COMLEX-USA Information

The COMLEX-USA examination series is designed to assess the osteopathic medical knowledge and clinical skills considered essential for osteopathic generalist physicians to practice osteopathic medicine. The foundation of COMLEX-USA is based on the osteopathic philosophy of whole person health care, underlying structure-function relationships and the interdependence of body systems, self-healing and self-regulatory mechanisms, and the osteopathic approach to patient care, including osteopathic manipulative medicine. COMLEX-USA is constructed in the context of clinical problem-solving that involves “Patient Presentations” and “Physician Tasks.”

The COMLEX-USA program is an examination sequence with three Levels. While all examination Levels have the same two-dimensional blueprint structure, the depth and emphasis of each Level parallels the educational experiences and the clinical responsibilities of the candidate. This progressive nature of the COMLEX-USA examinations ensures the consistency and continuity of the measurement objectives of the osteopathic medical licensing examinations. A description of the examination blueprints is below, and descriptions of each examination component of the series, including what constitutes a passing score, follows.

COMLEX-USA examinations are administered only in the English language. Each of the COMLEX-USA examinations is administered in a standardized, time-measured environment, as the ability to interpret, process and apply clinical knowledge and skills with knowledge fluency and in a fluid manner is fundamental to a generalist osteopathic physician’s competence to practice osteopathic medicine.