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Assessments COMLEX-USA COMLEX-USA · Level 1
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A Validity Study of COMLEX-USA Level 3 with the New Test Design
Mao X, Boulet JR, Sandella JM, Oliverio M, Smith LM. A Validity Study of COMLEX-USA Level 3 with New Test Design. Journal of Osteopathic Medicine. 2024. doi:10.1515/jom-2023-0011
March 19, 2024
The Predictive Validity of MCAT Scores and Undergraduate GPA for COMLEX-USA Licensure Exam Performance of Students Enrolled in Osteopathic Medical Schools
Royal KD, Meyer C, Guercio E, Speicher M, Flamini J, Sandella JM, Tsai TH, Searcy C. The Predictive Validity of MCAT Scores and Undergraduate GPA for COMLEX-USA Licensure Exam Performance of Students Enrolled in Osteopathic Medical Schools. Academic Medicine. In press.
October 24, 2023
Will I have a successful match with just my COMLEX scores?
With the National Resident Matching Program (NRMP) Match just weeks away, we are looking forward to another year of positive results for our osteopathic medical […]
What to Expect when Scheduling & Registering for COMLEX-USA with Pearson VUE
The NBOME began transitioning its administration of the COMLEX-USA series to Pearson VUE with Level 3 in January, and registration for Level 1 and Level […]
Assessments COMLEX-USA
COMLEX-USA · Level 2-PE
COMLEX-USA Level 2-PE Assessment of Fundamental Clinical Skills for Osteopathic Medical Practice ADMINISTERED FROM 2004-2020 COMLEX Level 2-Performance Evaluation (Level 2-PE) was an assessment designed […]
The Road to DO Licensure Navigating GME
UNDERSTANDING COMLEX-USA: A GUIDE FOR RESIDENCY PROGRAM DIRECTORS
UNDERSTANDING COMLEX-USA A GUIDE FOR RESIDENCY PROGRAM DIRECTORS Resident Recruitment and Holistic Review Interpreting COMLEX-USA Scores Education & Advocacy Research and Score Concordance Residency Program […]
How COMLEX Items are Developed
Every test question that appears on a COMLEX-USA examination goes through a rigorous item writing and review process based on industry standards and best practices. […]
How to Navigate Failing COMLEX – John Ukadike, DO
On his first attempt at COMLEX Level 1, John Ukadike, DO, failed. He was devastated. “I would be eating breakfast with tears streaming down my […]
Myths and Misconceptions: COMLEX-USA Level 1 Pass/Fail Score Reporting
As of May 10, 2022, candidates who take COMLEX-USA Level 1 will no longer receive a 3-digit numeric score and will receive a pass/fail designation […]
A Concordance Study of COMLEX-USA and USMLE Scores
Barnum S, Craig B, Wang X, Sandella JM, Tsai T-H, Boulet JR, Wang Y. A Concordance Study of COMLEX-USA and USMLE Scores. Journal of Graduate Medical Education. 2022;14(1):53-59. doi:10.4300/JGME-D-21-00499.1
February 14, 2022
Assessments COMLEX-USA COMLEX-USA · Level 3
COMLEX lvl 3 Test Accommodations
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Assessments COMLEX-USA
COMLEX lvl 2-pe Test Accommodations
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Assessments COMLEX-USA COMLEX-USA · Level 2-CE
COMLEX lvl 2-ce Test Accommodations
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Assessments COMLEX-USA COMLEX-USA · Level 1
COMLEX lvl 1 Test Accommodations
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Assessments COMLEX-USA COMLEX-USA · Level 3
Prometric/PearsonVUE Transition COMLEX Level 3
Prometric/PearsonVUE Transition Pearson/Prometric Transition redirect page for COMLEX Level 3
Assessments COMLEX-USA COMLEX-USA · Level 2-CE
Prometric/PearsonVUE Transition COMLEX Level 2 CE
Prometric/PearsonVUE Transition Pearson/Prometric Transition redirect page for COMLEX Level 2 CE
Assessments COMLEX-USA COMLEX-USA · Level 1
Prometric/PearsonVUE Transition COMLEX Level-1
Prometric/PearsonVUE Transition Pearson/Prometric Transition redirect page for COMLEX Level-1
Myths and Misconceptions: The Value of the COMLEX-USA Credential
The NBOME’s vision is to be the global leader in assessment of osteopathic medicine and related health care professions. DOs and DO students are generally […]
Special Commission on Osteopathic Medical Licensure Assessment
COMLEX-USA Level 3 Eligibility Pathways
Enhanced attestation for classes of 2020-2025 The first goal for the Special Commission on Osteopathic Medical Licensure Assessment was the […]
Matching into Competitive Specialties with Only COMLEX-USA – Interview with Courtney Cox, MA, OMS-IV
We met Courtney Cox, MA, a fourth-year medical student from Arizona College of Osteopathic Medicine (AZCOM), on Twitter after she tweeted to encourage other students […]
Examining Concurrent Validity Between COMLEX-USA Level 2-Cognitive Evaluation and COMLEX-USA Level 2-Performance Evaluation
Craig B, Wang X, Sandella JM, Tsai T-H, Kuo D, Finch C. Examining concurrent validity between COMLEX-USA Level 2-Cognitive Evaluation and COMLEX-USA Level 2-Performance Evaluation. Journal of Osteopathic Medicine. 2021. doi:10.1515/jom-2021-0007
May 19, 2021
Meaningful Use of COMSAE Phase 1 in Preparation for COMLEX-USA Level 1
Wang X, Maeda H, Craig B, Tsai T-H, Sandella JM, Fleury M. Meaningful use of COMSAE Phase 1 in preparation for COMLEX-USA Level 1. Journal of Osteopathic Medicine. 2021. doi:0.1515/jom-2020-0190
April 19, 2021
Assessments COMLEX-USA COMLEX-USA · Level 3
COMLEX-USA Performance Data
Assessments COMLEX-USA COMLEX-USA · Level 2-CE
COMLEX-USA Performance Data
Assessments COMLEX-USA COMLEX-USA · Level 1
COMLEX-USA Performance Data
Assessments COMLEX-USA COMLEX-USA · Level 3
COMLEX-USA FAQs
Assessments COMLEX-USA
COMLEX-USA FAQs
Assessments COMLEX-USA COMLEX-USA · Level 2-CE
COMLEX-USA FAQs
Assessments COMLEX-USA COMLEX-USA · Level 1
COMLEX-USA FAQs
Assessments COMLEX-USA
COMLEX-USA FAQs
General  Scoring COMLEX-USA Level 3 Post-Exam Standard Setting General About the Examination Series What is COMLEX-USA? COMLEX-USA—the Comprehensive Osteopathic Medical Licensing Examination of the United States—is […]
NBOME Postpones COMLEX USA Level 2-PE Indefinitely
February 11, 2021 *Note: this article originally appeared in the COVID-19 section of the website. PHILADELPHIA, PA—The NBOME Board of Directors held a special session […]
5 Reasons Why You Want WelCOM for Your COMLEX-USA Prep
When it comes to learning new information, we all have different learning styles. For most of us, it’s all about how the content is presented […]
An Investigation of the Relationship Between COMLEX-USA Licensure Examination Performance and State Licensing Board Disciplinary Actions
Roberts W, Gross GA, Gimpel JR, Smith LL, Arnhart K, Pei X, Young A. An Investigation of the Relationship Between COMLEX-USA Licensure Examination Performance and State Licensing Board Disciplinary Actions. Academic Medicine. 2020;95(6):925-930. doi:10.1097/ACM.0000000000003046
June 1, 2020
COMLEX-USA | Level 1 and Level 2-CE
February 25, 2021 Weekly update for COMLEX-USA Level 2-PE and Special Commission on Osteopathic Medical Licensure Assessment
COMLEX-USA | Level 3
The Road to DO Licensure
COMLEX-USA Toolboxes
RPD Toolbox Mental Health and Wellness Toolbox Helpful Links for COM Faculty Resources to help you prepare for your next level of COMLEX-USA […]
A Validity Study of COMLEX-USA Level 2-CE and COMAT Clinical Subjects: Concurrent and Predictive Evidence
Hudson KM, Tsai T-H, Finch C, Dickerman JL, Liu S, Shen L. A Validity Study of COMLEX-USA Level 2-CE and COMAT Clinical Subjects: Concurrent and Predictive Evidence. Journal of Graduate Medical Education. 2019;11(5):521-526. doi:10.4300/JGME-D-19-00157.1
November 8, 2019
Assessments COMLEX-USA Bulletin of Information
COMLEX-USA Eligibility
Requirements Below are the criteria and requirements used to determine candidates’ eligibility to take COMLEX-USA examinations. Documentation demonstrating a candidate meets the specific […]
The Road to COMLEX-USA
In 1989, the NBOME embarked on a journey to convert the NBOME Part I, Part II, Part II Examinations to the new Comprehensive Osteopathic Medical […]
COMLEX-USA Question of the Month
Here are some sample COMLEX-USA questions. A 22-year-old man is brought to the emergency department after he was struck in his left temple by a […]
Assessments COMLEX-USA
COMLEX-USA Examination Performance Data
COMLEX-USA Level   1 COMLEX-USA Level 2-CE COMLEX-USA Level 2-PE COMLEX-USA Level   3 The data on this page is updated […]
Assessments COMLEX-USA
COMLEX-USA · Level 2-CE
COMLEX-USA Level 2-CE Assessment of Fundamental Clinical Sciences for Osteopathic Medical Practice Eligibility Blueprint Examination Format Registration Examination & Score Release Dates Test Accommodations Examination […]
Assessments COMLEX-USA
COMLEX-USA · Level 1
COMLEX-USA Level 1 Assessment of Foundational Biomedical Sciences and Osteopathic Principles and Practice Eligibility Blueprint Examination Format Registration Examination & Score Release Dates Test Accommodations […]
COMLEX Guide for Residency Program Directors
Test-Day Tips for COMLEX-USA Computer-Based Examinations
Spreading Equality! The AMA Votes Unanimously to Approve Equality for COMLEX and USMLE
On November 13, 2018, the American Medical Association (AMA) unanimously approved Resolution 955 “Equality for COMLEX and USMLE” at the House of Delegates (HOD) meeting […]
Practice Exam: New COMLEX-USA Level 1
For exam dates after May 2019
December 21, 2018
Practice Exam: New COMLEX Level 2-CE
For exam dates after June 2019
November 21, 2018
Enhancing COMLEX-USA: Evidence-based redesign of the osteopathic medical licensure examination program
Horber DT, Gimpel JR. Enhancing COMLEX-USA: Evidence-based redesign of the osteopathic medical licensure examination program. Journal of Medical Regulation. 2018;104(3):11-18. doi:10.30770/2572-1852-104.3.11
November 19, 2018
Association between performance on COMLEX-USA and the American College of Osteopathic Family Physicians in-service examination
Hudson KM, Feinberg G, Hempstead L, Zipp C, Gimpel JR, Wang Y. Association between performance on COMLEX-USA and the American College of Osteopathic Family Physicians in-service examination. Journal of Graduate Medical Education. 2018;10(5):543-547. doi:10.4300/JGME-D-17-00997.1
October 4, 2018
Assessments COMLEX-USA
COMLEX-USA Eligibility
Requirements A candidate must meet the requirements outlined in the table below. Examinations must be taken in sequence and each level passed before […]
Request for Rescheduling Fee Waiver for COMLEX-USA Examinations
Please review the Registration and Scheduling section of the COMLEX-USA Bulletin of Information before submitting this form. Download Waiver Form
COMLEX-USA Master Blueprint Effective 2018
COMLEX-USA Bulletin of Information
COMLEX-USA · Dimension 1 Categories
COMLEX-USA · Dimension 2 Categories
COMLEX-USA Dimensions 1 & 2
The COMLEX-USA examination series is designed to assess the osteopathic medical knowledge and clinical skills considered essential for osteopathic generalist physicians to practice osteopathic medicine. […]
COMLEX-USA Level 2-PE Instructional Video Series
Practice Exam: COMLEX-USA Level 3
Practice Exam: COMLEX-USA Clinical Decision Making Cases
COMLEX-USA for Residency Program Directors
Evidence-based redesign of the COMLEX-USA series
Gimpel JR, Horber DT, Sandella JM, Knebl JA, Thornburg JE. Evidence-based redesign of the COMLEX-USA series. Journal of the American Osteopathic Association. 2017;117(4):253-261. doi:10.7556/jaoa.2017.043
April 1, 2017
Assessments
COMLEX-USA FAQs
Assessments COMLEX-USA
COMLEX-USA · Level 3
COMLEX-USA Level 3 Assessment of Competencies for Osteopathic Medical Practice Eligibility Blueprint Examination Format Registration Examination & Score Release Dates Test Accommodations Examination Day Practice […]
Assessments COMLEX-USA
Current COMLEX-USA · Level 2-CE
COMLEX-USA · Level 2-CE Assessment of Fundamental Clinical Sciences   Examination Description COMLEX-USA Level 2-Cognitive Evaluation (CE) is a problem- and symptom-based assessment, administered in a […]
Assessments
COMLEX-USA
The Pathway to Osteopathic Medical Practice & Licensure in the United States · Level 1 · Level 2-CE · Level 2-PE […]
The predictive validity of the National Board of Osteopathic Medical Examiners’ COMLEX-USA examinations with regard to outcomes on American Board of Family Medicine examinations
O’Neill TR, Peabody MR, Song H. The predictive validity of the National Board of Osteopathic Medical Examiners' COMLEX-USA examinations with regard to outcomes on American Board of Family Medicine examinations. Academic Medicine. 2016;91(11):1568-1575. doi:10.1097/ACM.0000000000001254
November 1, 2016
Osteopathic manipulative technique scores on the COMLEX-USA Level 2-PE: An analysis of the skills assessed
Smith LL, Xu W, Sandella JM, Dowling DJ. Osteopathic manipulative technique scores on the COMLEX-USA Level 2-PE: An analysis of the skills assessed. Journal of Osteopathic Medicine. 2016;116(6):392-397. doi:10.7556/jaoa.2016.080
June 1, 2016
Preparation strategies of osteopathic medical students for the COMLEX-USA Level 2-PE
Sandella JM, Peters A, Smith LL, Gimpel JR. Preparation strategies of osteopathic medical students for the COMLEX-USA Level 2-PE. Journal of Osteopathic Medicine. 2016;116(4):234-242. doi: 10.7556/jaoa.2016.048
April 1, 2016
The use of COMLEX-USA and USMLE for residency applicant selection
Sandella JM, Gimpel JR, Smith LL, Boulet JR. The use of COMLEX-USA and USMLE for residency applicant selection. Journal of Graduate Medical Education. 2016;8(3):358-363. doi:10.4300/JGME-D-15-00246.1
March 1, 2016
Relationships between the Comprehensive Osteopathic Medical Achievement Test (COMAT) subject examinations and the COMLEX-USA level 2-cognitive evaluation
Li F, Kalinowski K, Song H, Bates B. Relationships between the Comprehensive Osteopathic Medical Achievement Test (COMAT) subject examinations and the COMLEX-USA level 2-cognitive evaluation. Journal of Osteopathic Medicine. 2014;114(9):714-721. doi:10.7556/jaoa.2014.140
September 1, 2014
Patterns of misrepresentation of clinical findings on patient notes during the COMLEX-USA level 2-PE
Sandella JM, Smith LA, Gallagher LA, Langenau EE. Patterns of misrepresentation of clinical findings on patient notes during the COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2014;114(1):22-29. doi:10.7556/jaoa.2014.004
April 1, 2014
Consistency of interrater scoring of student performances of osteopathic manipulative treatment on COMLEX-USA level 2-PE
Sandella JM, Smith LA, Dowling DJ. Consistency of interrater scoring of student performances of osteopathic manipulative treatment on COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2014;114(4):253-258. doi:10.7556/jaoa.2014.050
April 1, 2014
The relationship between COMLEX-USA scores and performance on the AOBEM Part I certifying exam
Li F, Gimpel JR, Arenson E, Song H, Bates BP, Ludwin F. The relationship between COMLEX-USA scores and performance on the AOBEM Part I certifying exam. Journal of Osteopathic Medicine. 2014;114(4):260-266. doi:10.7556/jaoa.2014.051
April 1, 2014
Performance on COMLEX-USA exams predicts performance on EM residency in-training exams
Pierce DL, Mirre-Gonzalez MA, Carter MA, Nug D, Salamanca Y. Performance on COMLEX-USA exams predicts performance on EM residency in-training exams. Academic Emergency Medicine. 2013;20(5 Suppl 1):S219. doi:10.1111/acem.12115
May 1, 2013
Frequency of specific osteopathic manipulative treatment modalities used by candidates while taking COMLEX-USA level 2-PE
Langenau EE, Dowling DJ, Dyer C, Roberts WL. Frequency of specific osteopathic manipulative treatment modalities used by candidates while taking COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2012;112(8):509-513. doi:10.7556/jaoa.2012.112.8.509
August 1, 2012
Pass/fail patterns of candidates who failed COMLEX-USA level 2-PE because of misrepresentation of clinical findings on postencounter notes
Langenau EE, Sandella JM. Pass/fail patterns of candidates who failed COMLEX-USA level 2-PE because of misrepresentation of clinical findings on postencounter notes. Journal of Osteopathic Medicine. 2011;111(7):432-436. doi:10.7556/jaoa.2011.111.7.432
July 1, 2011
Relationship between encounter time and candidate performance on COMLEX-USA level 2-PE
Sandella JM, Roberts WL, Langenau EE. Relationship between encounter time and candidate performance on COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2011;111(1):38-43. doi:10.7556/jaoa.2011.111.1.38
January 1, 2011
Five-year summary of COMLEX-USA level 2-PE examinee performance and survey data
Langenau E, Dyer C, Roberts WL, Wilson C, Gimpel JR. Five-year summary of COMLEX-USA level 2-PE examinee performance and survey data. Journal of Osteopathic Medicine. 2010;110(3):114-125. doi:10.7556/jaoa.2010.110.3.114
March 1, 2010

News Matches

Internal Medicine Leaders Join Growing Call for COMLEX-USA Equivalency in Residency Applications
The Alliance for Academic Internal Medicine (AAIM) joins an ever-growing list of specialty groups who are advocating for the COMLEX-USA credential for DOs as part […]
Emergency Medicine Residency Leaders Call for COMLEX-USA Acceptance among Program Directors
The Council of Residency Directors in Emergency Medicine (CORD) recently published a statement calling for emergency medicine program directors to accept COMLEX-USA as equivalent to […]
Academic Leaders in Pediatrics Stand Up for Equity in Residency Applications, Recommend COMLEX-USA as Part of Holistic Application Review for DO Students
The leadership of the Association of Pediatric Program Directors, Council on Medical Student Education in Pediatrics, Association of Medical School Pediatric Department Chairs, FuturePedsRes, and […]
PM&R Leaders Promote Equality for DO Applicants and Equivalent Use of COMLEX-USA
The NBOME is pleased to announce that leadership organizations in another specialty field have come out in support of eliminating bias in residency applications, specifically […]
Anesthesiology Program Directors Join in Support of DO Residency Applicants, COMLEX-USA and Holistic Review
The NBOME is pleased to report that support for DO residency applicants and COMLEX-USA continues to grow among residency program directors. Previously, the American Association […]
Psychiatry residency directors show support for COMLEX-USA
Following the Council of Academic Family Medicine’s statement in support of parity between DO and MD candidates and for the COMLEX-USA credential, the American Association […]
Statement Regarding COMLEX-USA Level 1 Score Report
Please see the statement below from NBOME President and CEO John R. Gimpel, DO, MEd, on the use of Performance Profile Pages that accompany COMLEX-USA […]
CAFM Recommends COMLEX as part of holistic residency selection for DOs
Recognizing change leaders who work to educate and advocate for DOs and their credentials. While the NBOME has worked with other osteopathic organizations such as […]
The NBOME and Pearson VUE partner to deliver COMLEX-USA Exams in 2023
The National Board of Osteopathic Medical Examiners (NBOME), an independent, nonprofit organization that provides competency assessments for osteopathic medical licensure and related health care professions, […]
COMLEX-USA Level 1 to Eliminate Numeric Scores
The Board of Directors is pleased to announce that the NBOME will change from reporting three-digit numeric scores to reporting only “Pass” or “Fail” for […]
Recognition of COMLEX-USA for Osteopathic Medical Licensure in Australia
PHILADELPHIA, PA.  The National Board of Osteopathic Medical Examiners (NBOME), an independent, nonprofit organization who provides testing for osteopathic medical licensure, is pleased to share […]
IMPORTANT UPDATES: COMLEX-USA Examination Program
  COMLEX-USA Item Reduction The NBOME Board of Directors approved plans to shorten COMLEX-USA Level 2-CE from 400 to 352 test items, beginning June 2020. […]
New COMLEX-USA Level 1 Test Cycle
On May 20, 2019, the COMLEX-USA Level 1 examination began its 2019-2020 test cycle. This is the first Level 1 cycle to fully align with […]
NBOME’s Dr. Gretta Gross Discusses COMLEX-USA Level 2-PE at PCOM Georgia
First and second year osteopathic medical students were recently given an overview of COMLEX-USA Level 2-PE (performance evaluation) testing from Gretta A. Gross, DO, MEd, […]
American Medical Association Officially Recognizes COMLEX-USA’s Equality with USMLE
On Tuesday, November 13, 2018, the American Medical Association’s (AMA) House of Delegates voted unanimously to approve Resolution 955 “Equality for COMLEX and USMLE.” The […]
Changes to COMLEX-USA Level 3 Examination to Begin September 2018
Important changes regarding the COMLEX-USA Level 3 examination are taking place. As part of enhancing the COMLEX-USA examination series, a new COMLEX-USA Master Blueprint is being implemented, […]
NBOME Hosts COMLEX-USA Webinar Update for Program Directors
On November 1, 2017 at 3:00 pm Central Time, John R. Gimpel, DO, MEd, FACOFP, FAAFP, President and CEO of the National Board of Osteopathic […]
NBOME Announces Changes to COMLEX-USA Candidate Eligibility Requirements for Public Comment
On December 10, 2016, the National Board of Osteopathic Medical Examiners (NBOME) approved proposed modifications to candidate examination eligibility requirements for COMLEX-USA. These changes are […]

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