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OET grades for Medicine in the US differ by state board

Licensure in the US is state by state, and OET lists individual state boards rather than a national authority — check the board for your own state. Not every board that registers doctors in the United States asks for the same thing — they differ on Writing. The table below gives all 2 of them, sub-test by sub-test, so you can check the one that will actually assess you.

The boards that register you

Every gating body OET lists for medicine in the United States, with the grade each publishes per sub-test. Grade B is 350–440; C+ is 300–340.

OET grades required by Medicine registration boards in United States
BoardListeningReadingWritingSpeaking
Educational Commission for Foreign Medical Graduates (ECFMG)BBC+B
Medical Board of CaliforniaBBBB

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.

Visa and government bodies accepting OET for Medicine in United States
BoardListeningReadingWritingSpeaking
Health Resources and Services Administration (HRSA)C+C+BB
Licensing and Regulatory Affairs (LARA) - State of MichiganC+C+C+C+
  • Compiled from OET's own list of recognising organisations, captured 2026-10-12. 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.
Considering somewhere else?

The same question, answered for every country that registers doctors.

Or read the full guide: OET for Medicine.

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