OET is an acronym for the Occupational English Test. It is an international English language test for the healthcare sector. It assesses the language communication skills of healthcare professionals, who wish to register and practise in an English-speaking environment.

OET is available for the following 12 medical specialities:
1. Dentistry
2. Dietetics
3. Medicine
4. Nursing
5. Occupational Therapy
6. Optometry
7. Pharmacy
8. Physiotherapy
9. Podiatry
10. Radiography
11. Speech Pathology
12. Veterinary Science


OET is recognised by regulatory healthcare bodies and councils in Australia, New Zealand, Singapore, Malaysia, the Philippines and recently in UK and Ireland. Many organisations, including hospitals, universities and colleges, are using OET as proof of a candidate’s ability, to communicate effectively in a demanding healthcare environment. In addition, OET is recognised by the Australian Department of Immigration and Border Protection for a number of visa categories, including work and student visas.

Test Availability & Grading

OET is available up to 12 times a year and can be taken at test venues around the world. Results are published online approximately 16 business days after the test. Official statements of results are sent out in the post following the release of online results. There is no overall grade – candidates receive separate grades for each sub-test.

Each of the four sub-tests that make up OET are graded A to E, where A is the highest grade and E is the lowest. There is no overall grade.  Most recognising organisations require candidates to have at least a B grade in each of the four sub-tests and recognise results as valid for up to two years. Most recognising organisations also require that candidates achieve the requisite grades for each sub-test in one sitting. However, candidates should check with the organisation that regulates their profession to confirm current requirements.

Test Format

OET provides a valid and reliable assessment of all four language skills – Listening, Reading, Writing and Speaking – with an emphasis on communication in medical and health professional settings. OET consists of four sub-tests:

Listening (approximately 50 minutes)
Reading (60 minutes)
Writing (45 minutes)
Speaking (approximately 20 minutes)


The listening test consists of two parts. In Part A, candidates listen to a simulated consultation (dialogue) between a professional and a patient and are required to take notes under headings. In Part B, candidates listen to a health professional giving a short talk on a health-related topic and are required to complete a range of open-ended and fixed-choice questions.


The reading test consists of two parts. In Part A, lasting 15 minutes, candidates are asked to skim/scan read 3 or 4 short texts and complete a summary paragraph by filling in the missing words. It is designed to test the reader’s ability to skim/scan texts within a time limit, source information from multiple texts, and synthesise information. In Part B, lasting 45 minutes, candidates are asked to read two passages on a general healthcare topic and answer 8–10 multiple choice questions for each text. It is designed to test the reader’s ability to read and comprehend longer texts.


The writing paper asks candidates to write a letter, usually a letter of referral. For some professions a different type of letter is required, e.g. a letter of transfer or discharge, or a letter to advise a patient, carer or group. Candidates are given case notes which must be included in their letter.


The speaking test is in the form of one-to-one conversations with an interlocutor. It starts with a short warm-up interview about the candidate’s professional background. This is followed by two role plays. Candidates have 2–3 minutes to prepare for each role play. Role plays last about five minutes and are based on typical interactions between a health professional and a patient. The candidate adopts their usual professional role (e.g. as a nurse) and the interviewer plays a patient or sometimes a relative or carer. For veterinary science the interviewer is the owner or carer of the animal. For further details: https://www.occupationalenglishtest.org/

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