Many OET students start their speaking preparation feeling anxious. This fear often stems from not knowing how to communicate naturally with a patient, not from a lack of knowledge. Students tend to worry about grammar, vocabulary, and fluency, which increases their nerves and impacts their performance. While good English is important, kind communication holds much more power in healthcare.
At Tiju's academy, we teach learners that OET Speaking becomes easier when communication is clear, empathetic, and focused on the patient. Building rapport is the first step in OET Speaking. When students learn to create rapport, speaking no longer feels like an exam task. Instead, it feels like a real and meaningful clinical interaction.
Rapport creation involves forming a comfortable, respectful, and trusting relationship with the patient right from the start. This process makes the patient feel safe, heard, and understood. In OET Speaking, rapport creation usually occurs within the first few seconds. A polite
greeting, a clear self-introduction, and a calm tone can significantly influence the interaction. These initial moments determine how the entire conversation unfolds.
In simple terms, rapport creation means:
➢ Making the patient comfortable
➢ Acknowledging patient emotions
➢ Communicating with kindness and clarity
Many students think that advanced English is essential for scoring well in OET Speaking. This belief creates unnecessary pressure and confusion.
Common challenges students encounter include:
➢ Difficulty starting the conversation confidently
➢ Uncertainty about what to say in their opening lines
➢ Over-focusing on grammar and mistakes
➢ Sounding memorized or robotic
➢ Losing confidence during role plays
Due to these struggles, students often skip expressing empathy and jump straight to clinical questions, which weakens communication.
OET examiners evaluate how effectively candidates communicate in real healthcare situations. They prioritize how something is said over the complexity of the language.
Good rapport creation indicates that a candidate can:
➢ Understand and address patient concerns
➢ Build trust quickly
➢ Communicate calmly and politely
➢ Handle real clinical conversations confidently
A candidate who creates rapport naturally appears more professional, confident, and focused on the patient.
Rapport creation does not need long or complex sentences. Simple and polite expressions often work best.
For introductions:
“Good morning, John. My name is Gangalakshmi. I’m one of the registered nurses working in this ward today.” “I’ll be taking care of you today.”
To show understanding:
“I understand you’re feeling worried.”
“That sounds uncomfortable for you.”
For reassurance:
“Please don’t worry, I’m here to help you.”
“We’ll go through everything step by step.”
These simple sentences help calm the patient, build trust, and allow the conversation to flow smoothly.
One of our key lessons for students is this:
Good English allows you to speak, but kind communication helps you connect. Rapport creation is the first step in OET Speaking because it sets the tone for the entire interaction. When the patient feels comfortable and understood, communication becomes more relaxed and natural.
Rapport is built through:
➢ A calm and polite tone
➢ Simple and clear language
➢ Active listening
➢ Genuine empathy
When students focus on connection instead of perfection, their confidence improves automatically.
At our academy, we guide students to view OET Speaking as a real healthcare conversation, not a memorized performance. We help learners understand patient emotions and respond in a supportive way.
Our training includes:
➢ Regular practice of opening lines
➢ Focus on tone, clarity, and pacing
➢ Learning how to acknowledge patient feelings
➢ Guided role plays with structured feedback
➢ Ongoing support from tutors
This approach helps students reduce anxiety, gain confidence, and speak more naturally during the exam.
In healthcare, effective communication is measured not only by accuracy but also by how the patient feels during the encounter. Patients may forget specific words, but they remember calm voices, respectful actions, and genuine care.
In OET Speaking, demonstrating this level of communication shows professional maturity and strong clinical communication skills.
For beginners and early learners, rapport creation is the foundation of effective OET Speaking. It does not demand perfect English or complex sentences; it requires a sincere, patient-centred approach.
With the right guidance and ongoing practice, speaking becomes less stressful and more organized. When students concentrate on building a connection with the patient instead of worrying about errors, their confidence grows naturally, and their performance steadily
improves.