COMLEX-USA · Level 3
Assessment of Competencies for Osteopathic Medical Practice
COMLEX-USA Level 3 is a two-day computer-based examination assessing competence in the foundational competency domains required for generalist physicians to deliver safe and effective osteopathic medical care and promote health in unsupervised clinical settings.
Competency domains assessed include application of osteopathic medical knowledge, osteopathic patient care and osteopathic principles and practice, communication, professionalism and ethics. Competency assessment occurs in the context of clinical and patient presentations and systems-based practice as required for entry into the unsupervised practice of osteopathic medicine as an independently practicing osteopathic generalist physician and for readiness for lifelong learning and practice-based learning and improvement.
COMLEX-USA Level 3 · Clinical Disciplines
- Emergency Medicine
- Family Medicine
- Preventive Medicine and Health Promotion
- Internal Medicine
- Osteopathic Principles and Practice/ Neuromusculoskeletal Medicine
The examination consists of four computer-based test sessions of 3.5 hours each, taken over two days (two sessions per day) and is administered within a 14-day window in a secure, time-measured environment. The exam contains 420 questions in the multiple choice question (MCQ) format and test questions related to approximately 26 clinical decision-making cases. These are related to diverse and representative clinical presentations and 7 competency domains for osteopathic medical practice. Test questions are predominantly in the single-best answer and multiple-choice formats. Clinical Decision-Making (CDM) question formats include extended multiple choice (selection of more than 1 answer from an extensive list that may contain more than 1 correct answer) and constructed response (short answer) test questions. The examination also includes audio-visual components designed to assess an expanded physician competency subset.
What Passing Level 3 Means
Passing Level 3 indicates that the candidate has demonstrated competence in the foundational competency domains required for generalist physicians to deliver safe and effective osteopathic medical care of patients as required for entry into the unsupervised practice of osteopathic medicine and to continue lifelong learning and practice-based learning and improvement.
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