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Comprehensive Osteopathic Medical Licensing Examination
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Exam Background Information

The National Board of Osteopathic Medical Examiners, Inc. (NBOME) is a not-for-profit corporation dedicated to serving the public and state licensing agencies by administering examinations that assess the medical knowledge and clinical skills of those who seek to serve the public as osteopathic physicians. The NBOME was first established in July 1934, as the National Board of Osteopathic Physicians and Surgeons, Inc. The first examinations were given in February 1935. In 1987, the name of the organization was changed to the National Board of Osteopathic Medical Examiners, Inc.
 
The NBOME examinations are the primary pathway by which osteopathic physicians apply for licensure to practice osteopathic medicine and surgery. A passing score on these examinations ensures that the candidate’s medical knowledge and clinical skills have met a national standard. The COMLEX-USA examination sequence is accepted for licensure in 50 states.
To maintain the broad acceptance of the examinations, the NBOME is continually engaged in research. This ensures that the scope of the examinations includes currently accepted principles, concepts and practices of osteopathic medicine. Testing methodology and testing procedures are studied to confirm that the examination scores continue to reflect accurately the knowledge and skills of those who seek to practice osteopathic medicine.

As part of a continuing effort to better assist the state licensing boards in their efforts to measure the knowledge required by today’s physicians, the NBOME initiated the three-level Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) to replace the former three-part NBOME examination series. The COMLEX-USA Level 3 examination was first administered in February 1995. COMLEX-USA Level 2 was administered for the first time in March 1997.


Administration of COMLEX-USA Level 1 in June 1998 completed the transition to COMLEX-USA. Administration of a Performance Evaluation/Clinical Skills component of the COMLEX-USA Level 2, COMLEX-USA Level 2-PE, began in September 2004. The COMLEX-USA examination sequence uses a primary care approach to patient care with the distinctiveness of osteopathic medicine fully integrated throughout the examination.

 
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