What the Irish Medical Council requires
If you are an internationally trained doctor applying to the Irish Medical Council (IMC), and you did not complete your medical degree and internship through English in a recognised country, you will need to evidence your English. For first-time applications received on or after 1 March 2025, the Academic IELTS requirement is:
The IMC also accepts:
The crucial difference between IMC and NMBI
Doctors and nurses are often surprised that the two regulators are not identical. The distinction is worth knowing before you book:
In practice the IMC profile is a little more forgiving on individual skills — you never need a 7.0 in any single module, only the 6.5 floor plus a 7.0 average — whereas NMBI demands three genuine 7.0s. If you are targeting IMC, your job is to make sure nothing slips below 6.5 while keeping your average at 7.0.
Who is exempt?
You generally do not need to sit a test if you:
If that is not you, the test route applies.
Two details that trip doctors up
Where the marks are won
For busy doctors, the constraint is rarely vocabulary — it is precision under time pressure in Writing Task 2 and fluency and coherence in Speaking. Those are habit-level skills, and they respond quickly to targeted, examiner-level feedback rather than to yet another full mock test.
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Quick answers
Does the IMC accept OET? Yes — OET Medicine, Grade B in each module, single sitting, within two years.
Can I combine two IELTS attempts? No — scores must come from a single sitting.
Does the IMC accept Cambridge English? Yes — CAE at CEFR C1 or C2, within two years.