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

99,532 - 131,964

Opportunity for Respiratory Medicine specialists with an interest in sleep medicine and ventilation subspecialties at one of the UK\'s most established and renowned NHS Teaching Trusts. The successful candidate will work in both areas, but this is not essential, and if a candidate has limited experience in Sleep/Ventilation but is keen to develop their expertise and take on a role in this area, the department will support with a period of training and mentorship. NUH is one the largest respiratory departments in the country with a wealth of subspecialty services, ranging from asthma, COPD, cystic fibrosis, bronchiectasis, ILD including LAM, through lung cancer to
infections including TB. In particular they are a regional centre for complex ventilation and sleep. Overseas applications from experienced Specialty Doctor, Specialist grade or Consultant grade are welcomed. 

What is the NHS Trust like?

Established in 2006 through a merger of two hospitals, the Trust stands as a cornerstone of healthcare in the city, boasting a prominent position in supporting the health and wellness of its local populace. Renowned for its contributions to research, education, and innovation, the Trust delivers secondary care services to over one million individuals in the county and specialized tertiary care to patients throughout the East Midlands. With approximately 17,000 employees spread across three sites, the Trust operates under a budget of under £1 billion, maintaining 90 wards and 1,700 beds. Serving as a linchpin for district general services to 2.5 million residents and surrounding communities, the Trust\'s specialized services extend care to 4.5 million individuals from across the East Midlands and beyond for select services. As a teaching institution, the Trust nurtures strong partnerships with the local University and other regional universities. The Trust assumes a pivotal role in the education and training of medical professionals, nurturing the development of doctors, nurses, and allied healthcare staff.

What is the Respiratory Medicine Department & Team like?

NUH is one the largest respiratory departments in the country with a wealth of subspecialty services, ranging from asthma, COPD, cystic fibrosis, bronchiectasis, ILD including LAM, through lung cancer to infections including TB. In particular they are a regional centre for complex ventilation and sleep. The Respiratory service runs on both campuses; therefore cross site working is a requirement of the post. Respiratory inpatient beds are currently predominantly on the City campus. NUH has a dedicated respiratory assessment unit (RAU), taking direct admissions via 999 ambulance service, as well as transfers from the Emergency Department based at Queen’s Medical Centre campus. RAU has 20 beds, including 4 side rooms, and is led by a strong team of nurses, including Advanced Clinical Practitioners (ACPs) and a team of doctors, including a dedicated Trust grade post. On the QMC campus we have the 12 bedded Advanced Respiratory Care Unit (ARCU). The Respiratory team also provides in-reach cover to the Emergency department and acute medical admissions area based on the QMC campus. The successful candidate will join a team of 24 NHS Respiratory consultants and 8 academics, who also have a wide range of sub-specialty interests. The consultant team is supported by 8 middle grade doctors and a team of nurse specialists across COPD, lung cancer, oxygen, ILD, Asthma and TB. We also have Advanced Clinical Practitioners (ACPs) supporting the acute pathway and some chronic disease clinics.

What is life like in East Midlands of England?

The city offers a dynamic blend of urban and rural settings, catering to diverse lifestyles for doctors living nearby. The city boasts esteemed schools and universities, and the transportation links are robust, connecting locally and to neighboring cities and airports. Housing options range from historic properties in the city center to modern developments in suburban areas, accommodating various preferences and budgets.

Career Development & Further Opportunities Available at the NHS Trust

The department has a strong research reputation and we are proud to have team members with national and international profiles. A new consultant will join a well-established team and will help us to consolidate and expand the services we provide.  The trust has an active education/teaching programme which is supported by the consultant team.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Respiratory, Sleep and/or ventilation
  • Specialist Qualification in Respiratory Medicine

Non-EEA Candidates:

  • MRCP UK or MRCPI (or any other GMC recognised qualification)
  • Experience of working in Respiratory, Sleep and/or ventilation

UK based applicants

  • Experience of working in Respiratory, Sleep and/or ventilation
  • Within 6 - 12 months of completing CCT
99,532 - 131,964

An NHS Trust in the Midlands is in search of a Consultant Psychiatrist in Eating Disorders. The role is open to overseas consultants with experience or interest in Eating Disorders alongside UK middle grade doctors with S12 who have experience or interest in Easting Disorders. 

This role will primarily focus on the severe pathway. The appointed candidate will offer direct clinical care and clinical leadership to a diverse team, comprising specialist nurses, therapists, psychologists, dietitians, therapists, social workers, and peer support workers. Additionally, there will be occasional cross-cover duties for the inpatient consultants stationed at a 15-bed inpatient unit.

What is the NHS Foundation Trust like?
The NHS Trust serves a population of approximately 850,000 across several towns, provides comprehensive Mental Health Services. Alongside Learning Disability services for a significant region of the West Midlands, it offers tertiary services in Forensic and Child Psychiatry. Furthermore, it extends its reach to Community Health Services within its region. As a teaching Trust, it has strong ties with a university medical school, offering placements for medical students and engaging professionals in teaching and training. The Trust provides higher education facilities for continuous professional development and collaborates closely with the Academic Department of Psychiatry for research opportunities. 

What is the department & team like?

The Eating Disorders Service is a specialist, tertiary service staffed by 4.2 WTE Consultant Psychiatrists, 2.4 WTE specialty doctors, 1.0 WTE ST 4-6, 1.0 WTE CT3, and 1.0 WTE F2 doctor. This multidisciplinary team manages a range of complex cases, including patients with a BMI below 15, those with complex medical or psychiatric comorbidities, pregnant patients, and diabetic patients. Treatments provided encompass individual therapy based on psychodynamic, cognitive-behavioural, and systemic approaches. The service also offers specific pathways for patients transitioning from CAMHS, pregnant patients, and SEED patients, alongside a dedicated Clinic for Eating Disorders and Diabetes, with plans for an ARFID clinic.

Facilities include both an outpatient service and a 15-bed regional inpatient unit, all housed in a self-contained unit on a general hospital site. Annually, the service is expected to handle a caseload of approximately 230 patients, with around 360 new referrals. The team works closely with the Community Mental Health and Wellbeing Teams, the Crisis and Home Treatment Team, and the Gastroenterology Departments at the NHS Trust. This comprehensive service, supported by significant investment through the Community Mental Health Transformation Plan, aims to deliver high-quality, specialized care to patients with eating disorders across the town they service.

Career Development & Opportunities Available

The NHS Trust offers extensive career development opportunities, including CESR support for international doctors seeking specialist registration and access to specialty training. The Trust encourages the development of sub-specialties in areas like eating disorders and psychodynamic therapy.

The Trust is committed to service improvement and innovation through its transformation plan, which includes significant investment in services such as the new Community Eating Disorders Service. This dedication to growth and quality improvement creates an exciting environment for professionals aiming to contribute to meaningful changes in healthcare delivery.

Life like in the area

The town is an urban area with nearby rural settings, offering a diverse living environment for doctors. The city provides a mix of cultural activities, historic sites like a Cathedral, and scenic spots in the countryside. The area boasts a range of quality schools and universities. Excellent transportation links connect the city to major cities like Birmingham and London, with easy access to airports such as Birmingham Airport. The area offers a variety of housing options, from modern city apartments to charming rural homes, catering to different lifestyle preferences.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Eating Disorders Psychiatry (Desirable)
  • Board Certified Specialist in Adult Psychiatry 

Non-EEA Candidates:

  • Specialist / Consultant experience in General Adult Psychiatry
  • Experience of working in Eating Disorders Psychiatry (Desirable)
  • MRCPsych (Desirable)

UK based applicants

  • Experience of working in Eating Disorders Psychiatry (Desirable)
  • S12 (Desirable)
£83945 - £95275
An excellent opportunity has arisen for a Specialist Grade in General Adult Psychiatry to join a trust on the south coast of England. This is a high-performing and supportive department for overseas doctors new to NHS jobs or UK-based doctors looking to advance their careers in the UK. CESR support is available.

Requirements
MRCPsych - preferred 
S12 - preferred 
12 years post graduate experience with 6 years in psychiatry

What is the NHS Trust like?
The NHS Trust provides a range of high-quality specialist mental health, learning disability, and neurodiversity services, in the South West region. The Trust is passionate about promoting good mental health and wellbeing, striving to use the expertise and resources within the organization, and through partnerships, to deliver safe, high-quality services focused on people\'s recovery.

With an annual income exceeding £206 million, the Trust employs around 3,600 staff. Each year, it receives approximately 74,000 referrals and supports around 26,000 people every month. This passion and commitment shape the Trust\'s vision, mission, and strategy. The staff are pivotal in all activities, and the Trust is committed to fully involving them in the development of the organization and its services.

General Adult Psychiatry Department & Team

The Community Mental Health Services provide secondary care interventions for individuals referred by Mental Health Assessment workers and other teams, such as acute and inpatient services. The community teams manage caseloads that include individuals with a wide range of mental health difficulties and complexities, from those requiring intensive long-term care to those receiving short-term psycho-social interventions. The team collaborates constructively with various agencies within Torbay to ensure a coordinated approach to managing risk issues.

The team comprises a full-time Clinical Team Leader, Mental Health Nurses, Occupational Therapists, Social Workers, and Support Time and Recovery Workers. All three Community Mental Health Teams share an Accommodation Officer, a Personality Disorder Lead, and a Carers Support Team. The team employs a strong multidisciplinary approach, working cohesively to provide an effective and safe recovery-focused service to those referred. 

Life in South West


The South West of England offers both rural and urban settings, providing diverse living options. The region features stunning landscapes, including the Jurassic Coast, Dartmoor, and Exmoor, perfect for hiking and outdoor activities. There are high-quality schools and renowned universities, such as the University of Exeter and University of Bristol. Excellent transportation links include major motorways, rail services to London and other cities, and airports in Bristol and Exeter. Housing options range from urban apartments and suburban homes to countryside cottages, catering to a variety of lifestyles and preferences.

Am I eligible for this role?

MRCPsych - preferred
S12 - preferred 
12 years post graduate experience with 6 years in psychiatry - necesary 
52,530 - 82,000

Opportunity for a Consultant Histopathologist at a major University Hospital in the Northeast of Engalnd. The role offers the chance to contribute significantly to pathology services within a regional pathology hub, working with a skilled team of 12 consultants delivering a comprehensive cellular pathology reporting service to a diverse population across several towns, and totaling 1.6 million residents.

This role is particularly advantageous for overseas Consultant Histopathologists aspiring to establish themselves in the NHS. Suited for candidates with specialization in the European Economic Area (EEA) or experienced International Medical Graduates (IMGs) seeking completion of the Certificate of Eligibility for Specialist Registration (CESR), it provides a unique pathway for professional growth.

The Histopathology Department is a centre of diagnostic excellence, the department handles a diverse caseload, offering comprehensive care ranging from routine diagnostics to complex pathology. 

Their main hospital is a major teaching and trauma center with 1,024 beds, a 24-hour acute admissions unit, and an emergency department. The Trust\'s dedication to research and development is evident through active participation in regional and national research programs and clinical trials. The Research and Effectiveness department within the Trust facilitates project coordination, supporting innovation. A specialized member of the research staff brings expertise in managing the pathological aspects of clinical trials.

The urban hub, offers residents a dynamic living experience with access to scenic parks, cultural attractions, quality schools, and Teesside University. Robust transportation links connect Middlesbrough locally and to major cities and airports. Housing options, from historic residences to modern developments, cater to diverse preferences, ensuring a vibrant urban lifestyle with green spaces and educational excellence.

ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Histopathology (essential) 
  • European Specialist Qualification in Anatomical Pathology

Non-EEA Candidates:

  • FRCPath (essential)
  • ???????Experience of working for Histopathology (essential)

UK based applicants

  • Experience of working in Histopathology (essential)

52,530 - 82,400

An excellent NHS Foundation Trust is inviting applications for the position of Trust Grade Specialty Doctor in Histopathology. This full-time role is ideal for experienced histopathologists looking to advance their careers within the UK’s esteemed NHS framework. This position offers the potential for highly experienced specialty doctors to progress to the specialist grade. The role promises a healthy work-life balance as it comes with no on-call commitments. The successful applicant will join a dedicated team of Consultant Histopathologists, a specialty doctor, and supportive secretarial and laboratory staff. The position includes access to CESR support programme.

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

What is the NHS Foundation Trust like?

The NHS Foundation Trust is a district general hospital trust managing three hospitals. The Trust serves the different towns, delivering a broad range of medical services. They are performing at a good level across their services and continuously provides huge opportunities and benefits to the way they deliver patient care. The Trust focuses on delivering excellent general hospital services, serving a population of approximately 750,000 with the help of more than 9,000 staff members. The hospitals have around 1,100 beds in total, offering services including General Medicine, General Surgery, Neurology, Rheumatology, Gastroenterology, Dermatology, Gynaecology, and Paediatrics.

The Trust achieved foundation status in 2005 and, in October 2020, merged two of its hospitals to create a new organization, establishing one of their hospitals as the emergency care site and another as the planned care site. The Trust remains dedicated to continuous improvement, striving to provide high-quality, patient-centered care across all its facilities.

What is the department & team like?

The Histopathology Department is a highly specialized unit. The department is staffed with a dedicated team of five full-time equivalent (WTE) Consultant Histopathologists and one Specialty Doctor. They are supported by a team of Biomedical Scientists (BMS) at various levels and trainees/associate practitioners, with secretarial staff providing essential administrative support.

Annually, the department processes approximately 22,000 surgical requests at one of their sites alone, with around 17% originating from GP users, and similar volumes reported at their other hospital. The department handles a wide range of cases including Urology, Colorectal, Breast, Upper Gastrointestinal, Dermatology, and Lung biopsies. The department is notable for being a Breast and Bowel Cancer Screening Centre, dealing with Head and Neck, Endocrine, Medical Liver biopsies, and Gynaecology among others.

Facilities at the department include an advanced processing laboratory, immunohistochemistry services, and limited molecular genetics capabilities. The department is fully accredited with ISO 15189:2012, ensuring high standards in diagnostic accuracy and patient care. Operating Monday to Friday from 08:00 to 17:00, the department is committed to continuous improvement and the integration of new technologies such as Digital Pathology to enhance service delivery.

Career Development & Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, get involved in active research and many aspects of CPD. Participation in research and educational activities will be encouraged.

  • Attractive salary and relocation package
  • Training and development opportunities
  • CESR support for those eligible
  • Tier 2 Health and Care Visa (sponsorship for the whole family)
  • Guidance regarding the CV and full interview preparation
  • Assistance regarding the GMC registration, visa, accommodation and transportation by an experienced onboarding specialist
  • Complete IMG Relocation service from start to finish of process
Life in the area

Nestled along England\'s picturesque south coast, the area offers a unique blend of urban amenities and coastal charm. Doctors enjoy proximity to both bustling city life and tranquil seaside retreats. Residents indulge in sailing adventures around harbour or stroll along its sandy beaches. The area boasts reputable schools and universities, nurturing young minds for future success. Transportation links are robust, with easy access to neighboring cities like Bournemouth and Southampton, as well as major airports. Housing options range from waterfront apartments to quaint cottages, catering to varied tastes and lifestyles. Poole epitomizes the quintessential coastal living experience.

Am I eligible for this role?

UK based candidates:

  • Experience in Histopathology
EEA candidates: 
  • Experience in Histopathology
  • FRCPath
Non-EEA candidates:
  • FRCPath
  • Experience in Histopathology

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