Scoring and Reporting

Passing COMLEX-USA Level 1 indicates that the candidate has demonstrated competence in the foundational biomedical sciences and 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.

Essential objectives of the exam series include the graduation, advancement, and promotion of osteopathic medical students. The NBOME follows assessment standards and best practices when evaluating our passing standards, ensuring that COMLEX-USA meets and maintains high assessment quality.

The NBOME will change from reporting three-digit numeric scores to reporting only “Pass” or “Fail” for COMLEX-USA Level 1 examinations administered effective May 10, 2022.

Updated July 21
The primary change to the COMLEX-USA Level 1 score reports for candidates and schools will be to report broad performance measures (Low/Average/High) for COMLEX-USA blueprint competencies and clinical presentations rather than 3-digit scores. It will no longer include discipline scores in either the candidate or school reports. The candidate score report will also reflect the status of “Pass” or “Fail”. The proposed report format is being reviewed by stakeholder groups for feedback and will be presented publicly by January 2022, in advance of the May 2022 implementation.

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