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Hello everyone. Um Can someone please confirm in the chat if you can hear me properly? Ok, so before we start, um I would like to play a small video of the MDU. Ok. Um ok, I think we have yeah, 20 people. So hello everyone. Uh my name is Thea and welcome to our CPD approved talk on Ace Do et by Doctor Nyla Bigham. So I would like to hand over to doctor Naa. Hello guys. Good evening. Um Let me just share my screen. Can everyone hear me well? Yeah, we can hear you. Ok, perfect. I'm just gonna share my screen and we'll get into it. So my name is Doctor Nyla. Um So what we'll do is we'll run through, I've made the slides pretty brief. We'll run through it and I think the most important part will be to show you guys um some of the examples of each of the sections. Um So we'll run through this part quite quickly. I'm sure you're all aware what is the O ET it's the occupational English test. It's an English language test for healthcare professionals who want to work in an English speaking country. Um it's basically consists of reading, writing, speaking and listening. Um The price is 3 2300 and 20 lb. Um I'm not sure what currency everyone else will be in, but I, I'm, I did it in pounds. So 320 the, the certificate for the O ET is valid for two years. Um You're, you are allowed to resit the exam. Um, let's say you passed the reading, writing and speaking, but you didn't pass the, you didn't pass one section, you can reset that section. Um So you don't have to do the entire thing all over again and there's no limit as well of um how many times you can take it? Um So the scoring system for the exam, one thing that's really important to note here is for those of you that are thinking of doing the F two stand alone, um You have to have 400 above in each section. Um Even though the pass mark for each section is 350 The req one of the requirements for F two standalone is 400 above in each section. Um So it's easier if you guys just have a quick look at this. Um This image here, an A is 450 to 500. And that's basically you can communicate very fluently effectively with patients and healthcare professionals using appropriate register tone and Lexus shows complete understanding of any kind of written or spoken language the equivalent to the A is A 8 to 9 score. So this is the highest that you can get. Then there's A B and this is, this is, this is in two parts. So it's 400 to 440. So that's the higher end of the B and then 350 to 390 which is the lower end. Um in general for GMC registration, you have to get above. So this is your cut off mark. Basically, it has to be above these. Uh the 350 mark, anything below won't be accepted. Um So yeah, and then that split for a, that's about 7.5 and then 350 to 390 is a 70. So here, the difference is that you can communicate effectively with patients healthcare professionals using appropriate registered tone and Lexus with only occasional inaccuracies and hesitation shows good understanding in a range of clinical context. Um So yeah, that's what you're aiming for that A section or that B section. And then obviously, if you are wanting to do F two stand alone, um that's something that I think my cohort, they weren't completely aware of this, that you have to have 400 above in each section um to apply for F two stand alone. And even if you get 350 in one section, your application will just be rejected. Um Unfortunately, so I've made a quick comparison, I think for me at the time, I decided to go with O ET because it is a lot more medically orientated and I felt like it was quite tedious anyway that we have to do this English exam. Um, and I thought if, if it's something that I have to do, I would rather do it where it's, where it's where I'm revising for something that's medically based, let's just say, because it is quite tedious, especially if you are fluent in English. The difference between the two is that Ielts is cheaper. O ET is more expensive. I think AE Ls is 100 and 50 or something. Um And as I said on the previous slide, O ET is about 320. Um ie you have a very high chance of obtaining a 6.5 in the writing section and having to repeat all four sections again or having to take O ET for example, O ET is a good chance of passing in the first attempt with enough preparation and rewriting one section is allowed. Um So how I mentioned previously before, if you lacked in one section, you can redo that one section. Um I LS is accepted for fy two, standalone, the score of 7.5. The score to be honest is the same for both of them. The 7.5 is the equivalent to a 400 for the OE anyway, um because it's on the higher end of the scale. So that's, that's pretty much the same for both of them considered as the goal A is considered as the gold standard and is advisable if you aren't sure which country you want to settle in. Whereas O ET is acceptable for all medical professionals. So nurses, dentists, um doctors I ES is questions are based on general topics. So you'll need to brush up on a few topics before going for the exam. It's a lot more broad. Um You could be given extracts about all sorts of things whereas O ET is specifically medically based. So you're having a conversa when you're doing your speaking, it will be sort of like a GP setting or a clinical setting between you and a nurse or you or a patient. Um Writing again, it's like a referral letter, discharge. It's all medically based medically orientated. Um Ales, there's more number of slots throughout the year. It's a lot more well recognized and results can take up to a month. O et good planning is required since slots are limited and results can take up to a month when I was sitting my O ET. Um I actually did it in Turkey because I was on an Erasmus placement. I had no issues with dates or um to when I was booking for the O ET. But I have heard of my other colleagues that they, they had to wait quite a long time for dates to open because it's just not as common as ours. But I think that's all very relative if you've planned ahead of time and you've, you've been revising, you know, when you want to take it roughly. Um, I think you can find a slot. It's readily available in the UK. I know that the centers are in the big cities like London Manchester, I think leeds as well. Birmingham. Um, and usually there's always, there's always a few spots available. Um, yeah, I think during my, during my time there was an option as well that you could do it from home. I don't know if that's an option anymore. I think maybe it was to do with COVID. That's why. Um But I guess you guys can have a quick look to see if that's still an option. I did, I did prefer to do it in the center though. Just because if you get, if there's even a slight sort of chance that they think that you're cheating, they'll terminate your exam, you don't get a refund, anything like that, any noise, anyone randomly comes into the room whilst you're doing it at home, that type of thing. So it's just, it's just about the risk really. Um So I've made brief slides on each section, but what I want to do is go through an example with you guys just so it's a lot, it'll be a lot more beneficial. So just a quick run through of the reading section, it's 60 minutes in duration. There's a part, a which is 15 minutes. It's four short texts on particular topics and there's 20 questions in total. Then there's part B and C which is 45 minutes altogether. So you have six short paragraphs of varied length and there's 22 questions in total. And there's part C which is two different extracts related to research topics. They're quite, they're a lot more lengthy. You read through them and then you answer based on the questions. Um And there's usually around 16 Mc Qs. So I'm just going to share, I'm just going to show you a quick example of the reading. So you'll get two papers, you'll get something like this, which is a booklet. Um By the way, these, these test papers, they're all from the O ET website. Um You can get more on youtube and it, and then some of a few links where people have uploaded some as well. Um If you, if you use the ones on the website and if you are wanting more, you can always just drop me an email or contact me. However, I'll II can drop my email in the chat box. Um And I can send you a few of the practice questions that I used as well. So you'll get a booklet like this. Um And you'll have your text, a text BC and D, this is for part A of the exam. So if you can have just have a quick read, it's about Paracetamol overdose. That's your text. You'll have a separate document like this one and this is where it's the question paper. Um So you will have two of them or side by side and it will give you the instructions. So it says here part A, the time is 15 minutes. Look at the four texts A to D in a separate text booklet for each question, 1 to 20. Look through the text A to D and find the relevant information, write your answers and the spaces provided in this question paper, answer all the questions within the 15 minute time. Um And you, your answer should only be taken from those four texts. So these are the questions then and at each side, you would put where you would find which, which text that you think this, where you found this information then. So that's that little section of questions 1 to 7, 8 to 13, these are slightly different. So these, you, you would have to sa almost like summarize. So each answer may include words and numbers or both, you shouldn't write in full sentences. So for example, you've read the text and then you read question eight. If paracetamol is used as a long term painkiller, what symptoms may get worse and you would write that again. It's trying to see, do you understand the text? Um And you'd write a short phrase in there, not a paragraph, not a full sentence, just a short phrase. To show that, you know what that text was talking about, you understand, from what you've read, same thing for the rest of them and then 14 to 20. So complete each of the sentences, 14 to 20 with a word or short phrase from one of the texts. Each answer may include words, numbers or both. Again, this is now trying to, trying to see if you can decipher um what you've read um and sort of put two things together. So if a patient has taken metoclopramide alongside paracetamol, this may affect something of the paracetamol, you will have read about this in the text. It's now trying to see, are you able to pick out certain key parts to be able to put them into, into this um this sort of fill in the gap type of thing? So that's the reading section for part A, then you get part B and C, if anyone at any point has any questions, feel free to just shout out. Um This may seem quite overwhelming, but once you've, what I ended up doing is printing out each section, so I print out example, a sample questions for the reading section, writing, speaking and listening. Um And I just went through as many as I possibly can and once you understand the form of each section, it makes it a lot easier as well. So for the parts B and C, these are a little bit different now. So part B. In this part of the te of the text test, there are six short extracts relating to the work of healthcare professionals. For questions 1 to 6, choose the answer A B or C which you think fits best according to the text. So in this one, you have the small text in front of you, you read it and then you color in if it's A B or C depending on what you, what you've read. So this guideline extract says that the nurse in charge must supervise the opening of the controlled drug cupboard, should make sure that all the ward covered keys are kept together, can delegate responsibility for the covered keys to another ward. You will read this and then based on it's almost like it doesn't matter about what your opinion is, they're trying to see what, what you've read. Have you comprehended it to be able to pick out which one is right out of the three things. Have you understood? This is based on your understanding rather than what you think it reads or what you, what your opinion is. Um So you do them for a few of them. And then the part C section is, is literally like if any, if any of you guys have been to school in the UK, it's like G CSE sort of standard comprehension, reading skills, massive passage, you read that and then um there's two texts about different aspects of healthcare, then you choose answers, ABC or D which you think fits best according to the text. Um, what I, what I did was I ended up reading it all rereading it and just, whilst I'm rereading it, underlining certain things that are, um, stand out or a bit more important, especially if it's like a factual thing. Um, some of the things are already highlighted for you as well, which it could help you answer some of the questions. Um I don't think there's any point sort of reading through and going through the answers because I mean, you can do that in your own time. What I want you guys to get from this is sort of the form and how each subsection, what is it testing? What's important for you to notice? Um If let's say you choose a for this section, but then you later realize, actually, I think it's c you can put a strike through um the test center that I was doing minor. They only allowed pencils. Um So you could have a rubber with you and you could just rub out and, you know, change, change what answer you have. I think that depends on test centers though. I'm not 100% sure, but you'll have that information when you're researching where you want to take the exam. Again, the texts are all medically related. So this one's on migraines. The one previous like the small text before was about, this one is about patient safety. The one before was about paracetamol overdose. So you can see that it's all medically related. It's not, it's not some random topic that you might not even be well versed at. Um, and you're having to read up and understand et cetera. Um, I think that's everything for the reading section. In my opinion. The reading section was the easiest. Um, the only thing, the only key skill that you have to have for this section is just to be quick, just to read quickly and comprehend quick as well. So, um that's for the reading section. If we move on to writing this for me was probably the hardest section. Um Just because I had not, I didn't have much experience of writing discharge letters or referral letters, transfer letters. So for this one, you have 45 minutes in total, you get five minutes to read what your task is and then 40 minutes to complete. So you what I would suggest here is have a look at what the basics are to letter writing include. For example, including addresses, the address of the recipient, the date, the signature at the bottom, the overall general basic layout of what a letter should look like. The word limit is about 100 and 80 to 200. If you do go beyond this, it, I think it's 50 words beyond you just get marked down. If it's more than 50 words, it won't get counted. So they're very strict on the word limit. Um, and yeah, like I said, it's a discharge letter, referral or transfer letter. Um, one thing in retrospect, II feel like what would have definitely have helped as well if you, if you have a look at discharge letters and refer or letters and transfer letters yourself, even if you have a quick Google, what does it look like? What's the format? They're pretty much similar across all, all, all three, they've just got different purpose. Um But the layout and the sort of tone of tone of writing that you have to write in is pretty much the same across all three. You're just asking for three different things. Really? So let me show you a quick example of writing. So again, this is what it looked like you, it says it here. So you'll get the writing time, which is five minutes reading 40. Um It gives you all the information in front of you. So please use this um because it will definitely help. You can literally write it down word for word how it says some of the things here. So Missus Priya Sharma is a patient in your general practice who is concerned about her glucose level control. So you have the patient's details here. You have the address, you have her social background, her family history, her medical history, current drugs that she's on, and then just some um past medical, some of the discussions that she's come in for so in the 29th 2018, this was what she came in for um on examination, this was what was found, certain things. Um let's say you're in the exam and you see an abbreviation that you're not really familiar with. Don't use it. If, if you're not sure about it, don't use it, don't think. Um Yeah, just, just don't risk it because it can really, if you use it in your writing passage and if it doesn't make sense, you'll get marked down for it. So you, you get a brief um sort of like a chronological order of her appointments. When I was reading this again, I was underlying important um important aspects of certain things like for example, when was the first time she came in what was found on her examination? Um and just things that will stand out to you. So for example, pathology requested fasting lipids, full profile pathology report received. This is the important bit because you've already been told here that there was a pathology report as well. So things like that. So you, you have to pick out sort of what's important, what's not, what's relevant, what isn't, then it gives you the task and it says using the information in the case note, write a letter of referral to Doctor Smith. So you already know that this is now a letter of referral because you've done prep from before. You will know exactly what, how to word a letter of referral, what the purpose is of a referral letter you're wanting to basically pass this pa uh this patient on to someone else. So they, they need to have a sufficient amount of knowledge and information on this patient that they will require from you. That's the basis of a referral letter um who it is. So it's an endocrinologist. So you need to include information that's important of for so for someone who is an endocrinologist um at City Hospital for further management, that's the reason. The reason is the management of missus Sharma's sugar levels. Address the letter to Doctor Lisa Smith Endocrinology City Hospital in Newtown. So they've already given you who to, who to address the letter to. And then they've said that these are the things that you need to be. These are the important things. So in your answer, you have to expand the relevant notes and the co in complete sentences do not use note form newsletter format and it should be 100 and 80 to 200 words approximately. So, um I will um show you what the, how the, how somewhat. So what the answer is basically what, how you would have written this or this referral letter. So here, the first thing that you would do is write who you're writing it to. So that's the Doctor Endocrinologist City Hospital, Newton. That's exactly what they told you in the text. So all you did was copy and paste. Then you put the date, this is the exact form of any letter, whether it's a it would only slightly change, to be honest, if it's a discharge letter or um transfer letter or whatever. So you, you always have to put the date, you always have to put who is it going to and regarding the patient and the patient date of birth, then you start. So it always refer a letter because you've been told that this is you, you were the one that were are now writing this letter to another doctor. So thank you for seeing Missus Priya Shama, a type two diabetic. You've explained what she has and why, why for further management of her blood sugar levels, um go a little bit into a history, background information. Um sort of like using an SBAR approach. So what's the situation? So she was diagnosed in 1999. She has been monitoring her BP, her weight is this and pick out a key from the information above key information. It she was her eye examination in October 17 indicated no issues fine. She initially presented with a concern that her blood sugar. So now you're talking about relevant information, you've given a little bit of background. Now you're giving more current relevant information. Um then you've given sort of an what an assessment was done and what the findings were and then you're ending it with sort of what you've, what you've done and why you think she needs to be referred. So the in this letter, you've prescribed this, um, drug for her, it increa uh you've also increased her Metformin. Um, since then, her home monitored BP has been within range and her cholesterol has fallen to 3.2. Her non fasting blood sugars are 7 to 8, but her fasting blood sugar levels are usually in the 16 plus range, which is high. Therefore, I'm referring her to you for your specialist advice. The last paragraph and probably the first are the most important. When it comes to the structure of your writing, you want to be clear, concise, you want to be to the point um sort of given what, what, what's the reason, what's the background of the patient, what's going on currently at the minute? Why you think she needs to be referred and end it with obviously your sincerely and then a signature at the at the bottom. Um Definitely count how many words you've got. This is all included in the words as well. Um And obviously, if it's below two hu 200 if it's up to a 250 mark, you should be fine. Um What else for this one? So to be honest, I've I've never seen any other letter than discharge referral and transfer. II got a referral letter as well. Some letters will just have a lot more to say than others. Um, mine was pretty much exactly what this format is like. Um, and it doesn't matter if you, there's not much to say either because some, some of them there just isn't, there isn't much to talk about. There isn't much to say what's, what's going on right now. You know how in this letter it said. So the pathology report was received and this is what it showed and this, there's a lot going on here, whereas some letters they won't have much going on. There's not much that you need to say it's just about being concise. Um and being to the being quite straightforward really. Um I would advise to, to write out each letter and as tedious as it sounds, the more you write them out and the more examples that you use to help, um it will help you in the exam. II didn't write out much. So when it did come to the exam, I was a little bit like shaky on this section. Um And the time limit set yourself like a timer when you're writing out as well because if you end up not finishing that won't get counted either. You'll get less, you'll get marked down if you haven't finished off writing either. Um So yeah, next one is speaking, so this duration total of 20 minutes. So you get some warm up time, which is about three minutes and there's two subsets of clinical scenarios. You get prep time which is three minutes for each scenario and then five minutes to deliver the speech. So the speaking section is you and, um, the examiner, you go into a room, you sit across each other, the examiner will explain to you that. Um, so this is the speaking section of the exam before I start the recording. Um, she'll ask you a few questions about yourself just to sort of calm your nerves, that type of thing. Um, she'll ask you your name. What, what, um, what profession are you going into? That type of thing? Just to sort of break the ice a little bit, then she'll let you know that she's gonna restart the recording once she starts, that's when the exam starts rolling. Um, and you get three minutes to prepare. So you, she'll give you a scenario on a car, on a piece of paper. You'll read the scenario, you can highlight, you can underline key parts of it. Um, and then she'll start, she'll, she'll let you know that she's going to start or he, um, I keep saying she, because mine was a woman and then they basically go into like role play mode and they'll start talking to you. Usually it's always a patient and health care professional again, I'll show you an example here. So this is, this is what the examiner would be. So the examiner would be a parent. They get this card and you'll get, you'll get another card um of what the scenario is. So you're the parent of a five year old boy, your son was diagnosed with asthma a couple of days ago after attending the emergency department with a severe bout of coughing, breathing difficulty and wheezing. You are attending a follow up appointment with your son's doctor. Your son has gone to the bathroom with your spouse and he is not present for the discussion. It'll give you the task as well. So when ask, say your son's asthma hasn't been too bad. He's had one attack since he was diagnosed in the emergency department, et cetera, et cetera. So they'll, they'll know what certain things to pick up on when you're, when you're doing your speaking, then it's up to you to now show in this section. Um, how good, how confident you are speaking the language, how relevant your speech is. So you can sit there and they could ask you a question. Like, for example, in mine, um, they asked, uh, that it was about, um, it was about a patient who didn't feel like her pain medication. She has chronic pain. She's come to the GP clinic because she feels that the pain medication that she's on is not helping her at all. Um, when I've reviewed her pain medication, she's only been on it for the past two weeks and is the, the, it's the highest level of pain medication that the GP could have provided her at this present time. Um, so my task was basically to communicate to her that she needs to be on it for a longer period of time. When the examiner was speaking to me, she was kind of cutting me off. She wasn't letting me speak if I was kind of, er, stuttering or saying, um, she was getting even worse to deal with. So in that situation, you have to come across quite confident and you have to know what you're talking about and the relevance of it. So I had to basically persuade the patient that the pain medication she's on is good for her at the minute and she should continue to at least up to 3 to 6 months. Um Had I sat there and said, um, the importance of pain medication or the importance or, or the side effects of pain medication that would have had no relevance to what the patient is telling me. I would have got marked down for that. So you can sit there and eloquently speak about anything in English. But if it's not related to what the examiner is asking you or asking of you, um then you, you'll get marked down. So on your card, you will have what you need to talk about. So here it'll say confirm the reason for an appointment, follow up following asthma diagnosis, find out how the child has been since the hospital visit. As soon as you've done that first bullet point, you get it ticked off, you can move on to the next thing, let's say you've read the first bit and you haven't done any of it. The examiner will prompt you. So, for example, if the examiner is now sat down, should we, she will say something like, well, are you, are you actually the doctor? Because I don't think, you know why I'm here. That's sort of like your prompt to know. Ok. II need to, I need to confirm the reason for the appointment. Then you'll go on to the next thing. Find out within the three minutes that you've got, you can basically write down quickly. So task. What the first thing, what I'm gonna do is confirm the reason for the appointment. The second thing I'm going to do is explore possible triggers of child's asthma, for example, cigarettes. And you can say these words, you can say, uh you know, is the child around any adults that smoke quite often or in a dusty environment? Um Are they, do they have any allergies to pollen? You can say each one that's completely fine. So in the three minutes that you've got before, when you get your task, you can write down quickly, I need to ask this question. I need to find out about um exposure. I need to give some information about childhood asthma. You can refer back to your card whilst you're talking to. Just quickly read out some of these things. I don't expect you to remember. Um, the tightening or narrowing of muscles in the airways, you can quickly look back at your card and say that then you can write. Ok. Now, then after I've done that, I need to reassure the parent about the child's asthma. After I've done that, I need to outline what the next steps are. So, in those three minutes, you now have a sort of briefer structure to what your, how this clinic is going to go. Basically, that will make you seem a lot more confident. Um It'll make you seem that, you know what you're talking about, you'll get points for that relevance, you'll get points for that. Um And there's a better flow, there's a reason why they give you it in this way because the flow is sort of like an opening and then a nice clothes as well. Throughout this, the examiner will try to trip you up by being a little bit difficult. Um But as long as you're polite, um you respond in an appropriate manner. Um Like, for example, for mine, I couldn't really say to her, she, when she was being difficult about her pain medication, I couldn't really say to her. Um OK, we'll give you a, we'll give you a year supply of morphine that's just not clinically medically, right? So you, you, you do have to obviously work with them in that sense. Um And they're not, they're not, they don't try to cut you out too much. They just try to see if you'd be able to flow the conversation in the right way and then they give you up towards the end anyway. And they're like, oh, ok. Doctor, thank you for your time. Um And yeah, they end it in a, in a nice manner. Um, you get two of these scenarios. So let's say the first one, you feel like you weren't that great. At the first one, you'll get a second chance to do the, you'll get another chance. And usually the second scenario is always a little, a little bit better than the first one. Um So yeah, again, the, these examples, you can do this with your friends, family members, you give them one section of the card, you can be the doctor, you can be the doctor or you can switch it around as well where you can be. Um You can act as the parent and they can act as the doctor. Um But usually it's always sort of like a patient doctor, clinic environment GP environment on the wards, that type of thing. Um The next is listening. So listening, it's 45 minutes in total. There's part A um And you, that's usually a consultation conversation. Part B, this is six short dialogues with MC Qs to answer and then there's part C, these are two long interviews or monologues and then you have to answer the MC Qs. Usually you get given headphones individually and then the audio plays and you only hear the passage once. Um when I was doing it, we all did it in a big room. So we all had individual headphones. Um But I think every test center is different. Some you might have like a small booth and you can sit there um with the headphones. Um But yeah, let me show you a quick example of the listening. So yeah, so this test has three parts in each part you'll hear, you'll hear a number of different extracts at the start of each extract. You'll hear this sound and it's a beep. Um You'll have time to read the questions before you hear each extract. You'll hear each extract on once, only complete your answers. As you listen at the end of the test, you'll have two minutes to check your answers. So there's part a questions, 1 to 24. So they'll play the extract and it will be sort of like a conversation between two people and you have to write in um has had and then whatever it was that you heard over a long period reports, um Whatever you've heard in the last year, it's sort of like filling in the gaps to what you've heard. Um The se the next part complete the notes with a word or short phrase that you hear. So you have 30 seconds to look at the notes. Um So this, you hear again, but there'll be background information. These ones won't be as, um obvious as the ones before. So these are kind of you deciphering what you've heard type of thing. They won't say exactly, whereas here they will say exactly, claims to be consuming. So for example, has undergone 10 procedures and there's no indications of anything problematic or is now trying Metformin or is now trying Ibuprofen. So there will be exact words that you can put into these ones in these ones. It will be a lot more what you decipher from what you're hearing and they're not as straightforward as what you've heard either. Um And I would advise to listen and as you're listening, input of what you can er because you're only hearing it once. So if you're listening to the entire thing and you haven't written anything, it will be a lot more difficult to go back and then start inputting. Um So just as you hear, start putting things down, um then there's part B. So in this part of the test, you'll hear six different extracts in each extract, you'll hear people talking in different healthcare settings. There's questions 25 to 30 you choose the answer again, you just color in what you hear. So this, you're not having to write anything, you're purely listening, whatever you've heard, you just circle the, the A B or C, the whichever option you think, then there's part C in this part, you'll hear two different extracts in each extract. You'll hear healthcare professionals talking about aspects of their work. So it's questions 31 to 42 choose the answer A B or C again, coloring whichever one you feel it's not gonna be as obvious. Um And there are a lot, the, the, this section is a lot more. They talk a lot and you kind of, you have to listen very tentatively because it's not er straightforward and one and it's sort of like they could have meant both ABA and B but it's up to you to put down which one you think is the most irrelevant from what you've decided when you've, when you were listening. Um, and, yeah, so that's, that's that section out of all of them. I think the reading, uh, reading and listening are the easiest, I think, speaking and writing, writing for me for sure, because I genuinely thought that it would just be, it would be quite simple. But, so I didn't give it much attention. Um, but I think you do need to practice you, you, you need to just keep writing out as many, as many examples as you can from the test papers. And then speaking was, wasn't too bad, but I think it depends on the examiner as well. They can either make it quite simple and easy for you, they can try to cut you out and be quite difficult and especially when you, you've, we haven't w at that point in our lives, we haven't started working in healthcare professions or as a doctor. So it can be quite difficult to sort of problem solve in that speaking environment when you've got a difficult patient. Um But yeah, I think that's everything. Thank you for listening guys. I know that seems quite a lot. If you do have any questions, feel free to shout them out. Um Write them in the chat box or I, I'll, I'll leave my email as well. If you guys have any questions later on, feel free to message me, I can send you out more practice papers because I think the website doesn't have many. I think there's like four examples for each section um which I do suggest you do all of them and do more if you can as well. Um I found some random ones online that I've still got stored. So if you guys do want more, you can always um let me know and I can send them over to you as well for anyone taking the o et thank you guys. Thanks for your time. I think we have um two questions in the chat. So the first one is about the speaking. So um do they usually make you role play the doctor and not the patient? Right? Yeah, usually you're the doctor. Um For most of the Yeah. Yeah, you'll be the doctor, but I suggest that when you're practicing, do both. Uh when you're practicing with friends or family members, it doesn't make a difference because each one, you ha it's about reading the task and knowing how to structure each bullet point. So it just gives you more practice whether you're the parent or the patient. Um and the doctor. So I'm just, I was just saying practice both so you can have a wider variety of chance to um practice how to, how to speak. The next question is how long is the O ET certificate valid for? Is it the same with A LS? Two years? Um Yeah, I think A LS is two years as well. So that, yeah, that's the same. The duration is the same. Um And the presentation will be shared. Um It'll be up on the catch up content for listening. Will the information and the passages go in the order of MC Qs? Yes. Yeah. Yeah. So when you're listening, it's all in the order of the M CQ. It's just that sometimes, especially for, I think it's part C the passage just goes quite fast. So you have to really quickly input or tick whichever section you want. Um With mine, I felt like the part C when they were speaking because they were talking so fast and you're trying to listen and read which option you want to pick. It's also quite good to, as you're going along, pick which, which answer you think. But if you've missed something out, leave it till the end, go back to it. And you kind of know because you will have heard of it. It's sort of like doing two things at once. You're reading, you're listening and then you're having to take which one you, you think it is as well. So if you do miss one hour or two hours whilst that passage is going, move on to the next one because you'll end up fumbling and let's say you're on question five and you didn't hear what it said. Don't fixate on it. Just move on because all the rest of it is in our order and then come back to it and even if you don't know, just pick whichever one you think. Um And you'll be fine, hopefully. Ok. So the next question is for the writing session. Um Does writing the name, address, date all count in the 200 word limit. Yeah. Unfortunately, it does. Yeah, it all counts like every word on that paper counts. And the final question is, do you get your result the same day? No, no, you don't. I had to. It's, it's about a two week, wait 2 to 6 weeks. I think they say um you, what you do is you go on the O ET website and you make like a portal that's where you have to register for the exam. You register your location, you pay, you have to upload a picture of yourself. And then once you've taken the exam, it'll say on there that you've taken the exam and your results are pending. And after two weeks, just uh they will send you an email to say your results are now live on the portal and then you can log in and then you can have a look and they break it down for you each section, what you've got for each section. Um So we have another question. Do you have to introduce yourself to the patient with your real name in the speaking task? Uh No, you can. The examiner will ask you what name would you like to use? Just before you start in the warm up section, they'll ask you what name would you like to use? And this would be a good time for you to ask them as well. How should I refer to you? What name would you like me to use for you? So you don't have to say, um, the real name in the writing part? Do we actually write with a pen and a paper? It's pencil. Like my, my test center only allowed pencils. I'm not sure if every test center is like that, but mine for sure only allowed pencils. Um, and they have them there as well. Like they'll, if, if you don't have, I think they specified as well, like which, which grade pencil it was or something. Um, but if you don't have, they'll, they'll give you, they have loads of spares on the day as well. Yeah, I think in Ireland as well, you um are supposed to use a pencil for the writing as well. So what is counted as an ideal score? An ideal score I would say is 400 to be honest and above in each section, 350 is the pass. But you don't wanna, you don't really wanna be aiming for 3 5400 and above is quite, is it I would say that you should aim for that for each, for each um part. Ok. So I think that's all the questions we have. So um I have sent the feedback form into the chat. If you guys can please fill it out and after it's, it'll be up on our Instagram soon. So that's it for today. Thank you, Doctor Nla and thank you everyone for joining today's talk. Thank you guys. I hope it was useful. Thanks Dan. No worries. Bye-bye.