To compare the medical knowledge and reasoning of osteopathic medical students in the Health Professions Scholarship Program (HPSP) with corresponding civilian students, we analyzed their performance on the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) levels 1 and 2. The results from this study showed no significant difference between that HPSP medical students (COMLEX-USA level 1, N = 37; COMLEX-USA level 2, N = 34) and civilian students (COMLEX-USA level 1, N = 507; COMLEX-USA level 2, N = 492) on COMLEX-USA level 1 (p = 0.24) and COMLEX-USA level 2 (p = 0.50). Moreover, no significant difference was observed between Air Force (COMLEX-USA level 1, N = 8; COMLEX-USA level 2, N = 6), Army (COMLEX-USA level 1, N = 13; COMLEX-USA level 2, N = 13), and Navy (COMLEX-USA level 1, N = 16; COMLEX-USA level 2, N = 15) HPSP students for COMLEX-USA level 1 (p = 0.42) and COMLEX-USA level 2 (p = 0.75). Therefore, we conclude that, upon graduation from medical school, the medical knowledge and reasoning of HPSP osteopathic graduates as determined by COMLEX-USA are equivalent to those of their civilian counterparts.
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J Grad Med Educ
December 2024
is Core Faculty, Department of Emergency Medicine, Allegheny Health Network, Erie, Pennsylvania, USA.
J Osteopath Med
January 2025
Senior Director of MCAT Science Strategy and Solutions, Association of American Medical Colleges, Washington, DC, USA.
Context: Osteopathic (Doctor of Osteopathic Medicine [DO]) medical students account for more than 25 % of all medical students in the United States.
Objectives: This study examined the predictive validity of Medical College Admission Test (MCAT) total scores and cumulative undergraduate grade point averages (UGPAs) for performance on the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) Level 1 and Level 2-CE (Cognitive Evaluation) licensure examinations administered by the National Board of Osteopathic Medical Examiners (NBOME). Additionally, the study examined the degree to which MCAT total scores and UGPAs provide comparable prediction of student performance by key sociodemographic variables.
Purpose: The United States Medical Licensing Examination (USMLE) and Comprehensive Osteopathic Medical Licensing Examination (COMLEX) scores are standard methods used to determine residency candidates' medical knowledge. The authors were interested in using the USMLE and COMLEX part 2 scores in our emergency medicine (EM) residency program to identify at-risk residents who may have difficulty on the in-training exam (ITE) and to determine the cutoff values under which an intern could be given an individualized study plan to ensure medical knowledge competency.
Methods: The authors abstracted the USMLE and COMLEX part 2 scores and the American Board of Emergency Medicine (ABEM) ITE scores for a cohort of first-year EM residents graduating years 2010-2022, converting raw scores to percentiles, and compared part 2 and ABEM ITE scores with Pearson's correlation, a Bland-Altman analysis of bias and 95% limits of agreement, and ROC analysis to determine optimal the cut-off values for predicting ABEM ITE < 50 percentile and the estimated test characteristics.
J Osteopath Med
June 2024
159673 National Board of Osteopathic Medical Examiners , Chicago, IL, USA.
Context: The National Board of Osteopathic Medical Examiners (NBOME) administers the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA), a three-level examination designed for licensure for the practice of osteopathic medicine. The examination design for COMLEX-USA Level 3 (L3) was changed in September 2018 to a two-day computer-based examination with two components: a multiple-choice question (MCQ) component with single best answer and a clinical decision-making (CDM) case component with extended multiple-choice (EMC) and short answer (SA) questions. Continued validation of the L3 examination, especially with the new design, is essential for the appropriate interpretation and use of the test scores.
View Article and Find Full Text PDFJ Surg Educ
March 2024
Cleveland Clinic South Pointe Hospital, Warrensville Heights, Ohio.
Objective: To examine the effects of single accreditation and pass/fail licensing exams on osteopathic (DO) medical students applying for surgical residency.
Design: Electronic surveys were distributed to 1509 program directors (PD) in 10 surgical specialties. PDs were separated into 2categories based on their program's accreditation status prior to single accreditation: formerly accredited by the American Osteopathic Association (AOA) or not accredited by the AOA.
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