NBOME
COMLEX-USA BULLETIN of INFORMATION 2018–2019

Examination Administration

Arrival

All Levels

Candidates must arrive 30 minutes before the start of the scheduled test administration.

Identification

All Levels

Candidates must bring one piece of identification, which must be a valid government-issued photo ID with signature, such as a current driver’s license, military ID, or passport. A candidate whose name is changed by marriage or for some other reason must notify the NBOME at least five business days in advance of testing if he or she is to be tested under the new name. Any candidate presenting an ID that does not match the name in the NBOME CRS portal will not be permitted to take the examination and will be considered a “No Show” for all purposes. As part of the candidate’s identification processing, the driver’s license, military ID, or passport will be scanned in order to retain scanned information by the NBOME. All candidates will be digitally photographed and may be biometrically scanned (by fingerprint) as part of the registration process. This identification will be required to enter and exit the test center.

Attire

Levels 1/2-CE/3

Candidates should dress comfortably as the examination may take a full day.

Level 2-PE

Candidates should be professionally dressed, including a white lab coat, and are required to provide their own standard stethoscope.

Late Arrival

Levels 1/2-CE/3

Any candidate who arrives at the designated test center up to 30 minutes after the scheduled start time and requests to take the examination will be permitted to do so, but only if the test center is able to deliver the examination in its entirety.

Any candidate who arrives later than 30 minutes past the scheduled start time and is not permitted to take the examination shall be considered a “No Show” unless the test center is able to deliver the examination in its entirety.

Level 2-PE

A candidate arriving late who misses the full orientation or any part thereof will not be allowed to take the examination unless the candidate acknowledges in writing that he or she missed all or any part of the orientation and confirms that he or she waives any and all claims, demands, liabilities, or obligations of the NBOME arising out of or relating to the taking of the examination, including but not limited to matters covered during the orientation session. In no instance will the candidate be permitted to begin his or her examination after the first clinical encounter starts.

Any candidate arriving late and missing any part of the first encounter will be considered a “No Show” and will not be allowed to take that examination. The candidate must reschedule to take the examination and pay all required fees.

No Outside Information or Access to Personal Items

All Levels

During the full test session, a candidate will not be permitted access to any information or data (except for information or data provided to the candidate by the NBOME or Prometric at the test center) and the candidate may not communicate in any manner with anyone outside the test center. Candidates are required to place all personal property, including watches, in the secure lockers provided at the test center. For all scheduled breaks, candidates will be permitted access to their lockers for food, drink, medicine, and other stored items including electronic devices such as cell phones. Candidates may NOT access study materials or electronic devices during any unscheduled breaks. No locker access is granted until the conclusion of the exam at the Level 2-PE National Centers for Clinical Skills Testing (NCCST). Any candidate found with prohibited materials at any time during the test may be considered to have committed or contributed to irregular conduct regardless of the intent of the candidate. In such cases the candidate may be removed from the testing area, and a notation of irregular conduct may be made on the score report. See also “Irregular Conduct.”

Food and Drink

Levels 1/2-CE/3

Candidates are not permitted to bring food or drink into the testing area. Food and drink must be stored in the assigned locker that candidates can access during the 10-minute optional breaks and the 40-minute lunch break. If a candidate has a medical need that requires food or drink during the testing period, he or she must submit the request in writing to the NBOME in advance for consideration.

Level 2-PE

Each candidate will be provided with a boxed lunch at the first of two scheduled examination breaks; candidates may bring their own food (not requiring reheating) and beverages for use during the breaks if desired. If a candidate has strict dietary needs, it is recommended that he or she bring his or her own food for the examination day.

Must Be Unaccompanied

All Levels

A candidate may not have in the testing area assigned to the candidate any family member, assistant, or other person for any reason except as specifically approved by the NBOME as a test accommodation.

Special Assistance

All Levels

Unauthorized possession of personal items in the secure testing area is prohibited. A candidate requiring the use of personal items for medical reasons during testing must contact the NBOME at least four weeks before his or her test date. Even though a candidate may not be a person with disability in accordance with the provisions of the ADA, the NBOME may provide limited special assistance if sufficient notification is provided to the NBOME. See also “Test Accommodation Requests” herein. The test center professional staff may permit or provide special assistance in accordance with the business parameters established between the test center provider and the NBOME; however, under no circumstance may the test center professional staff permit any additional time to take the examination or modify the examination or testing conditions in any way that would alter the standards for measurement of the knowledge or skill being tested by the examination. Examples of other special assistance that may be permitted include but are not limited to the use of ear plugs, dietary needs, taking of medication, breast pumps, or checking blood glucose during the exam.

Leaving Test Area

Levels 1/2-CE/3

If a candidate leaves his or her assigned testing area during administration of these COMLEX-USA examinations without permission, the NBOME may in its sole discretion determine whether irregular conduct occurred. If the NBOME determines that irregular conduct occurred, the examination score may be voided and not reported, and the candidate may face other action, as determined by the NBOME, and such conduct will be noted on the candidate’s score report and transcript. See also “Irregular Conduct.” If in the opinion of the NBOME a candidate leaves the test area because he or she is unable to complete an examination due to a significant illness, the NBOME may in its sole discretion void and not report the examination, and, upon written request of the candidate within 10 calendar days of the date of the examination, with appropriate documentation as may be required by the NBOME, permit the candidate to schedule a new test date without payment of an additional fee. Regardless of the reason the candidate left the assigned test area, if the candidate is permitted to continue with the examination, he or she will not be granted any additional time to complete the examination. If any COMLEX-USA cognitive examination does not launch or malfunctions, including but not limited to test form not assigned, or missing test items or portions of test items (including visuals, graphics and/or text) during the administration of the examination, such that the completeness, integrity or security of the examination is compromised for any candidate, the score of the candidate(s) adversely affected may be voided by the NBOME.

Level 2-PE

A candidate will not be allowed to leave the clinical skills test center (including the suite with examination rooms, e-SOAP note desks, break room, and restrooms) during administration of the examination unless permitted or required to do so by the NBOME. If a candidate leaves the assigned testing area without permission during administration of the COMLEX-USA Level 2-PE examination, a failing score and a note citing unprofessional or irregular conduct may be entered on the candidate’s score report and transcript for that examination. See also “Irregular Conduct.” However, if the candidate leaves the assigned testing area because of a serious illness or other unforeseeable emergency, the candidate may, within 10 calendar days following the examination, submit to the NBOME a written request that he or she not be assigned a failing score, explaining in detail why the illness or emergency caused the candidate to leave the testing area and providing adequate supporting documentation, which the NBOME in its sole discretion may accept or reject.

Computer Program Malfunction

All Levels

A malfunction occurring during administration of an examination will be presumed to have compromised the completeness, integrity, or security of the examination if the malfunction lasts longer than 60 minutes or, if in the opinion of the NBOME, otherwise significantly alters the content or construct specifications for the examination. If the NBOME in its sole discretion determines that the completeness, integrity, or security of the candidate’s examination was not adversely affected by a malfunction, the examination will be scored and reported the same as if the malfunction had not occurred.

Interruption of Examination

All Levels

Unanticipated circumstances may arise including, but not limited to, fire alarm, evacuation, weather emergency, power failure, software failure, equipment failure, and forced evacuation, which may require a test center to close immediately before or during administration of an examination. If the test center professional staff stops all testing, the candidates must stop further work on the examination. Candidates must obey all test center professional staff instructions and test center placards for the safety of all affected by the emergency. Depending on the time required to restore a safe testing environment, the test center professional staff will determine whether or not to resume testing from the point when the examination was stopped if the examination interruption will still permit the examination to be administered in its entirety. A candidate:
  1. Must promptly report any interruption of the examination to the test center staff on the day of the examination.
  2. Must directly provide to the NBOME, via email to clientservices@nbome.org, or letter to NBOME, 8765 W. Higgins road, Suite 200, Chicago, IL 60631, credible and verifiable written evidence of the interruption within 10 calendar days following the date of the examination. See also “Required Notifications of Adverse Testing Conditions.”
If the examination is interrupted for a period of time that will not permit the examination to be administered in its entirety, or the examination is canceled for emergency or safety purposes, any portion of the examination to the extent completed may be unscored but the attempt may be annotated on the transcript as “Other.” If an interruption occurs after the morning test session has been completed, and the examination cannot be resumed or there is insufficient time to permit the afternoon session to be administered in its entirety, the candidate will be required to schedule a new appointment to take the examination in its entirety. The incomplete administration will not be scored but the attempt may be annotated on the transcript as “Other.”

Test Content Comments

All Levels

Candidates are encouraged to report to the NBOME any comments regarding examination content in the item notes fields that are available during the examination, or as provided in the post-examination surveys. These comments are reviewed by NBOME staff on a regular basis.

Emergency and Evacuation

All Levels

In the event of an emergency during administration of a COMLEX-USA examination, the NBOME (either directly or through Prometric) will endeavor to protect the safety of all candidates and staff while preserving the integrity of the examination. All candidates are required to follow the test center professional staff’s instructions and obey test center placards for their safety and the safety of others. If as a result of the emergency or evacuation the examination cannot be completed in its entirety or the data from the examination is irretrievable, the examination score will be voided and not reported. The candidate may schedule a new appointment to test on a mutually agreeable future date without incurring an additional fee. Any rescheduling hereafter requires that the candidate be responsible for the associated fees. No reimbursement of travel or lodging expense is offered by the NBOME for any emergency or evacuation beyond the control of the NBOME. If a candidate has completed a valid examination before the emergency or evacuation, and the data from the examination are retrievable, the candidate’s examination may be scored and reported.

Missing Data or Score

All Levels

If a candidate’s data is missing a score may not be recorded or reported for the candidate.

Voided Examination Scores

All Levels

Only the NBOME can void a score based on an assessment of adverse testing conditions that were reported, verified, and confirmed. Candidates may not void their own score for any reason. In lieu of voiding the score due to a malfunction, the NBOME in its sole discretion may accept and score the candidate’s examination provided he or she executes, in a form satisfactory to the NBOME, a verified statement that he or she was unaffected by the malfunction, expresses the desire to have his or her examination scored, agrees to accept the results of the examination, and waives any claim arising out of or relating to the examination. Should an examination score be voided, the following options will be available.
  • The candidate may reschedule the examination for a mutually agreeable future date without any additional fee.
  • The candidate may be eligible for partial or full reimbursement of travel and lodging expenses from the NBOME.
The candidate must apply in writing, including email, for a reimbursement within 30 days of receipt of notification of voiding of the score and must provide the NBOME appropriate receipts and additional information requested by the NBOME in order to be considered for reimbursement of such expenses.

Cancellation Due To Inclement Weather or Other Force Majeure

All Levels

In the event of severe inclement weather, force majeure, or other event beyond the control of the NBOME or Prometric, the NBOME or Prometric may in its sole discretion cancel a scheduled examination. If this occurs, candidates scheduled to take that examination may schedule a new appointment to test on a mutually agreeable future date without an additional fee. Any rescheduling thereafter requires that the candidate be responsible for any associated fees. The NBOME or prometric will, when feasible, make information available to candidates on the status of the examination. Candidates will not be reimbursed for any travel or lodging expenses in the event that a test is canceled under these circumstances.

Test Center Contact Information

Levels 1/2-CE/3

The specific test center contact information for examinations is provided on the electronic receipt candidates receive as confirmation of a scheduled test date. Candidates should retain a copy of the receipt for future reference. For information about the possible cancellation of an examination, candidates should visit the Prometric website or call 800-853-6769 to learn if the test center will be open for test administration.

Level 2-PE

The main telephone number for all of the NBOME National Centers for Clinical Skills Testing (NCCST) for the COMLEX-USA Level 2-PE examination is 866-479-6828.
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