COMLEX-USA or Comprehensive Osteopathic Medical Licensing Examination is a series of three osteopathic medical licensing examinations administered by the National Board of Osteopathic Medical Examiners (NBOME) similar to the United States Medical Licensing Examination (USMLE). COMLEX-USA is the most common pathway by which osteopathic physicians (D.O.'s) apply for licensure, and is accepted in all 50 states. The 3-digit standard scores of COMLEX-USA Level 1, Level 2-CE, and Level 3 have a mean of 500.
Level One Step one is taken after the second year of medical school. It is administered in one day and consists of two, four-hour exam sessions separated by a 40-minute break. Each four-hour session also includes a ten-minute break. Candidates are expected to know the basic mechanisms of health and disease process. Specifically, level one covers basic medical sciences, including:
* anatomy
* behavioral science
* biochemistry
* microbiology
* osteopathic principles
* pathology
* pharmacology
* physiology
Level Two Level two, taken during the fourth year of medical school, consists of two parts: Level 2-CE and Level 2-PE. Level 2-CE requires candidates to demonstrate knowledge of clinical concepts and medical decision-making. It is problem-based and symptoms-based, integrating the clinical disciplines of:
* emergency medicine
* family medicine
* internal medicine
* obstetrics/gynecology
* osteopathic principles
* pediatrics
* psychiatry
* surgery
Level 2-PE was introduced in 2005. It is a one-day, seven-hour exam and utilizes standardized patients (actors trained to present clinical symptoms) to test clinical skills. Specifically, candidates must demonstrate proficiency in:
* history taking and physical examination skills
* integrated differential diagnosis and clinical problem solving
* written communication and synthesis of clinical findings (SOAP note format)
* osteopathic principles and/or osteopathic manipulative treatment
Level Three The final exam, level three, is typically taken after starting residency and, like step two, covers the clinical disciplines of medicine, including:
* emergency medicine
* family medicine
* internal medicine
* obstetrics/gynecology
* osteopathic principles
* pediatrics
* psychiatry
* surgery
Level One Step one is taken after the second year of medical school. It is administered in one day and consists of two, four-hour exam sessions separated by a 40-minute break. Each four-hour session also includes a ten-minute break. Candidates are expected to know the basic mechanisms of health and disease process. Specifically, level one covers basic medical sciences, including:
* anatomy
* behavioral science
* biochemistry
* microbiology
* osteopathic principles
* pathology
* pharmacology
* physiology
Level Two Level two, taken during the fourth year of medical school, consists of two parts: Level 2-CE and Level 2-PE. Level 2-CE requires candidates to demonstrate knowledge of clinical concepts and medical decision-making. It is problem-based and symptoms-based, integrating the clinical disciplines of:
* emergency medicine
* family medicine
* internal medicine
* obstetrics/gynecology
* osteopathic principles
* pediatrics
* psychiatry
* surgery
Level 2-PE was introduced in 2005. It is a one-day, seven-hour exam and utilizes standardized patients (actors trained to present clinical symptoms) to test clinical skills. Specifically, candidates must demonstrate proficiency in:
* history taking and physical examination skills
* integrated differential diagnosis and clinical problem solving
* written communication and synthesis of clinical findings (SOAP note format)
* osteopathic principles and/or osteopathic manipulative treatment
Level Three The final exam, level three, is typically taken after starting residency and, like step two, covers the clinical disciplines of medicine, including:
* emergency medicine
* family medicine
* internal medicine
* obstetrics/gynecology
* osteopathic principles
* pediatrics
* psychiatry
* surgery
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