NBOME

Examination Format

COMLEX-USA Level 2-PE Format Overview

The examination format is a one-day test session administered in seven hours; the candidate will see 12 standardized patient-based cases: 14 minute duration for each patient encounter plus 9 minutes to document findings in a SOAP note (Subjective, Objective Assessment, Plan) format.

Examination Day Format

Before beginning the examination, candidates will receive a 50-minute orientation.

During the 6-hour test, candidates will rotate through a series of 12 standardized patient (SP) encounters. In each encounter, candidates will have 14 minutes to evaluate and treat the patient as they see fit given the time allowed, including conducting the patient interview and taking the history, performing indicated physical examination maneuvers, communicating with and counseling the patient, and performing osteopathic manipulative treatment (OMT) as indicated.

These patient-centered skills are evaluated in the context of clinical encounters with SPs for a finite duration. All aspects of evaluation and treatment are required to be personally performed as appropriate in a timely, efficient, safe, and effective manner within that time period as it may be critical to a patient’s health.

Requests to expand the 14-minute patient encounters or to alter the SP mix encountered during the examination will not be considered, as this would fundamentally alter the assessment of the clinical skills evaluated by the COMLEX-USA Level 2-PE examination.

Following each encounter, candidates will have an additional 9 minutes to type an e-SOAP Note detailing their clinical findings and assessment of the case at a computer terminal outside the clinical encounter room.

COMLEX-USA Level 2-PE Examination Outline
SegmentAmount Per SegmentSession Length
Registration30 Minutes
Candidate Orientation50 Minutes
Standardized Patient (SP) Case Encounters4 Cases14 Minute Encounter with SP + 9 Minute eSOAP completion per case
LUNCH30 Minutes
Standardized Patient Case Encounters4 Cases14 Minute Encounter with SP + 9 Minute eSOAP completion per case
BREAK15 Minutes
Standardized Patient Case Encounters4 Cases14 Minute Encounter with SP + 9 Minute eSOAP completion per case
CLOSING SURVEY

COMLEX-USA examinations are administered only in the English language.

Time Limitations

The 14-minute time limit cannot be altered, as this would interfere with the evaluation of the clinical skills being assessed by the COMLEX-USA Level 2-PE.

Students are encouraged to view the COMLEX-USA Level 2-PE Instructional Video, as well as to read the COMLEX-USA Level 2-PE Orientation Guide.





Reference Materials

Fundamental Osteopathic Medical Competency Domains

Upcoming Changes

COMLEX-USA Master Blueprint Effective 2018

Resources

Client Registration System Tutorial

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