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SPEAKING
Occupational English Test Preparation: How
to Speak Without Getting Stuck
5 minutes may seem like a short time, but if you encounter a topic or situation that is
unfamiliar, the 5 minutes can feel like an eternity.
OET speaking session is a dialogue between you (the health professional) and the
interviewer (the patient). However, the majority of time is devoted to you to show off your
speaking skills. The interviewer will be advised to speak minimally unless prompted by you
with questions.
TIP 1
After the interviewer introduces the scenario, ask questions to clarify or establish the
situation/concern more fully. e.g. So how long have you had this pain for? What is exactly is
it about the drug that you are concerned about?
TIP 2
If you need more time to think about your response but you dont want a big gap of silence,
mirror or reflect the concerns or questions the interviewer raises. This is not only good for
you to buy time but also a great way of expressing empathy and demonstrating that you
comprehend fully what they are saying. e.g. So from what I can understand Mr/s ., you are
worried about your sons lack of concentration at school. I can see that it must have been so
serious that you considered the possibility of an underlying medical complication. I am sure
that coming up with a diagnosis would clear a lot of things up for you.
TIP 3
Dont ever assume that the patient knows everything about the medical concern that they
are coming to you with. That is why they are consulting with you. Describe and define every
basic aspect of their health condition. e.g. Hypotension -> define it/ ask the patient if they
fully understand what it is. Particularly if they have concerns with compliance, going into a
bit more detail scientifically may be more persuasive for the patient.
TIP 4
If you need to explain to the patient about a certain procedure or therapy, ~remember!~
although the interviewer can see you, the examiner cant as the role-play is voice recorded.
Therefore, make a concerted effort to describe every little detail in words, however obvious
it may sound. It is not the knowledge that they are grading you on but your speaking
fluency. e.g. using a walking frame: be descriptive right down to which hand/foot goes where
and when.
TIP 5
If you have no idea about the disease condition/treatment, hypothesise. e.g. That sounds
like a respiratory condition which the doctor will be able to clarify to you about. However,
from my understanding of respiratory conditions in general, it is important that you are
supplied with sufficient oxygen and make sure that your airways are cleared of mucus or any
foreign particles etc.
TIP 6
Remember to speak slowly and clearly. This will not only stretch out the time and minimise
the amount of mistakes that you may say but also dilute out any thick accents.
A significant factor for success in the OET speaking test is to be prepared for situations such
as this. While your grammatically spoken English may be excellent, you are also being
tested on your ability to communicate, especially with difficult patients.
As health professionals, it is part of our job to approach these circumstances with tact and
professionalism, while at the same time displaying assertiveness and confidence. And in the
OET test, it just might be your job to communicate with a role player who has been
instructed to refuse all your advice and act upset.
This can make you nervous. This can make you forget your lines. This can make your face
flush beetroot red and wish that you were at home in the safety of your blanket, away from
the OET test. But there are many strategies you can use to turn this type of situation to your
advantage, and instead showcase your excellent communication skills.
If it isnt treated there is an increased chance that your heart may fail or that
you may get a heart attack or stroke. Therefore, it is vital that you keep your
blood pressure under control.
Blood pressure is affected by many things.
Firstly, how much water and salt is in your body. If you have too much salt in
your diet, this can make your blood volume greater and therefore increase
your blood pressure.
Secondly, the condition of your blood vessels. If your blood vessels becomes
less elastic due to age, damage from smoking or too much fat deposits from
a fatty diet and not enough exercise, then you will more likely not be able to
regulate your blood pressure.
Thirdly, different levels of hormones can be released by various triggers such
as stress, drinking, obesity, diabetes etc that contribute to or worsen the
hypertension.
It is a lot to take in, but I hope this helps you to see why it is so important for
you to make various changes in your lifestyle. Reducing your salt and fat
intake in your diet, exercising, avoiding smoking and alcohol are crucial for
lowering your blood pressure.
If you can do this you will be able to significantly reduce the risk of the
illnesses I mentioned earlier which may lead to early death. Lifelong intake
of blood pressure lowering medication is preferrably a last resort so I would
advise you to take these lifestyle intervention measures first.
The first and most obvious suggestion is to practise with someone who speaks
English at home. Perhaps a family member. Perhaps a friend. Or, even better, a friend
or family member who is ALSO doing the Occupational English Test. Get them to
practise different tasks with you and give you feedback afterwards about your fluency,
the clarity and speed of your speech and about the language you used.
2.
Another way is to practise by yourself. This can involve, for instance, recording
yourself speaking! For this exercise, I particularly encourage you to check your speed
(tell yourself to SLOW DOWN!) and to check whether or not you say words like um,
uh, like or er which can affect your fluency. Count how many ums you say!
3.
One final suggestion is, indeed of speaking, you can PLAN out the conversation and
write down what you would say in the scenario. This can improve both your grammar
and your sentence structure. Think of different phrases you can use to reassure
patients, to advise patients or to ask clear questions.
help
you
to
familiarise
with
the
exam.
Check
out
this
link:
http://www.occupationalenglishtest.org/Display.aspx?tabid=2425
2. The OET is NOT testing your medical knowledge it is testing your level of
English.
This means that if you dont understand a certain medical term on the speaking task, please
ask for help! Also, dont fret and panic about giving the most scientifically accurate
information to the patient just advise them to the best of your ability.
3. The roleplayer on the day will not be assessing you. They are there simply to
act.
You should use them to help you with your task as much as possible. Ask them questions!
4. You get to keep the roleplay card throughout the speaking task.
Dont be afraid to use the roleplay card during your task you are allowed to look at it, if you
like! This also means you should write any helpful notes for yourself during the preparation
time. You can underline words, highlight sections whatever will help you to do well.
Remember your speaking task is marked using the recording of your voice. This means that
the examiners cannot see your hand actions or facial expressions. Therefore, you need to
explain everything in words clearly. Step by step.
Example: Explaining how to inject insulin.
Firstly, you should choose your site for injection (such as, the abdomen). Then, you need to
pinch the skin between your thumb and index finger. Then, hold the needle at 45 degrees to
the surface and inject!
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2 . Fol lo w th e d o t po i n ts i n o rd er.
This is NOT something you MUST do, but it is highly recommended. By following the dot
points in order, you will not get lost or confused during the task and this will ensure that you
are able to engage with the roleplayer (i.e. the patient).
3 . I f y o u g et s tu c k, u s e th e p hr a s es / ter m i n o l o g y
o n t h e c ar d .
You are allowed to do this. This is particularly useful if, perhaps, the topic is unfamiliar to
you.
4 . L i s ten to th e s a m p l es o n th e O E T w eb s i te.
Most students neglect to check the official OET website for samples and materials. In fact,
they have uploaded 2 nursing speaking tasks and 2 medicine speaking tasks. Have a listen
to these as they will familiarise you with the structure of the speaking exam, even if you are
not taking the nursing/medicine exam.
5 . A n d , a s a l w ay s p r a c ti s e, pr a c ti s e,
P R A C T I SE .
With a family member. With a friend. With your dog? Even by recording yourself! Just
practise!!
Your palms are sweaty, your hearts racing and you stare, dumbfounded, as your mind
goes blank.
To avoid a situation like this happening in your OET speaking exam, you should be prepared
for what to expect and how you should respond. The roleplay that you are given will require
you to use appropriate language and phrases to do one or more of the following things:
1.
Assess the patient, the patients background or the current situation. This is often
what you do in the opening section of the speaking you find out (i.e. assess) what it
is that the patient wants!
2.
Assure the patient about their particular health condition, their family members
illness or an upcoming operation, etc. The patient is anxious and you need to calm
them down what do you say? You should use empathic language, exhibiting your
understanding to the patient.
3.
Advise the patient about lifestyle changes, how to manage their diabetes/health
disease or what are the harms/benefits. Here you need to make appropriate
suggestions for the patients situation.
4.
Now its up to you to carefully consider each of these types of speaking tasks and come up
with some appropriate sentences, questions or phrases that can help you communicate
these things to the patient.
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READING
Occupational English Test Preparation:
Reading Section
The reading section of the OET exam is for some the trickiest part of the whole exam. Part A
in particular can be quite intimidating because of its very short time limit. To get through this
part, the key strategy is to always be very conscious of time. The very first thing to do is of
course to skim through the texts and read the titles in order to get an idea of which text is
talking about what. The headlines often contain information on whom/what the text is about,
where the information is from and how it might be relevant to the general topic. Also, it is a
good way to see what type of information each text might contain. Sometimes, the texts are
about a persons personal experience with a disease or issue. Other times, it could be just a
table containing statistics or other types of data. It could also be a health professionals
professional opinion, the description of an illness or disease, or even how to treat or manage
a particular condition.
Once you have identified the subject of each text, you are ready to start answering some of
the questions. Each time that a blank space comes up in the summary and answer sheet,
you already know where the information that you are looking for is most likely going to be.
You can then go straight to that text and skim through it quickly to get the information that
you are looking for. Be careful when looking at data however! There can be some traps laid
out for you. Really pay attention to the way that the questions are worded. Adult men under
70 might be labelled as males 18-69 in a text. You must make sure to understand what is
being asked of you as well as what the text is actually telling you.
As always, you have been keeping a steady eye on your watch during this whole time. You
notice that you have about one minute left and unfortunately, you know that there are still
too many blanks on your paper for you to realistically hope to finish everything in time. Do
not despair! It is now time to realize that the last points that you are going to scrape up are
not going to come from finding the answers directly from the text. Read through the final
questions and try to answer them either using your memory of the texts that you have just
read or just common knowledge. Sometimes, all that the sentence is missing is just a
preposition or an adjective which is an easy way to score an extra point or two. Fill in
everything that you can and place your pencil down when they call the time, and be happy
that you have accomplished all that you could.
Do you find the Part A OET reading task too hard? You probably dont have a good
system for approaching the test.
This task can seem impossible. You have 15 minutes to read four texts and
then answer more than 20 questions. And you have to get the grammar
correct too!
I once had a student who had below than average spoken English, and she
had a lot of trouble with the writing task too. However, unlike the rest of the
class, she found Part A to be naturally easy. Even though English was her
second language, she could finish any Part A task I threw at her with minutes
to spare. Why was she so good at it?
This was because she had a systematic approach to handling the test
and to do well in the test, you will need to internalize this approach so that it
becomes automatic. How do you do this?
Step 1:
Do not read the entire texts! You need to rapidly scan and skim for certain
details that will help you characterize each of the four texts so that you know
where to find you answer.
These details include things like:
Headings
Author
Year
Location
Now you need to quickly give a unique personality to each of the texts so
that you can remember which one is which. For example: Text 1: Spanish
study from 1999; Text 2: Statistics from 2005; Text 3: Study by ONeill et al.;
Text 4: Australian Guidelines for approaching asthma.
Step 2:
Now keywords in the gap-fill will tell you immediately which text you need to
find your answer from. The first sentence might read: Asthma is a common
condition. In Spain, _____________ of people suffer from asthma.Which text
are you going to get your answer from?
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as possible?. This principle might seem contradictory at first how can a title cover
everything, but be narrow? However, we will consider an example to illustrate the principle
at work.
Example 1
Alcoholic cirrhosis is the most common cause of hepatic cancer in Australia, accounting for
approximately 60% of diagnoses, closely followed by hepatitis B virus, which is responsible
for an additional one fifth of these patients. Other, less common, aetiologies include other
viral hepatitides, hepatitis of non-infectious causes, aflatoxin exposure, haemochromatosis,
Wilsons disease, Type 2 diabetes and haemophilia.
Which of the following titles is most appropriate for this paragraph?
A) Complications of alcoholic cirrhosis
B) Risk factors for hepatic cancer
C) Alcoholic cirrhosis in the aetiology of hepatitis B
D) Causes of hepatic illness
At first glance, answer A looks like it could fit the text talks about alcoholic cirrhosis leading
to the complication of hepatic cancer. However, this title only really applies to the first
sentence, and the rest of the paragraph has no relevance to alcoholic cirrhosis. Similarly,
answer C is incorrect because it only considers terms in the first sentence, and is also
incorrect as the paragraph considers alcoholic cirrhosis and hepatitis B in the aetiology of
hepatic cancer. Both B and D do fit the whole paragraph, but the most appropriate title of
these two will be the one that is most narrow. The article doesnt talk about hepatic illness in
general, but instead focuses on hepatic cancer D is too broad, where B fits the paragraph
perfectly.
The same principle can be applied to questions asking you to give a title to the whole article
make sure that your title choice can be applied to any given paragraph in the article.
Unlike Reading A, in Reading B you have a bit more time to read and process the text to get
a general feel for the information in the article, and this can help your choice of a title.
Get into the habit of reading every day. Whether it is an English novel, the
newspaper or a magazine it is very important to read something every day, or as
regularly as possible to improve your reading speed and comprehension. For the OET
in particular it would be a good idea to read scientific journal articles online from wites
such as Medline, EBSCO and PubMed, or read information on medical websites such as
the BMJ (British Medical Journal).
2.
Following on from the above suggestion, when you find a word that you do
not understand while you are reading, copy it down into a book with the
dictionary definition for future reference. I find that a lot of my students miss out
on choosing the correct answer in Reading Part A and B because they come across a
word that forms part of the answer but they do not know what it means. Therefore, it is
extremely important to read regularly and write down new words when you come
across them. To really improve your vocabulary put some time aside in your day to
also revisit the new words you have written down so that you learn them for the
future.
3.
Finally be smart about what you read and try to summarise the meaning to
test how well you understand the text. This is an exercise you can do to see how
well you are able to understand what you have read. While you are reading a
book/newspaper/magazine pick a page, or a few paragraphs and read them, then try
to summarise what you have just read either verbally or by writing a small summary.
Hopefully these small tips will help improve your reading skills immensely. Best of luck in the
future with the OET!
My previous blog post (Overcoming the Fear of OET Reading Passages Part 1)
outlined some key techniques you can use to tackle Part B of the OET reading component. In
this post, I will further discuss techniques about how to approach the comprehension that I
hope you will find useful in your preparation.
#1 Eliminate answers
It is often very hard to see the answer straightaway as there may be several similar
answers. However, to make things easier, you should start by eliminating the options which
are blatantly incorrect. This narrows down the amount of options to choose from, giving you
a higher chance of choosing the correct option.
Comprehension can certainly be very difficult but with the right strategy and ongoing
practice of some key techniques, OET reading can hopefully seem more like a friend than a
foe.
2.
Text type: study, report, experiment, survey, statistic, case study, literature review
3.
4.
5.
After having glanced for this information, which should only take you a few seconds, then
you go on to attempt the questions.
the passage.
You should
the
amount
you
For the reading, it also means that if the topic is something you have never read about, you
can still pass both parts A and B through careful reading and analysis of the texts. The
answers require no prior medical knowledge.
For the writing, it means that when you come across a completely new scenario in the case
notes, you can just base your letter on the notes given (obviously).
And finally, for the speaking, it means that you can actually and a lot of students dont
realise this make information up! You will not get penalised for incorrect content, as long as
you sound confident in what youre saying.
So there you have it. Dont stress if you come across a new topic!
WRITING
Dont stress over this minor detail. This really doesnt matter too much but students
commonly ask me this question. I usually suggest writing the discharge date or the date of
the most recent presentation. Or, if in doubt, just write todays date.
Are the address, date, subject line and salutation (i.e. Dear Nurse,) included in
the word count?
No, these are not included in the word count of 180-200 words. The word count begins at the
introduction that is, when you start writing I am writing to refer and includes up until
your conclusion. But they are still very important elements of your letter because they
contribute to its layout. They make the letter actually LOOK like a letter!
Otherwise, you can refer to the patient as the patient or she/he etc as appropriate
grammatically. Oftimes I see students just writing patient instead of the patient. It is
always the patient. It may seem like a pedantic pointer but always remember this is a
English test so proper grammar counts!
Your purpose/reason for writing the letter for example, if you are writing a referral
letter for a patient with a SPECIFIC condition (e.g hip replacement) then you should
only include the relevant, important details regarding that complaint (e.g. aspirin
given, dressings applied daily, etc.)
2.
Your audience think about who you are writing to and WHAT they already know. For
instance, if you are writing to the parents of a young patient, then they will already
know her medical background/family background, etc. so you dont have to include it!
However, if you are referring them to a new medical professional, then the
medical/family background should be outlined.
3.
Your
current
situation
always
keep
in
mind
what
is
going
on
with
the
patient/situation at the moment and what role your letter plays in the situation. This
will help you to choose the appropriate language and tone to express your letter.
Sometimes you may get 3 pages of case notes and this can seem quite overwhelming. By
considering the things I have mentioned above, I hope you can confidently break the case
notes down into a well-written letter.
In my years of teaching OET, I have marked many referral letters and I have found two key features that
distinguishes the truly excellent writers from the not so excellent writers. The two features are 1. CLARITY
and 2. ORDER.
When students write legibly, use correct spelling, punctuation, syntax, letter format, paragraphing,
grammar and expression of their ideas there is CLARITY. I can not emphasis enough, though these
aspects may seem minor and therefore unimportant, they are not. This is what differentiates between a
winning writer and a non-A grade. Furthermore, for a marker with hundreds of papers to grade, anything
to make it easier for the examiner to read is CONSIDERATE. This in turn will ultimately win the favour of
your examiner over the hundreds of candidates who do not take these things into consideration.
Secondly, when students are able to organise the list of patient file information into clear paragraphs, that
contain only the most relevant and grouped information, it is ORDERED. Think of it like cleaning. When
you clean, you sort the socks into one pile, the shirts in another etc. In the same way, even though there
maybe a whole list of medical history or presenting complaints, consider,
if it is a lengthy chronic disease history, to place the most significant turn of events into each paragraph
chronologically,
if it is multiple disease states, to group their progression, treatment and outcomes in each paragraph
per disease.
There are many other ways of ordering the body of the letter, which we teach you at OET because each
patient file is so different. All in all, the most sophisticated writings are the ones where there is a logical
order in which the patients case is depicted.
My last tip for today is that as with anything in life, begin every act with love for the other person in mind.
In the case of OET, mindfulness of the circumstances and desires of the examiner. They want to read
through a letter quickly and smoothly without having to stop here and there because they can not
understand something. So make sure, if you have time at the end, to proof read and check that all the
above mentioned is done. Clear understanding, isnt that the core of communication?
LISTENING
1.
SKIM through the questions and get a general idea of the topic at the time given at the
start
2.
UNDERLINE and listen out for the key words of each question so you can listen out for
PREDICT some answers if you can e.g. if the question says What risk factors are
5.
6.
USE your own abbreviations (for example, yrs instead of years) then correct them
8.
DONT try to rephrase what is being said as this will waste time
9.
FIX up spelling, grammar and tenseduring the pauses between the questions, and
MOVE on to the next question if you realise you have missed one, then go back and
2. Study efficiently.
There is no genius, genius is trained. Therefore, dont just begin to study three nights before
the exam. You simply kill your brain with the overwhelming terminology and cant get good
result definitely. Study is a lifelong process, therefore, it is essential that you can organize
your study schedule and stick with it.
3. Love your body
Treat your body well and it will pay back for sure. Sleep well and have a nice meal before
you sit for the exam.
4. Group work
Study in groups for the clinical exams may be useful. You can never predict how much you
can learn from others friends
5. Answer the ones you know first.
Try to answer all the questions you know, leave time for the tricky one. Never invest too
much time one question, otherwise you will certainly run out of time to finish others
questions.
6. Yes! Be focus!
Some students may leave early in the test but it doesnt mean you need to be rush. Steady
wins the race! Therefore, concentrate on what you are doing, ignore what others are doing.
Make the most of your exam period!
such
as
showing
empathy
during
hospital
interactions.
This
is
recommended for the nursing student seeking to review their basic nursing skills and
techniques, as well as basic medical sciences.
English for Medicine in Higher Education Studies
Students can also use the exercises with figures and diagrams to develop your skills in
interpretation of figures, in preparation for the OET reading.
English for Nursing, Academic Skills
communicating treatment and management to be useful to their studies. For the OET
student, this is a concise textbook to review your basic medical terminology as you begin to
undertake your studies and work in an English-speaking setting.