Accepted Tests and Minimum Scores

The Medical Board of Australia requires all international medical graduates to demonstrate English language proficiency before they can be registered. The following tests are accepted, and you must achieve the minimum scores in a single sitting:

  • IELTS Academic — Minimum overall score of 7.0, with a minimum of 7.0 in each of the four components (Listening, Reading, Writing, Speaking)
  • 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 — Minimum total score of 94, with minimum scores of 24 in Listening, 24 in Reading, 27 in Writing, and 23 in Speaking

All scores must be achieved in a single test sitting. You cannot combine scores from multiple sittings. Test results are generally valid for two years from the date of the test, so ensure your results will still be valid when you submit your AHPRA application.

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 faster result turnaround (typically one to five business days). Some candidates prefer the computer-based format and the speed of results.
  • TOEFL iBT is another computer-based option. It is widely available internationally but is less commonly chosen by doctors heading to Australia compared to OET or IELTS.

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

You may be exempt from the English language test requirement if you meet certain criteria. The Medical Board of Australia may grant an exemption if:

  • You are a native English speaker from a designated English-speaking country (typically the United Kingdom, Ireland, the United States, Canada, or New Zealand) and completed your primary medical qualification in English in that country
  • You completed your entire primary medical qualification in English in a country where English is the primary language of instruction, and the programme was at least six years in duration
  • You have previously been registered in Australia and met the English language requirements at that time

Exemptions are assessed on a case-by-case basis. Even if you believe you qualify, you should confirm your eligibility 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 current criteria directly with official sources listed on our Resources page.