Imagine you’re speaking to someone on the phone. How do you know that the other person is listening? How can you tell if they’re impressed, surprised, or intrigued? Without any visual clues, it will be because of the sounds they use. This part of non-verbal communication (NVC) is vital, especially in a medical English situation. If you’re listening to someone speak, use sounds to show you’re paying attention, and that you’ve understood the other person’s meaning.
Additionally, if you’re studying for the OET, remember that the speaking sub-test will be recorded for the assessor. The assessor won’t be able to see your facial expressions, so using sounds is a great way to show you’re listening.
Different languages use different types of sounds. And each sound has different meanings. In English, the inflection of a sound is also important. Some sounds are level, some go down, some go up-down, or down-up.
Look at the guide below. You don’t have to learn many sounds. But it’s important to learn their pattern, and what they mean.
To show surprise: Oh! (upward inflection).
To show that you’re impressed: Wow. (level or downward inflection)
To show you’re listening: Mmm or uh-huh (level inflection)
To show you’re very interested or intrigued: Ooh or Mm-hmm or Uh-huh (up-down inflection on the final syllable).
To enquire further: Oh? (down-up inflection)
Although the sounds themselves can be easy, the inflection can be difficult. Learn by listening to people responding with sounds like the ones above. You can search for videos online, or pay attention the next time you watch or listen to a conversation between native English speakers.
This video tutorial from SLC will teach you more about how to demonstrate active listening in the speaking exam. Keep listening, and keep practising. Best of luck!
Specialist Language Courses (SLC) are dedicated to helping healthcare professionals excel in the OET. Our expert-led courses focus on the specific language skills and test strategies needed to succeed. With personalised coaching, practice tests, and targeted exercises, we ensure you build the confidence and competence required for each OET sub-test. Join SLC to boost your chances of achieving the scores you need and advancing your healthcare career
Contact us Back to Menu ↩ Published on 9 March 2026, Protecting What Matters is the government’s most substantial statement on social cohesion in years.
Contact us Back to Menu ↩ For years, ESOL has been promised a national strategy. Now, for the first time in a generation, there is
Contact us Back to Menu ↩ The devolution of adult skills funding was meant to bring decision-making closer to communities and their needs. For ESOL
Get updates and get the latest materials on Medical English, OET and IELTS
