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COMLEX-USA
          INTRODUCTION
                                                MASTER BLUEPRINT






        Introduction                                       The­COMLEX-USA­examination­series­is­designed­to­assess­osteopathic­medical­knowledge,­fundamental

                                                           clinical­skills,­and­other­foundational­competencies­considered­essential­for­the­practice­of­osteopathic
                                                           medicine.­The­primary­and­intended­purpose­of­COMLEX-USA­is­for­licensure­of­osteopathic­physicians,­and
        The­Comprehensive­Osteopathic­Medical              COMLEX-USA­is­accepted­for­medical­licensure­in­all­US­states­and­jurisdictions.
        Licensing­Examination­of­the­United­States
                                                           The­master­examination­blueprint­emphasizes­the­competences­required­for­generalist­physicians­to­deliver
        (COMLEX-USA)­is­the­pathway­to­licensure­for
                                                           safe­and­effective­osteopathic­medical­care.­The­framework­of­COMLEX-USA­is­based­on­the­foundation­of
        osteopathic­physicians­seeking­to­practice
                                                           the­osteopathic­approach­to­patient­care.­Its­evidence-based­design­assures­state­licensing­boards­and­the
        medicine­and­surgery.­It­is­the­principal­means­by
                                                           public­that­a­DO­has­demonstrated­minimal­competence­by­passing­a­series­of­national­standardized
        which­the­NBOME­delivers­on­its­mission­to
                                                           examinations­designed­for­the­practice­of­osteopathic­medicine.­Aligned­with­the­education­and­training
        protect­the­public­by­providing­assessment­of
                                                           pathway­of­a­DO,­passing­Levels­1­and­2­of­COMLEX-USA­is­also­an­accreditation­standard­for­graduation
        competencies­for­osteopathic­physicians­and
                                                           with­a­DO­degree­and­required­for­entry­into­residency­training.
        related­health­care­professions.
                                                           In­the­years­since­its­implementation,­the­COMLEX-USA­blueprint­has­been­reviewed­and­revised­regularly­to
                                                           reflect­the­practice­of­osteopathic­medicine,­consistent­with­the­recommendations­of­the­Standards for
                                                           Educational and Psychological Testing 2014­established­by­the­American­Educational­Research­Association
                                                           (AERA),­the­American­Psychological­Association­(APA),­and­the­National­Council­on­Measurement­in
                                                           Education­(NCME).­The­design­of­COMLEX-USA­has­transitioned­from­its­initial­conjunctive,­discipline-based
                                                           content­organization­in­1995­to­today’s­innovative­blueprint­that­aligns­content­with­patient­presentations­and
                                                           physician­tasks.­The­addition­of­a­clinical­skills/performance­evaluation­component,­COMLEX-USA­Level­2-
                                                           PE,­augmented­the­COMLEX-USA­series­in­2004.­

                                                           The­new­COMLEX-USA­master­examination­blueprint,­targeted­for­implementation­beginning­with­Level­3­in
                                                           September­2018,­features­a­framework­that­maps­content­to­competency­domains­and­clinical
                                                           presentations.­This­new­master­blueprint­and­test­specifications­for­each­exam­will­then­be­introduced­into
                                                           Level­1,­Level­2-PE,­and­Level­2-CE­with­the­new­test­cycles­beginning­in­2019.­Further­information­on­the
                                                           development­of­the­new­COMLEX-USA­master­examination­blueprint­is­described­in­“Evidence-Based
                                                           Redesign­of­the­COMLEX-USA­Series”­(John­R.­Gimpel,­DO,­MEd;­Dorothy­Horber,­PhD;­Jeanne­M.
                                                           Sandella,­DO;­Janice­A.­Knebl,­DO;­John­E.­Thornburg,­DO,­PhD),­The Journal of the American Osteopathic
                                                           Association,­April­2017,­Vol.­117,­pp.­253–261.­doi:10.7556/jaoa.2017.043.

        COMLEX-USA MASTER BLUEPRINT                                                                                         INTRODUCTION       PAGE 2
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