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

"How the Quadruple Aim Widens the Lens on the Transition to Residency"
Journal of Graduate Medical Education | December 2022

"The Predictive Value of the Residency AOBFP In-Service Exam, Produced and Administered by ACOFP"
Family Medicine | September 2022

"UGRC 2021 recommendations on GME transition: pros and cons, opportunities and limitations"
Journal of Osteopathic Medicine | September 2022
Published Research:
Relationship of COMLEX-USA to Other Measures
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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
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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
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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
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Lee AS, Chang L, Feng E, Helf S. Reliability and Validity of Conversion Formulas Between Comprehensive Osteopathic Medical Licensing Examination of the United States Level 1 and United States Medical Licensing Examination Step 1. Journal of Graduate Medical Education. 2014;6(2):280-283. doi:10.4300/JGME-D-13-00302.1 ·
June 2014
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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