The Occupational English Test is the English language test for healthcare professionals. 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 professions: dentistry, dietetics, medicine, nursing, occupational therapy, optometry, pharmacy, physiotherapy, podiatry, radiography, speech pathology, and veterinary science. 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.
Scoring For each of the four sub-tests that make up OET, candidates receive a numerical score from 0-500 in 10-point increments e.g. 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.
| 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. |
| C+ C | 300-340 200-290 | 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. |
Candidates are required to demonstrate that they can follow and understand a range of health-related spoken materials such as patient consultations and lectures.
Part A – consultation extracts (about 5 minutes each)
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.
Part B – short workplace extracts (about 1 minute each)
Part B assesses 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.
Part C – presentation extracts (about 5 minutes each)
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.
Candidates are required to demonstrate that they can read and understand different types of text on health-related subjects.
Part A – expeditious reading task (15 minutes)
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.
Part B and Part C – careful reading tasks (45 minutes)
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.
The task is to write a letter, usually a referral letter. Sometimes, especially for some professions, a different type of letter is required: e.g. a letter of transfer or discharge, or a letter to advise or inform a patient, carer, or group.
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.