COMLEX-USA Score Interpretation
COMLEX-USA Level 1, Level 2 Cognitive Evaluation, & Level 3This information pertains to COMLEX-USA computer-delivered cognitive examinations: COMLEX-USA Level 1, Level 2-Cognitive Evaluation (CE) and Level 3. (Information about scoring for the COMLEX-USA Level 2-Performance Evaluation can be found below.) The scores reported are 3-digit standard scores for the whole examinations.
You may use the NBOME COMLEX-USA Percentile Score Conversion tool to convert 3-digit scores to 2-digit and percentile scores HERE.
Standard scores (3-digit)The mean of the 3-digit standard score for all three computer-based cognitive examinations has historically been in the 500-550 range. For up to date normed data, the performance of first time candidates in recent administrations on COMLEX-USA cognitive examinations are reported. Beginning in June 2014, the mean score for Level 2-CE first time candidates is approximately 540 and the standard deviation is approximately 100; beginning in March 2015, the mean score for Level 3 first time candidates is approximately 550 and the standard deviation is approximately 125; beginning in May 2015, the mean score for Level 1 first time candidates is approximately 520 and the standard deviation is approximately 85. The minimum passing 3-digit standard score for Level 1 and Level 2-CE is 400, and for Level 3 is 350, regardless of when the examination is taken. The minimum passing 3-digit standard score for COMLEX-USA Level 1, Level 2-CE and Level 3 is equivalent to a minimum passing 2-digit standard score of 75.
COMLEX-USA Level 1
|May 2006 - April 2010||79|
|May 2010 - April 2015||81|
|May 2015 - Present||85|
COMLEX-USA Level 2
|2001 - June 2005||83|
|July 2005 - May 2009||83|
|June 2009 - May 2014||89|
|June 2014 - Present||100|
COMLEX-USA Level 3
|September 2005 - January 2010||123|
|February 2010 - February 2015||121|
|March 2015 - Present||125|
Standard scores (2-digit)The NBOME has discontinued the reporting of 2-digit standard scores for COMLEX-USA Level 1, Level 2-CE and Level 3 in 2015. COMLEX-USA passing scores of 400 for Level 1 and Level 2-CE and 350 for Level 3 is equivalent to a 2-digit standard score of 75.
COMLEX-USA Performance Evaluation
The COMLEX-USA Level 2 Performance Evaluation (PE) clinical skills examination is required for all candidates graduating in 2005 and those who graduated before July 1, 2004 and have not passed Level 2 Cognitive Examination by June 30, 2005. Candidates graduating in 2004 who passed Level 2-CE are not required to take Level 2-PE.
Scores for COMLEX-USA Level 2-PE are reported as Pass or Fail as one overall score. In order to receive a passing score, candidates must perform adequately in two separate domains. These are the Humanistic Domain (doctor-patient communication, interpersonal skills and professionalism), and the Biomedical/Biomechanical Domain (medical history-taking, physical examination, osteopathic principles and osteopathic manipulative treatment, and written SOAP Notes, which assess synthesizing information garnered in the clinical encounter, clinical problem-solving and integrated differential diagnosis).
For more information please review the COMLEX-USA Level 2-Performance Evaluation FAQ.
Part I, Part II, & Part IIICOMLEX-USA Level 1, Level 2-CE, and Level 3 examinations replaced the Part I, Part II, and Part III examinations in 1998, 1997, and 1995 respectively.
The scores reported for Parts I, II, and III after 1988 are 3-digit standard scores for the whole examinations. Scores reported for Parts I and II before 1987 are the minimum scaled scores (2-digit) among all the component scores of the examinations. Scores reported for Part III are scaled scores (2-digit) for the whole examination.
Standard Scores (3-digit). The standard scores for all three Part examinations are reported on a scale with a mean of 500 and a standard deviation of 100. The minimal passing score for Part I and Part II is 400. The minimal passing score for Part III is 350.
Scaled Scores (2-digit). Scaled scores are reported on a scale with a mean of 80. The minimal passing score for Parts I and II is 75 for any of the components of the examinations. The minimal passing score for Part III is 75 for the whole examination.