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.

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.


2011 2012 2013 2014 2015
UNTHSC-TCOM 97% 96% 96% 96% 96%
National Pass Rate 92% 91% 92% 94% 94%

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. The Performance Evaluation (PE) is an assessment of clinical skills administered by the NBOME in Conshohocken, Pennsylvania.

2011 2012 2013 2014 2015
UNTHSC-TCOM 95% 94% 95% 94% 94%
National Pass Rate 87% 89% 93% 93% 93%


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.

2011 2012 2013 2014 2015
UNTHSC-TCOM 98% 100% 96% 98% 98%
National Pass Rate 95% 95% 96% 96% 96%