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NBOME

COMSAE · Phase 1


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.


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 of the COMLEX-USA blueprint consists of seven Competency Domains, which represent the related sets of foundational abilities representing the required elements and outcomes that define the knowledge, skills, experience, attitudes, values, behaviors, and established professional standards.

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 consists of 10 Clinical Presentations, which represent the manner in which a particular patient, group of patients, or a community presents for osteopathic medical care.

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%

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