TOEFL, similar to IELTS, is used to evaluate your English proficiency skills, namely speaking, listening, writing, and reading. In the past, it is a main requirement to apply for US universities. Today, the use of TOELF has become wider and you can also use TOEFL to apply for universities in most English-speaking countries, including UK, or international/English programs. In contrary, IELTS is currently accepted in most US universities.