Preparing for an English Language Test (IELTS & OET) - a helpful guide for IMGs

  • July 19, 2020
 

Overseas doctors hoping to register with the GMC & find a job in the NHS will have to pass an English language test. 

This will demonstrate that they have the right level of English to practice safely in the NHS, and in this article we will look at how to prepare for both IELTS and OET examinations.

To help you decide the best way to prepare, we have included the following topics: 

The first thing to say – it isn’t easy! 

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

What should I expect?

Preparing for and sitting the exams is difficult, not least because of the overload of information that is out there, for example which sources do you trust? What is the best way to find information? 

Passing the exams can take months, and in some cases years of hard work. And don’t forget that each exam costs money, with many also choosing private tuition – the money and time can soon add up. 

Can I just take the exam? 

The exams costs money each time and are very specific in format, with the answers requiring certain structures and techniques. A lot of IMGs don’t get the required marks at first attempt and as such, we don’t advise taking the exam without sound preparation. 

Remember… failing to prepare, is preparing to fail.

In general, there are a few things that most IMGs tell us that they have improved on through preparing well: 

  • Overall general level of English – this takes time

IMGs who passed have told us that this takes the longest, but it is time well spent…

Overall improvements in general English skills, including broadening your vocabulary, grammar and punctuation, will help you to achieve the best score possible. Try to make a little progress every day.

  • Refining your test skills – this takes practice 

Each sub-test (reading, writing, speaking and listening) has a different style of question and answer, so each of them has a specific skill that you need to learn. 

  • Knowing how the tests are marked – this takes guidance 

To gain those valuable extra scores, get to know what the examiner wants and give it to them! 

Remember, this skill alone won’t get you a pass, but combined with the above it will be a huge help to getting the score you want.

 

How can I prepare? Can I do all of this at home? 

IMGs have shared many ways to practice for a pass and this doesn’t mean just repeating exam questions. 

Here are a few of our favourite examples that you can do every day, for free!  

  • Find a colleague at work, friend or family member, who you enjoy speaking English with and speak to them every day! 
  • Read a wider range of topics online, both medical and general. 
  • Find a regular news source you enjoy reading in English. 
  • Tune into UK radio stations, available online, or, on your mobile phone. Put the radio on before and after work, rather than your usual local station. 
  • Listen to Podcasts in English, there are thousands of topics to choose from. 
  • Watch YouTube channels about medicine and life in the UK. 
  • Watch movies and TV shows in English, both with and without subtitles. 
  • Start writing, it is key that you practice, but this can sometimes be the hardest to practice in natural contexts. IMGs have suggested writing a blog or writing letters and emails (in English) to friends and family
  • Watch Ted Talks, that both do and don’t interest you!
  • Take practice tests at home, mark your answers and check how you improve. 

Basically, find your passion and go for it! 

Where can I find training? 

There are excellent training sessions available, including face-face and online courses to help you to prepare. They can help you to build the skills you need to succeed in your exam. 

It is always good to tailor your learning to your own needs, so whether you are new to the tests, or looking for support to help you to study or retake the exams, find a training programme that suits you. 

Whilst not necessary, taking up an exam preparation course led by an experienced teacher or tutor who is knowledgeable on the test and the skills – is highly recommended

Knowing your level

Knowing your level is an essential part of the preparation for both IELTS and OET. Whether you decide to sign up for a course, or tutor, getting assessed and knowing your current level will help you identify your areas of weakness to focus on. 

We would recommend getting your speaking and writing assessed by a qualified teacher. They can tell you what level you are at and areas for improvement. 


Identify weaknesses, focus on these and get reassessed to check if you have improved. 


You can find courses or individual teachers online who have been trained directly by the examining body, which can give you the boost you need. But, speak to colleagues and see if they can recommend a trusted course or teacher.

What resources are available online to help with my preparation? 

The following sites will give you all the general information you need for your IELTS or OET exam preparation:

You can find video tutorials and support on YouTube, including official channels from both IELTS and OET:

You can find online practice papers at the following trusted sites: 

Consider working with an accredited tutor

As an International Brand dedicated to helping international doctors to register with the GMC and find work in the NHS - we have lots of partnerships in place with trusted companies in many areas. One of these key areas is English Language Testing and IMG Connect works closely with a company called Specialist Language Courses. You can take a look at their website here.

Specialist Language courses work very professionally and are the UK's leading provider of online courses and tutoring. They are also one of the few accredited providers of OET and have provided consultation and guidance to the GMC on english language testing. 

Success rates are 70% + for those who sign for their tutoring and you can receive a discount if introduced by IMG Connect.

Register with IMG Connect to request your discount on English Language Courses or get in touch with one of our IMG Consultants to discuss

So, broken down, here are our steps to success in the English Language Tests:

  • Understand the test structure and format
  • Set yourself achievable learning goals
  • Get to know the marking criteria 
  • Understand the various question types
  • Polish your exam skills
  • Improve your vocabulary
  • Take practice tests
  • Practice every day, and we mean every day! 
  • Not essential depending on your level of English, but you can also find a tutor or online course. 
  • Get assessed, identify weaknesses, work on these, get reassessed.

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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.

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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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