IELTS – a guide for overseas doctors

  • February 14, 2023
 

Doctors looking to register with the GMC and find a job in the NHS are required to demonstrate their level of English is suitable via the IELTS or OET exam.

Here we take a closer look at the IELTS exam, which is an International English Language Testing System used worldwide. 

IELTS is used by overseas doctors to demonstrate their ability to communicate effectively in English and support their application to the register and practice medicine in the NHS. 

In this article, we outline the key facts about IELTS, including the following topics: 

What is IELTS? Content and structure:

IELTS is designed to test your English skills needed to be successful in the workplace. It covers the following sub-test areas: 

  • Listening (30 minutes) 
  • Reading (60 minutes)
  • Writing (60 minutes)
  • Speaking (11 – 14 minutes)

Listening: 30 minutes

The listening sub-test consists of four sections, each including 10 questions. You will listen to four separate recordings and then answer questions. 

The recordings will include a general conversation, a monologue on a general topic, a conversation of up to 4 people in an academic setting, a monologue on an academic subject.

Questions are varied in type, including multiple choice, matching, labelling, note completion and sentence completion. 

Reading: 60 minutes

The reading sub-test consists of three long texts, usually taken from journals magazines, newspapers or books. 

They are not specific to any one topic, however the texts are appropriate for people entering university or professional registration. 

The test consists of 40 questions, testing a range of reading skills. 

Writing: 60 minutes

The writing sub-test consists of two writing tasks. 

Task 1 – describe, summarise or explain the information presented in a graph, table or chart. 

Task 2 – write an essay in response to a point of view, argument or problem. 

Both tasks require a formal style of writing. The topics covered are general interest, and suitable for people applying for university or professional registration. 

Speaking: 11 – 14 minutes

The speaking sub-test comprises of three parts, delivered by an IELTS examiner face to face: 

Part 1 – you will be asked general questions about yourself, covering a range of topics. 

Part 2 – you will be given a topic to talk about. You will have 1 minute to prepare, and then speak on the given topic for two minutes. You will then be asked a few questions by the examiner on the same topic. 

Part 3 – You will be asked further questions on the same topic as part 2. Here you will have the chance to elaborate and discuss more ideas. 

The topics covered are general interest, and suitable for people applying for university or professional registration. 

What scores do I need? 

To register with the GMC, you must obtain an overall score of 7.5 with minimum scores of 7.0 in each sub-test. 

Remember, to sit the PLAB test, you must obtain the required IELTS overall score of 7.5 with minimum scores of 7.0 in each sub-test. 

There are a few IELTS options, what test should I take? 

IELTS has two versions, Academic and General. To register with the General Medical Council (GMC) in the UK, an IMG must take the Academic test, which is designed for people applying for professional registration. 

However

You can use your IELTS certificate for both the GMC and your visa application.

IELTS Academic UKVI is the only version acceptable for both GMC and Tier 2 Visa applications, and for this reason is the best route covering all application purposes in one go. Not only will this save on fees, but also will ensure that only one test is taken. 

 

What scores do I need for GMC and Visa applications? 

For the GMC to accept your IELTS certificate you must achieve an overall score of 7.5 across all four areas, with no less than a 7.0 in in each testing area. The pass score for a Tier 2 General Visa is 4.0 overall, and in each of the four skills. 

Paper or computer version? 

IELTS can now be taken on paper or computer. Both are exactly the same content, the only difference is the manner in which the answers are complete on the test. 

Paper IELTS: 

Reading, writing and listening sub-tests will be sat at a desk with questions papers and answer sheets. 

The speaking section is carried out face to face with an IELTS examiner. 

Computer IELTS: 

Reading, writing and listening sub-tests will be taken at a computer with questions on screen. The speaking section is carried out face to face with an IELTS examiner. 

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. 

Where and when can I take the test? 

IELTS can be taken in more than 1,200 locations worldwide, with 48 test dates in the calendar year. For more information on venues take a look at the official website.  

Can I cancel my application?

If you cancel your application more than 5 weeks before the test date, you will receive a refund minus an administration charge. If you cancel within 5 weeks of the test date, you will be charged the full fee unless you have a medical reason. 

Is the IELTS test completed in one day?

This depends on your test centre. The listening, reading and writing components of the test are always complete one after the other, with no break. The speaking test may be taken up to 7 days either before or after the test date. Check with your test centre for more details.

When will I receive my results? 

The test report will be posted to you 13 days after your test date. Some test centres also provide SMS alerts and an Online Results Service, check with your centre for more information. 

Keep your Test Report Form in a secure place as you only receive one copy and you will need it later! 

If I don’t pass, can I re-sit? 

You can sit the test as many times as necessary. 

However, this will cost you more money, so at IMG Connect we advise that you prepare as best you can for every test. If you don’t pass the test, then do additional study before taking the test again. 

How can I prepare? 

IELTS can be challenging. It involves learning a large 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 so make sure you are as prepared as possible before sitting the exam. 

Written texts are to be of a high standard, including complex structures and grammar. 


Successful IMGs who have passed IELTS told us that learning key exam techniques helps you to work quickly and effectively during the test day. 


You don’t need to pay take a course. However, it is highly advisable to attend a course, and/or language classes, successful overseas doctors have advised that this helped them improve their standards in all areas of the test, including improved general levels of English and 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.

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.

 

What resources are available? 

To prepare for the tests, there are lots of online resources and practice materials available. A good start is the IELTS and British Council websites. 

You can also find practice papers online.

We have also written a useful blog series on the English Language Tests for IMGs, which includes tips for studying at home

Passed? What next?

If you have your IELTS in place you are in a prime position to apply and interview for jobs.

Take a look at our job search page if you have not already, alternatively get in touch with an IMG Consultant to put your CV to use!


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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.

 

Relevant Jobs

A hospital in Yorkshire is looking for a Consultant in Emergency Medicine with an interest in trauma care and emergency medicine leadership. The Emergency Department comprises a team of consultants and is supported by a large team of middle-grade doctors. This Emergency Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or FRCEM 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 licence to practice and at least six months of obtaining a CCT in Emergency Medicine, CESR, or European Specialist Qualifications are required for this role, and anyone with an interest in trauma care and clinical leadership should apply. 

CORE DUTIES OF THIS ROLE

  • Provide high-quality emergency care to patients in the ED, including trauma cases.
  • Lead the clinical team and oversee the Emergency Physician in Charge (EPIC) role.
  • Engage in departmental audits and participate in clinical governance and quality improvement projects.
  • Provide clinical supervision and mentoring to junior doctors and trainees.

LIFE IN YORKSHIRE

The hospital is located in a picturesque region, with local towns offering both urban and rural living options. The area boasts excellent schools, transport links, and a wide range of leisure activities. Yorkshire has historical significance as a former center of the wool industry and offers rich industrial heritage alongside beautiful countryside.

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.
105,504 - 139,882
A Teaching Hospital in the North West region is looking for a Consultant in Clinical Oncology with an interest in Gynaecology and Upper GI Oncology. The Oncology department comprises a large team of Consultant Clinical Oncologists and is supported by a wide group of middle grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or suitable Royal College qualification 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 a license to practice with experience in Radiotherapy and chemotherapy are required for this role, and anyone with an interest in Gynaecology and Upper GI Oncology should apply. The salary will be between £88,364 and £119,133 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide a comprehensive Oncology service and expertise in the management of site specialist cancer services.
  • Collaborate with the multidisciplinary teams to develop and support Oncology services.
  • Supervise and manage junior medical staff, including supporting the service during colleagues\' leave.
  • Undertake teaching, clinical audit, and research, contributing to local and national postgraduate education.

LIFE IN THE NORTH WEST

The hospital is based in the North West of England, with the closest urban areas offering a range of living options from city life to more rural surroundings.

The region boasts excellent schools and transport links, with trains connecting to major UK cities, and plenty of leisure activities for adults and families, including access to outdoor activities and historic landmarks.

The North West has significant historical importance and features stunning landscapes, making it a desirable location 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 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 a coastal region is looking for a Consultant in Dermatology with an interest in Inflammatory/Vascular Skin Disease. The Dermatology department comprises a team of 5 consultants and is supported by a large team of middle-grade doctors and specialists. This dermatology job is open to both international applications and UK-based doctors, though those with equivalent 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 GMC with a license to practice, and a higher degree in Dermatology are required for this role, and anyone with an interest in surgical dermatology should apply. The salary will be between £88,364 and £119,133 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Lead clinical activities for an outpatient caseload and conduct inpatient reviews.
  • Perform consultations and minor operative surgeries, and attend wards to review inpatient referrals.
  • Supervise and mentor junior clinical team members, including GPSI’s and Clinical Nurse Specialists.
  • Contribute to service development, training, and participate in clinical audits and governance.

LIFE IN COASTAL REGION

The coastal region offers a blend of vibrant urban life and serene rural settings, with popular towns providing a lively atmosphere and beautiful coastlines. Families will appreciate the excellent local schools, while transport links, including direct train services to major cities, make commuting convenient. The area is rich in history, with landmarks and national parks contributing to its cultural significance in British 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 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.
90,000 - 139,000

An NHS district general hospital in the North West is looking for a Consultant Haematologist with an interest in haemato-oncology. The haematology department comprises a team of three consultants 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 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
Applicants should hold full GMC registration and have CCT or equivalent qualifications in haematology. At least three years of higher training are required, and those with experience in haemato-oncology are encouraged to apply. The salary will be between £90,000 to £139,000 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide a comprehensive haematology service, including haemato-oncology treatment.
  • Participate in the on-call rota (1:4 weekends) and weekly MDT meetings.
  • Collaborate with regional services for complex cases.
  • Contribute to the department’s governance, audits, and professional development.

LIFE IN THE NORTH WEST

The hospital is located in a vibrant city with both urban and rural living options. The region boasts excellent schools, transport links, and numerous outdoor and cultural activities. Historically, the area is known for its scenic beauty and significant landmarks.

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
  • Short and long-term accommodation sourcing
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care

A NHS district general hospital in the South West is looking for a Consultant Histopathologist with an interest in bowel cancer screening. The histopathology department comprises a team of five consultants and is supported by a large team of middle-grade doctors. This histopathology 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.

JOB REQUIREMENTS AND DETAILS

Applicants should hold full GMC registration, FRCPath or equivalent qualifications, and have at least three years of higher training. Those with an interest in bowel cancer screening are encouraged to apply. The salary will be between £99,532 and £131,964 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide a comprehensive histopathology and cytopathology reporting service, including work from the bowel cancer screening programme.
  • Participate in post mortem services, including coroner’s cases.
  • Attend and present cases at multidisciplinary meetings.
  • Contribute to the department\'s clinical governance and medical audit processes.

LIFE IN THE SOUTH WEST

The hospital is located in a coastal region, with popular residential options in both urban and rural settings. The area offers excellent schools, transport links, and leisure activities, from beach sports to countryside hikes. Historically, the region is known for its significant tourist draw due to the beautiful coastal landscape and maritime history.

HOW WILL IMG CONNECT SUPPORT YOUR APPLICATION?

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
  • Short- and long-term accommodation sourcing
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care

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