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.

IMG Jobs 

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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.

For regular news and updates, follow IMG Connect on social media using the links below: 

            

 

Relevant Jobs

105,504- 139,882

A large NHS teaching hospital in the East Midlands is looking for a Consultant in Clinical Oncology with an interest in lung, gynaecology, and/or colorectal cancer. The oncology department comprises a team of over 20 consultants and is supported by a large team of specialty doctors and junior trainees.

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

JOB REQUIREMENTS AND DETAILS

This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or FRCR are most encouraged to apply.

FRCR (or equivalent) and extensive oncology experience are required for this role, and anyone with an interest in lung, gynaecology, and/or colorectal cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide comprehensive non-surgical oncology services, including radiotherapy and chemotherapy clinics, for patients across lung, gynaecology, and/or colorectal tumour sites.

  • Participate in the oncology on-call rota (1:12) and provide reciprocal cover for colleagues during periods of leave.

  • Support the education and training of junior doctors, specialty doctors, ACPs, and medical students.

  • Contribute to clinical governance, service development, and research initiatives across the Trust.

LIFE IN THE EAST MIDLANDS

This role is based in the East Midlands, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in Derby or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful Peak District on its doorstep, the East Midlands is a popular choice for healthcare professionals relocating to the UK.

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

£105,504 - £139,882

This exceptional opportunity beckons Consultant Histopathologists specializing in Gynae oncopathology to become integral members of an NHS Trust that is a global beacon in cancer research and treatment. This role offers a chance to contribute to a consultant-led, subspecialist histopathology team, making a significant impact on the forefront of cancer care. We invite enthusiastic candidates to explore this exciting career prospect through NHS Jobs in the UK.

The NHS Foundation Trust, standing as Europe\'s largest comprehensive cancer center, commands an impressive annual budget of £360 million, employing over 3,500 staff, including 335 medical professionals. Acknowledged for its excellence, the Trust consistently ranks among the top four in national surveys, affirming its commitment to delivering high-quality patient care. The Histopathology Department, under the leadership of esteemed professionals, manages a substantial caseload, processing around 21,000 surgical pathology accessions annually. This involves the examination of approximately 280,000 slides, with a notable 1,000 cases annually seeking second opinions, underscoring the department\'s dedication to providing comprehensive diagnostic support.

This role is tailor-made for ambitious consultants looking to expand their career horizons. The well-funded department is a hub for impactful research, underscored by its recognition in a recent CQC report as an area of outstanding practice. The NHS Foundation Trust has a strong reputation for education and training, supporting junior doctor training programs across various specialties.

Living in London, a vibrant metropolis, provides a unique lifestyle enriched by cultural diversity. Residents can explore scenic spots like Hyde Park and the Thames River. World-renowned schools, including Imperial College London and University College London, contribute to the city\'s intellectual vibrancy. Excellent transport links facilitate easy travel within the city and to major cities and airports. Housing options, ranging from historic townhouses to modern apartments, accommodate diverse preferences, ensuring a comfortable and enriching life for medical professionals in the heart of London.

Apply now for a dynamic career at the forefront of cancer care, complemented by the vibrant and diverse urban lifestyle offered by the capital city.

AM I ELIGIBLE FOR THIS ROLE?

Non-EEA candidates: 

  • FRCPath
  • Experience in Histopathology (sub specialised in Gynae oncopathology)

EEA candidates: 

  • Specialist certification in Histopathology
  • Experience in Histopathology (sub specailised in Gynae oncopathology)

UK candidates: 

  • CCT, CESR or within 6-12 months of specialist registration 
  • Experience in Histopathology (sub specialised in Gynae oncopathology)

 

83,519 - 126,025

A hospital in the Channel Islands is looking for a Staff Grade Doctor in General Medicine with interests in Respiratory, Renal, or Care of the Elderly. The department comprises a team of consultants and is supported by a large team of middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with European Specialist or MRCP 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 registration with the General Medical Council and a minimum of 2 years of post-qualifying experience are required for this role, and anyone with an interest in Respiratory, Renal, or Care of the Elderly should apply. The salary will be between £58,742 and £97,050 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide high-quality care across both inpatient and outpatient services within the chosen specialty.
  • Participate in the middle-grade tier rota, including on-call duties.
  • Support the clinical management of patients in various units, including emergency and intensive care.
  • Collaborate with consultants and multidisciplinary teams to ensure continuous service improvement.

LIFE IN THE CHANNEL ISLANDS

The hospital is located in a vibrant town, with popular residential areas offering both urban and rural living options. The region offers excellent schools, efficient transport links, and a wide range of leisure activities for both adults and families, including beautiful beaches, sports facilities, and cultural events. The area has a rich history, having been a strategic location during World War II and now boasting a unique blend of cultural influences.

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

A UK-based mental health service is seeking a Consultant Child & Adolescent Psychiatrist to join their Neurodevelopmental Team. This is a part-time (0.8 FTE), permanent post, offering an exciting opportunity to take on a senior clinical leadership role within a well-established specialist service for children and adolescents with complex neurodevelopmental conditions.

The team operates within a multidisciplinary framework, delivering comprehensive assessments, pharmacological treatment, and evidence-based care for young people. The role is ideal for experienced consultants looking to shape service delivery while maintaining strong clinical involvement.

This opportunity is also open to international applicants, particularly those eligible for inclusion on the GMC Specialist Register and who will be applying via CESR.

JOB REQUIREMENTS AND DETAILS

  • Job Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team

  • Contract: 8 Programmed Activities (PAs) per week – Part-Time

  • Contract Type: Permanent
  • Salary: £105,000 – £139,000 (pro rata, dependent on experience)

Applicants must have:

  • Full GMC registration with a licence to practise
  • GMC Specialist Register in Child & Adolescent Psychiatry
  • Section 12(2) MHA approval, or a willingness to complete this upon appointment
  • Experience working in child, adolescent, or neurodevelopmental psychiatric services
  • Strong leadership, multidisciplinary collaboration, and communication skills
  • The ability to travel independently across service sites, including schools and service users\' homes

CORE DUTIES OF THIS ROLE

  • Lead on psychiatric assessments, diagnosis, and pharmacological treatment planning for young people with complex and/or high-risk neurodevelopmental presentations.

  • Provide consultation and guidance to the multidisciplinary team, as well as external agencies including paediatrics, schools, Tier 4 providers, and primary care.
  • Maintain clinical oversight for young people under the care of the team, participating in emergency assessments and the consultant out-of-hours rota.
  • Attend and contribute to weekly multidisciplinary team meetings and clinical formulations.
  • Collaborate with carers, families, and professionals to co-create effective, evidence-based care plans.
  • Support transitions from child to adult mental health services in line with protocol.
  • Fulfil duties under the Mental Health Act, including conducting assessments and contributing to reports and tribunals as required.
  • Maintain clear and timely medical documentation and support audit and quality improvement initiatives.

MANAGEMENT & STRATEGIC RESPONSIBILITIES

  • Provide senior clinical leadership in partnership with the non-medical Clinical Team Lead.

  • Contribute to the development of service-wide clinical guidelines and care pathways.
  • Support service planning and transformation initiatives based on emerging need.
  • Actively participate in governance activities, clinical audit, and performance monitoring.
  • Engage with stakeholders and external partners at strategic and operational levels.

LIFE IN THE REGION

This role is based in a well-connected and scenic part of the UK, ideal for those who enjoy a balance between urban accessibility and countryside living. With excellent road and rail links, London is just 1 hour by train and car, offering easy commuting and travel.

The area is highly attractive for families, with access to top-rated schools, green open spaces, and a vibrant local community. Whether you\'re seeking historic towns, cultural attractions, or tranquil rural retreats, this region offers something for everyone.
 

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.
105,504- 139,882

An NHS teaching hospital in Kent is looking for a Consultant in Clinical Oncology with an interest in urology. The Oncology department comprises a team of over 40 Clinical and Medical Oncology consultants and is supported by a large team of middle-grade doctors, fellows, and trainees.

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

JOB REQUIREMENTS AND DETAILS

  • This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR are most encouraged to apply.CCT in Clinical Oncology or equivalent experience, including CESR pathway candidates.

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

CORE DUTIES OF THIS ROLE

  • Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.

  • Attend relevant MDT meetings and coordinate treatment planning with other specialists.

  • Participate in departmental research initiatives and contribute to national and local clinical trials.

  • Contribute to training and supervision of junior doctors and participate in clinical governance activities.

Life in Kent

The area offers the best of both worlds: urban living in towns like Maidstone and Tunbridge Wells, and tranquil countryside villages such as Lenham or Goudhurst.

Kent boasts a wide range of excellent primary and secondary schools, including several grammar schools, and is well connected to London via high-speed rail and road. Residents enjoy easy access to historic castles, the coast, national parks, shopping, and outdoor activities—perfect for both adults and families.

Known as the “Garden of England,” Kent holds historical significance with its Roman heritage, medieval cathedrals, and coastal defense legacy, offering a unique blend of culture and natural beauty.

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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