Accepted Tests and Minimum Scores

The Medical Board of Australia requires international medical graduates to demonstrate English language proficiency unless they meet the current exemption criteria. Under the revised English language skills registration standard that took effect on 18 March 2025, the following tests are accepted:

  • IELTS Academic - Minimum overall score of 7.0, with at least 7.0 in Listening, Reading, and Speaking, and at least 6.5 in Writing
  • OET (Occupational English Test) - Minimum grade of B in each of the four components (Listening, Reading, Writing, Speaking)
  • PTE Academic - Minimum overall score of 65, with a minimum of 65 in each of the four communicative skills
  • TOEFL iBT - Still accepted, but the Medical Board publishes the current section minimums separately and they should be checked directly before booking
  • Cambridge C1 Advanced or C2 Proficiency - Also accepted under the current standard, subject to the Medical Board's published score requirements

The current standard is more flexible than the previous version. Depending on the test, the Medical Board may allow score combinations within a defined period if all other conditions are met. Test results must still be current when you submit your AHPRA application, so always check the latest standard before relying on an older result.

Which Test Should You Choose?

Each English language test has a different format and focus. Choosing the right one can make a significant difference to your result:

  • OET is specifically designed for healthcare professionals. The reading and listening components use medical scenarios, and the writing task involves writing a referral letter. Many doctors find this test more relevant and achievable than general English tests.
  • IELTS Academic is the most widely known English test. It tests general academic English and is accepted by many institutions worldwide. However, the writing component can be challenging for candidates who are more comfortable with medical English.
  • PTE Academic is a fully computer-based test with fast result turnaround. Some candidates prefer the computer-based format and the speed of results.
  • TOEFL iBT remains an option, but you should confirm the current section scores directly with the Medical Board before relying on older summaries.
  • Cambridge may suit candidates who already have recent Cambridge results and want to use an accepted alternative to IELTS, OET, or PTE.

Many overseas doctors opt for the OET because its healthcare-specific content aligns well with the vocabulary and scenarios they encounter daily. However, the best choice depends on your individual strengths and preferences.

Exemptions from English Language Testing

Exemptions are no longer well described by simple phrases such as "native English speaker." The Medical Board applies a specific registration standard and looks at your qualification history, the language of instruction, and your recent practice history. You may be exempt if you meet the current published criteria, which can include:

  • Completing your primary medical qualification in English in a recognised country and meeting the Medical Board's recent practice requirements in recognised English-speaking settings
  • Meeting one of the specific qualification and practice combinations set out in the current English language skills registration standard
  • Having previously met the Medical Board's English language requirements in a way that remains acceptable under the current standard

Exemptions are assessed against the published standard, not informal assumptions about nationality or first language. Even if you believe you qualify, confirm your position with the Medical Board of Australia or AHPRA before relying on an exemption.

Costs and Planning

English language tests involve registration fees that vary by test and location. You should also budget for preparation materials, practice tests, and potentially multiple attempts. For a full breakdown of English test fees alongside other registration costs, visit our registration costs page.

It is recommended that you take your English language test early in the registration process. A valid test result is required for your AHPRA application, and achieving the required score may take more than one attempt. Plan your test date carefully to ensure your results remain valid throughout the registration timeline.

For a broader overview of the registration process, return to the registration section or explore specific topics like the AMC assessment and EPIC verification.

Important Planning Note

This page is designed as practical guidance for overseas doctors and should be used alongside official requirements published by AHPRA, the AMC, relevant specialist colleges, and the Department of Home Affairs.

Rules, fees, and processing times can change. Before lodging any application, verify details directly with official sources listed on our Resources page.