The Occupational English Test (OET) is a globally recognized English language proficiency assessment tailored specifically for healthcare professionals seeking to work or study in English-speaking countries. 

As an expert in language assessment and healthcare communication, I aim to provide an in-depth exploration of the OET, focusing on its scoring system, test structure, preparation strategies, and practical tips to achieve a high score. 

With the growing demand for healthcare professionals worldwide, understanding the nuances of the OET is essential for doctors, nurses, pharmacists, dentists, and other medical practitioners aspiring to excel in international healthcare settings.

This article draws on the latest information available as of August 2025, including updates from reputable sources like oetpro.com, oet.com, and other authoritative platforms. Whether you're a first-time test-taker or seeking to improve your score, this guide will equip you with the knowledge and strategies to succeed.

What is the OET?

The OET, developed by Cambridge Boxhill Language Assessment (CBLA), is an international English language test designed to evaluate the communication skills of healthcare professionals in a medical context. 

Unlike general English proficiency tests like IELTS or TOEFL, the OET is profession-specific, assessing language skills relevant to 12 healthcare fields, including Medicine, Nursing, Dentistry, Pharmacy, Physiotherapy, and more.

Healthcare boards, councils, and institutions in countries such as Australia, Canada, Ireland, New Zealand, Singapore, the United Kingdom, and the United States recognize the test. It ensures that candidates can communicate effectively with patients, colleagues, and other stakeholders in high-stakes healthcare environments, where clarity and accuracy are critical for patient safety and quality care.

Why is the OET Important?

For healthcare professionals, a high OET score is more than a requirement—it reflects their ability to deliver safe, patient-centred care in English-speaking settings. The test evaluates real-world communication skills, such as understanding patient consultations, writing referral letters, interpreting medical texts, and engaging in role-play scenarios. 

Achieving the required scores opens doors to career opportunities, professional registration, and further education in English-speaking countries.

OET Test Structure

The OET comprises four sub-tests: Listening, Reading, Writing, and Speaking. Each sub-test is designed to assess specific language skills in a healthcare context. Below is a detailed breakdown of the test structure, updated to reflect the latest format as of 2025.

1. Listening Sub-Test (40 minutes, 42 marks)

The Listening sub-test evaluates a candidate’s ability to comprehend spoken English in healthcare settings. It is divided into three parts:

• Part A (Consultation Extracts): Candidates listen to two recorded consultations between healthcare professionals and patients, each lasting 4–5 minutes. They must complete 12 gap-fill questions per extract, requiring precise extraction of specific information (e.g., symptoms, medical history).

• Part B (Short Workplace Extracts): This section includes six short audio clips (approximately 45 seconds each), such as team briefings or patient handovers. Candidates answer one multiple-choice question per clip, testing their ability to grasp key points and context.

• Part C (Presentation or Interview Extracts): Candidates listen to two longer extracts (e.g., a medical lecture or interview), each followed by six multiple-choice questions. This part assesses the ability to understand complex ideas, opinions, and implications.

The Listening sub-test is the same for all professions, ensuring consistency in evaluating comprehension skills. To achieve a B grade (350/500), candidates typically need at least 30 out of 42 marks.

2. Reading Sub-Test (60 minutes, 42 marks)

The Reading sub-test assesses the ability to understand written healthcare texts. It is also divided into three parts:

• Part A (Expeditious Reading): Candidates have 15 minutes to skim and scan four short texts (e.g., patient notes, guidelines) and answer 20 questions, including matching, gap-fill, and short-answer formats. This tests the ability to locate specific information quickly.

• Part B (Careful Reading): This section includes six short texts (100–150 words each), such as policy documents or emails, with one multiple-choice question per text. It evaluates comprehension of main ideas and details.

• Part C (Careful Reading): Candidates read two longer texts (800 words each), such as journal articles or reports, and answer eight multiple-choice questions per text. This part focuses on interpreting opinions, attitudes, and implied meanings.

Like the Listening sub-test, the Reading sub-test is identical for all professions. A B grade typically requires 30/42 marks.

3. Writing Sub-Test (45 minutes)

The Writing sub-test is profession-specific, requiring candidates to produce a written document, typically a referral letter, discharge letter, or advice letter, based on case notes. Candidates have 5 minutes to read the case notes and 40 minutes to write.

The Writing sub-test is assessed on six criteria:

• Purpose: Clarity in stating the purpose of the letter.

• Content: Inclusion of relevant information from the case notes.

• Conciseness and Clarity: Avoiding unnecessary details while maintaining clarity.

• Genre and Style: Using an appropriate tone and register for the audience (e.g., another healthcare professional).

• Organization and Layout: Logical structure and flow.

• Language: Accuracy in grammar, vocabulary, and spelling.

Scores range from 0 to 100, with a B grade typically requiring a score of 350/500 (approximately 27/38 marks, though this varies by profession).

4. Speaking Sub-Test (20 minutes)

The Speaking sub-test is also profession-specific, conducted via Zoom for computer-based tests or in person for paper-based tests. It involves two role-plays, each lasting about 5 minutes, where the candidate plays their professional role (e.g., doctor, nurse) and the interlocutor plays a patient, caregiver, or colleague.

The Speaking sub-test is assessed on nine criteria, grouped into two categories:

• Linguistic Criteria:

• Intelligibility (pronunciation and clarity)

• Fluency (pace and flow)

• Appropriateness of Language (register and tone)

• Resources of Grammar and [removed]accuracy and variety)

• Clinical Communication Criteria:

• Relationship-Building (empathy and rapport)

• Understanding and Incorporating the Patient’s Perspective

• Providing Structure (organizing the conversation)

• Information-Gathering (effective questioning)

• Information-Giving (clear explanations)

Scores range from 0 to 100, with a B grade typically requiring 350/500 (approximately 28/39 marks).

OET Scoring System

The OET scoring system, updated in September 2018, uses a numerical scale from 0 to 500, reported in 10-point increments. Each sub-test (Listening, Reading, Writing, Speaking) is scored separately on a scale of 0 to 100, and the overall score is calculated by averaging the four sub-test scores. For example, scores of 350 (Listening), 400 (Reading), 450 (Writing), and 400 (Speaking) yield an overall score of (350 + 400 + 450 + 400) / 4 = 400.

Numerical & Letter Grading

Each sub?test is scored on a 0–500 scale (in 10?point increments), mapped to OET letter grades:

Score Bands and Grades

Since January 2025, the OET introduced an overall score to complement the existing sub-test scores, providing a single metric for organizations requiring a unified evaluation. The overall score is the sum of the four sub-test scores (e.g., 350 + 320 + 360 + 400 = 1430). However, most recognizing bodies still require minimum scores for each sub-test, typically 350 (B grade) or higher.

The OET score bands and their implications are as follows:

• 450–500 (A Grade): Indicates excellent proficiency, equivalent to IELTS 8.0–9.0. Candidates demonstrate fluent, accurate communication with a strong grasp of tone, register, and medical context.

• 350–440 (B Grade): Reflects good proficiency, equivalent to IELTS 7.0–7.5. Candidates communicate effectively with minor errors that do not impede understanding. This is the minimum requirement for most healthcare professions.

• 300–340 (C+ Grade): Indicates satisfactory performance with noticeable errors. Some professions (e.g., nursing in certain countries) accept this score for Writing or Speaking.

• 200–290 (C Grade): Reflects limited performance with significant errors, often insufficient for professional registration.

• 0–190 (D/E Grades): Indicates poor performance, with serious shortcomings in language skills.

Interpreting Your Score Report

When you receive your OET score report, it includes:

• Individual sub-test scores (0–100).

• Overall score (0–500, or total score since January 2025).

• Letter grades for Writing and Speaking (A, B, C+, C, D, E).

• Detailed feedback for Speaking, covering linguistic and clinical communication criteria.

• Test date and location.

A score of 350 or higher in each sub-test is generally considered a “good” score, meeting the requirements of most healthcare boards. However, specific requirements vary by profession, country, and institution. For example, the Educational Commission for Foreign Medical Graduates (ECFMG) in the USA accepts OET Medicine scores of 350 or higher for tests taken after July 2018.

Clubbing of Scores

Some recognizing organizations allow “clubbing,” where candidates combine scores from different test dates to meet minimum requirements. For instance, a candidate scoring 350 in Listening and Reading but 300 in Writing on one test date may retake Writing and combine the new score with previous results. Candidates should verify this policy with their specific board, as not all organizations permit clubbing.

How is the OET Scored?

The OET employs rigorous assessment processes to ensure fairness and reliability. Below is an overview of how each sub-test is scored:

• Listening and Reading: These sub-tests are marked objectively. Part A (Listening and Reading) answer booklets are graded by trained assessors using a detailed marking guide, ensuring consistency. Parts B and C use multiple-choice formats, with one mark per correct answer and no negative marking. Spelling errors in Reading Part A may result in lost marks, but they are less penalized in Listening.

• Writing: Two trained assessors independently mark the Writing task using the six criteria mentioned earlier. If scores differ significantly, a third assessor reviews the response. The final score is an average, converted to the 0–100 scale.

• Speaking: Two assessors evaluate each role-play based on the nine criteria. Recordings are reviewed to ensure accuracy, and scores are averaged. The detailed feedback provided helps candidates identify strengths and weaknesses.

OET Result Timeline and Validity

OET results are typically available 10–17 business days after the test, depending on the delivery mode:

• OET on Paper: 14 business days.

• OET on Computer or OET@Home: 10–16 business days.

Candidates can access their results via their myOET account on the official website (www.occupationalenglishtest.org). The scorecard can be downloaded for submission to recognizing organizations, which can verify results directly through the OET portal.

The validity of OET scores is determined by the recognizing authority, not the OET itself. Most boards accept scores for up to two years, but candidates should check specific requirements. For example, some institutions may accept older scores if accompanied by evidence of continuous English use.

Preparation Strategies for a High OET Score

Achieving a high OET score requires targeted preparation, familiarity with the test format, and practice in healthcare-specific contexts. Below are expert-recommended strategies for each sub-test:

Listening

• Practice Active Listening: Listen to healthcare-related podcasts, lectures, or patient consultations (e.g., on YouTube or OET practice platforms) to improve comprehension.

• Focus on Note-Taking: Develop shorthand techniques to capture key details during Part A. Practice summarizing audio clips to enhance retention.

• Expand Vocabulary: Learn medical terminology and colloquial expressions used in patient interactions to better understand context.

Reading

• Skim and Scan Efficiently: For Part A, practice locating specific information in texts like patient notes or guidelines under time constraints.

• Analyze Question Types: Familiarize yourself with matching, gap-fill, and multiple-choice questions to anticipate what’s being tested.

• Read Widely: Engage with medical journals, guidelines, and reports to improve comprehension of complex texts in Parts B and C.

Writing

• Understand Case Notes: Practice selecting relevant information from case notes and omitting irrelevant details. Aim for 180–200 words in your letter.

• Master Structure: Use a standard letter format (e.g., introduction, body paragraphs, conclusion) and ensure logical flow. Templates can help, but avoid over-reliance.

• Polish Language Skills: Focus on grammar, punctuation, and concise phrasing. Seek feedback from OET trainers or peers to refine your writing.

Speaking

• Practice Role-Plays: Simulate role-plays with a partner or tutor, focusing on empathy, clarity, and patient-centered communication. Record yourself to evaluate pronunciation and fluency.

• Develop Clinical Communication: Use open-ended questions to gather information and explain medical terms in lay language during role-plays.

• Work on Pronunciation: Practice stress, intonation, and clarity to ensure intelligibility, especially for non-native speakers.

General Tips

• Use Official Resources: Access free practice tests and samples on www.oet.com or premium materials on platforms like oetpro.com. These reflect the current test format and standards.

• Join Preparation Courses: Enroll in OET preparation programs offered by endorsed partners or online platforms for personalized feedback and mock exams.

• Manage Time Effectively: Practice under timed conditions to build speed and confidence. Allocate time wisely during the test to complete all tasks.

• Avoid Common Mistakes: Don’t overuse complex vocabulary, neglect task requirements, or skip practice. Focus on clear, practical communication.

OET Exam Fees and Rescheduling

The cost of the OET varies by location, profession, and test mode (paper, computer, or OET@Home). As of 2025, candidates should check the official OET website for exact fees, which may include:

• Test Fee: Covers all four sub-tests.

• Venue Fee: Charged by some test centers.

• Late Booking Fee: Applied for registrations after the standard deadline.

• Rescheduling Fee: Incurred if candidates need to change their test date.

To reschedule, candidates must visit the OET website, log into their account, and follow the process outlined in the Test Regulations. Valid reasons (e.g., medical emergencies) may qualify for fee waivers, but communication with OET support is essential. Refunds for cancellations are subject to the terms of the booking agreement.

OET in 2025: What’s New?

The OET continues to evolve to meet the needs of healthcare professionals and recognizing organizations. Key updates for 2025 include:

• Overall Score Introduction: The total score (sum of sub-test scores) provides a single metric for certain organizations, complementing individual sub-test scores.

• Expanded Recognition: The OET is now accepted in 20 countries, including new markets like Pakistan and expanded venues in Melbourne.

• Faster Results for Computer-Based Tests: OET on Computer results are available in as little as 10 days, facilitating quicker professional planning.

• Enhanced Preparation Materials: Platforms like oetpro.com offer updated practice tests, live classes, and personalized feedback to align with the latest test standards.

The Occupational English Test is a critical milestone for healthcare professionals aiming to thrive in English-speaking environments. Its unique focus on medical communication ensures that candidates are well-equipped to deliver safe, effective care. By understanding the OET’s scoring system, test structure, and preparation strategies, candidates can approach the exam with confidence and achieve the scores needed to advance their careers.

As an expert, I emphasize the importance of thorough preparation, regular practice, and leveraging high-quality resources like those on oet.com and oetpro.com. Whether you’re a doctor seeking ECFMG certification, a nurse applying for registration in Australia, or a pharmacist pursuing opportunities in the UK, a high OET score is your gateway to success. Start your preparation journey today, and take the first step toward a rewarding international healthcare career.

Expert Commentary

“As a coach who’s helped hundreds of healthcare professionals succeed, the introduction of the overall score in 2025 is a key development, especially for UK?based applicants. Yet, keep in mind that regulators still value consistent B-level performance across all four sub-tests over a single aggregate. In practice, an average of 360–380 per skill gives you both assurance and flexibility.”

At a Glance: What You Need to Know (as of August 2025)

• All sub?tests are scored individually on a 0–500 scale, mapped to A–E grades.

• No automatic overall score, except if requested (e.g. for HCPC).

• Results are now faster, with ~10 days for computer/at-home delivery.

• Most regulators expect ??350 in each sub?test, often in one sitting.

• Score validity: generally two years, but confirm with your intended regulator.

• Preparation strategy: simulate real conditions, use tailored healthcare material, and get expert feedback for Writing & Speaking.

OET continues to evolve to meet the nuanced needs of healthcare regulators worldwide. The new overall score is a welcome alignment tool, but the cornerstone of success remains consistent, high?quality performance in each sub?test. Stay focused, use official materials, and train with purpose toward the B/A range that opens doors.