MedEngly

OET GUIDES · LAST REVIEWED 12 JULY 2026

What is OET? The test, the four sub-tests, and how it's scored

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

OET is an English test for healthcare professionals, tailored to twelve professions including medicine, nursing, dentistry, pharmacy and physiotherapy. It is accepted by healthcare regulators, employers and immigration services in destinations including the UK, Ireland, Australia, New Zealand, the US and Canada.

This guide covers what the test actually involves before you start preparing for any one part of it: the four sub-tests, how the score is built, booking, and exam day essentials.

The four sub-tests

Listening runs about 40 minutes across three parts with 42 questions. Reading runs 60 minutes, also three parts and 42 questions. Neither Listening nor Reading is profession specific: every candidate, whatever their profession, sits the same test.

Writing runs 45 minutes and is profession specific: a single letter, usually a referral, discharge, or transfer, based on case notes for your own profession. Speaking runs about 20 minutes across two profession specific role plays of around 5 minutes each.

How OET is scored

Each of the four sub-tests is reported on a 0 to 500 scale in ten point steps, mapped to a letter grade from A, the highest, to E, the lowest, for that sub-test. Reading and Listening are scored from 42 questions each, one mark per correct answer, converted to the 500 scale. Grade B typically needs at least 30 of 42 marks, though the exact boundary can move slightly between sittings since new material is used each time.

Writing and Speaking are scored against published criteria by trained OET assessors, then converted to the same 500 scale.

The Overall Score

Alongside the four individual sub-test results, OET reports an Overall Score: the sum of your Listening, Reading, Writing and Speaking scores. Some regulators set a minimum Overall Score alongside minimum individual sub-test scores, and requirements differ by regulator and by profession, so always check your own regulator's current published requirement rather than assuming.

Booking and exam day

OET is delivered in three modes: OET Test on Paper, OET Test on Computer at a test venue, and OET@Home, taken remotely on your own computer under full proctoring. Booking windows differ: Paper bookings close 24 days before the test date, while Computer at a venue and OET@Home bookings close 7 days before, at 11:59pm UTC.

On the day, you need a valid passport showing your full name, date of birth, photograph and expiry date. A national ID is also accepted for the Paper format, but a driver's licence is explicitly not accepted as ID for OET.

How to prepare

How long you need depends on your current level of English, how much regular study time you have, and your previous test taking experience. Candidates already close to a B grade may only need a few weeks of format familiarisation; candidates closer to C or C+ need more time to genuinely improve, not just more practice tests.

COMMON QUESTIONS

How long does OET take in total?

Roughly two and a half hours across all four sub-tests: about 40 minutes for Listening, 60 minutes for Reading, 45 minutes for Writing, and about 20 minutes for Speaking, usually with short breaks between sub-tests depending on your test centre or format.

Is OET the same test for every profession?

Listening and Reading are the same test for every candidate regardless of profession. Writing and Speaking are profession specific: the letter you write and the role plays you complete match your own healthcare profession.

What is a good OET score?

Grade B, a score of 350 on the 0 to 500 scale, is the most commonly required grade across regulators, alongside a growing use of the Overall Score, the sum of all four sub-test scores. Requirements vary by regulator and by profession, so confirm the current figure with your own regulator.

How do I book OET?

Through OET's official booking system, choosing between OET Test on Paper, OET Test on Computer at a venue, or OET@Home. Paper bookings close 24 days before the test date; Computer and OET@Home bookings close 7 days before.

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.