COMLEX-USA  · Level 3

Assessment of Competencies for Osteopathic Medical Licensure

Examination Description

COMLEX-USA Level 3 is a problem- and symptom-based assessment, administered in a time-measured environment, that integrates the clinical science disciplines (see listing below) and other areas of medical knowledge relevant to solving clinical problems, with an increased emphasis on patient management, patient safety, and clinical decision-making in providing osteopathic medical care to patients. The focus in Level 3 shifts to that required for the independently practicing osteopathic generalist physician.

Upcoming Changes · 2018

Starting in September 2018, COMLEX-USA Level 3 will be a two-day computer-based examination implementing an enhanced COMLEX-USA Master Blueprint and test specifications. It will consist of multiple-choice questions and an expanded number of clinical decision-making cases that can include constructed response (short answer) test items. Some questions and cases may include images, videos, or audio exhibits.

COMLEX-USA Level 3 · Clinical Disciplines

  • Emergency Medicine
  • Family Medicine
  • Health Promotion and Disease Prevention
  • Internal Medicine
  • Neuromusculoskeletal Medicine
  • Obstetrics/Gynecology
  • Osteopathic Principles
  • Pediatrics
  • Psychiatry
  • Surgery

The examination consists of two computer-based test sessions of four hours each taken on one day and contain a total of approximately 375 test questions (items) related to diverse clinical presentations. Test questions are predominantly in the single best answer, multiple choice or extended matching item formats. There are also test items in the clinical decision-making format, which include extended multiple choice and constructed response (short answer) items. Level 3 also includes novel test items involving audio-visual components designed to assess an expanded physician competency subset. Examples of test item types expected to be encountered in Level 3 can be found under Practice Exams, and this practice examination begins with a tutorial.

Evaluation Components

Passing Level 3 indicates the candidate has demonstrated competence in the clinical and biomedical sciences and osteopathic principles required to solve clinical problems, to manage patient presentations in an unsupervised osteopathic medical clinical practice setting, and to prepare for lifelong learning.

Reference Materials

Fundamental Osteopathic Medical Competency Domains

Upcoming Changes

COMLEX-USA Master Blueprint Effective 2018


Client Registration System Tutorial

Practice Exams

In this section
More information for...