News in Brief

New and improved: NBOME’s Residency Program Director’s Guide to COMLEX-USA

The newly updated version of this guide explains how COMLEX-USA scores can help in evaluating residency program applicants.


The National Board of Osteopathic Medical Examiners recently updated its Residency Program Director’s Guide to the COMLEX-USA.

The guide informs Accreditation Council for Graduate Medical Education (ACGME) program directors, program coordinators and other members of the graduate and undergraduate medical community about how COMLEX-USA scores can help in evaluating residency program applicants.

Included in the guide is an easy-to-use score converter that converts a three-digit COMLEX-USA score to a percentile rank and evidence of the validity and score concordance of COMLEX-USA.

New peer-reviewed articles included in the guide cover the use of COMLEX-USA and USMLE for residency applicant selection as well as the predictive validity of NBOME’s COMLEX-USA regarding outcomes of American Board of Family Medicine examinations.

One comment

  1. Dr. Bob, DO

    The COMLEX needs to go. With a single accreditation system, there is no need for two exams. The COMLEX exam is poorly written and inferior. Furthermore, DO students are still the minority of medical students so it would be logical switch to USMLE. There is nothing difficult about interpreting either USMLE or COMLEX scores against other USMLE or COMLEX scores, respectively. The difference is comparing a 240 USMLE vs 625 COMLEX, this is difficult and where bias comes into play. An MD is likely to choose an allopathic applicant and a DO is likely to choose an osteopathic applicant. The NBOME is corrupt at its core; they have no evidence that anything they actually do “protect the public” which is their mission statement. This is especially true for the Level 2 PE (analogous to USMLE Step 2 CS).

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