NBOME Research
The NBOME works to accelerate research focusing on the validity and fairness of the COMLEX-USA series, and how it can evolve to meet the changing needs of the profession. Here you will find all of the NBOME's published and presented research, as well as research that has helped shape the formation and development of the NBOME's assessment tools.
Recently Published Research
"The predictive validity of MCAT scores and undergraduate GPA for COMLEX-USA licensure exam performance of students enrolled in osteopathic medical schools"
Journal of Osteopathic Medicine | July 2024
"A validity study of COMLEX-USA Level 3 with the new test design"
Journal of Osteopathic Medicine | March 2024
"How the Quadruple Aim Widens the Lens on the Transition to Residency"
Journal of Graduate Medical Education | December 2022
Published Research:
All Topics
-
Royal KD, Meyer C, Guercio E, Speicher M, Flamini J, Sandella JM, Tsai TH, Searcy C. The Predictive Validity of MCAT Scores and Undergraduate GPA for COMLEX-USA Licensure Exam Performance of Students Enrolled in Osteopathic Medical Schools. Journal of Osteopathic Medicine. ·
July 2024
-
Mao X, Boulet JR, Sandella JM, Oliverio M, Smith LM. A Validity Study of COMLEX-USA Level 3 with New Test Design. Journal of Osteopathic Medicine. 2024. doi:10.1515/jom-2023-0011 ·
March 2024
-
Barone MA, Bienstock JL, Lovell E, Gimpel JR, Lin GL, Swails F, Mejicano GC. How the Quadruple Aim Widens the Lens on the Transition to Residency. Journal of Graduate Medical Education. 2022;14(6):634-638. doi:10.4300/JGME-D-22-00026.1 ·
December 2022
-
Torres JW, Bowling JR, Zipp C, Williams N, Sandella JM, Martinez L, Moore B. The Predictive Value of the Residency AOBFP In-Service Exam, Produced and Administered by ACOFP. Family Medicine. 2022;54(8):615-620. doi:10.22454/FamMed.2022.156954 ·
September 2022
-
Gimpel JR, Swails JL, Bienstock JL, Lin GL, Roett MA, Patel JK, Giang DW. UGRC 2021 recommendations on GME transition: pros and cons, opportunities and limitations. Journal of Osteopathic Medicine. 2022;122(9):461-464. doi:10.1515/jom-2021-0285 ·
September 2022
-
Errichetti AM, Eckles R, Beto J, Gross GA, Lorion AE. The Use of Patient Simulations to Teach and Assess Clinical Competencies in Colleges of Podiatric Medicine: A Survey of US Podiatric Medical Schools. Journal of the American Podiatric Medical Association. 2022;112(2):20-077. doi:10.7547/20-077. ·
April 2022
-
February 2022
-
Barnum S, Craig B, Wang X, Sandella JM, Tsai T-H, Boulet JR, Wang Y. A Concordance Study of COMLEX-USA and USMLE Scores. Journal of Graduate Medical Education. 2022;14(1):53-59. doi:10.4300/JGME-D-21-00499.1 ·
February 2022
-
Mao X, Zhang Q, Clem A. An Exploration of an Integrated Approach for Enemy Item Identification. International Journal of Intelligent Technologies and Applied Statistics. 2021:14(2):123-134. doi:10.6148/IJITAS.202106_14(2).0004 ·
August 2021
-
Craig B, Wang X, Sandella JM, Tsai T-H, Kuo D, Finch C. Examining concurrent validity between COMLEX-USA Level 2-Cognitive Evaluation and COMLEX-USA Level 2-Performance Evaluation. Journal of Osteopathic Medicine. 2021. doi:10.1515/jom-2021-0007 ·
May 2021
-
Wang X, Maeda H, Craig B, Tsai T-H, Sandella JM, Fleury M. Meaningful use of COMSAE Phase 1 in preparation for COMLEX-USA Level 1. Journal of Osteopathic Medicine. 2021. doi:0.1515/jom-2020-0190 ·
April 2021
-
NBOME Research Presentations ·
January 2021
-
Roberts W, Gross GA, Gimpel JR, Smith LL, Arnhart K, Pei X, Young A. An Investigation of the Relationship Between COMLEX-USA Licensure Examination Performance and State Licensing Board Disciplinary Actions. Academic Medicine. 2020;95(6):925-930. doi:10.1097/ACM.0000000000003046 ·
June 2020
-
Horber DT, Flamini J, Gimpel JR, Tsai T-H, Shrum K, Hudson K. CATALYST: Piloting a Longitudinal Assessment and Learning Program for Board Recertification and Continuous Professional Development. Journal of Osteopathic Medicine. 2020;120(3):190-200. doi:10.7556/jaoa.2020.031 ·
March 2020
-
Gimpel JR, Belanger SI, Knebl JA, LaBaere RJ, Shaffer DC, Shannon SC, Shears T, Steingard SA, Turner M, Williams DG. 2019 United States Osteopathic Medical Regulatory Summit: Consensus, Recommendations, and Next Steps in Defining Osteopathic Distinctiveness. Journal of Osteopathic Medicine. 2020;120(1):35-44. doi:10.7556/jaoa.2020.005 ·
January 2020
-
Hudson KM, Tsai T-H, Finch C, Dickerman JL, Liu S, Shen L. A Validity Study of COMLEX-USA Level 2-CE and COMAT Clinical Subjects: Concurrent and Predictive Evidence. Journal of Graduate Medical Education. 2019;11(5):521-526. doi:10.4300/JGME-D-19-00157.1 ·
November 2019
-
Shao C, Liu S, Yang H, Tsai T-H. Automated Test Assembly Using SAS Operations Research Software in a Medical Licensing Examination. Applied Psychological Measurement. 2020;44(3):219-233. doi:10.1177/0146621619847169 ·
May 2019
-
Horber DT, Gimpel JR. Enhancing COMLEX-USA: Evidence-based redesign of the osteopathic medical licensure examination program. Journal of Medical Regulation. 2018;104(3):11-18. doi:10.30770/2572-1852-104.3.11 ·
November 2018
-
Hudson KM, Feinberg G, Hempstead L, Zipp C, Gimpel JR, Wang Y. Association between performance on COMLEX-USA and the American College of Osteopathic Family Physicians in-service examination. Journal of Graduate Medical Education. 2018;10(5):543-547. doi:10.4300/JGME-D-17-00997.1 ·
October 2018
-
Gimpel JR, Horber DT, Sandella JM, Knebl JA, Thornburg JE. Evidence-based redesign of the COMLEX-USA series. Journal of the American Osteopathic Association. 2017;117(4):253-261. doi:10.7556/jaoa.2017.043 ·
April 2017
-
Roberts WL, Boulet JR, Sandella JM. Comparison study of judged clinical skills competence from standard setting ratings generated under different administration conditions. Advances in Health Sciences Education. 2017;22:1279-1292. doi:10.1007/s10459-017-9766-1 ·
February 2017
-
O’Neill TR, Peabody MR, Song H. The predictive validity of the National Board of Osteopathic Medical Examiners' COMLEX-USA examinations with regard to outcomes on American Board of Family Medicine examinations. Academic Medicine. 2016;91(11):1568-1575. doi:10.1097/ACM.0000000000001254 ·
November 2016
-
Smith LL, Xu W, Sandella JM, Dowling DJ. Osteopathic manipulative technique scores on the COMLEX-USA Level 2-PE: An analysis of the skills assessed. Journal of Osteopathic Medicine. 2016;116(6):392-397. doi:10.7556/jaoa.2016.080 ·
June 2016
-
Sandella JM, Peters A, Smith LL, Gimpel JR. Preparation strategies of osteopathic medical students for the COMLEX-USA Level 2-PE. Journal of Osteopathic Medicine. 2016;116(4):234-242. doi: 10.7556/jaoa.2016.048 ·
April 2016
-
Sandella JM, Gimpel JR, Smith LL, Boulet JR. The use of COMLEX-USA and USMLE for residency applicant selection. Journal of Graduate Medical Education. 2016;8(3):358-363. doi:10.4300/JGME-D-15-00246.1 ·
March 2016
-
Gimpel, JR. Redefining competency domains for osteopathic medical practice. Journal of Osteopathic Medicine. 2016;116(9):568-570. doi:10.7556/jaoa.2016.113 ·
January 2016
-
Li F, Kalinowski K, Song H, Bates B. Relationships between the Comprehensive Osteopathic Medical Achievement Test (COMAT) subject examinations and the COMLEX-USA level 2-cognitive evaluation. Journal of Osteopathic Medicine. 2014;114(9):714-721. doi:10.7556/jaoa.2014.140 ·
September 2014
-
Kalinowski KE, Natesan P, Henson RK. Stratified item selection and exposure control in unidimensional adaptive testing in the presence of 2D data. Applied Psychological Measurement. 2014;38(7):563-576. doi:10.1177/0146621614536768 ·
July 2014
-
Sandella JM, Smith LA, Gallagher LA, Langenau EE. Patterns of misrepresentation of clinical findings on patient notes during the COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2014;114(1):22-29. doi:10.7556/jaoa.2014.004 ·
April 2014
-
Sandella JM, Smith LA, Dowling DJ. Consistency of interrater scoring of student performances of osteopathic manipulative treatment on COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2014;114(4):253-258. doi:10.7556/jaoa.2014.050 ·
April 2014
-
Li F, Gimpel JR, Arenson E, Song H, Bates BP, Ludwin F. The relationship between COMLEX-USA scores and performance on the AOBEM Part I certifying exam. Journal of Osteopathic Medicine. 2014;114(4):260-266. doi:10.7556/jaoa.2014.051 ·
April 2014
-
Helstrom JM, Langenau EE, Sandella JM, Mote BL. Keyboard data entry use among osteopathic medical students and residents. Journal Osteopathic Medicine. 2014;114(4):274-82. doi:10.7556/jaoa.2014.053 ·
April 2014
-
Zhang X, Roberts WL. Investigation of standardized patient ratings of humanistic competence on a medical licensure examination using Many-Facet Rasch Measurement and generalizability theory. Advances in Health Sciences Education: Theory and Practice. 2013;18(5):929-944. doi:10.1007/s10459-012-9433-5 ·
December 2013
-
Pierce DL, Mirre-Gonzalez MA, Carter MA, Nug D, Salamanca Y. Performance on COMLEX-USA exams predicts performance on EM residency in-training exams. Academic Emergency Medicine. 2013;20(5 Suppl 1):S219. doi:10.1111/acem.12115 ·
May 2013
-
Langenau EE, Dowling DJ, Dyer C, Roberts WL. Frequency of specific osteopathic manipulative treatment modalities used by candidates while taking COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2012;112(8):509-513. doi:10.7556/jaoa.2012.112.8.509 ·
August 2012
-
Langenau EE, Zhang X, Roberts WL, De Champlain AF, Boulet JR. Clinical skills assessment of procedural and advanced communication skills: Performance expectations of residency program directors. Medical Education Online. 2012;17(1). doi:10.3402/meo.v17i0.18812 ·
July 2012
-
Dixon D. Prediction of osteopathic medical school performance on the basis of MCAT score, GPA, sex, undergraduate major, and undergraduate institution. Journal of Osteopathic Medicine. 2012;112(4):175-181. doi:10.7556/jaoa.2012.112.4.175 ·
April 2012
-
Sandella JM, Boulet JR, Langenau EE. An evaluation of cost and appropriateness of care as recommended by candidates on a national clinical skills examination. Teaching and Learning in Medicine. 2012;24(4):303-308. doi:10.1080/10401334.2012.715259 ·
April 2012
-
Roberts WL, Solomon M, Langenau E. An investigation of construct validity of humanistic clinical skills on a medical licensure examination. Patient Education and Counseling. 2011;82(2):214-221. doi:10.1016/j.pec.2010.03.016 ·
February 2012
-
Langenau EE, Sandella JM, Gimpel JR. Fairness to students top priority. Family Medicine. 2012;44(1):53-54. PMID:22241343 ·
January 2012
-
Roberts WL, Pugliano G, Langenau EE, Boulet JR. Modeling relationships between traditional preadmission measures and clinical skills performance on a medical licensure examination. Advances in Health Sciences Education. 2011;17(3):403–417. doi:10.1007/s10459-011-9321-4 ·
August 2011
-
Langenau EE, Sandella JM. Pass/fail patterns of candidates who failed COMLEX-USA level 2-PE because of misrepresentation of clinical findings on postencounter notes. Journal of Osteopathic Medicine. 2011;111(7):432-436. doi:10.7556/jaoa.2011.111.7.432 ·
July 2011
-
Langenau EE, Dyer C, Roberts WL, De Champlain AF, Montrey DP, Sandella JM. Relationship between standardized patient checklist item accuracy and performing arts experience. Simulation in Healthcare. 2011;6(3):150-154. doi:10.1097/SIH.0b013e31821687b3 ·
June 2011
-
Schenarts PJ, Termuhlen PM, Pasley J, Rose JS, Friedell ML. A primer on how to select osteopathic applicants to an allopathic general surgery residency. Journal of Surgical Education. 2011;68(3):239-245. doi:10.1016/j.jsurg.2011.01.001 ·
March 2011
-
Sandella JM, Roberts WL, Langenau EE. Relationship between encounter time and candidate performance on COMLEX-USA level 2-PE. Journal of Osteopathic Medicine. 2011;111(1):38-43. doi:10.7556/jaoa.2011.111.1.38 ·
January 2011
-
Langenau EE, Pugliano G, Roberts WL. Relationships between high stakes clinical skills exam scores and program director global competency ratings of first-year pediatric residents. Medical Education Online. 2011;16(1). doi:10.3402/meo.v16i0.7362 ·
January 2011
-
Furman GE, Smee S, Wilson C. Quality assurance best practices for simulation-based examinations. Simulation in Healthcare. 2010;5(4):226-231. doi:10.1097/SIH.0b013e3181da5c93 ·
April 2010
-
Langenau E, Dyer C, Roberts WL, Wilson C, Gimpel JR. Five-year summary of COMLEX-USA level 2-PE examinee performance and survey data. Journal of Osteopathic Medicine. 2010;110(3):114-125. doi:10.7556/jaoa.2010.110.3.114 ·
March 2010
-
Langenau EE, Pugliano G, Roberts BR, Hostoffer R. Summary of ACOP (American College of Osteopathic Pediatricians) program directors’ annual reports for first-year residents and relationships between resident competency performance ratings and COMLEX-USA test scores. Electronic Journal of the American College of Osteopathic Physicians. 2010;2(7). https://eric.ed.gov/?id=ED514030 ·
February 2010
-
Roberts WL, McKinley DW, Boulet JR. Effect of first-encounter pretest on pass/fail rates of a clinical skills medical licensure examination. Advances in Health Sciences Education: Theory and Practice. 2010;15(2):219-227. doi:10.1007/s10459-009-9193-z ·
February 2010
-
Chick DA, Friedman HP, Young VB, Solomon DE. Relationship between COMLEX and USMLE scores among osteopathic medical students who take both examinations. Teaching and Learning in Medicine. 2010;22(1):3-7. doi:10.1080/10401330903445422 ·
January 2010
-
Weidner AC, Gimpel JR, Boulet JR, Solomon M. Using standardized patients to assess the communication skills of graduating physicians for the comprehensive osteopathic medical licensing examination (COMLEX) level 2-performance evaluation (level 2-PE). Teaching and Learning in Medicine. 2010;22(1):8-15. doi:10.1080/10401330903445604 ·
January 2010
-
Wong SK, Ramirez J, Helf SC. Student performance on levels 1 and 2-CE of COMLEX-USA: Do elective upper-level undergraduate science courses matter? Journal of Osteopathic Medicine. 2009;109(11):592-598. doi:10.7556/jaoa.2009.109.11.592 ·
November 2009
-
Sandella JM, Roberts WL, Gallagher LA, Gimpel JR, Langenau EE, Boulet JR. Patient note fabrication and consequences of unprofessional behavior in a high-stakes clinical skills licensing examination. Academic Medicine. 2009;84(10 Suppl):S70-73. doi:10.1097/ACM.0b013e3181b37e36 ·
October 2009
-
Boulet JR, Smee SM, Dillon GF, Gimpel JR. The use of standardized patient assessments for certification and licensure decisions. Simulation in Healthcare.2009;4(1):35-42. doi:10.1097/SIH.0b013e318182fc6c ·
January 2009
-
Sevensma SC, Navarre G, Richards RK. COMLEX-USA and in-service examination scores: Tools for evaluating medical knowledge among residents. Journal of Osteopathic Medicine. 2008;108(12):713-716. doi:10.7556/jaoa.2008.108.12.713 ·
December 2008
-
Gimpel JR, Weidner AC, Boulet JR, Wilson C, Errichetti AM. Standardized patients and mechanical simulators in teaching and assessment at colleges of osteopathic medicine. Journal of Osteopathic Medicine. 2007;107(12):557-561. doi:10.7556/jaoa.2007.107.12.557 ·
December 2007
-
Cope MK, Baker HH, Foster RW, Boisvert CS. Relationships between clinical rotation subscores, COMLEX-USA examination results, and school-based performance measures. Journal of Osteopathic Medicine. 2007;107(11):502-510. doi:10.7556/jaoa.2007.107.11.502 ·
November 2007
-
Evans P, Wen FK. Does the medical college admission test predict global academic performance in osteopathic medical school? Journal of Osteopathic Medicine. 2007;107(4):157-162. doi:10.7556/jaoa.2007.107.4.157 ·
April 2007
-
Baker HH, Cope MK, Adelman MA, Schuler S, Foster RW, Gimpel JR. Relationships between scores on the COMLEX-USA level 2-performance evaluation and selected school-based performance measures. Journal of Osteopathic Medicine. 2006;109(5):290-295. doi:10.7556/jaoa.2006.106.5.290 ·
May 2006
-
Gimpel JR, Boulet JR, Weidner AC. Survey on the clinical skills of osteopathic medical students. Journal of Osteopathic Medicine. 2006;106(5):296-301. doi:10.7556/jaoa.2006.106.5.296 ·
May 2006
-
Downing SM, Tekian A, Yudkowsky R. Research methodology: Procedures for establishing defensible absolute passing scores on performance examinations in health professions education. Teaching and Learning in Medicine. 2006;18(1):50–57. doi:10.1207/s15328015tlm1801_11 ·
January 2006
-
McKinley DW, Boulet JR, Hambleton RK. A work-centered approach for setting passing scores on performance-based assessments. Evaluation & the Health Professions. 2005;28(3):349–369. doi:10.1177/0163278705278282 ·
March 2005
-
Boulet JR, Gimpel JR, Dowling DJ, Finley M. Assessing the ability of medical students to perform osteopathic manipulative treatment techniques. Journal of Osteopathic Medicine. 2004;104(5):203-211. doi:10.7556/jaoa.2004.104.5.203 ·
May 2004
-
Dixon D. Relation between variables of preadmission, medical school performance, and COMLEX–USA levels 1 and 2 performance. Journal of Osteopathic Medicine. 2004;4(8):332-336. doi:10.7556/jaoa.2004.104.8.332 ·
April 2004
-
Evans P, Goodson LB, Schoffman SI, Baker HH. Relations between academic performance by medical students and COMLEX–USA level 2: A multisite analysis. Journal of Osteopathic Medicine. 2003;103(11):551-556. doi:10.7556/jaoa.2003.103.11.551 ·
November 2003
-
Cavalieri TA, Shen L, Slick GL. Predictive validity of osteopathic medical licensing examinations for osteopathic medical knowledge measured by graduate written examinations. Journal of Osteopathic Medicine. 2003;103(7):337-342. doi:10.7556/jaoa.2003.103.7.337 ·
July 2003
-
Gimpel JR, Boulet DO, Errichetti AM. Evaluating the clinical skills of osteopathic medical students. Journal of Osteopathic Medicine. 2003;103(6):267-279. doi:10.7556/jaoa.2003.103.6.267 ·
June 2003
-
Boulet JR, De Champlain AF, McKinley DW. Setting defensible performance standards on OSCEs and standardized patient examinations. Medical Teacher. 2003;25(3):245–249. doi:10.1080/0142159031000100274 ·
May 2003
-
JR Boulet, JR Gimpel, AM Errichetti, FG Meoli. Using National Medical Care Survey data to validate examination content on a performance-based clinical skills assessment for osteopathic physicians. Journal of Osteopathic Medicine. 2003;103(5):225-231. doi:10.7556/jaoa.2003.103.5.225 ·
May 2003
-
Meoli FG, Wallace WS, Kaiser-Smith J, Shen L. Relationship of osteopathic medical licensure examinations with undergraduate admission measures and predictive value of identifying future performance in osteopathic principles and practice/osteopathic manipulative medicine courses and rotations. Journal of Osteopathic Medicine. 2002;102(11):615-620. doi:10.7556/jaoa.2002.102.11.615 ·
November 2002
-
Errichetti AM, Gimpel JR, Boulet JR. State of the art in standardized patient programs: A survey of osteopathic medical schools. Journal of Osteopathic Medicine. 2002;102(11):627-631. doi:10.7556/jaoa.2002.102.11.615 ·
November 2002
-
Hartman SE, Bates BP, Sprafka SA. Correlation of scores for the comprehensive osteopathic medical licensing examination with osteopathic medical school grades. Journal of Osteopathic Medicine. 2001;101(6):347-349. doi:10.7556/jaoa.2001.101.6.347 ·
June 2001
-
Hambleton RK, Jaeger RM, Plake BS, Mills C. Setting performance standards on complex educational assessments. Applied Psychological Measurement. 2000;24(4):355–366. doi:10.1177/01466210022031804 ·
December 2000
-
Baker HH, Foster RW, Bates BP, et al. Relationship between academic achievement and COMLEX-USA level 1 performance: A multisite study. Journal of Osteopathic Medicine. 2000;100(4):238-242. doi:10.7556/jaoa.2000.100.4.238 ·
April 2000
-
Baker HH, Cope MK, Fisk R, Gorby JN, Foster RW. Relationship of preadmission variables and first- and second-year course performance to performance on the National Board of Osteopathic Medical Examiners’ COMLEX–USA level 1 examination. Journal of Osteopathic Medicine. 2000;100(3):153-161. doi:10.7556/jaoa.2000.100.3.153 ·
March 2000
-
Cohen AS, Kane MT, Crooks TJ. A generalized examinee-centered method for setting standards on achievement tests. Applied Measurement in Education. 1999;12(4):343–366. doi:10.1207/S15324818AME1204_2 ·
April 1999
-
Kane MT, Crooks TJ, Cohen AS. Designing and evaluating standard-setting procedures for licensure and certification tests. Advances in Health Sciences Education. 1999;4(3):195-207. doi:10.1023/A:1009849528247 ·
March 1999
-
Norcini JJ, Shea JA. The credibility and comparability of standards. Applied Measurement in Education. 1997;10(1):39–59. doi: 10.1207/s15324818ame1001_3 ·
January 1997
-
Clauser BE, Clyman SG. A contrasting-groups approach to standard setting for performance assessments of clinical skills. Academic Medicine. 1994;69(10):S42–S44. doi:10.1097/00001888-199410000-00037 ·
October 1994
-
Newble D, Dauphinee WD, Macdonald M, Dawson B, Page G, Swanson DB, et al. Guidelines for assessing clinical competence. Teaching and Learning in Medicine. 1994;6(3):213-220. doi:10.1080/10401339409539680 ·
March 1994
-
Livingston SA, Zieky MJ. Passing Scores: A Manual for Setting Standards of Performance on Education and Occupational Tests. Educational Testing Service. 1982. https://www.ets.org/Media/Research/pdf/passing_scores.pdf ·
January 1982
-
Angoff WH, Thorndike RL. Scales, Norms and Equivalent Scores. American Council on Education. 1971:508-600. https://www.ets.org/Media/Research/pdf/Angoff.Scales.Norms.Equiv.Scores.pdf ·
January 1971