Examination Day

What To Expect in the COMVEX Testing Environment

Arrival Time

On the scheduled examination date, examinees should arrive at the test center at least 30 minutes prior to the start of the examination. Examinees should check their confirmation page for accurate start times. Start times at the test centers may vary.

What to Bring to the Test Center

Examinees must bring with them a government-issued picture ID, such as a license or passport. Examinees should dress comfortably, as the testing may take the full day. Examinees should bring corrective lenses or hearing aids if they are required for test taking.

Examinees are not permitted to bring food or drink into the testing area of the center. If an examinee requires food or drink during the testing period, he or she may request an unscheduled break. However, no additional time will be given for any unscheduled break.

Due to security regulations, examinees are not permitted to bring any personal property into the testing area relating to the examination. During the check-in process, proctors will ask examinees to place all such personal property in secure lockers, for which they will be given keys. Items such as calculators, PDAs, cell phones, pagers, notebooks, reference materials, and DVD and CD players are not permitted in the testing area and should be placed in the secure lockers provided at the center. Examinees will be provided a pen or pencil and scrap paper or a white board. Scrap paper used during the test will be collected and shredded. Under no circumstance may any scrap paper or white board be removed from the testing area.

The Waiting Room

Typically the COMVEX testing experience begins when the examinee enters the waiting area of a Prometric Testing Center. Examinees should be at the center and sign in at least 30 minutes in advance of the scheduled test time. The proctor will call the examinee when it is time to begin the test.


When the examinee is called by the proctor, the check-in process will begin. First, the proctor will check the test taker’s ID. Examinees are required to show two pieces of ID, including either a driver’s license or other government-issued picture IDs. As part of the registration process, the COMVEX examinee will have had a digital image captured and sent to the NBOME to verify the identity of the examinee. In addition, a biometric (fingerprint) may be made at the time of check-in.

The Testing Experience

Examinees are escorted to their designated workstation. Due to the length of the COMVEX examination, examinees are provided with an optional scheduled mid-examination break of 40-minutes and two optional 10-minute breaks. During the scheduled breaks, the test time will stop. If an examinee must take a break during the test, other than the scheduled break, the test time will continue.

If the breaks taken exceed the minutes allotted for the break, the additional time will count against the time available to take the examination. Testing will resume at the conclusion of each break, regardless of whether the candidate is seated at their workstation. The candidate may choose to forgo all or part of the breaks, but unused time will not be added to the examination time.

Examinees are reminded that the test has a 4-hour morning session and a 4-hour afternoon session. Breaks are normally authorized to allow examinees to visit the restrooms or to provide an opportunity to eat.

For all breaks, the candidate will need to leave the testing room. Upon re-entry to the testing area, a valid ID must be shown and and a fingerprint will be taken. It is important to allow sufficient time to check in and be seated. Any breaks in addition to the three optional breaks will be considered unexcused and will be reported to the NBOME by the test center administrator.

Should an examinee have a question during the examination or require an unscheduled break, he or she should simply raise a hand to attract the attention of the proctor.

Reference Materials

Fundamental Osteopathic Medical Competency Domains

Practice & Preparation Resources
Study Materials
Practice Exams

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