Doctors need OET Grade B in all four sub-tests for Canada
Every board that registers doctors in Canada asks for Grade B (350–440) in Listening, Reading, Writing and Speaking — Alberta International Medical Graduates Association (AIMGA), College of Physicians and Surgeons of Alberta, College of Physicians and Surgeons of British Columbia, College of Physicians and Surgeons of Manitoba, College of Physicians and Surgeons of New Brunswick, College of Physicians and Surgeons of Newfoundland and Labrador, College of Physicians and Surgeons of Nova Scotia, College of Physicians and Surgeons of Ontario, College of Physicians and Surgeons of Prince Edward Island and College of Physicians and Surgeons of Saskatchewan. There is no sub-test where a lower grade is accepted.
Every gating body OET lists for medicine in Canada, with the grade each publishes per sub-test. Grade B is 350–440; C+ is 300–340.
| Board | Listening | Reading | Writing | Speaking |
|---|---|---|---|---|
| Alberta International Medical Graduates Association (AIMGA) | B | B | B | B |
| College of Physicians and Surgeons of Alberta | B | B | B | B |
| College of Physicians and Surgeons of British Columbia | B | B | B | B |
| College of Physicians and Surgeons of Manitoba | B | B | B | B |
| College of Physicians and Surgeons of New Brunswick | B | B | B | B |
| College of Physicians and Surgeons of Newfoundland and Labrador | B | B | B | B |
| College of Physicians and Surgeons of Nova Scotia | B | B | B | B |
| College of Physicians and Surgeons of Ontario | B | B | B | B |
| College of Physicians and Surgeons of Prince Edward Island | B | B | B | B |
| College of Physicians and Surgeons of Saskatchewan | B | B | B | B |
Visa and government routes
These decide whether you may enter or work, not whether you may register. They publish their own thresholds and they are not always the same, which is why they are listed apart rather than averaged into the answer above.
| Board | Listening | Reading | Writing | Speaking |
|---|---|---|---|---|
| Canadian Resident Matching Service (CaRMS) | B | B | B | B |
- Compiled from OET's own list of recognising organisations, captured 2026-08-21. Confirm with the regulator before booking — a board can change its requirement between our weekly refresh and your application.
- Some boards accept scores combined across two sittings and some do not. Where that rule matters it is stated on the full regulator list.
The same question, answered for every country that registers doctors.
Or read the full guide: OET for Medicine.
Know the grade. Now go and get it.
Practise the Speaking sub-test against an AI patient on medicine cases, and get every one of the nine OET criteria scored about a minute after you finish.
On Android, Windows or a Mac? The app is iPhone-only for now — but you can hear a full role-play, scored turn by turn, right here.
Listen to a scored role-play
iPhone · iOS 16 or later. Android is not out yet.
Not installing today?Want the 60 minutes waiting when you do get an iPhone? Leave your email — 60 free practice minutes (≈ 12 role-plays) go on the account you create.