COMLEX-USA Performance Data

Administered by the National Board of Osteopathic Medical Examiners (NBOME), the Comprehensive Osteopathic Medical Licensing examination (COMLEX-USA) is a series of examinations designed to assess the competency of future osteopathic physicians and is required for physician licensure as a Doctor of Osteopathic Medicine in the United States. In order to graduate from the Texas College of Osteopathic Medicine, students must successfully pass Level 1 and Level 2. COMLEX-USA Level 3 is administered during the graduate medical education portion of their training.

Below is the first-time pass rate data for TCOM students and graduates.

COMLEX-USA Level 1
All TCOM students must pass COMLEX-USA Level 1 to continue to Year Three of the curriculum. Level 1 is designed to assess the application of the biomedical sciences through clinical presentations. The Level 1 exam includes anatomy, behavioral science, biochemistry, microbiology, osteopathic principles and practice, pathology, pharmacology and physiology. 

2019
2020
2021
2022
2023
HSC-TCOM
96%
96%
97%
97%
98%
National Pass Rate
93%
94%
94%
94%
92%

 

COMLEX-USA Level 2 All TCOM students take this examination at the end of Year 3 of the curriculum. COMLEX-USA Level 2 is divided into two parts. The Cognitive Evaluation (CE) is an assessment of clinical competency which includes emergency medicine, family medicine, internal medicine, obstetrics/gynecology, osteopathic principles, pediatrics, psychiatry and surgery. 

2018
2019
2020
2021
2022
HSC-TCOM
97%
97%
99%
98%
95%
National Pass Rate
93%
96%
97%
97%
95%

 

The Performance Evaluation (PE) is an assessment of clinical skills.

2018
2019
2020
2021
2022
HSC-TCOM
96%
94%
94%
N/A*
N/A*
National Pass Rate
93%
93%
92%
N/A*
N/A*

*The exam was suspended in April 2020 by the National Board of Medical Examiners. No further scores are expected.

COMLEX-USA Level 3 COMLEX-USA Level 3 is designed to assess the osteopathic physician’s ability to solve clinical problems and manage the care of patients as a physician. 

2018
2019
2020
2021
2022
HSC-TCOM
96%
99%
100%
99%
99%
National Pass Rate
95%
97%
97%
97%
96%