MedEngly

OET GUIDES · LAST REVIEWED 12 JULY 2026

OET Listening format explained: Parts A, B and C

By the MedEngly clinical team, led by a UK based IMG doctor who came through this pathway.

OET Listening runs about 40 minutes across three parts and 42 questions. Every recording plays once only, so answers are written as you listen, not from memory afterwards.

This guide walks through each part's format and what it actually tests, before you start practising against the clock.

Part A: consultation note completion

Two recordings of a healthcare professional and a patient, each about 4.5 to 5 minutes, each with 12 note completion questions, worth 24 of the 42 marks in total. You get 30 seconds to look at the notes before each recording starts.

This part is marked by human assessors. Write only what you actually hear: adding extra information, changing a word's form, or contradicting yourself can cost marks, even when the underlying fact is correct. Both UK and US spellings are accepted.

Part B: workplace extracts

Six short recordings of workplace interactions, about 45 seconds each, one three option multiple choice question per recording, worth 6 marks. You get 15 seconds to read the question before each recording, and a few seconds after to select an answer.

This part paraphrases rather than repeats key words, so matching on vocabulary alone is a common trap. Listen for the full meaning of an option, not just a familiar word that happens to appear in the audio.

Part C: presentations and interviews

Two recordings of a presentation or interview, professional development in style, each about 4 to 5 minutes, each with six three option multiple choice questions, worth 12 marks. You get 90 seconds to read all six questions before each recording starts.

Listen for signposting language such as let's move on to or that brings me to, and for words that reverse meaning like but or however. Keep listening even after you think you have heard the answer, since distractor options often share vocabulary with the correct one.

Scoring and checking time

Every correct answer is one mark; your score out of 42 converts to the 0 to 500 scale, and grade B typically needs at least 30 of 42. Checking time depends on your test format: OET Test on Paper gives 2 minutes at the end of the whole sub-test, while Computer and OET@Home instead give a short pause after each individual question.

COMMON QUESTIONS

How many times does each OET Listening recording play?

Once only, in every part. You write your answers while you listen, not from memory afterwards, which is why the reading time before each recording matters so much.

How many marks is each part of OET Listening worth?

Part A is worth 24 of the 42 total marks, Part B is worth 6, and Part C is worth 12. Part A carries more than half the sub-test, which is why note completion accuracy matters most.

What accents are used in OET Listening?

A range, reflecting the real healthcare workforce: mainly Australian, British and American, with others such as New Zealand, Irish, Canadian and South African also appearing.

PUT IT INTO PRACTICE

Reading about the criteria is the start; seeing them applied to your own letter is what moves the grade. Get one letter marked against all six criteria, free, no signup.

Check a letter free

Independent preparation guidance based on publicly available OET materials; not affiliated with, or endorsed by, OET or Cambridge Boxhill Language Assessment. Regulator requirements change: confirm current scores with the regulator you are registering with.