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W.L. Roberts is director, Psychometrics/Research, Clinical Skills Testing, National Board of Osteopathic Medical Examiners, Conshohocken, Pennsylvania; ORCID: https://orcid.org/0000-0001-6175-8059. G.A. Gross is vice president, Clinical Skills Testing, National Board of Osteopathic Medical Examiners, Conshohocken, Pennsylvania. J.R. Gimpel is president and chief executive officer, National Board of Osteopathic Medical Examiners, Conshohocken, Pennsylvania. L.L. Smith is senior psychometrician, Clinical Skills Testing, National Board of Osteopathic Medical Examiners, Conshohocken, Pennsylvania. K. Arnhart is senior research analyst, Research and Data Integration, Federation of State Medical Boards, Euless, Texas. X. Pei is senior research analyst, Research and Data Integration, Federation of State Medical Boards, Euless, Texas. A. Young is assistant vice president, Research and Data Integration, Federation of State Medical Boards, Euless, Texas.
Published: June 2020
AI Article Synopsis
Article Abstract
Purpose: Passing the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) serves as a licensing requirement, yet there is limited understanding between this high-stakes exam and performance outcomes. This study examined the relationship between COMLEX-USA scores and disciplinary actions received by osteopathic physicians.
Method: Data for osteopathic physicians (N = 26,383) who graduated from medical school between 2004 and 2013 were analyzed using multinomial logistic regression to assess the relationship between COMLEX-USA scores and placement into one of 3 disciplinary action categories relative to no action received, controlling for years in practice and gender.
Results: Less than 1% of physicians in this study (n = 187) had a disciplinary action(s). Controlling for all COMLEX-USA levels, years in practice, and gender, higher Level 3 scores were associated with significant decreased odds for all action categories: revoked licensed (odds ratio [OR] = 0.51, 95% confidence interval [CI] 0.36, 0.72; P < .001), imposed limitations to practice (OR = 0.59, 95% CI 0.41, 0.84; P < .01), and other action imposed (OR = 0.48, 95% CI 0.33, 0.69; P < .001), relative to not receiving an action. In these same models, higher Level 2 Performance Evaluation Biomedical/Biomechanical Domain scores decreased the odds for an action that revoked a license (OR = 0.75, 95% CI 0.58, 0.98; P < .05) and imposed limitations to practice (OR = 0.64, 95% CI 0.49, 0.84; P < .001).
Conclusions: These findings provide evidence that the COMLEX-USA delivers useful information regarding the likelihood of a practitioner receiving state board disciplinary actions.
