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:
IELTS is designed to test your English skills needed to be successful in the workplace. It covers the following sub-test areas:
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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!
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.
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.
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.
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.
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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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.
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.
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.
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.
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
An NHS general hospital in Wales is seeking a Locum Consultant in Geriatric Medicine with a special interest in Orthogeriatrics. The department includes a team of 9 consultants and is supported by a large middle grade doctor team. This Geriatric Medicine role welcomes both UK-based and international applicants, especially those holding MRCP(UK) or equivalent qualifications.
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 MRCP, with solid experience in general and geriatric medicine. Subspecialty interest in Geriatric Medicine is desirable
CORE DUTIES OF THIS ROLE
LIFE IN WALES
This role is based in a picturesque Welsh town offering both urban convenience and rural tranquility, with popular residential areas including charming market towns and countryside villages.
The region provides great schooling options, strong transport connections, and plenty of family-friendly leisure activities.
Historically rich, the area features medieval architecture and has played a significant role in Welsh and 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:
An NHS teaching hospital, in Kent is looking for a Consultant in Medical Oncology with an interest in Melanoma. 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.
This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or MRCP are most encouraged to apply.CCT in Medical Oncology or equivalent experience, including CESR pathway candidates.
The salary will be between £105,504 and £139,882 dependent on experience or grade.
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.
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.
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
An NHS specialist cancer centre in Lancashire and South Cumbria is looking for a Consultant in Medical Oncology with an interest in upper and lower GI cancers. The oncology department comprises a team of 8 consultants and is supported by a large team of middle grade doctors.
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 oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or MRCP are most encouraged to apply.
Anyone with an interest in upper and lower GI oncology should apply.
The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
Provide systemic therapy services for patients with upper and lower GI cancers across UHMB sites.
Participate in multidisciplinary team meetings for lung and upper GI cancer and support associated administrative duties.
Lead and contribute to acute oncology services across the Trust (no on-call required).
Support teaching, supervision, and mentorship for junior medical staff and trainees.
LIFE IN LANCASHIRE AND SOUTH CUMBRIA
The area is rich with excellent schools, convenient rail and road links, and beautiful scenery for outdoor enthusiasts. Historically, the region has played a key role in British shipbuilding and industrial development and today combines coastal charm with cultural 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