minutes each)
You will listen to two recorded patient consultations and will be assessed on identifying specific information. You will also complete the healthcare professionals’ notes using the information that you have heard during the consultation.
Part B – Short extract of workplace discussion (1 minute each)
Here, you are tested on your ability to identify detail, understand conversation, meaning and reasons or purpose contained in the discussion. You will hear 6 short extracts and answer multiple-choice questions on each. Example extracts could be a consultation dialogue, team meetings or professional handovers.
Part C – presentation extracts (5 minutes each)
This tests your ability to follow a recorded healthcare related presentation or interview. You will listen to two extracts covering different topics and will then answer 6 multiple choice questions on each extract.
What does the listening sub-test assess?
The listening sub-test assesses your ability to identify specific information and details, to understand conversations, reasons for comments and the opinions of the speakers.
Reading:
In this section you are expected to demonstrate your ability to read and understand texts related to healthcare. This sub-test consists of three parts.
Part A – expeditious reading task (15 minutes)
This tests your ability to quickly and efficiently locate specific information from short texts. The texts will all relate to the same topic, and you will answer 20 questions in total.
Part B and C (45 minutes)
Part B consists of 6 short text extracts from a healthcare setting, sourced from the workplace. It assesses your ability to identify detail, understand context, main points and overall gist of a text. Example texts are hospital policies or guidelines, manuals, instruction guides, internal communications between staff.
Answers are multiple-choice, and you will be asked three questions per text.
Part C consists of two texts on topics of interest to healthcare professionals. Each text is 800 words in total. Here you will be tested on your ability to identify detailed meaning and opinion. Each text has eight multiple choice questions.
What does the Reading sub-test assess?
Each reading sub-test assesses different skills:
- Part A, to read quickly, skim and scan across a variety of texts, in order to identify specific information.
Top tip, familiarise yourself with the conventions of medical texts, the structures, presentation of both numerical and textual content.
- Part B, to understand detail and main points.
Top tip for Part B is to excel at identifying ideas or points within paragraphs, or sentences.
- Part C, to understand meaning and opinion presented to you. This covers a longer text.
Top tip, the focus here is to understand the wider context, from sentence to paragraph level.
Writing:
This tests your ability to communicate effectively in a healthcare context, such a writing a referral letter. You will be given one task with a healthcare focus relating to the usual demands in the medical workplace.
The task is to write a letter, usually a referral. However, this can on occasion be a letter of discharge or advice for a patient. You will be provided with some materials to assist with context, and information to use in your writing.
How is the writing assessed?
- overall execution and completion
- use of the correct and most suitable language
- overall comprehension and use of the materials provided
- grammar, punctuation & spelling
- cohesion, presentation, structure and layout
Top tip, reading more will considerably improve your writing skills.
Speaking:
This section tests your ability to communicate effectively in a role-play based on a typical healthcare scenario. Each role-play takes about five minutes each.
The test will start with an introduction and short warm up conversation. Then the role-play will begin one-by-one and you have three minutes to prepare for each.
How is the speaking assessed?
- intelligibility (pronunciation)
- appropriate use of language
- relationship building
- understanding and incorporating the patient’s language
- providing structure
- information gathering
- information giving
What scores do I need?
For the GMC to accept your Occupational English Test (OET) certificate you will need to score a grade B or above in each test area.
These scores must be achieved in the same test, and this must be your most recent sitting of the OET.
Remember, for the GMC to accept your OET certificate, you must take the medicine version of the test.
Does time matter?
Each sub-test is timed, and you will need to practice how to give each section the right amount of time. You will have to be efficient and work quickly, dedicating the right amount of time to each question and text.
When and where can I sit the test?
You can sit the OET in test venues around the world and they offer the tests 14 times per year. To find out if there is a test venue that suits you take a look at the official website.
How can I prepare?
OET can be challenging. So, make sure you are as prepared as possible before sitting the exam.
OET involves learning a wide range of healthcare related and profession specific language.
To get the right score, this must be at an advanced level.
CLICK HERE & REGISTER FOR 10-20% DISCOUNT ON ENGLISH LANGUAGE COURSES
You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful IMGs have advised that this helped them improve their standards in all areas of the test, including improved general levels of English.
Most overseas doctors advise that they improved by attending specific OET courses, and this also helps you to get used to the test format and timings.
We strongly recommend that you start preparing for the exams as far in advance as you possibly can.
Establish your level of English, and work out what areas you will need to focus on. Identify your weaknesses, set goals for yourself and plan a revision timetable.
What resources are available online for each subtest?
Listening online resources:
A good start would be to watch and listen to extracts online, here are a few options:
Reading online resources:
Read short, medium and long extracts online.
Why not try the following resources:
Writing online resources:
To improve writing skills, we recommend reading and writing! Read short, medium and long extracts online. Write short extracts, re-write articles and write on your own journal.
Why not try the following resources:
Speaking online resources:
To improve speaking skills, we recommend speaking! Speak with colleagues and friends in English as much as you can. You can also record yourself reading aloud or speaking and then play back your recording, assessing yourself.
Why not try the following resources:
We have also created a useful blog series on Exam Tips and Revision Guidance, which includes tips for studying at home.
Passed? What next?
If you have your OET in place you are in a prime position to apply and interview for jobs.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
Relevant Jobs
An NHS general hospital in the East of England is looking for a Consultant General Radiologist with an interest in Gynaecology Imaging. The Radiology department comprises a team of 27 consultants and is supported by a large team of middle grade doctors. This Radiology job is open to both international applications and UK-based doctors, though those with NHS experience 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
FRCR (or equivalent), and completion of general radiology training and anyone with Gynaecology Imaging experience should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide a consultant-led service in General Radiology and subspecialty Gynaecology imaging.
-
Participate in the general radiology on-call rota (currently 1:15–1:16) and support acute inpatient and A&E CT, MRI, and ultrasound reporting.
-
Contribute to the supervision, teaching, and professional development of Radiology SpRs and other junior colleagues.
-
Engage in departmental governance, audit activities, and multi-disciplinary team meetings.
LIFE IN EAST OF ENGLAND
This role is based in a historic market town with easy access to urban centres and picturesque countryside. Families benefit from excellent schooling options and direct rail links to London, alongside coastal attractions and green spaces. The area is renowned for its Roman history and longstanding significance in shaping British heritage.
An NHS acute hospital in the South of England is looking for a Specialist Grade Doctor in Stroke Medicine with an interest in hyper-acute stroke care.
The Stroke Medicine department comprises a team of 2 stroke consultants and is supported by a large team of middle grade doctors. This Stroke Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) 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.
JOB REQUIREMENTS AND DETAILS
Full GMC registration with a license to practice and at least 12 years of medical work (with a minimum of 6 years in Stroke Medicine) are required for this role, and anyone with an interest in hyper-acute stroke intervention should apply. The salary will be between £96,990 - £107,155 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Deliver high-quality hyper-acute, acute, and stroke rehabilitation care as part of a comprehensive stroke service.
-
Diagnose and manage patients presenting with stroke and stroke-mimic symptoms, including administering thrombolysis.
-
Participate in TIA clinics, ward rounds, multidisciplinary meetings, and contribute to clinical governance.
-
Supervise junior doctors and participate in research and clinical audits.
LIFE IN THE SOUTH OF ENGLAND
This post is located in a beautiful coastal region of the South of England, with great access to both scenic countryside and vibrant seaside towns. Options include family-friendly rural villages or more bustling urban centres nearby.
The area boasts good schools, fast transport links to mainland cities, and plenty of leisure and cultural opportunities, including outdoor sports, local festivals, and historical landmarks.
Famous for its heritage in British history and offering a high quality of life, the region is ideal for professionals and families alike.
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
An NHS acute hospital in the South East is looking for a Consultant or Specialist grade Geriatrician with an interest in Frailty Services.
The Geriatrics department comprises a team of 3 consultants and is supported by a large team of middle grade doctors. This Geriatrics job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP(UK) 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.
JOB REQUIREMENTS AND DETAILS
Full GMC registration and at least 6 years of post-graduate clinical experience are required for this role, and anyone with an interest in Frailty Services should apply. The salary will be between £96,990 to £107,155 for Specialist grade and £105504 to £139,882 for Consultant grade
CORE DUTIES OF THIS ROLE
-
Provision of a comprehensive inpatient medical service and specialist outpatient clinics.
-
Responsibility for the diagnosis and treatment of elderly patients.
-
Participation in the 1:11 consultant general medical on-call rota including weekend rounds.
-
Professional supervision and management of junior medical staff.
LIFE IN THE SOUTH EAST
This role is based in a coastal area in the South East of England, with urban living options in busy towns and rural choices in scenic villages.
The region offers excellent transport connections to the mainland, good schools, and plenty of outdoor activities including water sports and countryside trails.
Known for its historical and cultural significance, the area features beautiful coastlines, historic estates, and hosts several festivals throughout the year.
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
A Health Board on the South Wales coast is seeking a Consultant Psychiatrist to join a central clinic as part of an evolving mental health service committed to delivering a 24-hour single point of admission, supported by two treatment wards and five dynamic community mental health teams.
This is a fantastic opportunity to lead clinical change within a supportive and multidisciplinary environment, where collaboration with management and clinical colleagues is highly valued.
This opportunity is open to both UK-based and international doctors, with CESR portfolio support available to help progress toward specialist registration.
Job Requirements and Details
Qualifications: Full GMC registration with a licence to practise, MRCPsych preferred, CCT or equivalent specialist qualification and training in Psychiatry.
Experience: Applicants must have significant experience in general adult psychiatry.
Desirable: Previous leadership roles, community mental health experience, and involvement in service development or clinical governance.
Salary: £106,000 to £154,760 per annum, dependent on experience and length of service.
Core Duties of This Role
-
Take overall clinical responsibility for outpatient care, including the development and oversight of Care and Treatment Plans.
-
Provide leadership and supervision to the multidisciplinary team, with clear delegation of responsibilities.
-
Contribute to service planning in line with the strategic direction of the Health Board.
-
Provide educational supervision to junior medical staff, supporting training and development in line with Royal College guidelines.
-
Actively participate in quality assurance, clinical governance, risk management, and clinical audit processes.
-
Fulfil on-call commitments on a 1:14 rota, with prospective cover across the SBUHB area.
-
Engage in continuous professional development, including annual job plan review and maintenance of Royal College CPD requirements.
-
Opportunities for involvement in research and innovation are encouraged and supported.
Living and Working on the South Wales Coast
The South Wales coast offers a unique blend of coastal beauty and urban convenience. With stunning beaches, nearby national parks, and a thriving cultural scene, the region provides a high quality of life for professionals and families.
The area is well connected, with excellent schools, vibrant communities, and strong transport links to Cardiff, Bristol, and London. Whether you\'re seeking outdoor adventure or a peaceful place to call home, the South Wales coast offers an ideal setting for both work and leisure.
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 will assist you with:
-
CV preparation with a bespoke session from one of our NHS recruitment specialists.
-
Application support tailored to psychiatric roles and NHS expectations.
-
Two comprehensive video interviews to prepare for your NHS panel.
-
Contract negotiation including salary, relocation, and service expectations.
Post-offer, your IMG Connect relocation executive will guide you through:
-
Visa sponsorship (including COS and application support).
-
Accommodation search assistance.
-
Family relocation support (schools, childcare, etc.).
-
Local area orientation and integration advice.
A trust in the West Midlands is looking for a Specialist Doctor in Child and Adolescent Mental Health with an interest in community-based care for children and young people. This exciting role supports the a CAMHS team, providing vital services to a diverse population across both urban and rural settings. The multidisciplinary team includes mental health practitioners, psychologists, psychotherapists, social workers, occupational therapists, and administrative support staff.
This opportunity is open to both UK-based and international doctors, with CESR portfolio support available to help progress toward specialist registration.
Job Requirements and Details
Qualifications: Full GMC registration with a license to practice and at least six years of CAMHS experience.
Desirable: Experience working with children and young people in mental health or multidisciplinary settings.
Salary: £96,990 - £107,155 per annum, dependent on experience.
Core Duties of This Role
-
Comprehensive psychiatric assessment, care planning, and evidence-based treatment for children and adolescents.
-
Leadership and consultation within a multidisciplinary team, with opportunities for supervision and teaching.
-
Liaison with professionals in education, paediatrics, social care, and adult mental health services.
-
Contribution to clinical governance, service development, and quality improvement.
-
Participation in clinical audits, peer reviews, and regular MDT meetings.
Life in the West Midlands
The West Midlands offers a blend of vibrant towns and peaceful countryside, giving professionals and families the flexibility to choose a lifestyle that suits them. The region features outstanding schools, excellent transport links (M5, M50, and nearby airports), and a wealth of leisure activities, from historical landmarks to outdoor exploration in areas like the Malvern Hills.
With strong educational institutions and a rich cultural history, the West Midlands supports both personal and professional growth in a balanced and welcoming environment.
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 practices.
-
At least two video calling interview preparation sessions.
-
Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you’ve accepted your new role, you’ll be guided by one of our dedicated relocation executives who will assist you all the way to starting your new role, including:
-
Document gathering and checking.
-
COS and Visa application support, if applicable.
-
Assistance with finding accommodation.
-
Family support for schools and pastoral care.