Page 13 - 2017-2018 COMLEX-USA Bulletin of Information
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                    SEQUENCE OF EXAMINATIONS
                    Candidates must first take COMLEX-USA Level 1 followed by either component of COMLEX-
                    USA Level 2. COMLEX-USA Level 3 may be taken only after passing COMLEX-USA Level 1,
                    Level 2-CE, and Level 2-PE and graduating from an AOA-COCA-accredited osteopathic
                    medical school.

                    The NBOME may, at the sole discretion of its Vice President for Clinical Skills Testing,
                    administer the COMLEX-USA Level 2-PE examination out of sequence to a candidate who
                    has graduated from an AOA-COCA-accredited osteopathic medical school and successfully
                    completed COMLEX-USA Level 3 (or its equivalent), provided all of the following criteria are met:

                         • A state licensing board or jurisdiction, either domestic or international, that issues
                           licenses to practice medicine (“Medical Licensing Agency”), provides a written request
                           to the NBOME that the NBOME administer the COMLEX-USA Level 2-PE examination
                           out of sequence to the candidate;

                         • The candidate and Medical Licensing Agency accept as final the NBOME’s standard
                           pass/fail decision for the COMLEX-USA Level 2-PE examination, which is intended to
                           assess the clinical skills and osteopathic principles required to solve clinical problems
                           for entry into graduate medical education; and
                         • The candidate agrees to indemnify and hold harmless the NBOME, including
                           reasonable attorneys’ fees and costs, arising out of or relating to administration of the
                           COMLEX-USA Level 2-PE examination.

                    If the NBOME approves the Medical Licensing Agency’s request to administer the COMLEX-
                    USA Level 2-PE examination to a candidate out of sequence, the candidate must register and
                    schedule to take the examination and pay the appropriate registration fee(s) as required by
                    the NBOME.

                    The candidate may not register for or schedule an out-of-sequence COMLEX-USA Level 2-PE
                    examination until the candidate is notified by the NBOME that the Medical Licensing Agency’s
                    request has been approved by the NBOME.

                    The NBOME will provide the score and other related information directly to the Medical
                    Licensing Agency and, if requested by the Medical Licensing Agency, to the candidate.

                    NUMBER OF ATTEMPTS
                    Effective July 1, 2016, candidates taking COMLEX-USA examinations are limited to a total of
                    six attempts for each examination (Level 1, Level 2-CE, Level 2-PE, and Level 3), including but
                    not limited to all attempts before July 1, 2016. The only exception to this policy for an

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