Listening:The Listening sub-test lasts approximately 40 minutes and comprises three parts, totalling 42 question items. Topics are broadly related to healthcare and accessible across all professions. Part A involves listening to two health professional-patient consultations and completing the health professional’s notes. Part B consists of listening to six short workplace extracts and answering multiple-choice questions. Part C entails listening to two presentations or interview extracts and answering multiple-choice questions. This sub-test assesses various skills such as identifying specific information, gist, opinion, or the speaker’s purpose, evaluated through note-completion tasks and multiple-choice questions. Answers for Part A are double-marked by assessors, while Parts B and C are automatically scored.
Reading:
The Reading sub-test consists of three parts with 42 questions in total and takes 60 minutes to complete. Topics are relevant to healthcare and open to candidates from all professions. Part A involves expeditious reading tasks, Part B comprises short workplace extracts, and Part C consists of longer articles. Timing for Parts B and C combined is 45 minutes. The sub-test assesses skills such as skimming, scanning, identifying detail, gist, main points, explicit or implied meanings, and attitude or opinion through various question types. Answers for Part A are double-marked by assessors, while Parts B and C are automatically scored.
Writing:
The Writing sub-test lasts 45 minutes and is profession-specific. Candidates are tasked with writing a letter based on a typical workplace situation relevant to their profession. This may include a referral letter, discharge letter, or letter advising or informing patients, carers, or groups. Five minutes are allocated for reading case notes and/or related documentation, with 40 minutes for writing. The sub-test evaluates six criteria and answers are double-marked by assessors.
Speaking:
The Speaking sub-test takes around 20 minutes and is profession-specific, involving two role-play tasks based on typical workplace scenarios. Candidates assume the role of a healthcare professional while the interlocutor represents a patient, client, or carer. Each role-play is preceded by a short warm-up conversation. Candidates have three minutes to read the role-play card and five minutes to role-play the task points. The sub-test evaluates linguistic and clinical communication criteria. Role-plays are recorded and double-marked by assessors, with the interlocutor having no role in the assessment.