COMLEX-USA · Level 3
Assessment of Competencies for Osteopathic Medical Practice
Please note that the COMLEX-USA Level 3 examination does not include any COVID-19 questions at this time due to the rapidly changing nature of the information.
COMLEX-USA Level 3 is a two-day computer-based examination assessing competence in the foundational competency domains required for generalist physicians to deliver safe and effective osteopathic medical care and promote health in unsupervised clinical settings.
Competency domains assessed include application of osteopathic medical knowledge, osteopathic patient care, osteopathic principles and practice, communication skills, systems-based practice, practice-based learning and improvement, professionalism and ethics. Competency assessment occurs in the context of clinical and patient presentations and systems-based practice as required for entry in the unsupervised practice of osteopathic medicine as an independently practicing osteopathic generalist physician and for readiness for lifelong learning and practice-based learning and improvement.
COMLEX-USA Level 3 · Clinical Disciplines
- Emergency Medicine
- Family Medicine
- Preventive Medicine and Health Promotion
- Internal Medicine
- Osteopathic Principles and Practice/Neuromusculoskeletal Medicine
The examination consists of four computer-based test sessions of 3.5 hours each, taken over two days (two sessions per day) and is administered within a 14-day window in a secure, time-measured environment. The examination contains 420 questions in the multiple choice question (MCQ) format and 26 clinical decision-making (CDM) cases that include two to four questions each. Each exam question assesses one of 10 diverse, representative clinical presentations and one of seven competency domains for osteopathic medical practice. While the MCQs have a single-best answer format, CDM questions are either extended multiple choice (selection of one or more answer options from an extensive list that may contain more than one correct answer) or constructed response (short answer). The examination also includes audio-visual components designed to assess an expanded physician competency subset.
What Passing Level 3 Means
Passing Level 3 indicates that the candidate has demonstrated competence in the foundational competency domains required for generalist physicians to deliver safe and effective osteopathic medical care of patients as required for entry into the unsupervised practice of osteopathic medicine and to continue lifelong learning and practice-based learning and improvement.
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