OET WRITING

SAMPLE LETTER &

EXTRA CASE NOTES

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 Sample OET Letter

Dr Gregory
Health Clinic
Adelong 3538

05/05/2018

Re: Jonathan Franks, DOB: 24/05/2012

Dear Dr Gregory,

I am writing to refer your patient, Jonathan Franks, for further assessment and
management of his recurrent ear infections.

Jonathan presented today with discharge from his left ear along with earache.
Please note that in March, when Jonathan had the same issue, he was pre-
scribed antibiotics. However, on follow-up with his mother, Ms Franks, it became
apparent that Jonathan had not completed the course of his medication.

Recent school assessment results have demonstrated evidence of Jonathan’s

learning difficulty as well as impaired hearing, especially in a noisy environment.
Jonathan is also underweight for his age, and teachers have reported that he
often arrives at school tired and struggles to concentrate in class. Teachers are
concerned about Jonathan’s academic progress and general wellbeing.

I would be grateful if you could evaluate Jonathan’s overall health and provide a
treatment plan to address the boy’s recurrent otitis media. The family may need
assessment by a social worker to provide the necessary support to Ms Franks to
help her care for the child appropriately and to ensure that any treatment plan is
followed in its entirety.

If you require further information, please do not hesitate to contact me.

Yours sincerely,
Nurse.

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 Practice Case Notes

Occupational English Test

WRITING SUB-TEST: MEDICINE

TIME ALLOWED: READING TIME: 5 MINUTES
WRITING TIME: 40 MINUTES

Read the case notes and complete the writing task which follows.

Notes:

Assume that today’s date is 12 September.

You are the attending physician responsible for Mr John Smith, a 45-year-old office manager
who has presented with chronic lower back pain.

PATIENT DETAILS:

Name: Mr Mr
John Smith
John Smith
DOB: 20/09/1977
20/09/1977
Social background: Single
Single
Office manager
Office manager
Sitting for for
Sitting most of day
most at work,
of day littlelittle
at work, exercise, poor
exercise, posture
poor posture
History of smoking
History (quit
of smoking 3 years
(quit ago)
3 years ago)

Medical history: Known

Knownhypertension
hypertension(controlled withwith
(controlled medication)
medication)
Type 2 diabetes
Type mellitus
2 diabetes (well-controlled)
mellitus (well-controlled)
Family history
Family of heart
history disease
of heart disease
NoNo
known
knowndrug allergies
drug allergies

Current medications: Amlodipine 5 mg

Amlodipine 5 mgdaily forfor
daily hypertension
hypertension
Metformin 1000
Metformin mgmg
1000 twice daily
twice forfor
daily diabetes
diabetes
Over-the-counter ibuprofen
Over-the-counter ibuprofen400400
mgmgas as
needed forfor
needed pain
pain

History of present illness:
Experiencing chronic lower back pain for past 12 months
Pain: dull and aching, primarily in lumbar region
No radiation of pain to lower limbs
Pain intensity fluctuates but generally moderate (6/10)
Pain ↑ with prolonged sitting or standing
No history of trauma or recent heavy lifting
Tried over-the-counter pain relievers with limited relief
No bowel or bladder disturbances
No significant weight loss or night sweats
No fevers or chills

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 Practice Case Notes (Continued)

17/09/2023

Investigations: X-ray
X-ray lumbar
lumbar spine:
spine: mildmild degenerative
degenerative changes
changes in lumbar
in lumbar verte-
vertebrae
brae
Haemoglobin
Haemoglobin A1c:A1c: 6.2%
6.2% (indicating
(indicating good
good glycemic
glycemic control)
control)

Assessment: Chronic
Chronic non-specific
non-specific lower
lower back
back pain
pain
Hypertension
Hypertension (well-controlled)
(well-controlled)
Type
Type 2 diabetes
2 diabetes mellitus
mellitus (well-controlled)
(well-controlled)

Plan: Referral
Referral to to physiotherapist
physiotherapist forfor exercises
exercises and
and posture
posture correction
correction
(physiotherapy twice weekly for lower back pain and advice onon
(physiotherapy twice weekly for lower back pain and advice
posture,
posture, exercise,
exercise, and
and a more
a more active
active lifestyle)
lifestyle)
Occupational
Occupational therapy
therapy assessment
assessment forfor ergonomic
ergonomic workplace
workplace modi-
modifications
fications
Analgesic management:
Avoid
Analgesic longmanagement:
periods of sitting or standing
Consider
Avoid long prescribing short or
periods of sitting course of non-steroidal
standing
anti-inflammatory
Consider prescribingdrug (NSAID)
short courseifofpain persists anti-inflamma-
non-steroidal
Continue current antihypertensive
tory drug (NSAID) if pain persists and antidiabetic medications
Lifestylecurrent
Continue modification advice: and antidiabetic medications
antihypertensive
Encourage regular exercise and balanced diet
Follow-upmodification
Lifestyle appointment advice:
in 4 weeks
Referral to regular
Encourage the painexercise
clinic if symptoms
and balanced persist
dietdespite
conservative management
Follow-up appointment in 4 weeks
Referral to the pain clinic if symptoms persist despite conservative
management

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 Writing Task:

Using the information in the case notes, write a letter of referral to Ms Carter, a con-
sultant physiotherapist, summarising your assessment and outlining your recom-
mended management plan for Mr Smith’s chronic back pain. Address the letter to Ms
Emily Carter, Lifestyle Physio, 255 Commercial Rd, Merton.

In your answer:
• Expand the relevant case notes into complete sentences
• Do not use note form
• Use letter format
• The body of the letter should be approximately 180–200 words.

Wrtite your letter below...

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