Occupational English Test

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The Occupational English Test (also known as OET®) is an English language test  that assesses the English language proficiency of overseas-trained healthcare professionals seeking to register and practise in an English-speaking environment.[1][2]

The test is recognised by organisations around the world, including for migration and licensing in Australia, New Zealand, the USA and the UK.[3]


OET was designed in the late 1980s by Professor Tim McNamara, under the guidance of the Australian National Office for Overseas Skills Recognition (NOOSR), which administered the test at that time.[4] The test has been researched and developed continuously since then to ensure that it has kept up with current theory and practice in language assessment. This work has been done by the University of Melbourne's Language Testing Research Centre and by Cambridge Assessment English.[citation needed]

Since March 2013 the test has been owned by Cambridge Boxhill Language Assessment Unit Trust (CBLA), a joint venture between Cambridge Assessment English (Aus) and Box Hill Institute.[5][6][7]


OET is recognised by regulatory healthcare boards and councils in countries around the world, including Australia,[8][9] New Zealand,[10] United Kingdom,[11][12] United States,[13]Canada, Ireland, Dubai, Singapore, Namibia and Ukraine. 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.[5] In addition, OET is recognised by the Australian Department of Home Affairs, Immigration New Zealand,UK Visas and Immigration and some US states for visa categories where an English test may be required.

Each recognising organisation determines the score they require to ensure that candidates meet the language competency standards to function in their profession.[5]

OET test structure[edit]


There are three delivery modes of OET:

  •   OET on Paper at a Test Venue
  •   OET on Computer at a Test Venue and
  •   OET@Home®

The test tasks, format and level of difficulty remain the same for all the OET tests regardless of the mode of exam delivery.

Both computer-based test modes are evaluated by the highly-trained examiners who mark paper-based OET.  

The four parts of OET[edit]

  •     Listening (approximately 45 minutes)
  •     Reading (60 minutes)
  •     Writing (45 minutes)
  •     Speaking (approximately 20 minutes).[1]


Candidates are required to demonstrate that they can follow and understand a range of health-related spoken materials such as patient consultations and lectures.[1]

Part A - consultation extracts (about 5 minutes each)[edit]

Part A assesses candidates' ability to identify specific information during a consultation. They are required to listen to two recorded health professional-patient consultations and complete the health professional's notes using the information they hear.[14]

Part B – short workplace extracts (about 1 minute each)[edit]

Part B tests candidates' ability to identify the detail, gist, opinion or purpose of short extracts from the healthcare workplace. They are required to listen to six recorded extracts (e.g. team briefings, handovers, or health professional-patient dialogues) and answer one multiple-choice question for each extract.[14]

Part C – presentation extracts (about 5 minutes each)[edit]

Part C assesses candidates' ability to follow a recorded presentation or interview on a range of accessible healthcare topics. They are required to listen to two different extracts and answer six multiple-choice questions for each extract.[14]


Candidates are required to demonstrate that they can read and understand different types of text on health-related subjects.[1]

Part A – expeditious reading task (15 minutes)[edit]

Part A assesses candidates' ability to locate specific information from four short texts in a quick and efficient manner. The four short texts relate to a single healthcare topic, and they must answer 20 questions in the allocated time period. The 20 questions consist of matching, sentence completion and short answer questions.[15]

Part B and Part C – careful reading tasks (45 minutes)[edit]

Part B assesses candidates' ability to identify the detail, gist or main point of six short texts sourced from the healthcare workplace (100-150 words each). The texts might consist of extracts from policy documents, hospital guidelines, manuals or internal communications, such as emails or memos. For each text, there is one three-option multiple-choice question.

Part C assesses candidates' ability to identify detailed meaning and opinion in two texts on topics of interest to healthcare professionals (800 words each). For each text, candidates must answer eight four-option multiple choice questions.[15]


The task is to write a letter, usually a referral letter, but it could also be a letter of transfer or discharge. For some professions, a different type of letter is required: eg. a letter to advise or inform a patient, carer, or group, or respond to a complaint.[1]


The Speaking sub-test is delivered individually, and the candidate takes part in two role-plays. In each role-play, the candidate takes his or her professional role (for example, as a nurse or as a pharmacist) while the interlocutor plays a patient, a client, or a patient's relative or carer. For veterinary science, the interlocutor is the owner or carer of the animal.[1]


For each of the four sub-tests that make up OET, candidates receive a score from 0-500 in 10-point increments eg. 350,360, 370. The numeric score is mapped to a separate letter grade, ranging from A (highest) to E (lowest). There is no overall grade for OET.[16]

Letter grade Numeric score Description of ability
A 450-500 Can communicate very fluently and effectively with patients and health professionals, using appropriate register, tone and lexis. Shows complete understanding of any kind of written or spoken language.
B 350-440 Can communicate effectively with patients and health professionals, using appropriate register, tone and lexis, with only occasional inaccuracies and hesitations. Shows good understanding in a range of clinical contexts.




Can maintain the interaction in a relevant healthcare environment despite occasional errors and lapses and follow standard spoken language normally encountered in his/her field of specialisation.
D 100-190 Can maintain some interaction and understand straightforward factual information in his/her field of specialisation, but may ask for clarification. Frequent errors, inaccuracies and mis- or overuse of technical language can cause strain in communication.
E 0-90 Can manage simple interaction on familiar topics and understand the main point in short, simple messages, provided he/she can ask for clarification. High-density of errors and mis- or overuse of technical language can cause significant strain and breakdowns in communication.

Timing and results[edit]

OET is available up to 24 times per year and can be taken at test venues around the world.

For OET on Paper results are published online approximately days after the test OET on Computer and OET@Home results are available approximately 10 days after the test. [citation needed] Official statements of results are available to download the release of online results.[citation needed] There is no overall grade – candidates receive separate grades for each sub-test.

Most organisations that recognise OET results typically require candidates to get a B grade or higher in all four sub-tests and consider scores valid for up to two years. Additionally, these organisations usually expect candidates to achieve the necessary grades in a single attempt. However, it's important for candidates to verify the current requirements with the recognising organisation.

Inquiry into Registration Processes and Support for Overseas Trained Doctors[edit]

Prior to the formation of the Cambridge Boxhill Language Assessment Trust (CBLA), OET took part in the Inquiry into Registration Processes and Support for Overseas Trained Doctors led by the Australian Government's House Standing Committee on Health and Ageing.[17]

On 23 November 2010, the then Minister for Health and Ageing, Hon Nicola Roxon MP, asked the Committee to inquire and report on the Registration Processes and Support for Overseas Trained Doctors. Persons and organisations of interest were then invited to make submission and asked to address the terms of reference by 4 February 2011.[17]

The terms of references firstly explored the current administrative processes and accountability measures, with the aim of helping Overseas Trained Doctors (OTD) better understand the college assessment process as well as clarifying appeal mechanisms and facilitating community understanding and acceptance of registration decisions.[18]

Secondly, the committee was to report on the support programs available via both state and territory and commonwealth governments, professional organisations and colleges that help OTDs achieve registration requirements and provide suggestions for their enhancement.[18]

Finally, it was mandated to suggest ways to remove impediments and promote pathways for OTDs to achieve a full qualification while ensuring the integrity of the standards set by the colleges and regulatory bodies.[18]

The Lost in the Labyrinth: overseas trained doctors report was finalised on 19 March 2012.[19] It was based on the 14-month inquiry that heard from 146 witnesses from around Australia.[19]

While there two instances of OTDs taking OET and other tests multiple times, the majority of grievances were directed at the regulatory system and the institutions that set the overall requirements. Issues such as the two-year validity of test results, levels of English required to register and achieving required scores in one sitting, are all the prerogative of the medical regulators and are not set by OET or other English test operators. [citation needed]

The inquiry led to some changes to the registration and compliance system that manages OTDs, including the ability to use two test results within a one six-month period for registration.[citation needed]


OET is underpinned by over 30 years of research and the test is regularly updated to keep pace with changes in language testing in a healthcare context. There is strong emphasis on the ongoing validity and reliability of the test. Leading language testing academics contribute to the continued development of the test, and subject matter experts are consulted to ensure that tasks are based on a typical workplace situations and the demands of the profession. A full list of research can be seen on the official website[citation needed]


  1. ^ a b c d e f "Test Information | OET, English Language Test for Healthcare". OET - Occupational English Test. Retrieved 13 February 2020.
  2. ^ "Occupational English Test (OET)". icte.uq.edu.au. 15 July 2016. Retrieved 13 February 2020.
  3. ^ Ivana Vidakovic, Hanan Khalifa (November 2013). "Stakeholders' perceptions of the Occupational English Test (OET): An exploratory study" (PDF). Occupational English Test. Retrieved 8 May 2021.
  4. ^ Thorne-Large, Alex (2 April 2019). "Getting English testing right with Prof. Tim McNamara | OET". OET - Occupational English Test. Retrieved 13 February 2020.
  5. ^ a b c "About OET | English Language Test for Healthcare sector". OET - Occupational English Test. Retrieved 13 February 2020.
  6. ^ "Occupational English Test - OET | Cambridge Assessment English". www.cambridgeenglish.org. Retrieved 13 February 2020.
  7. ^ "Australian test of medical English to go global". Cambridge English. 28 March 2013. Retrieved 8 May 2021.
  8. ^ "English language skills". AHPRA and National Boards, Australia. Retrieved 8 May 2021.
  9. ^ "English language proficiency". Australian Medical Council. Retrieved 8 May 2021.
  10. ^ "English language test results for Skilled Migrant Category Resident Visa". New Zealand Immigration. Retrieved 8 May 2021.
  11. ^ "Accepted English language tests". Nursing and Midwifery Board of UK. 28 January 2020. Retrieved 8 May 2021.
  12. ^ "English Language Requirements". NHS Employers. 23 June 2020. Retrieved 8 May 2021.
  13. ^ "Requirements for ECFMG Certification for 2022 Match". ECFMG. 26 April 2021. Retrieved 8 May 2021.
  14. ^ a b c "Listening Test | OET, English Language Test for Healthcare". OET - Occupational English Test. Retrieved 17 January 2019.
  15. ^ a b "Reading Test | OET, English Language Test for Healthcare". OET - Occupational English Test. Retrieved 17 January 2019.
  16. ^ "Results & Assessment | OET - English Language Test for Healthcare". OET - Occupational English Test. Retrieved 18 January 2019.
  17. ^ a b "House of Representatives Committees".
  18. ^ a b c "House of Representatives Committees".
  19. ^ a b "House of Representatives Committees".

External links[edit]