The rule for doctors in Canada
Canadian medical registration is provincial. Ontario’s CPSO applies the FMRAC model requirement of OET Medicine with B in each component, from the same sitting and within twenty-four months. This page explains that documented Ontario pathway; it does not turn a model standard into a promise for every province or residency programme. The source regulator data mentions a possible Newfoundland and Labrador exception only second-hand, so it is not used as an alternative route here.
| Requirement | Ontario CPSO / FMRAC model; province-specific |
|---|---|
| Listening | 350 (B) |
| Reading | 350 (B) |
| Writing | 350 (B) |
| Speaking | 350 (B) |
| One sitting / combining | CPSO: all four B grades in the same sitting. |
| Validity | 24 months at the time of application (CPSO). |
| OET@Home accepted? | Not stated on the CPSO page: check with your provincial college. |
| Profession version | Must be the Medicine version of OET. |
Last checked 21 Oct 2026. Official rule ↗
What to aim for in practice
For a doctor using the CPSO pathway, a Writing score of 300 falls below the Ontario target even though it can meet the ECFMG Writing threshold. Practise a referral that identifies the clinical question before compressing the history. In Speaking, explain investigations without unnecessary jargon and ask what worries the patient. Compare the full four-skill practice profile with the CPSO rule and keep the application date in view.
| Skill | Official component target / floor | OETAce conservative practice guide |
|---|---|---|
| Listening | 350 (B) | 32/42 gives an estimated 350–370 |
| Reading | 350 (B) | 32/42 gives an estimated 350–370 |
These raw-mark ranges use the same estimate as our test marker. They are a study aid, not an official OET conversion or registration decision. Part A alone cannot predict a score for a full 42-question test. Review Writing and Speaking feedback separately.
Matching Medicine practice
Medicine guide and sample tasks · Doctors role-play cards · Sample letter task
Speaking cards
- New type 2 diabetes: reluctant to start medication General practice
- First febrile convulsion: frightened parent Emergency department, paediatric area
- Acute low back pain: patient demanding a scan and strong painkillers General practice
Writing case notes
- Urgent referral to a gastroenterologist: iron-deficiency anaemia and rectal bleeding referral letter
- Discharge to GP after pneumonia with new atrial fibrillation discharge letter
- Transfer to orthopaedics: hip fracture in a patient on warfarin transfer letter
Free full Listening test · Free Reading Part A · Practice plans and prices
Questions candidates ask
What OET score do doctors need in Canada?
Most Canadian medical regulators follow the FMRAC model standard: OET Medicine with grade B (350 or more) in each sub-test, in the same sitting, taken within the last 24 months. Ontario's CPSO states exactly this.
Can doctors combine OET sittings for Canada?
CPSO: all four B grades in the same sitting.
How long are OET results valid for doctors in Canada?
24 months at the time of application (CPSO).
Other destinations for doctors: Australia, UK, Ireland, New Zealand, US, UAE, Singapore.
Sources
Last checked 21 Oct 2026. Rules and prices change: confirm on the official page before you book or apply.
OETAce is an independent practice site. OET is a registered trademark of Cambridge Boxhill Language Assessment (CBLA); we are not affiliated with or endorsed by CBLA. All practice material here is original.