Enhancing COMLEX-USA

Information for Residency Programs

COMLEX-USA Level 3 has transitioned to a two-day exam in September 2018 as part of the overall enhancement of the COMLEX-USA examination series, aligning with the new master blueprint.

There are new eligibility criteria for Level 3 examinations. As a residency program director, you will need to attest to the fact that your resident is in good academic and professional standing in an AOA- or ACGME-accredited program and the resident is approved to take the Level 3 examination.

Good standing denotes that the resident has met the academic and professional requirements of the residency program and is eligible to continue as a resident in the program.

New Criteria

The NBOME recommends (but does not require) that the Level 3 examination be taken after a minimum of six months in residency.

Why Attestation?

How Will Program Directors Attest to “Good Standing”?

After a resident requests an attestation, the program director will:


If you have any difficulty or have any questions, contact Client Services by phone at 866.479.6828 or by email at clientservices@nbome.org.

About the Exam
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