COMSAE Phase 3

About COMSAE Phase 3
The content of COMSAE Phase 3 aligns with the test specifications of COMLEX-USA Level 3, and is based on the same content outline, which consists of seven Dimension 1 (Competency Domain) categories and ten Dimension 2 (Clinical Presentation) categories. By taking COMSAE Phase 3, candidates can better understand their level of knowledge regarding competencies for osteopathic medical practice.

COMSAE Phase 3 New Form
November 2024, a new COMSAE Phase 3 form became available for purchase through the NBOME Portal. This new form, CSA102, includes an answer key.
Note: If you purchased a form before this date, even if administered after this date, it will be the previously available form and will not include an answer key.
Evaluation Components
Dimension 1 of the COMLEX-USA blueprint consists of seven Competency Domains—related sets of foundational abilities representing the required elements and outcomes that define osteopathic knowledge, skills, experience, attitudes, values, behaviors, and established professional standards.
| Dimension 1: Competency Domains | Minimum % Level 3 |
|---|---|
| 1. Osteopathic Principles, Practice, and Manipulative Treatment | 10% |
| 2. Osteopathic Patient Care and Procedural Skills | 40% |
| 3. Application of Knowledge for Osteopathic Medical Practice | 15% |
| 3.1 Foundational Biomedical Sciences Knowledge Base | 10% |
| 4. Practice-Based Learning and Improvement in Osteopathic Medical Practice | 8% |
| 5. Interpersonal and Communication Skills in the Practice of Osteopathic Medicine | 5% |
| 6. Professionalism in the Practice of Osteopathic Medicine | 6% |
| 7. Systems-Based Practice in Osteopathic Medicine | 6% |
Dimension 2 consists of 10 Clinical Presentations, which represent the manner in which a particular patient, group of patients, or a community presents for osteopathic medical care.
| Dimension 2: Clinical Presentations | Minimum % Level 3 |
|---|---|
| 1. Community Health and Patient Presentations Related to Wellness | 12% |
| 2. Human Development, Reproduction, and Sexuality | 5% |
| 3. Endocrine System and Metabolism | 5% |
| 4. Nervous System and Mental Health | 10% |
| 5. Musculoskeletal System | 13% |
| 6. Genitourinary/Renal System and Breasts | 5% |
| 7. Gastrointestinal System and Nutritional Health | 10% |
| 8. Circulatory and Hematologic Systems | 10% |
| 9. Respiratory System | 10% |
| 10. Integumentary System | 5% |
Examination Disciplines
Questions in the COMSAE Phase 3 examinations are classified according to clinical science disciplines:
