Important News Regarding COMSAE Phase 1 Score Reports

Following the implementation of the new blueprint, and administration of the enhanced Level 1 examination, a new passing standard will be set in June of 2019 at which point, the new passing standard will be applied to COMSAE Phase 1. 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

This content represents the updated version of COMSAE Phase 1 for candidates taking the COMLEX-USA Level 1 on or after May 20th, 2019. Candidates taking the COMLEX-USA Level 1 before April 16th, 2019 can view the current documentation by clicking here.

The COMSAE phase 1 consists of content, scoring, and reporting similar to the corresponding COMLEX-USA Level-1 cognitive examination.

COMSAE Phase 1 Scientific Understanding of the Mechanisms of Clinical Situations & Clinical Presentations

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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