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What OET and IELTS scores do international medical graduates (IMGs) need to join the UK Foundation Programme?

What is the UK Foundation Programme?

The UK Foundation Programme is a two-year, structured, work-based training programme which is designed to bridge the gap between medical school and specialty or general practice training.

It gives newly qualified doctors essential clinical and professional skills, ensuring they can deliver safe and effective patient care across various healthcare settings.

Two-year programme

There are two years in the programme.

  • Foundation Year 1 (F1): This initial year focuses on consolidating medical school learning through supervised clinical practice. Doctors in F1 hold provisional registration with the General Medical Council (GMC).
  • Foundation Year 2 (F2): Building upon F1, this year allows doctors to take on greater responsibility, make clinical decisions, and further develop competencies. Successful completion leads to full GMC registration and eligibility to apply for specialty or general practice training.

Throughout both years, trainees rotate through various specialties, including general medicine, surgery, and general practice, to gain broad clinical experience. The curriculum emphasizes not only clinical skills but also communication, teamwork, and patient safety.

One-year standalone F2 programme

An alternative is the one-year F2 programme for doctors who have completed F1 or equivalent training elsewhere. It focuses on the competencies required for progression to specialty training.

International Medical Graduates (IMGs)

IMGs can apply to join either of the above two programmes. The eligibility criteria include having a primary medical qualification approved by the GMC and obtaining provisional GMC registration, which may require passing both PLAB tests.

There are also strict English language criteria. IMGs can use either OET or IELTS to demonstrate their English is at a high enough level to join the Foundation programme.

OET

  • Test version: OET Medicine
  • Minimum Scores: A score of 400 is required in each of the four sub-tests—Listening, Reading, Writing, and Speaking.
  • Single Sitting: All scores must be achieved in one test sitting.
  • Validity Period: Two years

IELTS

  • Test Version: Only the Academic or UKVI Academic versions are accepted. The General Training version is not valid for UKFP applications.
  • Minimum Scores: A score of 7.5 is required in each of the four components—Listening, Reading, Writing, and Speaking.
  • Single Sitting: All scores must be achieved in one test sitting and documented on the same Test Report Form (TRF).
  • Validity Period: Two years
  • One Skill Retake: The UKFP accepts the IELTS One Skill Retake, provided the final result can be verified on the IELTS verification portal.

These are higher scores than those required for GMC registration – IELTS 7.0 and OET 350.

Preparing to achieve OET 400 or IELTS 7.5

Achieving these scores is tough. Not only do you need an advanced level of English across the four skills, you also need to understand the assessment criteria – especially for the Speaking and Writing papers – and the strategies to use when tackling the different questions.

In our experience, many IMGs have excellent levels of English but fall down when it comes to the actual exam as they are not clear on how they are being graded. They may also struggle with long texts and tricky questions which contain distractors – options which look like they may be correct but are, in fact, not. Others find the timings difficult – time can really fly when sitting in a test centre.

In these situations, we really see the value of working with a specialist OET or IELTS teacher. They provide targeted coaching which improves a candidate’s scores in the papers they struggle most with. Expert input and feedback enable candidates to enter the exam centre with confidence and gives them a much better chance of achieving the high grades required.

Achieve the OET and IELTS scores you need with SLC

Reach OET B Medicine and Reach IELTS Premium courses give expert input and test practice alongside one-to-one coaching with a specialist tutor. You can start with just 5 hours and then extend if you need, though you’ll be surprised at just how much you can achieve in that time.

Lessons are scheduled around your availability and are super-flexible. And before you start, you complete a detailed Needs Analysis so you can hit the ground running from the very start of your course.

Sign up today and prepare for success. And if you have any questions on how the courses will work for you, get in touch.

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