If the NBOME determines in its sole discretion that a candidate committed or contributed
to any Irregular Conduct in connection with the application, registration or taking of an
examination, the NBOME may in its sole discretion take one or more of the following actions:
- Void the candidate’s examination and score and/or not score any examination.
- Deem the candidate to have failed the examination and enter a “Fail” score on the
candidate’s Score Report and transcript.
- Annotate the candidate’s Score Report and transcript for the examination as “Irregular
- Suspend, revoke, or refuse to provide any Score Report or transcript to a candidate or
any third party.
- Deny any application by the candidate to take any NBOME examination.
- Report the incident to the candidate’s school or graduate medical education program
and/or to any licensure board or state or national jurisdiction, agency, or authority.
- And/or take any other action the NBOME in its sole discretion deems appropriate.
The candidate shall fully cooperate with any NBOME investigation of any possible
irregularities in test administration, candidate behavior, breach of test security, or confidentiality.
Failure to fully cooperate can result in sanctions, including examination failure, notation of
irregular conduct, suspension of eligibility, or permanent loss of eligibility to challenge a future
The term “Irregular Conduct” includes any behavior on the part of any candidate that
violates the integrity or security of the examination, behavior that is disruptive to
administration of the examination, or behavior deemed by the NBOME in its sole
discretion to be inappropriate in connection with the application, registration, taking,
administration, integrity, and security of any NBOME examination. Such behavior includes
but is not limited to:
- Copying, fraud, deceit, or other dishonest conduct.
- Refusal to provide proper ID or permit photo documentation or other identification for
ID verification at any time.
- Disrupting another candidate or candidates.
- Verbal or physical harassment of any employee or representative of the NBOME or
Prometric, at any time (ie, before, during, or after any examination).
rules and regulations and security requirements,
including operating test center equipment without reasonable care.
- Providing or receiving unauthorized information about the content of an examination.
- Communication or attempts to communicate about the content, format, or specific
test items with another candidate or with any outside source or party (including use of
telephones, personal computers, internet access, test review companies, or any other
means) at any time, either before, during, or after any examination.
- Using or having available or access to any unauthorized device, text, notes, or other
material that could assist the candidate in taking the examination
- Providing false admittance information or altering applications, score reports,
transcripts, or certificates.
- Providing false or forged identification upon presentation for testing at a test center.
- Misrepresentation of physical examination or treatment maneuvers performed or
history taken during a standardized patient encounter in the e-SOAP note or other
documentation required for the COMLEX-USA Level 2-PE examination. With the
exception of vital signs provided by NBOME, under no other circumstances should a
candidate document the results of physical examination or treatment maneuvers that
were not performed or medical history that was not elicited during the clinical
- Verbally or physically harming or threatening to harm the test center professional staff,
other examinees, test center employees, NBOME personnel, or their agents, including
telephone encounters regarding scheduling, scores, or score reporting.
- Violation of the NBOME’s non-disclosure or confidentiality policies or the candidate’s
non-disclosure agreement at any time.
- Any violation of the Terms and Conditions, policies, rules, procedures, or obligations of
candidates set out in the BOI as published at the time of the violation.
- Bringing personal property into the test area is considered by the NBOME to violate
the security of the examination.
- Leaving his or her assigned test area during the administration of any COMLEX-USA
- “Unprofessional Conduct” as described below.
- Other behavior as deemed by the NBOME to be unethical or unprofessional.
Note: Candidates are under both proctor and electronic surveillance during administration of
the COMLEX-USA examinations at all test centers.
Any test center professional staff, or other Prometric staff, who suspects Irregular Conduct by
a candidate during administration of the COMLEX-USA examinations will report that
information to the NBOME. Also, candidates who directly observe Irregular Conduct must
report such activity to the Prometric or NBOME test center professional staff.
NBOME reviews all Irregular Conduct reports and may pursue any and all actions it deems
appropriate for or in connection with any Irregular Conduct, including but not limited to any
damages or losses incurred by NBOME, including its reasonable attorneys’ fees and costs,
caused by the candidate’s Irregular Conduct, and injunctive or other equitable relief without
bond or other security.
Copying, reproducing, verbally discussing, relaying, or recording test items or test content, in
addition to violating security, may result in action by NBOME against the candidate for
violation of copyright laws and/or other action by NBOME allowed by law.
Prior to taking the COMLEX-USA Level 2-PE examination, candidates must sign a Candidate
Agreement, which includes confidentiality obligations, and may be provided with further
examples of Irregular Conduct during the orientation. Behavior that may violate NBOME
policy or provide an advantage to one candidate over others may result in disqualification
from scoring (ie, minimum note score).
A candidate who is notified that he or she has, or is believed to have been, engaged in
Irregular Conduct, or is being investigated for alleged Irregular Conduct, will have 10 calendar
days from the date of such notification to submit in writing, including email, and be received
by the NBOME, a personal statement signed by the candidate of his or her position on the
claimed or possible Irregular Conduct, and any and all information known or available to the
candidate that he or she believes is relevant to the matter. After receipt of the candidate’s
statement and any information, or the lapse of the 10-day response period, whichever is
earlier, NBOME will determine whether the candidate has engaged in Irregular Conduct and, if
so, what action NBOME will take. Notwithstanding the foregoing, the NBOME may in its sole
discretion take any action it deems appropriate prior to the submittal of any statement by the
candidate to protect NBOME and the integrity of its examinations.
Decisions regarding Irregular Conduct are determined solely at the discretion of NBOME and
all such decisions of NBOME are final.
Due to the nature of the process involved in reports of Irregular Conduct of a candidate or
investigation of such conduct or any complaint in connection with the administration of a
COMLEX-USA examination, an investigation of any actual or suspected Irregular Conduct
may delay the release of any score of a candidate. NBOME will not release a score, if any,
while the matter is under investigation. If a score release is expected to be significantly
delayed because of an investigation for reasons of alleged Irregular Conduct, NBOME will
notify the candidate and give the reasons for the investigation.
Information relating to any Irregular Conduct or behavior of a candidate and any action taken
by NBOME in response to a candidate’s Irregular Conduct or behavior may become part of
the permanent record of the candidate maintained by NBOME and available to third parties.
Every candidate authorizes NBOME to release any or all of the candidate’s personal
statement or other information provided by the candidate and any action taken by NBOME
relating to the candidate’s actual or alleged Irregular Conduct or behavior to the candidate’s
medical school, residency program director, any licensing board, authority, or other person(s)
or entity or entities deemed appropriate by NBOME or required by law, without prior notice to
or the consent of the candidate.