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Proficiency in the English language is a fundamental requirement for physicians practicing in the US, of which approximately 25% are international medical graduates (IMGs). The Occupational English Test (OET) Medicine, which assesses communication skills and English proficiency, is taken by IMGs seeking ECFMG Certification. The purpose of this study is to describe the OET Medicine, its role in ECFMG Certification, and provide summary information on demographics and performance of IMGs. Results showed that the overall impact of examinee gender was negligible. Native English speakers consistently outperformed non-native English speakers, with the most significant difference in the speaking subtest. This investigation supports the validity and utility of the OET Medicine for this population.