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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105,504 - 139,882

A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in General Adult Psychiatry with an interest in acute inpatient care. The psychiatry department consists of a team of consultant psychiatrists and is supported by a large team of middle-grade doctors. This General Adult Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych 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

 

  • Consultant level experience in psychiatry

  • Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification

  • Anyone with an interest and prior experience in acute inpatient psychiatry should apply.

  • The salary will be between £105,504 to £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide consultant leadership and psychiatric input into the acute inpatient unit.

  • Work closely with the multidisciplinary team, ensuring strong links with community teams.

  • Supervise junior doctors and support their training and professional development.

  • Participate in strategic planning, governance meetings, and service development.

LIFE IN THE REGION

This region offers a mix of urban and rural living, with vibrant city life and picturesque countryside nearby. Popular areas include city centre locations for convenience and scenic villages for a quieter lifestyle. The area is well connected, with excellent transport links, top-rated schools, and various leisure activities, including shopping, outdoor parks, and cultural events.

Rich in history, this region is known for its medieval architecture and contributions to British heritage, making it an attractive place to live and work.

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 your new role including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel Arrangements

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A leading NHS hospital in the East of England is looking for a Consultant Haematologist with an interest in Lymphoma. The Haematology department consists of a team of consultant haematologists and is supported by middle-grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath 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

Extensive experience and independence in haematology is required for this role, and anyone with an interest in Lymphoma should apply. The salary will be between £105,504 to £139,882, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

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LIFE IN THE REGION

This region offers a blend of city and rural living, with a choice between urban centres for convenience and scenic villages for a quieter lifestyle. The area has great transport links, excellent schools, and diverse leisure opportunities, including historic sites, parks, and family-friendly attractions. The region is historically significant, with
landmarks dating back to medieval times and strong ties to British aviation history.

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 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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The South East of England offers a mix of coastal and countryside living, with excellent urban options and picturesque rural retreats. The region provides easy access to London and international travel, making it a convenient yet scenic place to live and work.

The area is home to top-performing schools, a thriving job market, and fantastic leisure activities, including watersports, hiking trails, and cultural festivals. There is a strong medical and academic presence, with opportunities for research and collaboration.

Historically, the region played a key role in shaping England, from medieval battles to its significant contributions to maritime history. The blend of heritage and modern development makes it an exciting place to live and work.

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 your new role, including:

  • Document gathering and checking
  • COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel arrangements
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A UK-based mental health trust is looking for a Specialty Doctor in Older Adult Inpatient Psychiatry to join their team at a well-established psychiatric inpatient unit. The Older Adult Psychiatry department includes consultants, specialty doctors, junior doctors, and a multidisciplinary team, offering comprehensive care to inpatients. This role is open to both UK-based and international doctors, particularly those with MRCPsych or equivalent European Specialist qualifications.

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  • Experience working in Older Adult Psychiatry or Inpatient Psychiatry is desirable.
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CORE DUTIES OF THIS ROLE

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LIFE IN THE REGION

The region offers an attractive combination of coastal and rural living, with easy access to major cities and transport links. Doctors moving here can choose between bustling town life or scenic countryside retreats.

The area boasts excellent schools, leisure facilities, and strong transport connections, making it a great choice for professionals and families. Historically, it has a rich cultural and architectural heritage, with numerous attractions for residents to enjoy.

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.
59,175 to 95,400
A mental health service in the UK, in the South of England, is looking for a Specialty Doctor in General Adult Psychiatry with an interest in crisis intervention and intensive home treatment. The psychiatry team consists of consultants and a multi-disciplinary support staff, working with a caseload of 15–20 patients. Applications are open to both UK and international doctors, with MRCPsych or equivalent psychiatric training being particularly desirable.

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

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold full GMC registration and have completed at least four years of postgraduate training, with at least two years in psychiatry.
  • Prior experience in community or inpatient psychiatry is required.
  • The salary will be between £59,175 to £95,400 per annum, dependent on experience.
CORE DUTIES OF THIS ROLE
  • Provide medical support to a crisis and home treatment service, attending team meetings and case reviews.
  • Assess and manage patients in crisis, either at home or in a community-based setting.
  • Work closely with CMHTs, inpatient teams, and crisis services to ensure seamless care transitions.
  • Provide supervision and training to junior doctors and other clinical staff.
LIFE IN THE REGION

This region offers a balance of rural and urban living, with access to historic towns, beautiful countryside, and excellent local amenities. Professionals moving to the area benefit from good schools, strong transport links, and a vibrant cultural scene. The area has a rich historical background, with famous landmarks, medieval architecture, and a welcoming community, making it an ideal location for doctors and their families.

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 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.

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