OET for Canada: accepted — but province by province

Canada has no national OET rule. The Medical Council of Canada sets no English test at all, and NNAS stopped collecting language scores in 2022 — everything depends on the provincial regulator you apply to.

Requirements checked against official sources: July 2026

Doctors

The MCC's exams (MCCQE1, NAC) have no English-test requirement — language proficiency is a licensure requirement set by each provincial college. OET’s own recognition list names medical regulators in nine provinces (including Ontario, BC, Alberta and Manitoba), and the test can be used for CaRMS residency applications and Practice Ready Assessment programs. The requirement we verified directly at the regulator:

Nurses

• NNAS is not the English gate. Since October 2022, NNAS no longer collects language test scores — you submit English evidence directly to the provincial regulator. A common misconception is that the test is “part of the NNAS report” — it is not.
• CNO (Ontario): OET minimums Listening 350, Speaking 350, Reading 330, Writing 320 — one complete attempt, custom numeric cut-scores set in 2024.
• BCCNM (British Columbia): for internationally educated RN applicants, Listening and Speaking at B, Reading and Writing at C+; evidence under two years old, submitted via the province’s assessment process.
• Nova Scotia added OET in 2024; other provinces vary (Manitoba allows several non-test routes); Quebec regulates in French.

Preparing for the Canadian pattern

Notice what every verified Canadian requirement shares: Listening and Speaking at Grade B. The role-play is again the deciding sub-test — and it's the one OEZ was built to drill, with AI-patient role-plays marked against OET’s published criteria for nursing and medicine alike.

Full speaking role-plays with an AI patient, timed writing tasks, and marking modelled on OET’s published criteria. No card needed.