COMLEX-USA Level 3
Information for Students and Residents
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. Your residency program director will need to attest to the fact that you are in good academic and professional standing in an AOA- or ACGME-accredited program and are approved to take the Level 3 examination. Graduation from a college of osteopathic medicine must occur before requesting attestation.
Good standing denotes that you have met the academic and professional requirements of the residency program and are eligible to continue as a resident in the program.
The NBOME recommends (but does not require) that the Level 3 examination be taken after a minimum of six months in residency.
Please refer to the NBOME Bulletin of Information (BOI) for a comprehensive list of Level 3 eligibility requirements.
How Will Program Directors Attest to “Good Standing”?
You will request an attestation from your NBOME account. Once you select your residency program, the program director will receive notification to attest to your good standing.
Registration & Scheduling
You are required to successfully complete each of the two days in a 14-day window, including those with NBOME-approved ADA accommodations. Day 1 must be completed before day 2. View the Level 3 examination dates.
Preparing for the Exam
A new Comprehensive Osteopathic Medical Self-Assessment Examination (COMSAE) Phase 3 test form, designed for osteopathic medical students and residents preparing for the COMLEX-USA Level 3 exam is now available. The COMSAE form does not include Clinical Decision-Making (CDM) cases at this time.
In addition to COMSAE, there is a Level 3 and a CDM practice exam available to you.
If you have any difficulty or have any questions, contact Client Services by phone at 866.479.6828 or by email at firstname.lastname@example.org.