What is MELA?

The Michener English Language Assessment, or MELA, is a standardized English language proficiency test specific to the health care sector. MELA measures English language proficiency based on communication that is typical in health care education or practice settings. The test is referenced to the Canadian Language Benchmarks (CLB), a Canadian framework for English language proficiency. MELA scores are used by post-secondary institutions and regulatory bodies as approved and acceptable demonstration of communicative competence to study or practice.


  • Specific to the health care environment
  • Targets all language skills (ie. speaking, listening, reading, and writing)
  • In-person & online tests allow for more accurate assessment of skills
  • Provides diagnostic information to students to help them improve their communication skills

How are MELA scores used?

MELA scores are used:

  • For admission by registration departments at post-secondary institutions to determine communication skills to join health care educational programs;
  • As a diagnostic tool by program consultants to advise applicants about strong and weak areas in their language proficiency and provide options for skills development;
  • For licensure by regulators as part of the credentialing process for internationally educated health care professionals seeking to be licensed in Canada.