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IELTS or OET for Nurses - Major Differences You Need to Know

IELTS or OET for Nurses, both English proficiency tests for healthcare professionals. Learn the differences in format, cost, recognition, and suitability for nursing careers abroad.
authorImageSupriya Shrivastava23 Apr, 2025
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IELTS or OET for Nurses

IELTS or OET for Nurses: Many international nursing students apply to popular countries abroad to pursue their studies or to apply for job opportunities. Meanwhile, like other courses, candidates are required to prove their English language proficiency to pursue higher studies and work in nursing. Candidates can appear for both IELTS (International English Language Testing System) and OET (Occupational English Test) to demonstrate their language skills. 

Both IELTS and OET assessments are done for four language skills: Listening, Reading, Writing, and Speaking. However, the content, format, and purpose of the tests are different from each other. The main question is which test to choose? Choosing between IELTS and OET depends on career goals, budget, and the English proficiency of the candidates. Here, we have discussed all the major differences between IELTS and OET for Nurses to help you decide which test to choose.

Explore IELTS Online Courses

IELTS or OET for Nurses

Here’s a brief description of the IELTS exam and Nurses:

What is IELTS?

The IELTS exam is a globally recognized English proficiency test for study, work, and immigration. The test is accepted by over 12,000 institutions in more than 140 countries. IELTS has two formats: Academic and General Training. The IELTS Academic is conducted to apply for higher education, and the General Training is used for work and immigration.

What is OET?

The Occupational English Test (OET) is designed specifically for professionals in the healthcare sector, including nurses, dentists, physiotherapists, and others. OET uses workplace-based scenarios to assess English skills in medical contexts. It is accepted by many healthcare countries like the UK, Ireland, Australia, and Canada.

IELTS Online Coaching 2025, Free Courses for Study

IELTS vs. OET: Key Differences for Nurses

Here are some key differences between IELTS and OET for Nurses

Target Audience

  • IELTS caters to students, skilled workers, and migrants across all professions.

  • OET focuses only on healthcare professionals.

Content and Topics

  • IELTS evaluates general language proficiency with topics ranging from education and social issues to environmental concerns.

  • OET is tailored to medical communication, using healthcare-specific vocabulary and scenarios.

Test Format

Both exams cover four skills, but the structure varies:

IELTS vs OET Test Format

Skill

IELTS

OET

Listening

General topics, 4 recordings

Medical context, 3 parts

Reading

Academic or general texts

Healthcare-related texts

Writing

Graph analysis + essay

Patient-based letter (e.g., referral)

Speaking

General conversation + task card

Role-play as a nurse

Test Duration and Frequency

One of the key differences between IELTS and OET lies in their test duration and availability. 

  • IELTS Exam: The IELTS test duration is approximately 2 hours and 45 minutes. IELTS is offered multiple times a week at various test centers around the world. There are over 78 IELTS test centre in India, including Delhi, Pune, Gurgaon, Kolkata, Mumbai, etc. 

  • OET Exam: The OET test duration is around 3 hours. OET is conducted only twice a month. Candidates are required to plan their test date in advance and book test slots accordingly.

IELTS Reading Band Score IELTS Listening Band Score
IELTS Speaking Band Score IELTS Writing Band Score

Recognition and Global Acceptance

IELTS is one of the most widely recognized English language proficiency tests globally. It is accepted by over 12,000 institutions, including universities, immigration authorities, and professional bodies in more than 140 countries.

On the other hand, OET is primarily recognized by healthcare regulatory authorities and medical councils. OET is only accepted in the United Kingdom, Ireland, Australia, New Zealand, and select regions in Canada and the United States.

Cost and Accessibility

The IELTS is generally more affordable for international candidates than OET. 

  • IELTS Exam: The IELTS exam fees in India is INR 18,000 for both the IELTS CBT and paper-based test. Additionally, IELTS is available at over 200 test centers across more than 80 Indian cities, offering significant flexibility and convenience.

  • OET Exam: The OET is considerably more expensive than IELTS. The OET exam fees is AU$ 587 or INR 31,822 (approximately). There are around 50 OET test centres available in India. Some candidates may require some candidates to travel long distances to appear for the exam.

IELTS Exam Fees in Different Countries
IELTS Fees in Canada IELTS Fees in New Zealand
IELTS Fees in Australia IELTS Fees in USA
IELTS Fees in UK IELTS Fees in Germany

Which Test is Easier for Nurses?

Which test is easier for nurses depends largely on individual strengths and career preferences.

  • OET may be more manageable for those who are comfortable with medical terminology and clinical communication scenarios. Since the test focuses on healthcare-specific content, nurses can leverage their professional experience and familiarity with patient interactions during the speaking and writing tasks.

  • IELTS covers a broader range of general and academic English topics. It also provides stronger overall language skills that are applicable in various settings. This versatility makes IELTS a suitable option for candidates considering future opportunities outside the healthcare sector.

Both IELTS and OET are reliable and respected English proficiency tests. For nurses planning to move or work overseas, the choice between the two depends on career direction, budget, and test preferences.

While OET focuses on real-world healthcare situations and is tailored for professionals in the medical field, IELTS offers greater flexibility, wider acceptance, and more affordable access, making it a practical option for those looking to keep their career pathways open beyond clinical roles.

Guidance of PW IELTS

Physics Wallah offers a few popular online IELTS courses for all students. Follow the latest IELTS articles to start your preparation for the exam.

IELTS  Registration IELTS Eligibility Criteria
IELTS Exam Pattern IELTS Syllabus
IELTS Exam Dates IDP IELTS Test Centers

IELTS or OET for Nurses FAQs

Which is best for nurses, OET or IELTS?

OET is often considered better for nurses because it tests English in a healthcare context, using real-life medical scenarios. This makes it more relevant and easier to relate to than IELTS, which covers general or academic topics unrelated to nursing or clinical environments.

Which exam is better for nurses?

For nurses, OET may be more suitable because it assesses practical communication used in healthcare settings. However, IELTS is more widely accepted globally. The best choice depends on the destination country and whether registration bodies accept OET, IELTS, or both.

Is OET compulsory for nurses?

OET is not compulsory for all nurses, but some regulatory bodies or employers may prefer or require it. In Canada, IELTS is generally accepted, while countries like the UK, Australia, and New Zealand often accept both IELTS and OET for nursing registration.

What is 7.5 IELTS equivalent to in OET?

An overall IELTS score of 7.5 is roughly equivalent to an OET score of B in all four sub-tests. This indicates a high level of English proficiency, suitable for professional healthcare communication, and generally meets the language requirements for nursing registration in many countries.
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