OET: the English test for healthcare professionals

How OET works, what the 0–500 scores mean, and how to prepare for the letter and the role-plays.

Updated 2026-10-12

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Who OET is for

OET (Occupational English Test) is built for 12 healthcare professions: dentistry, dietetics, medicine, nursing, occupational therapy, optometry, pharmacy, physiotherapy, podiatry, radiography, speech pathology and veterinary science. Listening and Reading are the same for everyone. Writing and Speaking use scenarios from your own profession.

The four sub-tests

Sub-test Time What you do
Listening about 40 minutes 42 questions in 3 parts: consultations, short workplace extracts, presentations
Reading 60 minutes 3 parts: fast reading across short texts, then workplace and longer healthcare texts
Writing 45 minutes One profession-specific letter, usually a referral, from case notes
Speaking about 20 minutes Two role-plays with an interlocutor playing a patient or carer

Check the latest details on the official OET website.

How OET is scored

Each sub-test gets a score from 0 to 500, in steps of 10. There's no overall score. OET also shows a letter grade:

Grade Score
A 450–500
B 350–440
C+ 300–340
C 200–290
D 100–190
E 0–90

Most registration boards ask for at least 350 (grade B) in each sub-test, but requirements vary. Check with your board.

OET for Australian visas

For tests taken on or after 7 August 2025, Home Affairs requires (Listening / Reading / Writing / Speaking):

Level Scores
Competent 290 / 310 / 290 / 330
Proficient 350 / 360 / 380 / 360
Superior 390 / 400 / 420 / 400

OET@Home isn't accepted for visas. Registration boards (for example, in nursing and medicine) often need higher scores than the visa does. See all tests compared.

Where to focus

  • Writing: learn the referral letter structure. It's very learnable. See our OET referral letter guide.
  • Speaking: practise clear, empathetic communication in role-plays. See the OET speaking role-play guide.
  • Listening Part A: practise writing notes quickly with correct spelling of medical terms.

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OET guides