Prove your English with a test built around the work you already do.
OET uses clinical referral letters and patient role-plays instead of academic essays. Accepted by the NMC, NMBI, AHPRA, NCNZ, and many US state boards — and friendlier to most African nurses than IELTS.
- US registered
- Real advisors
- No agents
- Pay official sites directly
Inside OET Medicine: a test built around nurse vocabulary and tasks
OET (Occupational English Test) is designed for healthcare workers — every passage, role-play and writing task uses clinical language nurses actually use. Four modules: Listening (45 min — consultation extracts and lectures), Reading (60 min — three healthcare-themed sections), Writing (45 min — write a referral letter to another healthcare professional), and Speaking (20 min — two patient role-plays with the candidate in the nurse role). Grades are letters A–E mapped to numeric bands 0-500; most regulators (NMC, AHPRA, NCNZ, NMBI) accept B (350) in Listening, Reading and Speaking, with C+ (300) in Writing accepted by the NMC since 2019.
Test fee is $587 AUD (~$390 USD) globally — flat-rate, no per-country variation. Sittings every 2 weeks at 130+ venues plus an OET @ Home remote option for candidates without a nearby centre. Results in 16-17 business days, delivered via the candidate dashboard and pushed direct to nominated regulators. The Medicine module is what nursing regulators reference — generic OET 'Healthcare' won't satisfy NMC, so confirm the booking is Medicine before paying. Scores valid 2 years from sitting.
Writing is where most candidates fail — the referral letter has a strict 180-200 word target, formal salutation, prioritised case summary, and explicit handover request. Off-format letters lose a full grade even when grammar is clean. Speaking role-plays trip nurses who default to medical-textbook English instead of patient-friendly explanation. OET's official sample materials and the Cambridge Boxhill OET prep books are the gold-standard resources; second-hand prep mills sell volume but rarely grade writing accurately.
Is OET right for you?
B (350) in Listening, Reading, Speaking · C+ (300) in Writing
B (350) in all four sections — most boards · CGFNS B in all
OET uses clinical referral letters and patient role-plays instead of academic essays. Accepted by the NMC, NMBI, AHPRA, NCNZ, and many US state boards — and friendlier to most African nurses than IELT
Where is OET accepted?
Pick your destination to see the regulator, minimum score, and timing guidance.
Always confirm requirements with the official regulator or exam provider before booking.
OET for nurses — what to expect on test day
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OET vs IELTS — which one for you?
Both are valid. The right choice depends on your destination and the way you prefer to study.
OET
This page- Healthcare-specific scenarios — patient handover, referral letters, role-plays
- Nursing vocabulary you already use clinically
- Writing is a clinical referral letter, not an academic essay
- Speaking is a nurse–patient role-play, not abstract argument
IELTS
- More widely recognised — every nursing destination accepts IELTS
- More test centres + dates globally
- Lower fee than OET in most countries
- Useful beyond nursing if you also explore non-clinical pathways
Your 4-step pathway
- 1
Confirm your destination accepts OET
- 2
Verify the exact minimum score + sub-test rules with the regulator
- 3
Book OET (or OET @ Home) on oet.com and prepare with the official portal
- 4
Send results directly to the regulator from your OET dashboard
Cost & timeline
What OET actually costs and how long prep takes
Three things to budget before you book — fee total, prep weeks, and how to plan around your job.
What you'll spend, end to end
$460.00
- Official exam feeUSD 440 – 500
- Preparation portal / courseUSD 50 – 300
- Tutor / speaking partnerUSD 0 – 400
- Retake feeSame as official fee
How long prep usually takes
10 weeks
- Listening (Part A note-taking, Part B short extracts, Part C monologues)45 min
- Reading (Part A: 3 short texts, 15 min · Part B: 6 MCQs · Part C: 2 long texts)60 min
- Writing — one referral letter, typically 180–200 words45 min
- Speaking — two nurse-patient role-plays, 5 min each20 min
Pick a study plan that fits your life
We'll match you to a 4-, 8-, or 12-week schedule based on your start date, target score, and weekly study hours — no generic plans.
Share results via the OET portal. Send your scores directly to your regulator from the OET dashboard. Downloaded PDFs are typically rejected.
Avoid these
Mistakes that cost OET candidates time and money
Read once. The four below are the most expensive errors we see in exam-prep advisor sessions — they're easy to avoid when you know what to watch for.
Writing a generic academic essay instead of a clinical referral letter
OET graders fail any letter that ignores the clinical format.
Over-speaking in role-play — you lose marks for not listening to the patient's cues.
Ignoring Part A of Reading — 15 min, 20 gaps
Most candidates who fail Reading fail here on time.
Booking OET @ Home without verifying your home setup (webcam, noise-free room, stable upload). Failed tech check = no refund.
Common questions
Top questions about OET
Is OET easier than IELTS for nurses?
How long are OET scores valid?
Can I take OET @ Home from Nigeria / Kenya / Ghana?
What score do I need for NMC?
Does OET count for US NCLEX states?
Prepare for OET the right way.
Aligned with your destination pathway — not generic prep.
Small cohorts, weekly sessions on Zoom. Recorded for replay.
Watch anywhere, at your own pace. Bookmark + revisit.
Mock exams every week with instant feedback + answer reasoning.
Direct WhatsApp + weekly Q&A clinic with experienced nurses.
Live dashboard showing your readiness score per topic.
Prep matched to your destination — NMC, NCLEX, AHPRA, SCFHS.
Ready to start?
Pick Online. We'll match you with the next cohort and your personal study plan within 24 hours.
We do not sell exam vouchers. You book and pay official exam bodies directly. We provide preparation and guidance only — no guarantees.
Not sure if OET is the right exam for your nursing pathway?
Tell us your destination and current step. We'll match you to the right exam, the regulator-correct sequence, and a 4-step plan — in 2 minutes, free.
