Before the GMC will register you, you must show the English needed for safe practice. Most candidates do this with IELTS Academic or the OET (Medicine). The figures below are the ones the GMC published when this page was last reviewed.
| IELTS Academic | OET (Medicine) | |
|---|---|---|
| Overall | 7.5 | Not applicable |
| Each skill (listening, reading, writing, speaking) | At least 7.0 | Grade B at least |
| Best for | Strong general academic English, fast reading | Doctors used to clinical English every day |
Choosing between them
- Take one full practice test of each under timed conditions and compare your weakest skill.
- Writing and speaking are where most doctors lose marks. Practise with a teacher or partner who will give specific feedback.
- Check test dates, venues and fees where you live, and book early because popular slots fill.
How the English test fits the rest of your application
Time the test so the result is still valid when you submit your application and sit the exams. Plan backwards from your PLAB 1 date and add the cost to your PLAB budget.
For a six-week preparation plan and skill-by-skill tips, see preparing for IELTS or OET. The communication skills you build also help in PLAB 2.
Related guides
General education, reviewed 24 October 2026. Guidance changes: confirm with the official sources. Not medical, legal or immigration advice.