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- 139,882

An NHS hospital in the South East of England is looking for a Consultant Clinical Oncologist with an interest in Breast Oncology. The Oncology department comprises a team of experienced Medical and Clinical Oncologists, supported by a large team of middle-grade doctors and a robust research unit. This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or a 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 or specialist registration with the General Medical Council (GMC) or eligibility within six months is required for this role. Anyone with an interest in breast cancer should apply. The salary will be between £105,504 and £139,882 per annum, dependent on experience and grade.

CORE DUTIES OF THIS ROLE

  • Manage breast cancer patients, working closely with multidisciplinary teams across the region.
  • Deliver systemic anti-cancer therapies (SACT), including chemotherapy, immunotherapy, and targeted treatments.
  • Participate in breast cancer multidisciplinary team (MDT) meetings.
  • Supervise and teach junior doctors, registrars, and medical students.

LIFE IN THE SOUTH EAST

The South East of England offers a mix of coastal and countryside living, with excellent urban options and picturesque rural retreats. The region provides easy access to London and international travel, making it a convenient yet scenic place to live and work.

The area is home to top-performing schools, a thriving job market, and fantastic leisure activities, including watersports, hiking trails, and cultural festivals. There is a strong medical and academic presence, with opportunities for research and collaboration.

Historically, the region played a key role in shaping England, from medieval battles to its significant contributions to maritime history. The blend of heritage and modern development makes it an exciting 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 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
59,175 - 95,400

A UK-based mental health trust is looking for a Specialty Doctor in Older Adult Inpatient Psychiatry to join their team at a well-established psychiatric inpatient unit. The Older Adult Psychiatry department includes consultants, specialty doctors, junior doctors, and a multidisciplinary team, offering comprehensive care to inpatients. This role is open to both UK-based and international doctors, particularly those with MRCPsych or equivalent European Specialist qualifications.

JOB REQUIREMENTS AND DETAILS

  • Applicants should have full GMC registration and at least four years’ postgraduate training, with at least two years in a psychiatry specialty training programme or equivalent experience.
  • Experience working in Older Adult Psychiatry or Inpatient Psychiatry is desirable.
  • The salary will be between £59,175 - £95,400 per annum, dependent on experience.

CORE DUTIES OF THIS ROLE

  • Provide psychiatric and medical expertise to inpatients, including clerking new admissions, conducting ward rounds, and leading reviews.
  • Collaborate with a multidisciplinary team, including nurses, occupational therapists, and junior doctors, to provide high-quality inpatient care.
  • Participate in Mental Health Act (MHA) responsibilities, including writing reports and attending tribunals when required.
  • Contribute to teaching and supervision of junior medical staff.

LIFE IN THE REGION

The region offers an attractive combination of coastal and rural living, with easy access to major cities and transport links. Doctors moving here can choose between bustling town life or scenic countryside retreats.

The area boasts excellent schools, leisure facilities, and strong transport connections, making it a great choice for professionals and families. Historically, it has a rich cultural and architectural heritage, with numerous attractions for residents to enjoy.

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.
59,175 to 95,400
A mental health service in the UK, in the South of England, is looking for a Specialty Doctor in General Adult Psychiatry with an interest in crisis intervention and intensive home treatment. The psychiatry team consists of consultants and a multi-disciplinary support staff, working with a caseload of 15–20 patients. Applications are open to both UK and international doctors, with MRCPsych or equivalent psychiatric training being particularly desirable.

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

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold full GMC registration and have completed at least four years of postgraduate training, with at least two years in psychiatry.
  • Prior experience in community or inpatient psychiatry is required.
  • The salary will be between £59,175 to £95,400 per annum, dependent on experience.
CORE DUTIES OF THIS ROLE
  • Provide medical support to a crisis and home treatment service, attending team meetings and case reviews.
  • Assess and manage patients in crisis, either at home or in a community-based setting.
  • Work closely with CMHTs, inpatient teams, and crisis services to ensure seamless care transitions.
  • Provide supervision and training to junior doctors and other clinical staff.
LIFE IN THE REGION

This region offers a balance of rural and urban living, with access to historic towns, beautiful countryside, and excellent local amenities. Professionals moving to the area benefit from good schools, strong transport links, and a vibrant cultural scene. The area has a rich historical background, with famous landmarks, medieval architecture, and a welcoming community, making it an ideal location for doctors and their families.

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.
105,504 - 139,882
An NHS hospital in South West England is looking for a Consultant Gastroenterologist with an interest in gastrointestinal endoscopy and general gastroenterology. The Gastroenterology department is made up of a team of consultants and supported by middle-grade doctors. This role is open to both UK-based and international candidates, with preference given to those holding MRCP (UK) or equivalent and CCT in Gastroenterology +/- General Internal Medicine (GIM).

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

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold MRCP (UK) or equivalent and be eligible for CCT in Gastroenterology +/- GIM (or obtain within six months of interview).
  • Experience in gastrointestinal endoscopy, ward-based gastroenterology, and outpatient services is required.
  • The salary will be between £93,666 – £126,281 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Provide treatment and care for gastroenterology patients, including inpatient, outpatient, and endoscopy services.
  • Participate in the on-call rota for gastroenterology emergencies and out-of-hours ward cover.
  • Engage in teaching and training of junior doctors, contributing to their professional development.
  • Support clinical governance activities, including audits, quality initiatives, and structured judgement reviews.
LIFE IN SOUTH WEST ENGLAND

This hospital is located in a scenic region of South West England, offering a mix of urban and rural living. Candidates can choose to live in a lively market town with excellent amenities or opt for a more peaceful setting in the surrounding countryside. The region provides good transport links, excellent schools, and a variety of leisure activities including hiking, cycling, and water sports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and strong local traditions, making it a great 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
105,504 - 139,882

An excellent NHS hospital in the UK is seeking a Consultant in Dermatology with a focus on skin cancer and paediatric dermatology. The department consists of three experienced consultants and is supported by a diverse team of middle-grade doctors. This role is open to both UK-based and international candidates, with preference for those holding GMC Specialist registration or equivalent.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • GMC Registration with a licence to practice is required for this role, and individuals with a special interest in skin cancer and paediatric dermatology are encouraged to apply.
  • The salary will range from £105,504 and £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality dermatology care, specializing in skin cancer and paediatric dermatology.
  • Engage in the education and training of junior staff and medical students.
  • Participate in clinical governance, audit, and continuing medical education.
  • Contribute to the Cornwall Skin Cancer MDT and other department activities.

LIFE IN THE REGION

The area offers a perfect mix of urban and rural living. The main city provides vibrant city life, while rural areas offer quiet retreats with breathtaking views of the coastline. There are excellent transport connections with easy access to London, and multiple leisure opportunities are available, including outdoor activities like hiking and sailing.

The region is rich in history, particularly maritime history, and is home to several iconic landmarks. The local hospital is a significant part of the community, offering outstanding medical services.

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 and family support for finding schools and any other aspects of pastoral care

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