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Oet About

1.1 What is the Occupational English Test (OET)?

The Occupational English Test (OET) is an English language assessment specifically designed for healthcare professionals seeking to register and practice in English-speaking environments. It evaluates communication skills essential for effective healthcare delivery and covers all four language skills:

  • Listening
  • Reading
  • Writing
  • Speaking

OET focuses on healthcare-specific communication, ensuring relevance to professional settings.

Professions Covered by OET

OET is applicable to the following professions:

  • Dentistry
  • Dietetics
  • Medicine
  • Nursing
  • Optometry
  • Occupational Therapy
  • Pharmacy
  • Physiotherapy
  • Podiatry
  • Radiography
  • Speech Pathology
  • Veterinary Science

1.2 Ownership

OET, established in the late 1980s under contract to the Australian Federal Government, was developed by Professor Tim McNamara at the University of Melbourne, one of the original creators of IELTS.

Supported by over 30 years of research from the Language Testing Research Centre (LTRC) at the University of Melbourne, OET undergoes continuous research, validation, and evaluation to ensure its effectiveness and relevance.

Cambridge English Language Assessment, part of the University of Cambridge, co-owns OET and is a world leader in English language assessment. More than 4 million people in over 130 countries take Cambridge English exams annually.

Box Hill Institute in Melbourne, Australia, is another co-owner, known for its innovative and collaborative approach to education and training.


1.3 Benefits of OET

OET ensures that healthcare professionals possess the English language skills necessary for safe and effective practice in the healthcare sector.

Benefits for Stakeholders

  • Regulatory authorities: Ensures internationally trained professionals meet healthcare-specific English language standards, safeguarding patient safety.
  • Healthcare employers: Verifies employees’ communication skills for quality healthcare delivery.
  • Educational institutions: Prepares students with employment- or registration-ready language skills by incorporating OET preparation and testing.

Additional Benefits

  • Builds confidence in healthcare professionals' language competence.
  • Enhances communication with patients, carers, and colleagues, improving care quality.
  • Provides a fair assessment for selecting internationally trained professionals.
  • Attracts candidates committed to professional excellence.

1.4 Recognition of OET

OET is trusted by healthcare regulatory bodies, hospitals, universities, and employers in Australia, New Zealand, and Singapore.

Recognising Organisations

Australia

  • Australian Department of Immigration and Border Protection (DIBP)
  • Australian Health Practitioner Regulation Agency (AHPRA), including Boards for:
    • Dentistry, Medicine, Nursing, Midwifery, Optometry, Pharmacy, Physiotherapy, Podiatry, and more
  • Australasian Veterinary Boards Council (AVBC)
  • Numerous accreditation councils, including for radiography, dietetics, and speech pathology
New Zealand
  • Medical and Nursing Councils of New Zealand
  • Dental and Midwifery Councils
  • Veterinary and Physiotherapy Boards
  • Pharmacy and Occupational Therapy Councils
Singapore
  • Allied Health Professions Council
  • Singapore Medical, Dental, and Pharmacy Councils

1.5 Reporting Results

OET evaluates four sub-tests (Listening, Reading, Writing, and Speaking) separately, assigning grades ranging from A (highest) to E (lowest). There is no overall grade.

Grade Descriptions
Grade Description
A Very high performance
B High performance, suitable for professional needs
C Good performance; not acceptable to many councils
D Moderate performance; improvement needed
E Low performance; significant improvement required

Results are published online approximately 15 business days after the test, and candidates can access their scores through a secure profile. Printed Statements of Results are mailed afterward.

Online Results Verification

OET provides a secure, free Online Results Verification Service to help organisations validate candidates’ results. This encrypted platform allows checks for authenticity for up to three years.

For further details, visit the official OET website:

www.occupationalenglishtest.org

When and Where the Test is Available and How to Apply for OET

2.1 Test Dates

OET is available on multiple test dates throughout the year. Candidates should check the official OET website for the most up-to-date information on test dates for their profession:
www.occupationalenglishtest.org


2.2 Test Venues

OET is offered at various locations worldwide, but not all venues administer the test on every test date. To confirm test venues and dates available in your area, refer to the official website:
www.occupationalenglishtest.org

  • Minimum Candidate Requirement: If the minimum number of candidates for a specific venue is not met, the OET Centre reserves the right to defer candidates to another date or venue, mutually agreed upon by both parties.

2.3 Applying for OET

Applications for OET must be submitted through the official website:
www.occupationalenglishtest.org

Key Points to Note:
  • Venue and Test Details: CBLA (Cambridge Boxhill Language Assessment) provides information about test venues, test dates, application deadlines, and test fees.
  • Fees: Candidate fees are set and charged by CBLA for each registered test-taker.
  • Study Materials: CBLA does not provide or recommend textbooks, courses, or teaching establishments. While some venues may use OET branding, this only indicates certification to administer the test, not endorsement as a teaching provider.

Special Requirements

CBLA is committed to providing access for candidates with health-related or other special needs. Requests for accommodations must be made through the “Help and Information” section of the OET website during the application process. CBLA will strive to meet special requirements wherever reasonably possible.


Application Deadlines

Applications will not be accepted after the published closing date, as stated on the OET website. Candidates are encouraged to apply early to secure their preferred test date and venue.

3.1 Test Format

OET evaluates the four key language skills: Listening, Reading, Writing, and Speaking.

  • Listening and Reading Sub-tests:
    These sub-tests are the same for all healthcare professions and assess the ability to comprehend spoken and written English in contexts related to general health and medicine.
  • Writing and Speaking Sub-tests:
    These are tailored to specific healthcare professions, evaluating the ability to use English effectively in relevant professional scenarios.

3.2 The Four Components of OET

Sub-test Duration Content Assessment Focus
Listening Approx. 50 minutes 2 tasks: Common to all 12 professions Understand and follow a range of health-related spoken materials, e.g., consultations and lectures.
Reading 60 minutes 2 tasks: Common to all 12 professions Read and interpret various text types on health-related topics.
Writing 45 minutes (5 mins reading; 40 mins writing) 1 task: Specific to each profession Write a profession-specific letter that is clear, accurate, and relevant to the reader.
Speaking 20 minutes 2 tasks: Specific to each profession Communicate effectively in real-life scenarios using role-plays tailored to the profession.

Each component is designed to reflect the language demands and communication skills required in healthcare settings.

The OET Listening Sub-Test

The Listening Sub-Test evaluates a range of listening and language skills, including predicting, recognizing synonyms and paraphrases, identifying specific details, and interpreting overall meaning. It consists of three parts and a total of 42 questions. The test is uniform for all 12 professions, meaning no specialized subject knowledge is required to answer the questions.


Listening Part A

Duration: Approximately 15 minutes

Content:

  • Two healthcare-related dialogues between a health professional and a patient.
  • 24 questions (12 for each dialogue) requiring completion of practitioner’s notes with words or phrases from the recording.
Tips for Success:

1. Utilize the 30-second pause before each dialogue:

    • Examine the incomplete notes and predict the type of information needed using:
      • Structure Prediction: Analyze the grammar of the notes (e.g., "suffers from" will likely be followed by a noun).
      • Content Prediction: Use the surrounding context to deduce logical answers (e.g., "suffers from" suggests a disease or condition).

2. Focus on Synonyms and Paraphrases:

    • Structure Prediction: Analyze the grammar of the notes (e.g., "suffers from" will likely be followed by a noun).
    • For instance, "oral medication" might be referred to as "pills" or "tablets."

3. Follow the Notes Closely:

    • Answers are presented in order. Use headings and subheadings to stay oriented (e.g., Medical History > Surgical History).

4. Listen for Cues in Speech:

    • Pay attention to pauses, changes in tone, or phrases like, "Now, let’s talk about…" to recognize shifts in topics.

5. Spelling

    • Minor spelling errors are allowed as long as the meaning is clear.


Listening Part B

Duration: Approximately 10 minutes

Content:

  • Six recordings of professional interactions (e.g., handovers, meetings, or guidelines).
  • Six multiple-choice questions with three answer options each.

Tips for Success:

1. Use the 15-Second Pause:

    • Highlight keywords in the question and options. For example:
      • Question: Which technique does the surgeon recommend?
      • Focus on phrases like recommend, best approach, or I suggest.

2. Understand the Question Type:

    • Some questions require understanding the overall purpose, while others test specific details.

3. Beware of Distractors:

    • All three options might be mentioned in the dialogue. Choose the one that fits best with the context.

4. Recognize Synonyms and Paraphrasing:

    • Expect variations in wording. For instance, time-saving approach might be expressed as reduces time spent.


Listening Part C

Duration: Approximately 15 minutes

Content:

    • Two recordings (e.g., presentations or interviews with healthcare professionals).
    • 12 multiple-choice questions with three answer options each.

Tips for Success:

1. Make the Most of the 90-Second Pause:

    • Skim through questions and options to grasp the main ideas and underline keywords.

2. Focus on Gist and Opinions:

    • Part C evaluates your ability to interpret the speaker’s intentions, opinions, and viewpoints, rather than extracting facts.

3. Listen for Transitions:

    • Note signposting words like So, Now, or Well to identify changes in topics.
    • In interviews, the interviewer’s questions provide clues about upcoming content.

4. Identify Relationships:

    • Look for connections like comparisons (better than), cause-effect (because, therefore), and emphasis (what's important is).


General Reminders for Parts B & C

  • Marking Your Answers:
    • Use a 2B pencil to fill in the answer sheet.
    • Fully erase incorrect answers to avoid confusion during computer scoring.
    • Attempt every question—even an educated guess is better than leaving it blank.
  • Preparation Essentials:
    • Bring at least two sharpened 2B pencils and a good eraser. Testing centers may not provide these.

By practicing these strategies, you can confidently approach the OET Listening Sub-Test and maximize your performance!

Introduction to the OET Reading Sub-Test

The Reading Sub-Test is designed to assess the ability to understand and interpret texts relevant to healthcare contexts. The topics are of general healthcare interest, ensuring they are accessible to candidates across all professions.

The test consists of three parts with a total of 42 questions:

  • Part A: 20 marks
  • Part B: 6 marks
  • Part C: 16 marks
  • The entire sub-test takes 60 minutes, and no extra time is provided at the end. It is your responsibility to manage your time effectively to read, answer questions, and review your responses. The time allocated is sufficient to complete all tasks.

Part A: Skimming and Scanning

Duration: 15 minutes

Focus: Rapidly locating specific information across multiple short texts.

In Part A, you’ll read four short healthcare-related texts on a single topic and answer 20 questions. These questions include:

  • Matching
  • Sentence completion
  • Short answer questions

Skills Assessed:

  • Quickly skimming and scanning for key details.
  • Recognizing numerical and textual information.
  • Understanding the conventions of various medical text types.

Key Points:

  • Strict Time Limit: Part A is strictly timed at 15 minutes. Once this time expires, the materials for Part A will be collected, and you will not be able to review your answers later.
  • Answer Format: Write your answers clearly in the spaces provided in the question booklet.


Parts B & C: Detailed Reading and Interpretation

Duration: 45 minutes (combined for Parts B and C)

Part B: Workplace Texts

Focus: Identifying details or main ideas in six short texts sourced from healthcare workplaces.

Texts May Include:

  • Policy documents
  • Hospital guidelines
  • Manuals
  • Internal communications (e.g., emails or memos)

For each text, there is one multiple-choice question with three options.

Skills Assessed:

  • Understanding specific ideas at the sentence level.
  • Identifying main points or key details.

Part C: Longer Texts

Focus: Interpreting meaning, opinion, and relationships in two longer healthcare-related texts.

Format:

  • Each text has eight multiple-choice questions with four options each.

Skills Assessed:

  • Understanding explicit and implied meanings.
  • Recognizing attitudes and opinions.
  • Identifying relationships between ideas at sentence and paragraph levels.
  • Accurately interpreting lexical references and complex phrases.

Key Points for Parts B & C:

  • Answer Format: Shade the circle corresponding to your chosen answer. Answers written elsewhere in the booklet will not be marked.
  • Be aware of subtle nuances in meaning and phrasing.


Dos & Don’ts for the Reading Sub-Test

Dos:

  • Part A:
    • Write answers clearly in the spaces provided
    • Focus on speed and accuracy due to the strict 15-minute time limit.
  • Parts B & C:
    • Use a pencil to shade the circle next to your chosen answer.
    • Pay attention to details and ensure you understand the context of each question.

Don’ts:

  • Part A:
    • Do not assume extra time will be provided to review your answers. Materials are collected immediately after 15 minutes.
  • Parts B & C:
    • Avoid writing answers in the margins or elsewhere in the booklet—they won’t be marked.
    • Don’t rely solely on recognizing keywords. Understand synonyms, paraphrasing, and implied meanings.

General Notes:

  • Spelling differences, such as color and colour, are accepted.
  • Abbreviations are not accepted unless explicitly listed as acceptable in the test materials.

Part 1: Test Structure

The Reading Sub-test has three parts to be completed in 60 minutes: Part A, Part B and Part C. In comparison to the original version of the OET, the current version of the Reading Sub-test (introduced in 2018) has a few differences:

  • More texts are used (12 rather than 6) There is a broader range of text types
  • Texts are more relevant to the healthcare workplace
  • Questions will test a broader range of reading skills, such as reading for: General ideas (the “gist” of a text) Opinion Attitude
  • The structure of each part of the updated Reading Sub-test is outlined below.
Part A

Part A requires candidates to skim and scan 4 short, health-related texts (labelled A, B, C and D) and answer 20 questions relating to the texts. The texts use a vocabulary and structure that can be understood by all health professions.

Texts
All of the texts can be found in the workplace of a healthcare professional. This means that the texts do not include journal abstracts, which were common in Part A of the previous version of the OET. At least one of the texts contains visual or numerical information (e.g. a graph, table or flow chart).

Examples of texts that may be used are:

  • Diagnostic tools or algorithms Advice to be given to patients Dosage options for a medication Treatment guidelines
  • Questions
  • The questions for Part A will be grouped into 3 or 4 sets (most often, there will be 3 sets). Each set will have 6-7 questions. The questions will be easiest in the first set and get harder as candidates move through each set.
  • All of the questions must be completed within a 15 minute time limit.

The question types used are:

  • Matching questions (always used for the 1st set)
    • These will require candidates to identify which text features certain types of information.
    • E.g. “Which text contains information about treating melanoma?” The candidate is required to write their answer as “A”, “B”, “C” or “D”, according to the text that the information is found in.
    • This set tests skimming and scanning for relevant information
    • The purpose of this set is to orient candidates to the general content of each text.
  • Short answer questions (used for the next 2 or 3 sets)
    • These will require candidates to find specific information within the texts.
    • E.g. “What is the first-line treatment recommended for epilepsy?” The answers will always be taken directly from the texts, in the same word form. This means that candidates do not need to change the grammar or spelling of the answer in order to get it correct. Each answer will be approximately 2 or 3 words long, although there is no set limit.
  • Gap filling questions
    • These are similar to the gap filling questions found in Part A of the previous version of the OET Reading test.
    • E.g. Asthma attacks are the reason for emergency room presentations (the answer from the text could be “most common”).
    • As for short answer questions, each answer will be approximately 2 or 3 words long, although there is no set limit.

To receive a mark for your answer, you must:

  • Write legibly (an answer with unreadable handwriting will receive zero marks)
  • Use correct spelling and grammar (you will not need to change the grammar used in the text. Simply transfer the words exactly as they are found).
  • Be accurate according to the text (even if your answer is generally correct, it must communicate the same meaning as the text)

For gap fill questions, you should always read the full sentence, to check if your answer makes sense in the context of the words immediately around it.

Part B

Part B consists of 6 short texts (with a word length of 100-150 words each). For each text, there is one multiple choice question. Texts

Each text uses vocabulary that is understandable to all health professions. The types of texts used are those which can be found in the healthcare workplace. They include:

  • Policies Procedures
  • Staff updates or announcements.

Although the texts are relatively short, they are also designed to contain a substantial amount of information. This means that candidates will need to be able to read and understand information relatively quickly.

This is the part of the Reading Sub-test that differs most from the original version of the OET. Candidates who have only taken the original test, or have only used original test samples to prepare for the new OET, will encounter new text types in Part B.

Questions

The question for each text will ask candidates for one of three types of information:

General idea of the text (the “gist”),
Main point of the text, or
Purpose of the text.

The answers may require candidates to infer information that isn’t explicitly provided in the text. However, candidates will not need to understand every part of the text to answer the question correctly.

Part C

Part C requires candidates to read 2 longer, health-related texts and answer 16 multiple choice questions based on the content of these texts. This part of the Reading Sub-test tests a candidate’s ability to: Understand comprehensive texts,

  • Infer meaning, and
  • Identify points of view.

Texts

Each text in Part C is approximately 1.5 to 2 pages in length (750-850 words each) and is divided into paragraphs (the texts in this book will be the same length as the real test, but cover 2-3 pages due to the smaller page size).

Both texts will be on healthcare-related topics, but the precise topic for each text will be different. The texts will contain:

  • Medical facts, AND
  • Different perspectives on the topic.

Examples of the type of information used in these texts include:

  • Progress of research in an area of healthcare Case studies
  • Unlike Parts A and B, Part C will use information from academia (e.g. journal articles) rather than just from the workplace.

Questions

Each question will have 4 possible answers to choose from (A, B, C or D). You must select only one answer. Incorrect answers receive zero marks, but marks aren’t taken away for them. Therefore, if you run out of time in the test, you should always guess the answers to any questions you haven’t answered yet.

The questions in Part C of the revised Reading Sub-test will not test concrete facts as much as the original version of Part B. They will be more focused on abstract, general information. Each answer option will have similar format and assess the same reading skill from the same section of text

Six of the eight questions for each text will request information about: Gist

  • Main points Attitudes
  • Opinions (or their source)

Two of the eight questions will be testing lexical reference (2 types):

  • First type: the meaning of vocabulary and expressions used in the text This will not necessarily be the exact dictionary definition. The correct meaning will depend on the context in which it is used.
    • By reading the sentences before and after a word or phrase, you may still be able to guess the answer correctly even if you don’t know the exact meaning of the words.
  • Second type: comprehension of cohesive and other devices
    “Cohesion” is the linking of text within a sentence. This can be achieved by using cohesive devices, namely grammar (e.g. pronouns) or vocabulary (e.g. a research study may be referred to as “the investigation” later in the text).
    Examples of words or phrases that may be tested include:
    • Pronouns referring to someone or something, which was previously mentioned in the text. E.g. the author may use “she” instead of “Dr Karen Rogers” to avoid repetition. The question may ask who “she” refers to.
    • References to someone or something before it is identified.
      E.g. “A commonly used diagnostic test, which has equivocal value in identifying patients at risk of colon cancer, is…” (the diagnostic test is referred to as “commonly used” and of “equivocal value”, before it is finally identified).
    • Linking words/phrases that connect parts of a sentence or paragraph. E.g. “The new drug is highly efficacious, however, it has a narrow therapeutic index” (“however” is used to connect and emphasize contrast between the two parts of the sentence).

Part 2: Vocabulary Building

One of the most helpful things you can do to improve your performance in the Reading Sub-test is to build up your vocabulary (including synonyms). This will make it easier for you to recognize and understand what you heard and read. You will then be able to answer questions about the texts in the test more accurately.

Task 1: Learn new words

Follow this suggested study approach on a regular basis:

  • 1. Use medical journal articles:
    • a. Go to an open-access medical journal. Some suggested ones are: www.mja.com.au www.bmj.com www.racgp.org.au/afp/2017
    • b. Choose an article that sounds interesting to you
    • c. While reading the article, underline unfamiliar words and guess their meaning
    • d. Keep reading.
    • e. At the end of the article, go back and look up the words you underlined in a dictionary.
  • 2. Categorise the words you looked up in the dictionary as follows:
    • a. Group A: Words that you guessed incorrectly, and might be used in a podcast on a different topic.
    • b. Group B: Words that you guessed incorrectly, but are unlikely be used in a podcast on a different topic.
    • c. Group C: Words that you guessed correctly.
  • 3. Aim to add 6-8 words to your vocabulary list each day, prioritizing Group A words first, Group B second, etc. Your vocabulary list might look like this:
    Word/Phrase Part of Speech Meaning
    Neural Adjective Relating to nerves or the nervous system.
  • 4. Revise your vocabulary list at the end of each week. You can test yourself by covering up the meanings of the words and trying to guess them. Alternatively, cover up the words themselves and try to remember the word based on the meaning.

Ideal frequency: 1 article (or 6-8 words) per day.
Minimum frequency: 1 article (or 6-8 words) every 2 or 3 days.

Minimum frequency:

A word family is a group of words that are made from the same root (small word or part of a word).

For example, the root “infect” can be used to create many other words with similar meanings:

  • Infection (noun) Infectious (adjective) Infect (verb) Infectiously (adverb)
  • In an average English text, it has been found that more than 80% of the words come from a group of about 2000 commonly-used English words (Dr Prudent Injeeli, Mind Your Words: Master the Art of Learning and Teaching Vocabulary, Trafford Publishing, 2013).
  • Therefore, recognizing and building word families can be an extremely helpful and efficient way to strengthen your understanding of English texts in general. It will also extend and solidify your understanding of individual words.

To create your own word families:

1. Look up an unfamiliar word you find in an English text
2. Use an online dictionary, such as the Oxford Learner’s Dictionary, to look up the meaning and part of speech (noun/verb/adjective/adverb) of the word.
3. Check the list under the heading “nearby words” to find other members of that word family (words that use the same root or part of a word).

Here are some more examples: Root: admit
Admission (noun) Admissible (adjective) Admit (verb)
Root: use
Use (noun) Useful (adjective) Use (verb) Usefully (adverb)
Root: decide
Decision (noun) Decisive (adjective) Decide (verb) Decisively (adverb)

Part 3: Test-taking Strategies and Preparation

Part A

Part A of the Reading Sub-test is probably the one part of the OET where having a good strategy is most helpful, since you only have 15 minutes to find the answers.

The following approach has helped many candidates maximize their marks despite the time constraints:

For the 1st set (e.g. Questions 1-7):

1. Read the heading of each text, and underline or circle the key words (these are the words that carry the main meaning of the heading).
2. Read the first question, paying attention to the key words.
3. Based on the key words in the first question, select the most relevant text. If you're not sure which text the question is referring to, try the next question! It might be more obvious.

For the remaining 2-3 sets:

1. Read each question, paying attention to the key words.
2. Based on the key words in the question, select the most relevant text.
3. Scan the relevant text for more of the key words you found in the question. This will lead you to the part of the text that contains the required information.

Most importantly of all, if you get stuck - move on! You only have 15 minutes, and there might be answers you can find further along in the set.

HOW TO PREPARE FOR PART A:

Expose Yourself to Similar Texts

Expose Yourself to Similar Texts

The texts are all ones that can be found in the healthcare workplace, so candidates with work experience may find this part of the test easier. Candidates who don’t currently work in a healthcare setting (or those who do, but want to expose themselves to a wide variety of relevant texts) should use the Internet to find the text types listed in Part 1 of this book.

Practice Skimming and Scanning

Part A is also designed to simulate situations in the healthcare setting, where you will be required to read and understand written information without having time to read the whole text in detail.

To help you prepare for this, you should work on your ability to read information quickly and accurately. Skimming and scanning are two essential skills that you can practice by doing the following:

  • Skimming (reading just the main words of a text)
    • Pick a text with a mixture of written information and pictures, figures or graphs.
    • Read through the text, paying attention only to the main words in each sentence, ignoring small words like “and” or “the”. Look at headings, subheadings and images
    • Write down a few dot points of the main points you picked up from skimming the text.
    • Do this regularly – it is a skill that you develop with practice.
  • Scanning (looking for particular information in a text) Again, pick a text.
    • Read the first 1-2 sentences of the text and underline 2 or 3 key words.
    • Keeping these 2 or 3 keywords in mind, look at the rest of the text and try to find any other places in which they are used. If you don’t succeed, read the text more slowly to make sure you haven’t missed them. If the key words you chose don’t appear again in the text, select different key words and do this step again.
    • Practice doing the same exercise, but with numbers instead of key words.

The British Broadcasting Corporation (BBC) also provides some useful exercises to help you practice skimming and scanning:

www.bbc.co.uk/skillswise/topic/skimming-and-scanning

Part B

In order to answer the multiple-choice questions in Part B as accurately as possible, follow the approach below:

1. Read the question for Text 1 and underline or circle the key words.?
2. Read answer option A and underline or circle the key words.
3. Scan through the text, looking for the key words in the question and answer option A. Underline or circle pieces of information that support this answer.
4. Read the second answer option and underline or circle the key words.
5. Scan through the text, looking for the key words in answer option B. Underline or circle pieces of information that support this answer.
6. Repeat this for answer option C.
7. Select the answer that has the most supporting information throughout the text.

If you are not sure which part of the text to go to for a question, use the following strategies:
1. Remember that the questions move through the text in order. Therefore, if you used the third paragraph to find the answer for the last question, you will probably need to use the fourth paragraph next.
2. Circle or underline the keywords in the question (or the first answer option, if the question stem is very short). Then, read the first sentence ONLY of each paragraph and look for similar words. This can give you clues about which paragraph is relevant to that question.

HOW TO PREPARE FOR PART B:

Expose Yourself to Similar Texts

Practice reading the types of texts mentioned in Part 1, namely: Policies

  • Procedures
  • Staff updates or announcements

These can easily be accessed by searching the Internet, or by requesting copies from your actual workplace.

Expand Your Vocabulary

Obviously, the more words you understand within a text, the more likely you are to answer questions about it correctly. Since the OET is a test of English, it makes sense to increase your English vocabulary in preparation for the test.
For a methodical study approach to increase your vocabulary, see Part 2 of this book. In addition, Volume 2 of this series provides a comprehensive list of medical prefixes and suffixes (words used at the beginning of end of a longer word) that can help you to guess the meaning of unfamiliar words in the test.
This list should be used to supplement your study of vocabulary.

Improve Your Tolerance of Ambiguity

To answer the questions in Part B correctly, you will need to be able to understand the general idea or main points of a text without necessarily understanding all the words within it. The more ready you are to accept this, the less likely you will be to spend too much time on each text

You can to help yourself to be more comfortable with not understanding all of the words in a text by:

  • Obtaining a text sample (such as those mentioned above, but other types of texts can be used effectively as well)
  • Skim one paragraph or section of text (about 100-150 words)
  • Write down 1 or 2 main points that the author has made in the paragraph or section. Avoid writing down specific details.

The more you do this exercise, the more effectively you will be able to tackle Part B.

Part C

The best strategy to use for Part C is similar to that for Part B:

Read the first question of Text 1 and underline or circle the key words.

1. Based on the key words in the question, go to the relevant part of the Text. In many cases, you will be told which paragraph to go to in the first question, so the paragraph number will be one of your key words.
2. Scan the relevant section of the Text for any of the key words you found in the first question. This will lead you to the part of the text that contains the relevant information for that question.
3. Once you have found the relevant section of the Text, check each answer option according to the information in the text. Do not simply select the first answer you see that looks correct – there may be a better answer further down the list of options.

Since there are 2 texts to read and answer questions, it is recommended that you divide up your time to manage it effectively:

Spend no more than about 15 minutes answering questions about Text 1. After 15 minutes, move on to Text 2. There may be easier questions further along that you won’t have a chance to answer if you spend all your time on Text 1.
Spend no more than 15 minutes answering questions about Text 2.
Aim to finish Parts B and C with at least 5 minutes to spare. This is for checking your answers and returning to questions that you didn’t have time to complete.

HOW TO PREPARE FOR PART C:

Expand Your Vocabulary

Since the focus of Part C is language comprehension (understanding), it is again very important to increase your English vocabulary before the test.
As for Part B, you can find a methodical study approach to increase your vocabulary in Part 2 of this book. In addition, Volume 2 of this series provides a
comprehensive list of medical prefixes and suffixes (words used at the beginning of end of a longer word) that can help you to guess the meaning of unfamiliar words in the test. This list should be used to supplement your study of vocabulary.

Practice Reading for Opinions/Attitudes

There is a strong focus in Part C on testing whether candidates can accurately identify the opinions or attitudes of the author, as well as other people mentioned in each text. Therefore, when you are doing a practice test or reading any other text for study purposes, you should write down at least 1-5 points about the opinions or attitudes expressed in the text. The exact number of points you write down will depend on the length and content of the text.
Remember that not all opinions or attitudes are stated explicitly. Implicit information is either unstated, or expressed indirectly. To practice identifying an implicit point in a passage of text, you can use the following method:

1. Read the passage of text
2. Ask yourself: "What do each of the details of the passage have in common?"
3. In your own words, find the common theme among all the details of the passage and the author's point about this theme.
4. Write a short sentence stating the theme and what the author says about it.

Tips for Choosing the Correct Answer in Multiple Choice

The right approach to multiple choice questions is quite important in Parts B and
C. The following tips may help you to make up your mind about whether an answer option is correct:

  • Be suspicious of absolute answers. These might use absolute words such as "always", "will" or "never". Alternatively, they might be too definite.
    • E.g. "Breastfeeding leads to fewer infections in babies" is a very definite statement, due to the words "leads to" (rather than "can/might lead to"). This doesn't allow for the possibility that this might not be true in all cases.
  • Answer the questions according to the information in the passage, not the information you know from other sources. You're being tested on how well you read and understand a sample of English, not whether you agree with it!
  • Pay attention to words that describe relationships. Sometimes, the answer option will sound correct but a single word can make it wrong. This is usually a word describing a relationship between two facts. For example:
    • "A shows that B" or "A is associated with B" (a definite relationship between two factors, but one doesn't necessarily cause the other)
    • "A suggests B" or "A implies B" (a possible relationship)
    • "A is more/greater/less/lesser than B" (e.g. "A diet containing too much food high in sugar has a greater effect on the risk of cardiovascular disease than fatty foods.")
    • "A causes B" or "A leads to B" (a definite relationship, where one factor is the direct result of another)

OET Writing Sub-Test

Overview
The Writing sub-test of the OET is designed for healthcare professionals (nurses, doctors, dentists, etc.) and assesses their ability to produce professional and purpose-driven correspondence. Candidates are given 45 minutes to write a letter (180-200 words) based on a realistic workplace scenario.


Key Features

1. Task Type: Always one task, usually a referral, discharge, or advisory letter.

    • Purpose: Assess the ability to communicate effectively in real-world situations.
    • Based on profession-specific case notes provided during the test.

2. Preparation Time:

    • 5 minutes to read prompts and case notes.
    • 40 minutes to draft the letter.

3. Stimulus Material:

    • Includes incomplete case notes (e.g., fragments, abbreviations).
    • Requires the candidate to transform notes into clear, concise, and professional sentences.


Key Strategies for Success

1. Understanding the Purpose

  • Determine the primary purpose of the letter from the task instructions.
  • Structure your introduction to clearly signal this purpose.
  • Use appropriate verbs (e.g., "recommend," "advise," "refer") to emphasize the intent.

2. Selecting Relevant Content

  • Prioritize information the reader needs to know to continue care.
  • Use case notes to identify important facts.
  • Accurately transform notes into complete, meaningful sentences while retaining the intended meaning.

3. Achieving Conciseness and Clarity

  • Eliminate irrelevant, repetitive, or unnecessary information.
  • Highlight critical details without overwhelming the reader.

4. Maintaining Proper Genre and Style

  • Write formally to suit professional correspondence.
  • Use an appropriate tone, avoiding personal judgments.
  • Start and end the letter appropriately (e.g., professional greetings, respectful closings).

5. Organizing Information Effectively

  • Tailor the structure to the scenario (chronological or thematic organization).
  • Present essential information upfront to avoid burying key points.

6. Using Accurate Language

  • Ensure correct grammar, vocabulary, punctuation, and spelling.
  • Use professional language and avoid colloquialisms
  • Maintain sentence clarity and coherence.


Specific Writing Scenarios

Discharge or Transfer Letters

  • Purpose: Ensure continuity of care.
  • Include critical patient information, treatment summary, and required follow-ups.

Advisory Letters

  • Audience: Patients or caregivers.
  • Focus: Provide clear, actionable advice.


Preparation Tips

1. Practice with Case Notes:

    • Transform fragments into sentences.
    • Prioritize key details.

2. Familiarize Yourself with Letter Formats:

    • Study sample letters specific to your profession.

3. Enhance Vocabulary:

    • Focus on medical terminology relevant to your field.

4. Refine Writing Skills:

    • Work on grammar and punctuation.
    • Practice concise and formal writing.


Checklist for Test Day

  • Spend the first 5 minutes understanding the purpose and audience of the task.
  • Highlight key case notes.
  • Begin with a clear, purpose-driven introduction.
  • Organize information logically and professionally.
  • Proofread to ensure accuracy and clarity.

OET Speaking Sub-Test

The overview of the speaking sub-test for nurses provides a clear guide for how candidates can prepare for and improve their performance. Here's a summary with additional tips on how to improve in each criterion:

1. Overall Communicative Effectiveness

    Key Points:

    • Maintain meaningful interaction, demonstrate professionalism, and actively gather and provide information.
    • Tips to Improve:

    • Always take the initiative to ask clear, relevant questions and offer detailed explanations.
    • Use simple, accessible language and ensure the patient is actively engaged in the conversation.
    • Focus on maintaining a two-way dialogue with the patient.

2. Intelligibility (Pronunciation, Intonation, Stress, Rhythm, Accent)

    Key Points:

    • Pronounce words clearly, use appropriate stress and intonation to emphasize important information and signal the type of communication (e.g., question vs. statement).
    • Tips to Improve:

    • Focus on the pronunciation of challenging words that are common in the healthcare field.
    • Pay attention to stress and intonation, as this can impact the clarity of your message.
    • Practice stress patterns in common phrases like “What’s your name?” or “Can you describe the pain?” to sound more natural.

3. Fluency (Rate and Flow of Speech)

    Key Points:

    • Speak at a natural, steady pace and avoid hesitation.
    • Tips to Improve:

    • Avoid speaking too quickly or too slowly. Aim for a pace that feels natural and helps the listener follow the conversation.
    • Use pauses effectively, such as after key points, to give the listener time to process information.
    • Minimize the use of filler words (e.g., "uh," "um," "okay") by practicing spontaneous speech in a variety of role-play scenarios.

4. Appropriateness (Professional Language and Simplicity)

    Key Points:

    • Use the correct professional language, but also be able to explain medical terms in simple language that a patient can understand.
    • Tips to Improve:

    • Practice breaking down complex medical terms into simple, everyday language.
    • Ask the patient questions to assess their understanding and adjust your explanations accordingly.

5. Resources of Grammar and Expression (Accuracy and Range)

    Key Points:

    • The ability to use varied language, grammar, and expressions efficiently in the healthcare context.
    • Tips to Improve:

    • Work on grammar accuracy, especially in areas like articles, prepositions, and countable/uncountable nouns.
    • Practice using a variety of expressions to explain the same idea and avoid repetition.
    • Regularly review key phrases and questions that are commonly used in medical practice (e.g., “Can you tell me more about...?” or “How long have you been feeling this way?”).

4.1. Assessment information

The OET assessment process involves specific methods for evaluating each sub-test, ensuring a fair and reliable score for each candidate. Here's an overview of how each sub-test is marked, how results are generated, and how they are issued:

1. How Each Sub-Test is Marked

Listening Sub-Test:

  • Marked by fully trained assessors following a detailed marking guide.
  • The guide specifies which answers earn marks, and assessors use it to determine whether the candidate has provided sufficient correct information.

Reading Sub-Test:

  • Part A is marked by trained assessors using a detailed guide.
  • Part B is computer-marked.

Writing Sub-Test:

  • Scored by two independent assessors, who grade the script based on five criteria.
  • The scores are analyzed through Rasch analysis to adjust for assessor behavior (lenient or severe scoring).
  • The final score is not an average of the two scores but a "fair score" that compensates for any assessor bias.

Speaking Sub-Test:

  • Similar to the Writing sub-test, the Speaking test is scored by two assessors independently.
  • The assessment is based on five criteria, and the final score is determined through Rasch analysis to account for variability in assessors’ scoring.

2. How Results Are Generated

Listening and Reading:

  • There is no fixed score-to-grade link, as the test materials change every time.
  • Scores are ranked from strongest to weakest, and boundaries between grades (A to E) are set based on performances in the Writing and Speaking sub-tests.
  • The process ensures that the distribution of grades remains consistent.

Writing and Speaking:

  • The “fair score” generated from the Rasch analysis of the two independent assessor scores becomes the final grade.

3. How OET Results Are Issued

Listening and Reading:

  • Candidates receive a Statement of Results, which includes their scores for each of the four sub-tests.
  • The results are reported on a scale from A (highest) to E (lowest).
  • Results are made available online within 15 business days after the test, and candidates will receive the official hard copy within five business days.
  • Candidates can track their progress through their online profile on the OET website.