Occupational English Test – Overview
OET is an international English language test that assesses the language proficiency of
healthcare professionals seeking to register and practice in an English-speaking environment. It
provides a validated, reliable assessment of all four language skills – listening, reading, writing
and speaking – with the emphasis on communication in healthcare professional settings.
OET assesses listening, reading, writing and speaking.
There is a separate sub-test for each skill area. The Listening and Reading sub-tests are
designed to assess the ability to understand spoken and written English in contexts related to
general health and medicine. The sub-tests for Listening and Reading are common to all
professions. The Writing and speaking sub-tests are specific to each profession and are
designed to assess the ability to use English appropriately in the relevant professional context.
| Paper (Duration) | Content | Remarks |
| Listening
(approx. 50 minutes) |
2 tasks
Common to all 12 professionals |
Follow and understand a range of health-related spoken materials such as patient consultations and lectures. |
| Reading (60 minutes) | 2 tasks
Common to all 12 professionals |
Read and understand different types of text on health-related subjects. |
| Writing (45 minutes)
Reading time: 5 minutes Writing time: 40 minutes |
1 task
Specific to each profession |
Write a letter in a clear and accurate way which is relevant for the reader. |
| Speaking (20 minutes) | 2 tasks
Specific to each profession |
Effectively communicate in a real-life context through the use of role-plays. |
How is OET different to general or academic English tests?
OET tests real communication scenarios candidates will experience in the healthcare workplace, whereas other tests assess English language skills using everyday scenarios.
General or academic English Writing Test: Write an essay on a general topic
OET writing test: Write a healthcare letter usually a referral letter based on case notes.
General or academic English-speaking Test: Structured interview on a general topic
OET speaking test: Health professional to patient role-plays.
How is OET scored
Why should I take OET?
✓OET is the English language test designed specifically for healthcare professionals.
✓OET is recognized as proof of English proficiency by health regulators in the UK, Ireland,
Australia, New Zealand, Dubai, Namibia, Singapore and Ukraine for registration.
✓OET is also accepted by the Australian Department of Immigration and Immigration New
Zealand for all visa categories where an English language test result may be required, including
Skilled Migrant Category.
✓OET helps develop language skills for success in healthcare courses, clinical placement,
healthcare registration and the workplace.
✓It’s easy to prepare for the test using OET’s preparation resources, many of which are online
and included in the cost of the test.
✓Recommended by past test takers because OET preparation and test materials reflect real
healthcare scenarios, so you’ll know what to expect and feel more confident on test day.
Where and when can I take OET?
OET is available monthly, in over 110 locations in over 40 countries. For OET test dates and a list
of countries and venues where the test is available, visit www.occupationalenglishtest.org
How do I apply for OET?
You apply for OET via our website. You will find all the information you need to apply for OET,
including test regulations, guidelines for uploading photos, test costs and how to pay, at
www.occupationalenglishtest.org/apply
What’s in the test?
OET covers all four language skills with an emphasis on communication in a healthcare
environment. It consists of four sub-tests:
- Listening
- Reading
- Writing
- Speaking
The Listening and Reading sub-tests are designed to assess your ability to understand spoken
and written English, based on health-related topics and tasks common to all professions. The
Writing and speaking sub-tests are specific to the 12 individual healthcare professions –
designed to reflect common tasks performed in the workplace.
The four components of OET
Listening sub-test (approximately 40 minutes)
The Listening sub-test consists of three parts:
- Part A: Two separate consultations between a healthcare professional and a patient
- Part B: Six short dialogues or monologues in workplace settings
- Part C: Two long presentations or interviews with health professionals
The content for this sub-test is the same for all candidates irrespective of profession.
Reading sub-test (60 minutes)
The Reading sub-test consists of three parts:
- Part A: An expeditious (fast) reading task
- Part B: Six short workplace extracts
- Part C: Two long presentation passages
The content for this sub-test is the same for all candidates irrespective of profession.
Writing sub-test (45 minutes)
You will be asked to write a letter – usually a referral letter, based on case notes. In this letter
you should:
- Record treatment offered to date
- Explain the relevant issues to be addressed (based on given instructions)
- show that you have considered the facts and information
- write 180–200 words, set out in an appropriate format.
The content for this sub-test is profession specific.
Speaking sub-test (approximately 20 minutes)
This assesses your clinical communication skills. It consists of two simulated consultations
between a healthcare professional and a patient. In these role-plays, you will take the role of
the practitioner and the interviewer plays the patient or patient’s relative/carer (or for
veterinary science, the animal’s owner/carer).
The content for this sub-test is profession specific.

