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Assessment of Fundamental Clinical Skills for Osteopathic Medical Practice
COMLEX Level 2-Performance Evaluation (Level 2-PE) was an assessment designed to measure a DO candidate’s competencies in six fundamental clinical skills for osteopathic medical practice within two scored examination domains: the Humanistic Domain and the Biomedical/Biomechanical Domain.

The exam included 12 encounters with standardized patients, and candidates were assessed on their abilities including: patient communication; incorporating hands-on physical exams and other data-gathering skills; performing osteopathic manipulative treatments; and documentation in a SOAP note format.

COMLEX-USA Level 2-PE was suspended indefinitely in February 2021 and formally discontinued in June 2022. COMLEX-USA candidates are currently verified by attestation from their COM dean that they are proficient in these important clinical skills.

The NBOME is currently exploring new and innovative ways to continue measuring proficiency in these important areas. On the completion of its work, the Special Commission for Osteopathic Medical Licensure recommended the development and piloting of a core competency capstone for osteopathic medical students that would assess patient-physician communication skills and hands-on physical exam and OMT skills in a multi-station OSCE model using standardized patients that is designed for entry into residency program level.

In June 2022, the NBOME Board accepted this recommendation, and work has begun on the Core Competency Capstone for DOs. For more information, visit the Core Competency Capstone for DOs (C3DO).