COMLEX Level 2-CE

The Level 2-CE exam demonstrates the student's ability to make appropriate medical diagnoses using patient history and findings recorded from physical examinations.

This examination draws on the student's knowledge of the following clinical specialties: emergency medicine, family medicine, internal medicine, obstetrics & gynecology, osteopathic principles, pediatrics, psychiatry and surgery.

The format of the Level 2-CE is similar to that of the Level 1 exam. It is an eight-hour exam broken into two, four-hour segments, with both segments administered on the same day.

COMLEX Level 2-PE

The Level 2-PE exam is administered at the NBOME’s National Center for Clinical Skills Testing located in Conshohocken, Pennsylvania (near Philadelphia).

Each candidate will see 12 "patients" over the course of a seven-hour day. The patients are actors who are trained to present clinical symptoms. The twelve standardized "patients" present distinct clinical symptoms, problems, or complaints that are commonly seen in a primary care osteopathic medical practice. Candidates must consider the patients' demographic and cultural profiles when developing their medical case. Symptoms or problems presented may be categorized as neuromusculoskeletal, respiratory, gastrointestinal, cardiovascular, or other.

According to the NBOME, candidates are evaluated for their clinical skills in the following areas of the biomedical/biomechanical domain:

  • Osteopathic Principles and/or Osteopathic Manipulative Treatment
  • History-taking and Physical Examination Skills
  • Integrated Differential Diagnosis and Clinical Problem-Solving
  • Written Communication and Synthesis of Clinical Findings (SOAP note format)

Candidates are also evaluated for their clinical skills in the following humanistic domain:

  • Physician-Patient Communication, Interpersonal Skills, and Professionalism

In order to pass the COMLEX Level 2-PE, a candidate must receive a passing score in the biomedical/biomechanical domain as well as in the humanistic domain.

COMLEX Level 3

The Level 3 exam demonstrates the candidate's ability to solve medical problems as an independent, practicing osteopathic generalist physician.

The format of the Level 3 exam is similar to that of the Level 1 and 2 exams. It is an eight-hour exam broken into two, four-hour segments, with both segments administered on the same day.

NBOME COMLEX Resources

The following resources will help you understand the tests in more depth, get some practice and even find online review courses to help improve your scores.

For more detailed information, including how to register for the COMLEX, visit the NBOME's "For Candidates" page. From there, you can review the Bulletin of Information.

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