OET - Writing Keypoints + Model

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The referral letter discusses a patient named Mrs. Patricia Welshman who is being referred for a dementia assessment due to changes in her behavior and poor memory test results. Her medical history includes hypertension, dyslipidemia, and low vitamin D levels.

Mrs. Welshman's past medical history includes hypertension, dyslipidemia, and low vitamin D levels. She takes medications including metoprolol, atorvastatin and Ostevit-D to manage these conditions.

The letter notes that Mrs. Welshman has exhibited changes in her behavior, poor short-term memory, and some decision-making issues.

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OET WRITING TEST


REFERRAL LETTER

ORGANIZATION OF THE LETTER - HEAD


OBJECTIVE & TIMES
DATE
Referral letter (SPACE)
DESTINATARY - PERSON
45 minutes DESTINATARY - INSTITUTION
5’ – READING time (can’t use pen) ADDRESS
CITY
5-10’ – PLANNING (suggestion) (SPACE)
Dear Mr(s) SURNAME
30-35’ – WRITING (suggestion) (SPACE)
Re: Mr(s) FULL NAME
D.O.B.: 01.01.1990 or 25 YEARS-OLD (AGE)

ORGANIZE IT
Main issue: PRIORITY ORGANIZATION OF THE LETTER - BODY
Secundary observations: INTRODUCTION – PURPOSE OF THE LETTER
RELEVANT CASE NOTES - MAKE THE PURPOSE CLEAR QUICKLY
- 1ST PARAGRAPH – WHO / WHAT / WHY

Thank you for seeing / accepting THE PATIENT, who I have PROVISIONALLY
KEEP ON MIND diagnosed with DISEASE for FULL ASSESSMENT AND MANAGEMENT /
ADMITION IN ICU / SPECIALIZED EVALUATION.
WHO are you writing to?
I’m writing to refer / introduce / update THE PATIENT who recently underwent
WHO is your audience?
A TOTAL SHOULDER REPLACEMENT. He will be discharged today and
Do they KNOW the patient?
requires FOLLOW UP / ONGOING CARE / ONGOING SOCIAL AND
PRIORITISE
FINANCIAL SUPPORT / FURTHER MANAGEMNET / FURTHER
ASSESSMENT.

WHO: THE PATIENT NAME


PARAGRAPHING WHAT: DISEASE
WHY: REQUEST
INTRODUCTION + REQUEST
STATEMENT – what happened STATEMENT
Background – history - UNDERSTAND THE READER (GP? Adm? Physio? Nurse?
Specialist?)
Assessment - If the reader knows the patient you CAN’T introduce him and talk about
Reinforce request the past.
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OET WRITING TEST

He/She was admitted on DATE for…


He/She will be discharged today…
During his/her inpatient time he/she presented with… / he/she underwent
KEEP ON MIND surgery.

BACKGROUND – HISTORY - CHRONOLOGY


UNDERSTAND the reader - FOCUS ON CHANGES
MAKE the purpose clear quickly
ORGANIZE ideais into paragraphs On DATE – 1st appointment
PRIORITISE On DATE – returns
On DATE – worsening à in general why I’m referring
(On the 28th of March OR On 28 March)

Regarding his/her medical history, he has HBP and Type 2 DM…


He/She has a history of hypertention…

On 01/01/2001, this happened…


On 10/01/2001, that happened…

Upon / After… discharge, he/she will return home… he/she felt at home and
required re-hospitalization.

Remember / Don’t forget / Let me informe you… that ocasionally he has been
aggressive with medical staff.

During his/her stay in hospital he/she ocasionally was aggressive with…

He/she is TO avoid consuming alcohol / strenuous activities…

Please be aware for…

ASSESSMENT
- Relevants aspects of the patient’s clinical presentation.

REQUEST
- Enforce the requesting.
- Clarification if necessary
- Thanks
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OET WRITING TEST

In light of THE above I’m referring THE PATIENT / HIM/HER to you for
FURTHER ASSESSMENT AND MANAGEMENT / A FULL ASSESSMENT /
AN URGENT ASSESSMENT.

MAIN VERB TENSES

PASSIVE VOICE (…BE + PAST PART + COMPL)


… was treated for …
… was admitted on DATE.
… was admitted after A CAR ACCIDENT (EVENT).
… was referred by …
… was diagnosed with …
… will be discharged TODAY, TOMORROW, NEXT WEEK.
… has/have been advised to CHANGE HIS/HER/YOUR LIFESTYLE.

IT has been recommended HE/SHE/YOU AVOID SPORTS ACTIVITIES.


(subjunctive sentence – the verb doesn’t change to 3rd person)

He/She has been prescribed…


He/She has been taking METHFORMIN FOR 2 YEARS (Past Part Cont)
He/She has taken METHFORMIN FOR 2 YEARS (Past Part)

ACTIVE VOICE
He/She is taking METHFORMIN.
He/She takes METHFORMIN EVERY MORNING.
He/She took METHFORMIN FOR 2 YEARS. (Simple Past – used in the past
but doesn’t use it anymore).
He/She has a history of an allergy to…
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OET WRITING TEST

HINTS - PUNCTATION

COMMAS “,”
She is taking a range of medications, including XXXX, XXXX, and XXXX.

COLON “:”
- Don’t use subjects in the sentence after the colon.

He/She has the following symptoms: nausea, vomiting, and diarrhea.

SEMI-COLON “;”
- In general substitutes BUT / AND / SO.

I like pizza; I don’t like tomato.


She started using medication; she has ceassed to have any symptoms.

HINTS – ARTICLE
THE
Definite article – specific

A / AN
indefinite article – inespecific

I have made an appointment with THE dentist. (my personal dentist)


I have made an appointment with A dentist. (a new or eventually dentist)
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OET WRITING TEST

HINTS – ACCIDENTELY ACTIONS


PASSIVE VOICE
He/She was admitted after BEEING BURNED by hot water.
BEEING HIT by a car.
BEEING CUT by a knife.
BEEING BITTEN by a dog.

ACTIVE VOICE
He/She was admitted after FALLING down the stairs.
HAVING a seizure.

HINTS - PREPOSITIONS
Maried TO
Divorced / Separeted FROM... (Its better to say: He/She is divorced.)
He/she has a history of an allergy TO…
He/She is TO avoid consuming alchool.
He/She is presenting WITH…

HINTS - MISCELANEA
USE LONG + SHORT SENTENCES
- It’s more artistic than grammatical issue
- Try to use short sentence at the beginning of each paragraph.

“AS WELL” and “AS WELL AS”


- It’s used to introduce something bit diferent from the rest of the sentence.
- Try to avoid this expression
- “As well as” generally is better substituted by “also”.

She receives visits from her family and friends, AS WELL AS weekly visits from
her social worker.
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OET WRITING TEST

She receives visits from her family and friends, and weekly visits from her social
worker AS WELL.

She takes insulin and methformin, AS WELL AS a paracethamol for her


headaches.

He takes ibuprofen for his knee, he ALSO does regular stretching exercises.
He is to avoid strennous activity.

“NOUN PHRASES”
- The noun phrases (verb+ing) can be changed for IT.

She does stretching exercises. = She does IT.


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OET WRITING TEST

REFERRAL LETTER MODEL

01 August 2018

Dr Jones
Newtown Memory Clinic
400 Rail Rd
Newtown

Dear Dr Jones

RE: Mrs. Patricia Welshman


D.O.B: 10.07.1933

I’m writing to reffer Mrs. Welshman, who I have provisionally diagnosed with possible dementia for your full
assessment and diagnosis.

Mrs. Welshman has been widowed since 40 years ago and lives alone. Her next of kin is her daughter Christine,
who is present in this appointment. Mrs.Welshman’s past medical history includes low levels of vitamin D,
hypertension, and dislipidemia. For these, she takes metoprolol, atorvastatin and Ostevit-D.

From 2010 to 2016, in regular visits to this clinic, she presented with BP stable and normal tests results. In March,
2018 she has had high BP levels and alterated tests results. She assumed regular use of the medications, but she
was reluctant to use Webster pack suggested. Two months later, her tests results worsened and so she agreed to
use Webster pack. Today her tests results are normal again.

The medication issue has been done as resolved, but both Mrs. Welshman and her daughter are concerned about
Mrs. Welshman’s memory because she is presenting with changes in her behaviour, poor memory noted frequently,
mini-memory assessment showing poor short-term memory, and, moreover, she has had some decision-making
issues.

As she has a family history positive to Alzheimer’s disease they are concerned.

In light of the above, I have refered her to you for a full assessment and definitive diagnosis.

Please feel free to contact me any time if you need more clarification.

Yours sincerely,

Doctor

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