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Dimensions 1 & 2

Dimension 1 of the COMLEX-USA blueprint consists of seven competency domains. These consist of foundational abilities representing the required elements and outcomes that define knowledge, skills, experience, attitudes, values, behaviors, and established professional standards an osteopathic physician should possess.

Dimension 1: Competency Domains Minimum % Level 3
1 Osteopathic Principles, Practice, and Manipulative Treatment 10%
2 Osteopathic Patient Care and Procedural Skills 40%
3 Application of Knowledge for Osteopathic Medical Practice 15%
3.1 Foundational Biomedical Sciences Knowledge Base 10%
4 Practice-Based Learning and Improvement in Osteopathic Medical Practice 8%
5 Interpersonal and Communication Skills in the Practice of Osteopathic Medicine 5%
6 Professionalism in the Practice of Osteopathic Medicine 6%
7 Systems-Based Practice in Osteopathic Medicine 6%

Dimension 2 consists of 10 clinical presentations, which represent the manner in which a particular patient, group of patients, or community present for osteopathic medical care.

Dimension 2: Clinical Presentations Minimum
% Level 3
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%

National Board of Osteopathic Medical Examiners, Inc.
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Executive Offices: 101 West Elm Street Suite 230 · Conshohocken, PA 19428
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