Important News Regarding COMSAE Phase 1 Score Reports
Following the implementation of the new blueprint, and administration of the enhanced COMLEX-USA Level 1 examination, a new passing standard will be set and applied to COMLEX-USA Level 1 administrations that began in May 2019.
After the first several score releases of COMLEX-USA Level 1 beginning mid-July 2019, NBOME will conduct a comprehensive evaluation of scores on COMSAE Phase 1 and subsequent scores on Level 1. Following this evaluation, we will provide additional information to enhance interpretability of COMSAE Phase 1 scores and Level 1 scores. With this in mind, caution should be exercised in using COMSAE Phase 1 scores to estimate subsequent COMLEX-USA Level 1 scores.


COMSAE · Phase 1

The COMSAE phase 1 consists of content, scoring, and reporting similar to the corresponding COMLEX-USA Level-1 cognitive examination.
Evaluation Components
The content of COMSAE Phase 1 is defined by the same seven categories as the COMLEX-USA content outline for Dimension 1 – Competency Domains and the same ten categories for Dimension 2 – Clinical Presentations.  
Dimension 1: Competency Domains Minimum % Level 1
1 Osteopathic Principles, Practice, and Manipulative Treatment 11%
2 Osteopathic Patient Care and Procedural Skills 6%
3 Application of Knowledge for Osteopathic Medical Practice 60%
3.1 Foundational Biomedical Sciences Knowledge Base       75%
4 Practice-Based Learning and Improvement in Osteopathic Medical Practice 5%
5 Interpersonal and Communication Skills in the Practice of Osteopathic Medicine 3%
6 Professionalism in the Practice of Osteopathic Medicine 3%
7 Systems-Based Practice in Osteopathic Medicine 2%
Dimension 2: Clinical Presentations Minimum % Level 1
1 Community Health and Patient Presentations Related to Wellness 12%
2 Human Development, Reproduction, and Sexuality 5%
3 Endocrine System and Metabolism 5%
4 Nervous System and Mental Health 10%
5 Musculoskeletal System 13%
6 Genitourinary/Renal System and Breasts 5%
7 Gastrointestinal System and Nutritional Health 10%
8 Circulatory and Hematologic Systems 10%
9 Respiratory System 10%
10 Integumentary System 5%

For more information on the COMLEX Level 1 content click here.

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