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Clearing the IELTS with a stammer 33/M doctor here. I got selected to a pretty coveted job abroad after an exam and interview. However, the medical licensing mandates an overall IELTS score of 7. 5 with atleast a 7 in each section of the test (reading, listening, writing, speaking) I managed to score well in L, R and W. However, scored a 6.5 in Speaking. Not once. 5 times! Fluency of speech is pretty important in the test. I was pretty discouraged and unsure if myself after back to back losses. And i lost the job offer. This was a year ago. I got my latest ielts result today. I cleared it!! So a couple of things I did differently this time: 1. Went for the British council ielts cf. The IDP one. Apparently the BC are a bit more understanding of speech impediments. 2. Got a medical certificate from a speech therapist with my score and everything. 3. Practiced the speaking section with ielts teachers a hundred times (literally) 4. Point 3 made me more Confident and fluent. I blocked just twice during the entire test, even though I was nervous. Better preparation certainly helps! I hope this post is helpful to someone somewhere. Because when I started, I couldnt find anything helpful.