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OET Speaking practice

OET Speaking practice online: 1:1 sessions and live role-plays

Speaking improves when you perform complete role-plays under time and get feedback against the OET criteria. This page explains how the Speaking sub-test works, what each online practice option includes, and how to prepare so every session is worth your time.

How the OET Speaking sub-test works

OET Speaking takes approximately 20 minutes and is specific to your profession. You complete two role-plays in which the interlocutor plays your patient or their carer, and only those two role-plays are scored.

StageWhat happens
ID check and warm-upA short conversation before the role-plays. OET says assessors do not rate your ID checks, the warm-up or anything you say during preparation time.
PreparationThree minutes with the role card before each role-play. You can make notes on the card and refer to it during the role-play, but you must return it at the end.
Role-playTwo profession-specific role-plays. Each usually comes to a natural end at around five minutes; if it does not, the interlocutor will signal clearly that it is time to conclude.
MarkingThe sub-test is recorded and the audio is assessed by OET assessors against the Linguistic and Clinical Communication criteria.
Test on PaperFace to face with an interlocutor in a private room at the venue, on the same day as the other sub-tests.
Test on ComputerAt home through a secure platform or, in some countries, at a venue, on a different day up to 5 days before or after Listening, Reading and Writing.
Why the three minutes matter

Preparation is not scored, but it decides how the role-play sounds. Candidates who use the time to plan an opening, the order of the tasks and the point where the patient is likely to need more explanation sound organised. Candidates who use it to write full sentences end up reading them.

What online practice has to copy

A useful practice session keeps the real structure: a card you have not seen, three minutes to prepare, about five minutes of conversation with someone who reacts like a patient, and feedback that names the criteria. Anything less is a drill, which is useful too, but different.

What OET assessors listen for

Speaking is marked against two groups of criteria. Practice that only corrects grammar covers a small part of the score.

GroupCriteriaHow it is marked
LinguisticIntelligibility; Fluency; Appropriateness of language; Resources of grammar and expression4 criteria, each marked out of 6
Clinical CommunicationRelationship building; Understanding and incorporating the patient's perspective; Providing structure; Information gathering; Information giving5 categories, each with 3 to 5 sub-indicators, marked out of 3

The OET Speaking tips explain what each criterion looks like in a role-play, and the empathy and signposting guide shows how two of the clinical communication skills change a weak answer into a structured one.

Ways to practise OET Speaking online

There are three kinds of Speaking practice on this site: live one-to-one sessions, live role-plays with a virtual patient on the website, and recorded courses that teach the method. This table shows exactly what each package includes.

PackageWhat it includesForAccessPrice
1 Private Speaking Assessment Session (Package 24)1 live 1:1 Speaking session, multiple cards covered, detailed performance feedbackDoctors, nurses and pharmacy candidatesScheduled within your preparation window£18
2 Private Speaking Assessment Sessions (Package 25)2 live 1:1 Speaking sessions, different cards in each session, detailed performance feedback for each sessionDoctors, nurses and pharmacy candidatesScheduled within your preparation window£34
Speaking Starter (Package 42)3 live, interactive role-play cards with a virtual patient; transcript and feedback based on OET Speaking criteriaAll disciplines30 days£12
Speaking Standard (Package 43)8 live, interactive role-play cards with a virtual patient; transcript and feedback after eachAll disciplines90 days£24
Speaking Pro (Package 44)15 live, interactive role-play cards with a virtual patient; transcript and feedback after eachAll disciplines6 months£42
Recorded Speaking Crash Course (Package 23)Recorded Speaking course: 8+ hours per professionMedicine, Nursing and Pharmacy6 months£30
Double Special Package - Writing + Speaking (Package 26)Full recorded Writing course and full recorded Speaking courseMedicine, Nursing and Pharmacy6 months£58

Before you buy, check what you already have: several courses include one private Speaking session, for example the Classic Full Course + SAMI - Medicine and the Mega Special Package.

Private 1:1 sessions with an expert tutor

A private session is live practice with a person: you work through different OET cards one to one and receive detailed performance feedback. It works as a top-up alongside any course or as a standalone Speaking assessment.

1 Private Speaking Assessment Session

Package 24 · £18

  • 1 live 1:1 Speaking session
  • Multiple cards covered
  • Detailed performance feedback

For one focused live session, often shortly before the exam. Join / Login for 1 session

Who the sessions are for

Private sessions are listed for doctors, nurses and pharmacy candidates, and are scheduled within your preparation window. Physiotherapists and other professions should check their own course page, such as OET for physiotherapists or OET for allied health, or use the live virtual-patient packages, which are for all disciplines.

When a person makes the difference

A tutor hears what a script cannot show: whether your empathy sounds real, whether the patient could follow your explanation, and whether you led the conversation or followed it. Book a session when you know the role-play structure and want an honest view of how you sound, not on your first day of Speaking study.

Live virtual-patient role-plays on the website

The Speaking Starter, Standard and Pro packages are website practice. You speak live with a responsive virtual patient in natural, native-like English, in a two-way conversation that reacts to your questions in real time rather than a one-way recording.

Speaking Starter

Package 42 · £12 · 30 days

  • 3 live, interactive OET Speaking role-play cards
  • Detailed transcript and feedback based on OET Speaking criteria

A first experience of live, exam-style role-plays. Join / Login for Speaking Starter

Speaking Standard

Package 43 · £24 · 90 days

  • 8 live, interactive OET Speaking role-play cards
  • Detailed transcript and feedback based on OET Speaking criteria

Repeated role-plays to build fluency and confidence. Join / Login for Speaking Standard

Speaking Pro

Package 44 · £42 · 6 months

  • 15 live, interactive OET Speaking role-play cards
  • Detailed transcript and feedback based on OET Speaking criteria

Intensive, exam-style Speaking practice over a longer plan. Join / Login for Speaking Pro

What every card lets you practise

Immersive clinical scenarios designed to recreate OET-style role-plays, in which you practise empathy, signposting, reassurance and clear explanations. After each role-play you can read the full transcript, which is often the quickest way to notice long turns, missed cues and repeated phrases.

Website practice and a tutor work together

The virtual patient gives you volume: many cards, many openings and many chances to signpost. A private session gives you a tutor's view. Writing and Speaking practice also come together in the Quick Check, Exam Prep Pro and OET Mastery packages, which include live virtual-patient role-plays.

Recorded courses: learn the method first

If you have not yet studied how an OET role-play is built, start with the method. Live practice is far more useful once you know what you are trying to do.

Recorded Speaking Crash Course

Package 23 · £30 · 8+ hours per profession · Medicine, Nursing and Pharmacy · 6 months from purchase

  • Complete explanation of the Speaking sub-test and role-play structure
  • All major card types covered in detail, with a recall-based focus on repeated card types
  • Opening, information gathering, addressing concerns and safe closing
  • Handling anxious, angry, confused, reluctant or non-compliant patients
  • Empathy, reassurance, signposting and checking understanding

Join / Login for the Speaking Crash Course

Double Special Package - Writing + Speaking

Package 26 · £58 · Medicine, Nursing and Pharmacy · 6 months from purchase

  • Full recorded Writing course with the latest criteria
  • Full recorded Speaking course from A to Z
  • Model letters, Writing rules, Speaking cards and useful phrases

For candidates who are confident in Listening and Reading and want to focus on the two productive sub-tests. This package is recorded and does not include a live session. Join / Login for the Double Special

How to prepare before a Speaking session

A session is short, so arrive ready to perform, not ready to learn the basics. These six steps make the feedback land on the right problem.

1. Know what is scored

Read the nine criteria above and the OET Speaking tips, so you can understand feedback that names Providing structure or Information gathering.

2. Rehearse the three-minute plan

On every practice card, mark the tasks, choose your opening line, note one signpost for each change of topic and predict where the patient will push back. Notes, not sentences.

5. Set up the room

For any live online practice, use a quiet room, a reliable connection and a microphone you have tested. Poor audio hides the very things you want feedback on: pronunciation, pace and intonation.

6. Bring one goal

Decide what you most want judged, for example "I lose structure when the patient asks something unexpected". Specific goals produce specific feedback.

Practice example: planning a card and using the feedback

This is an invented practice card written by OET with Dr Hesham to demonstrate the method. It is not an official OET card and does not describe a real patient.

Practice example: the card (pharmacy)

Setting: a community pharmacy. The patient has been prescribed a new preventer inhaler for asthma. She has heard it contains a steroid and says she will only use it when she feels breathless. Tasks: find out what worries her; explain the difference between her preventer and her reliever; explain how to use the preventer and why to rinse her mouth afterwards; encourage regular use; check understanding.

A three-minute plan in notes

Open: name, role, "talk through your new inhaler". Ask: "What have you heard about it?" Reflect the steroid worry in her words. Signpost: "First, how it works; then, how to use it." Chunk: preventer daily, even when well; reliever when breathless. Check. Then technique and rinsing. Check again. Close: agree the plan and when to come back.

Feedback you might receive, and what to practise next
  • Understanding and incorporating the patient's perspective: you explained steroids before asking what she had heard. Next card: ask first, then explain.
  • Providing structure: you moved from her worry to inhaler technique without warning. Next card: one signpost for every change of topic.
  • Information giving: four instructions arrived in one turn. Next card: one point, then a check of understanding.
  • Fluency: long pauses while you read the card. Next card: plan key words in the three minutes, not full sentences.
Key takeaway

Each piece of feedback names a criterion and leads to one change on the next card. Collecting sessions without changing anything between them is the most common way to waste Speaking practice.

Common mistakes in online Speaking practice

These patterns are common in practice role-plays, and each one is easy to fix once you can name it.

Reading from the card

Looking down at full sentences breaks eye contact on a video call and slows your fluency. Plan key words only.

One empathy line for everything

The same phrase after every patient turn sounds recited. Reflect the patient's own words instead.

Talking more than the patient

Long explanations with no questions leave no room for the patient's perspective. Ask, listen, then explain.

Practising without timing

Untimed role-plays drift past five minutes. Keep the three minutes of preparation and the five-minute role-play every time.

OET Speaking practice FAQ

Short answers to the questions candidates ask before booking Speaking practice.

How long is the OET Speaking sub-test?

Approximately 20 minutes. After an ID check and a short warm-up, you complete two profession-specific role-plays. You have three minutes to prepare each one, and each role-play usually ends at around five minutes.

What happens in a private OET Speaking session?

It is a live one-to-one session in which you practise different OET cards and receive detailed performance feedback. You can use it as a top-up alongside any course or as a standalone Speaking assessment.

Is the live virtual patient the same as a private session?

No. The Speaking Starter, Standard and Pro packages are website practice with a virtual patient that responds in real time, followed by a transcript and feedback based on OET Speaking criteria. A private session is a live one-to-one session with a tutor.

Who scores the real OET Speaking test?

The interlocutor plays your patient or their carer. The sub-test is recorded, and OET assessors score your two role-plays against the Linguistic and Clinical Communication criteria. The ID check, warm-up and preparation time are not rated.

Which Speaking option should I choose first?

If you have not studied the role-play structure yet, start with the recorded Speaking course. If you know the structure but need more practice, use the live virtual-patient packages. If you want a tutor's view of your performance before the exam, book a private session.

Can physiotherapists and other professions use these packages?

The live virtual-patient Speaking packages are for all disciplines. The private sessions and the Recorded Speaking Crash Course are listed for doctors, nurses and pharmacy candidates, so other professions should check their own course page first.

OET Speaking next step

Start practising complete role-plays

Choose live role-plays with a virtual patient for volume, a private session for a tutor's view, or both. Create a free account first to see every Speaking package in the learner app.

About the author

Dr Ahmed Hesham is a medical doctor and OET educator who has coached doctors, nurses and allied health professionals preparing for OET since 2018. More about Dr Hesham.