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.

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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.

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Relevant Jobs

105,504 to 139,882
An NHS Trust is looking for a Consultant Histopathologist with an interest in GI & dermatopathology. The Histopathology department comprises a team of consultants and is supported by a large team of middle-grade doctors. This role is open to both international and UK-based doctors, with portfolio support for CESR available.

JOB REQUIREMENTS AND DETAILS
  • FRCPath or equivalent and Full GMC Registration are required.
  • The salary will be competitive and dependent on experience.

CORE DUTIES OF THIS ROLE
  • Provide histopathology services for diagnostics.
  • Participate in the Bowel Cancer Screening Programme.
  • Collaborate in academic and educational activities.
  • Contribute to digital Histopathology system development.

LIFE IN THE REGION
The position is based in a city offering a mix of urban amenities and scenic rural living options. Families will find excellent schools, easy access to transport, and a range of leisure activities. The region has a rich cultural and historical significance.
105,504- 139,882

An NHS district general hospital in the North of Scotland is looking for a Consultant Clinical Oncologist with an interest in Lung, Head & Neck, or Breast cancer. The oncology department comprises a team of 7 consultants and is supported by a large team of middle grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCR (or equivalent) 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

FRCR, full GMC registration with specialist registration or within 6 months of CCT, along with broad experience in prescribing radiotherapy and SACT, are required for this role, and anyone with an interest in Lung, Head & Neck, or Breast radiotherapy should apply. The salary will be between £107,144 and £142,369 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Manage a subspecialty caseload in Lung, H&N or Breast radiotherapy, delivering high-quality care and treatment planning.

  • Participate in MDT meetings, clinical governance, research and teaching activities.

  • Contribute to acute oncology on-call cover and peripheral clinics across the region.

  • Lead or support the development of new services or innovations in clinical delivery within the department.

LIFE IN THE SCOTTISH HIGHLANDS

This job is based in the Scottish Highlands, a region known for both its bustling city of Inverness and rural escapes like Beauly or Fort Augustus.

The Highlands offer excellent schools, strong transport links including rail and air connections, and year-round recreational options from hiking to arts festivals. The city also has a vibrant cultural and social scene for families and professionals alike.

Rich in heritage, the Highlands are home to some of Scotland’s most renowned history—from clan culture to castles—making this region both a scenic and significant place to live and work.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting 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

96990 - 107155

An NHS acute hospital in the South East is looking for a Specialist Acute Physician with an interest in Same Day Emergency Care and Ambulatory Medicine. The Acute Internal Medicine department comprises a team of 13 consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) 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

MBBS or equivalent, full GMC registration, MRCP, and a minimum of 4 years’ post-graduate NHS experience (with at least 2 years in Acute Medicine) are required for this role, and anyone with an interest in expanding SDEC and short stay services should apply. The salary will be between £96,990 - £107,155 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provision of the Acute Internal Medicine service, including same day emergency care, inpatients on the AMU, and the Short Stay Unit

  • Receiving referrals from primary care to provide clinical advice and triage for potential admissions

  • Supervision of junior doctors and alternative workforce, including advice on treatment plans

  • Participation in clinical education and governance activities, and supporting development of the department

LIFE IN THE SOUTH EAST

This role is based in a major coastal city in the South East, with nearby living options ranging from lively urban centres to scenic rural towns. The region offers strong transport connections, reputable schools, and a wide range of leisure pursuits including historic attractions, beaches, and outdoor activities. Known for its maritime heritage, this area has longstanding ties to British naval and defence 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

105,504 - 139,882

An NHS teaching hospital in the West Midlands is looking for a Locum Consultant in Microbiology with an interest in clinical microbiology, infection control, and antimicrobial stewardship. The Microbiology department comprises a team of 5 consultant microbiologists and is supported by a large team of middle grade doctors. This Microbiology 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

FRCPath (or equivalent) and significant experience in microbiology and infectious diseases are required for this role, and anyone with an interest in antimicrobial stewardship and infection control should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide clinical microbiology advice for inpatients and outpatients, including infection control and antimicrobial therapy recommendations.

  • Participate in multidisciplinary team meetings such as OPAT, diabetic foot, and spinal infection MDTs.

  • Be part of a 1:7 on-call rota, providing microbiology advice out-of-hours to hospital and community services.

  • Contribute to laboratory report validation, audit activities, and CPD, including teaching junior doctors and medical students.

LIFE IN STOKE

This role is based in Stoke-on-Trent. Many staff choose to live in Stoke itself for urban convenience, or in nearby towns like Stone or rural Cheshire for a quieter lifestyle. The area is well-served by excellent transport links, schools, and local amenities, with plenty of leisure activities including country parks, theatres, and restaurants. Stoke-on-Trent has a rich industrial heritage and is famously known as the heart of the UK’s pottery industry, offering cultural and historical interest alongside modern healthcare innovation.

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 teaching hospital in the North of England is looking for a Consultant in Medical Oncology with all interests considered. The oncology department comprises a team of consultants and is supported by a large team of middle grade doctors. This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or MRCP (UK) 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 practise and inclusion (or eligibility within 6 months) on the Specialist Register in Medical Oncology are required for this role. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Manage and treat patients with cancers as part of the site-specific MDTs.

  • Provide on-call and acute cover for oncology inpatients and new inpatient referrals on a rotational basis (1 week out of 8).

  • Attend weekly multi-disciplinary meetings.

  • Hold an honorary lecturer position at a local medical school and participate in undergraduate teaching.

  • Participate in clinical research as appropriate.

  • Train and teach specialty trainees in medical oncology.

LIFE IN THE NORTH OF ENGLAND

This role is based in the North of England, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in York 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 countryside on its doorstep, the North of England 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

  • Family support for finding schools and any other aspects of pastoral care

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