fbpx
NBOME mail

COMLEX-USA Level 1

Assessment of Foundational Biomedical Sciences and Osteopathic Principles and Practice

Eligibility Blueprint Examination Format Registration Examination Dates
Test Accommodations Examination Day Practice & Preparation Scoring & Reporting

The NBOME will transition administration of COMLEX-USA to Pearson VUE beginning with Level 3 in January 2023. Click here to learn more.

Please note that the COMLEX-USA Level 1 examination does not include any COVID-19 questions at this time due to the rapidly changing nature of related information.

As of May 10, 2022, the NBOME transitioned from a three-digit numeric score for COMLEX-USA Level 1 to “pass” or “fail.” Learn more.

Examination Description

COMLEX-USA Level 1 is a one-day computer-based examination that integrates foundational biomedical sciences with other areas of medical knowledge relevant to clinical problem-solving and the promotion of health maintenance.

Competency domains assessed include application of osteopathic medical knowledge, osteopathic patient care, osteopathic principles and practice, communication skills, professionalism, and ethics. Competency assessment occurs in the context of clinical and patient presentations and systems-based practice as required for entry into the supervised practice of general osteopathic medicine and for readiness for lifelong learning and practice-based learning and improvement. The detailed examination blueprint can be found under Master Blueprint.

The examination, taken in a secure, time-measured environment, consists of two computer-based test sessions of four hours each. It contains 352 test questions related to diverse clinical and patient presentations and seven defined competency domains for osteopathic medical practice. Test questions are single-best-answer multiple-choice format with some test questions involving audio-visual components designed to assess an expanded physician competency subset.

Examples of test item types expected to be encountered in Level 1 can be found under Practice Exams.

What Passing Level 1 Means

Passing COMLEX-USA Level 1 indicates that the candidate has demonstrated competence in the foundational biomedical sciences, osteopathic principles, and related physician competency domains for osteopathic medical care of patients as required to enter supervised patient care settings and to continue lifelong learning.

Road to DO Licensure

A whole new program for osteopathic medical students and residents.

^