JAOA/AACOM Medical Education  |   April 2017
Evidence-Based Redesign of the COMLEX-USA Series
Author Notes
  • From the National Board of Osteopathic Medical Examiners in Conshohocken, Pennsylvania (Drs Gimpel, Horber, and Sandella), the University of North Texas Health Science Center in Fort Worth (Dr Knebl), and the Michigan State University College of Osteopathic Medicine in East Lansing (Dr Thornburg). 
  •  *Address correspondence to Dorothy Horber, PhD, National Board of Osteopathic Medical Examiners, 101 W Elm St, Ste 100, Conshohocken, PA 19428-2003. E-mail: dhorber@nbome.org
     
Article Information
Evidence-Based Medicine / Medical Education / Graduate Medical Education / COMLEX-USA
JAOA/AACOM Medical Education   |   April 2017
Evidence-Based Redesign of the COMLEX-USA Series
The Journal of the American Osteopathic Association, April 2017, Vol. 117, 253-261. doi:10.7556/jaoa.2017.043
The Journal of the American Osteopathic Association, April 2017, Vol. 117, 253-261. doi:10.7556/jaoa.2017.043
Abstract

To ensure that the Comprehensive Osteopathic Medical Licensing Examination-USA (COMLEX-USA) reflects the evolving practice of osteopathic medicine, the National Board of Osteopathic Medical Examiners has developed new content and format specifications for an enhanced, competency-based examination program to be implemented with COMLEX-USA Level 3 in 2018. This article summarizes the evidence-based design processes that served as the foundation for blueprint development and the evidence supporting its validity. An overview is provided of the blueprint’s 2 dimensions: Competency Domains and Clinical Presentations. The authors focus on the evidence that supports interpretation of test scores for the primary and intended purpose of COMLEX-USA, which is osteopathic physician licensure. Important secondary uses and the educational and catalytic effect of assessments are also described. This article concludes with the National Board of Osteopathic Medical Examiners’ plans to ensure that the COMLEX-USA series remains current and meets the needs of its stakeholders—the patients who seek care from osteopathic physicians.

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