Grammatical accuracy accounts for 20% of your mark; however, if your grammar is incomprehensible then it will affect much more than 20% of your overall grade. Consider the difference in meaning from these three verb tenses: • Mr Baker experiences migraines. (regularly) • Mr Baker experienced migraines. (in the past) • Mr Baker is experiencing migraines. (currently) You need to transform case notes into grammatically accurate sentences so that the meaning is clear to the reader and reflects the intended meaning of the case note. You should also make sure that you include a range of different sentence types – some short, some complex, some active, some passive; but remember that the aim is to not include various sentence types but to communicate information as clearly as you possibly can that will require you to use varied sentence types and grammar. After you have finished your letter, give it a once over for any silly grammar mistakes. Many candidates make mistakes with: • Singular and plural nouns (pimple vs pimples) • Countable and uncountable nouns (blood vs bloods) • Articles (a headache vs the headache) • Verbs (suffers from vs is suffering from vs has suffered from etc.) • Prepositions (please monitor for anaemia / he is on medication) Proper letter format There are different ways to format your letter but here is a standard approach: Recipient title and full name Ms Samantha Bruin Profession/Position Senior Nurse Hospital/Clinic name Greywalls Nursing Home Hospital/Clinic address 27 Station Road, Greywalls (Today’s date) dd/mm/yyyy
6 Re: Patient name, patient age Re: Gerald Baker, aged 63 years Salutation Dear Ms Bruin, Introduction - Paragraph 1 - Paragraph 2 - (Paragraph 3) - Closing phrase If you have any queries, please do not hesitate to contact me. Sign off Yours sincerely, Your profession Charge Nurse As you can see, if you memorise the letter format most of your precious writing time can be spent on the introduction and ‘body paragraphs’. If you require any expert help on your OET writing, or any other OET sub- test, please visit
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