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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:
OET focuses on healthcare-specific communication, ensuring relevance to professional settings.
OET is applicable to the following professions:
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.
OET ensures that healthcare professionals possess the English language skills necessary for safe and effective practice in the healthcare sector.
Benefits for Stakeholders
Additional Benefits
OET is trusted by healthcare regulatory bodies, hospitals, universities, and employers in Australia, New Zealand, and Singapore.
Australia
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 | 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.
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:
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
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
Applications for OET must be submitted through the official website:
www.occupationalenglishtest.org
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.
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.
OET evaluates the four key language skills: Listening, Reading, Writing, and Speaking.
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 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.
Duration: Approximately 15 minutes
Content:
1. Utilize the 30-second pause before each dialogue:
2. Focus on Synonyms and Paraphrases:
3. Follow the Notes Closely:
4. Listen for Cues in Speech:
5. Spelling
Duration: Approximately 10 minutes
Content:
1. Use the 15-Second Pause:
2. Understand the Question Type:
3. Beware of Distractors:
4. Recognize Synonyms and Paraphrasing:
Duration: Approximately 15 minutes
Content:
1. Make the Most of the 90-Second Pause:
2. Focus on Gist and Opinions:
3. Listen for Transitions:
4. Identify Relationships:
By practicing these strategies, you can confidently approach the OET Listening Sub-Test and maximize your performance!
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:
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.
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:
Skills Assessed:
Key Points:
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:
For each text, there is one multiple-choice question with three options.
Skills Assessed:
Focus: Interpreting meaning, opinion, and relationships in two longer healthcare-related texts.
Format:
Skills Assessed:
Key Points for Parts B & C:
Dos:
Don’ts:
General Notes:
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:
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:
The question types used are:
To receive a mark for your answer, you must:
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 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:
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 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,
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:
Examples of the type of information used in these texts include:
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
Two of the eight questions will be testing lexical reference (2 types):
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.
Follow this suggested study approach on a regular basis:
Word/Phrase | Part of Speech | Meaning |
---|---|---|
Neural | Adjective | Relating to nerves or the nervous system. |
Ideal frequency: 1 article (or 6-8 words) per day.
Minimum frequency: 1 article (or 6-8 words) every 2 or 3 days.
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:
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 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.
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:
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
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:
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:
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.
1. Task Type: Always one task, usually a referral, discharge, or advisory letter.
2. Preparation Time:
3. Stimulus Material:
1. Understanding the Purpose
2. Selecting Relevant Content
3. Achieving Conciseness and Clarity
4. Maintaining Proper Genre and Style
5. Organizing Information Effectively
6. Using Accurate Language
Discharge or Transfer Letters
Advisory Letters
1. Practice with Case Notes:
2. Familiarize Yourself with Letter Formats:
3. Enhance Vocabulary:
4. Refine Writing Skills:
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:
Key Points:
Tips to Improve:
Key Points:
Tips to Improve:
Key Points:
Tips to Improve:
Key Points:
Tips to Improve:
Key Points:
Tips to Improve:
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:
Listening Sub-Test:
Reading Sub-Test:
Writing Sub-Test:
Speaking Sub-Test:
Listening and Reading:
Writing and Speaking:
Listening and Reading: