OET Writing Lessons · Lesson 4
Getting the Professional Tone Right
Your OET letter is a formal handover between healthcare professionals. This lesson covers Criterion 4, Genre & Style: how to use the right register, tone and word choice so your letter reads as authentic clinical correspondence.
Lesson 4 of the OET Writing series · ~3.5 minutes · full transcript below
In short
- Genre & Style rewards a formal, professional, neutral register written for a healthcare reader.
- No bullet points, no contractions; refer to the patient by name and title, not "the patient".
- Report facts, not judgements — give the BMI, not "obese"; "has been experiencing", not "suffers from".
Step 1 — Write in a formal, neutral register
Genre and style simply mean how you write — your register, tone and word choice. An OET letter is a formal handover document, so your tone should always be formal, professional and neutral. Write for the reader: another busy healthcare professional who needs the facts, not a story.
Three rules carry most of the marks here: no bullet points, no contractions (write "do not", not "don't"), and language that is appropriate for a clinical reader. Anything that sounds casual, emotional or academic pulls the letter out of genre.
Step 2 — Swap emotional or judgmental wording for factual
"Despite attending educational sessions, Mr James has still not been able to reduce weight."
"Despite… still not…" reads as criticism of the patient.
"Mr James has attended educational sessions but has been unable to reduce his weight."
Same facts, reported without judgement.
Step 3 — Tone rules to apply every time
- Replace emotional verbs ("suffers from") with factual ones ("has", "has been experiencing").
- Swap academic linkers ("moreover", "furthermore") for "additionally" or "in addition".
- Refer to the patient by name and title ("Mr Anthony"), then "he" or "she" — never "the patient".
- Keep sympathy out: avoid "unfortunately" and "fortunately"; stay clinical and objective.
- Report habits and appearance factually — give the BMI, not "obese"; "smokes over the recommended limit", not "smoker".
Recap: formal register, neutral and respectful language, no emotional or judgmental words, the patient named with a title, and everything reported clinically and factually. That is what keeps your letter inside the OET genre.
Not sure your tone is right? Run your letter through the free OET Writing Checker, smooth the wording with the Sentence Rewriter, or read the full Genre & Style guide.
Full lesson transcript
Welcome back to our OET writing course. In this lesson we'll explore Genre & Style — one of the key assessment criteria in your OET letter. You'll learn how to use the right tone, language and level of formality for your audience.
Genre and style simply mean how you write your letter: your register, tone and word choice. In OET you're writing a formal handover document such as a referral, transfer or update letter, so your tone should always be formal, professional and neutral. Here are key features to remember: no bullet points, no contractions like "don't" or "can't", and language that's appropriate for the reader — another healthcare professional.
Let's look at some common mistakes and better alternatives. Example one, "suffers from": avoid emotional or dramatic phrases like "suffers from" unless the patient is seriously unwell; instead use factual verbs like "has" or "has been experiencing". Example two, "moreover", "furthermore", "besides": these are academic linkers, not suitable for clinical writing — replace them with "additionally" or "in addition". Example three, "the patient": avoid calling them "the patient" or "this patient"; it sounds impersonal. Use their name with a title — for example, "Mr Anthony" — and use "he" or "she" later in the paragraph.
Example four, "unfortunately" and "fortunately": don't show sympathy or emotion in your letter; keep your tone clinical and objective. Example five, describing habits: avoid labels like "smoker", "alcoholic" or "diabetic". You're not judging, you're reporting, so write factually — "Mr Smith smokes over the normal limit"; "Mrs Jackson drinks occasionally". And be careful with linkers: avoid "but" if it sounds judgmental, and use "and" instead. Example six, physical appearance: never write "obese" or "skinny" — these sound subjective. Instead report the BMI: "Mr Smith's BMI is 28.9."
Example seven, a non-judgmental tone: always use factual language, not judgmental or emotional phrases. For instance, "Despite attending educational sessions, Mr James has still not been able to reduce weight" is wrong. "Mr James has attended educational sessions but has been unable to reduce weight" is correct and uses a non-judgmental tone.
So to sum up, when writing your OET letter: use a formal tone and register, choose neutral and respectful language, avoid emotional or judgmental words, refer to the patient by name and title, and be clinical and factual. Now it's your turn — take a sample case note and write one short paragraph using today's rules: avoid emotional language, use the correct tone, and check that your style is appropriate. I'll see you in the next lesson: Organisation and Layout.
Coming next · Lesson 5
Organising your letter logically
Sequence your paragraphs so a busy reader can act after a single read — Criterion 5, Organisation & Layout.
Frequently Asked Questions
What is the Genre & Style criterion in OET writing?
What tone should an OET letter use?
Can I use contractions or bullet points in an OET letter?
How do I avoid judgmental language in an OET letter?
Related OET Writing guides
Continue your preparation with these related resources.
OET Scoring Criteria →
How the 6 criteria are assessed and where most candidates lose marks.
Grade B Sample Letters →
20 worked sample letters by profession × scenario with line-by-line annotations.
Mistake Clinics by Profession →
10 profession-specific mistake clinics — wrong vs right examples per criterion.
Grade A vs B vs C Compared →
Three letters from the same case notes at three bands — what moves you up one.
OET Writing Correction
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Dr Mariam's OET writing team marks your letter against all six criteria — including Genre & Style — and returns an annotated PDF showing exactly where the register slips into informal, emotional or judgmental wording.
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