For doctors, the Reading module is of extreme importance as it assesses the ability of a doctor to comprehend complex medical texts,…

Mastering OET Writing Case Notes for Doctors: Tips, Format & Practice
If you are a doctor seeking to work in English-speaking countries such as the UK, Australia, or Ireland, then the Occupational English Test (OET) is your key. Of the four sub-tests—Listening, Reading, Writing, and Speaking, the OET Writing is the most subtle and challenging.
The OET Writing sub-test for doctors entails writing a professional letter (usually a referral or discharge letter) based on a set of medical case notes. Your skill in interpreting, structuring, and presenting medical information differentiates you. In this complete guide, we shall lead you through the major aspects of OET Writing case notes for doctors, give you key tips, present common errors, and tell you how to hone your writing skills with practice and guidance.
Regardless of whether you are taking the test for the first time or re-taking it, this blog will assist you in approaching the OET doctor case notes confidently and enhancing your performance.
OET Writing for Doctors
In writing, you’re provided with:
- A patient case file (case notes) in bullet points
- Instructions for the task, for example, writing a referral letter, discharge, or transfer letter
- 45 minutes in total (5 minutes reading, 40 minutes writing)
The test evaluates your skills in writing a clear, accurate, and professional letter from the case notes. You will need to adapt your content to the recipient (usually a specialist, nurse, or other doctor) and adopt a suitable tone, organisation, and grammar.
To achieve good marks, you will need to show:
- A clear purpose and logical organisation
- Choice of salient case information
- Professional language and tone
- Control over grammar and spelling
What are OET Case Notes?
OET case notes are clinical documents organized in bullet points. They are modelled on actual hospital notes and include:
- Patient demographics (age, name, occupation)
- Medical history and diagnoses
- Current symptoms or complaints
- Medication and treatment history
- Social background
- Progress notes
- Discharge plans or future recommendations
Your task is to distill the key clinical information and put it together in a neatly organised letter that satisfies the task requirements. One does not have to use everything—perhaps the greatest challenge is learning to weed out what’s not relevant to the task.
Being proficient with the OET case note and identifying how to distinguish relevant from irrelevant information is critical to gaining a good mark.
Step-by-Step: How to Analyse OET Case Notes
Reading and interpreting the case notes correctly is half the battle. This is how you can do it effectively:
1. Understand the Task Instructions
Begin by reading the writing task carefully (towards the end of the case notes). Learn:
- Who are you writing to (the recipient)
- What kind of letter it is (referral, discharge, etc.)
- What information does the recipient need to know
This influences the purpose and tone of your letter.
2. Identify Key Details
Highlight or underline key points like:
- Dates of admission and discharge
- Major medical events (diagnoses, test results)
- Condition or treatment changes
- What the recipient is supposed to do
Do not put in minor or irrelevant information. For instance, listing a patient’s occupation is redundant unless it is medically significant.
3. Choose the Structure
Once you are aware of the purpose and salient information, determine how to structure your content. A chronological structure may be appropriate in discharge letters, and thematic clustering (history, symptoms, diagnosis, treatment) might be appropriate for referral letters.
Practising regular OET case notes ensures that you can make more efficient and correct judgments under test conditions.
Writing the Letter: Best Practices
Use the Right Structure
Here is a standard OET case note structure to use for your letter:
Date
Address and Name of Recipient
Salutation (e.g., Dear Dr Smith,)
Opening Paragraph – declare purpose (e.g., discharge/referral)
Body Paragraphs – include relevant medical history, clinical results, treatments, and actions required
Closing Paragraph – summarize and provide recommendations
Sign-off (e.g., Yours sincerely)
OET Writing Tips for Doctors
To improve OET writing, remember these tips:
- Keep to 180–200 words; over this can impact clarity
- Write in a formal and professional tone
- Paraphrase from case notes – don’t plagiarise
- Write in correct tenses: present for current situation, past for background
- Use cohesive devices (e.g., however, therefore, in addition) for smooth flow
These OET writing tips will make your letters more effective and professional.
Most Frequent OET Case Notes Writing Mistakes
Even experienced doctors can make writing mistakes that impact their score. Here are the most frequent ones:
- Putting too much in – only select what’s needed by the recipient
- Unclear or confusing purpose of the letter
- Unorganised format – jumping between different points that have nothing to do with each other
- Bad grammar and punctuation
- Informal language – it’s a formal letter, not an informal message
- Exceeding the word limit, which can signal a lack of concision
Addressing these issues early on through coaching or self-reflection is an important step towards developing strong OET doctor writing skills.
Practice Makes Perfect: Regular Practice is Key
The only means to become proficient in dealing with OET doctor case notes is by regular practice. Here’s how to do it well:
- Utilize sample letters and authentic practice materials
- Time yourself while writing to replicate actual exam conditions
- Analyze sample answers and compare them with yours
- Seek feedback from peers or experienced trainers
OET case notes practice not only enhances your accuracy and speed but also increases your confidence under pressure.
Best OET Coaching Center in Kerala
Though self-study is useful, joining a guided OET coaching centre, such as Neethu’s Academy, can yield a vast advantage, especially when it comes to writing.
With our coaching you’ll be availing the following advantages:
- Individualized feedback on your writing task
- Methods to organize your thinking and meet the task requirements
- Practice using varied types of case notes
- Advice based on expertise to improve weak areas
- Mock tests that simulate real OET test environments
Our expert instructors and personalized coaching have helped thousands of test-takers achieve their desired score.
Conclusion
Achieving OET Writing case notes for doctors relies on three imperative skills: comprehending case notes, structuring your ideas, and writing clearly. With proper direction, consistent OET case notes practice, and knowing frequent mistakes, you can effortlessly turn your weaknesses into strengths.
And if you’re dead serious about achieving that Band B or higher, joining an OET coaching center such as Neethu’s Academy will work miracles for you. Practice, practice, and refine some more, and you’ll get one step closer to your dream healthcare job overseas.
Frequently Asked Questions
Doctors must obtain a minimum score of 350 (Grade B) in all OET sub-tests to qualify.
Pay attention to accurately interpreting case notes, organizing your letter appropriately, and writing concisely within the word limit.
Most of the candidates think the Writing sub-test is the most challenging to handle due to its specificity and format.
Yes, writing more than 200 words can result in deductions for insufficient conciseness and relevance.
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