Scoring & Reporting

After completing an exam, candidates will receive a Score Report and Performance Profile which provides a numerical standard score for the total test and a graphic presentation for performance on three groups of content areas:


The total score is a standard score. Results are provided to the candidate only, and will not be shared with any other individual or organization.  We encourage the use of COMSAE to analyze and assess strengths and weaknesses in medical knowledge and issues. COMSAE should not be used to predict performance on the COMLEX-USA cognitive exams.

Score Report

The COMSAE report consists of a three-digit numerical score for the total test and a graphic presentation of performance by content area. COMSAE does not involve a numerical minimum passing score. Instead, based on standard scores, it provides the following four suggested performance levels:

Standard ScorePerformance Level
Lower than 350Poor Performance
350 – 450Borderline Performance
451 – 550Acceptable Performance
Higher than 550Good Performance

One advantage of COMSAE is that it provides a graphic performance profile for three groups of content areas: nine COMLEX-USA Dimension 1 topics, six COMLEX-USA Dimension 2 topics, and seven medical disciplines plus Osteopathic Principles and Practice (OPP). Performances level for each topic in these content areas is reported according to the mechanism described in the above table.

The NBOME strongly encourages examinees to take full advantage of the detailed COMSAE reports. An examinee should spend time studying his/her performance profile to diagnose his/her strengths and weaknesses.

When using the performance profile to assess strengths and weaknesses, examinees should be aware that the information of performance categories on specific content areas is less reliable since the number of items in some content areas is relatively small. Therefore, it is possible that apparent patterns of subtest scores do not precisely match with the numerical score for the total test.

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