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Which is the Most Difficult Part of OET and How to Crack it?

OET Writing continues to be the most challenging module for candidates—and for good reason. It tests English ability + clinical judgement within just 40 minutes.

Why Writing Feels So Hard

Here’s what makes Writing difficult (based on coaching + OETPRO performance data):

  • Tone Control Required
    You need a tone that is formal but compassionate.
    Example mistake:
    A nurse wrote: “Patient feeling rough.” ? too casual.

  • Clinical Reasoning Needed
    You must choose what to include from case notes.
    E.g., In asthma cases, inhaler adjustments > minor cough details.

  • Accuracy Matters
    Wrong doses = immediate score drop.

  • Cohesion Issues
    Your letter must flow like a real clinical document.

  • Time Pressure
    5 minutes reading + 35 minutes writing/editing.

Structure of an Ideal OET Letter (Table)

Section What to Include Example
Opening Purpose + patient summary “I am writing to refer Mr. Hale for urgent cardiology review…”
Medical History Relevant only Diabetes, HTN—not hobbies
Current Condition Symptoms, vital signs, test results “BP 160/100 mmHg, chest pain on exertion.”
Request / Action Needed What you want the recipient to do “Kindly assess need for angiography.”
Closing Polite request + availability “Please contact me for further details.”

How to Pass All OET Modules in 2025

The 2025 OET features new accents, an overall scoring system, digital test centers, and more real-life role-play tasks.
Here’s how to prepare module-wise.

Writing: Your Make-or-Break Module

Top Strategies

  • Use a template
    Helps structure your letter quickly.

  • Prioritize 5–7 key case points
    Avoid overloading your reader.

  • Be clinically precise
    Avoid vague terms ? use numbers and concrete data.

  • Timed practice
    35-minute writing drills daily.

  • Use OETPRO AI feedback
    It highlights tone, cohesion, grammar errors.

Listening: Handling New Accents (2025 Update)

You will now hear Canadian, Irish, British, and Australian accents.

How to Improve

  • Listen to medical podcasts
    Try: The Rounds Table, JAMA Clinical Reviews

  • Use medical abbreviations during note-taking
    HTN, SOB, wheeze, GI upset, etc.

  • Predict answers by reading questions first.

  • Practice MDT-style conversations (multidisciplinary team) a 2025 addition.

Reading: Fast Scanning + Inference Mastery

Quick Tips

  • Part A: scanning
    Practice finding keywords like dosage, contraindications.

  • Part B & C: infer meaning
    Look for implied messages—not only literal ones.

  • Stay updated on digital health
    New reading texts in 2025 feature telehealth, AI tools, and e-prescriptions.

Speaking: Often the Easiest

Speaking mirrors real hospital conversations.

What Works Best

  • Show empathy
    Use phrases like “I understand your concern…”

  • Structure role-plays
    Opening ? explanation ? checking understanding ? reassurance.

  • Practice culturally sensitive communication
    A new focus for 2025.

Pro Study Plan from 18 Years of Coaching

Follow this schedule for 6–8 weeks:

Weekly Study Breakdown

Task Frequency
Full mock test 1 per week
Writing practice 3–4 letters/week
Listening tests 4–5 sessions
Reading drills 3 sessions
Speaking partner/practice 2–3 sessions
Vocabulary + grammar Daily (15–20 min)

Golden Rules

  • Review errors daily

  • Focus more on weak modules

  • Use OETPRO for templates + instant AI scoring

2025 OET Updates You Must Know

New Features

  • Overall score introduced
    Range: 350–500 for grade B equivalency

  • Faster results
    8–10 business days

  • More Canadian acceptance
    Especially for NNAS, medical boards & provincial regulators

  • More digital test centers
    Especially in India, UAE, Philippines

  • More diverse Listening accents

Real Success Example

A Malaysian nurse improved from C to B in Writing in 6 weeks, using:

  • Templates

  • Daily OETPRO drills

  • Targeted coaching

  • Tone correction

  • Accuracy-based rewriting

She now works in Melbourne, earning her dream salary.

Frequently Asked Questions (FAQs)

1. What is the hardest part of OET?

Writing, because it requires clinical accuracy + formal tone + time management.

2. Which OET module is the easiest?

Speaking, because it feels similar to real patient communication.

3. How do I pass OET on the first attempt?

Daily practice (2 hours) + OETPRO mock tests + targeted feedback.

4. How long does OET preparation take?

6–8 weeks with consistent study.

5. Is scoring B in Writing easy?

Not easy, but absolutely achievable with templates & feedback.

6. Why did OET introduce an overall score in 2025?

To streamline registration and make results more meaningful.