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  • sdadmin
    Keymaster
    September 21, 2018 at 11:08 am #1508
    1. WHEREAS, to be a fully practicing osteopathic physician the Comprehensive Medical Licensing
    2. Examination (COMLEX) is required; and
    1. WHEREAS, licensing exam performance is also used to choose applicants for residencies; and
    1. WHEREAS, osteopathic medical students have the perception that they should take both COMLEX and
    2. United States Medical Licensing (USMLE) to match into residency1; and
    1. WHEREAS, osteopathic medical students further believe they are limiting their residency options by
    2. not taking the USMLE exam1; and
    1. WHEREAS, the two above perceptions are reinforced by the osteopathic community by publishing on
    2. the AOA website students should consider to take both COMLEX and USMLE exams2; and
    1. WHEREAS, osteopathic students who reported USMLE scores were more likely to match to
    2. Emergency Medicine residencies3; and
    1. WHEREAS, mean National Board of Medical Examiners- Comprehensive Basic Science Exam
    2. (NBME-CBSE) score of students in a study could not be statistically distinguished from that of the
    3. national cohort of MD4; and
    1. WHEREAS, historical COMLEX Level 1 to USMLE Step 1 score conversion formulas used are not
    2. accurate; and
    1. WHEREAS, the most widely used conversion formula would convert a COMLEX Level 1 score of
    2. 500, 50th percentile, to a 188 USMLE Step 1 score of 188, 5th percentile5; and
    1. WHEREAS, osteopathic students spend additional $610 to register for USMLE Step 1, as of 20186, not
    2. to mention additional money spent on board preparation materials specific to USMLE Step 1; and
    1. WHEREAS, the single accreditation merger of the AOA and ACGME means that residency directors
    2. will review an increasing number of applications with COMLEX scores; now, therefore, be it
    1. RESOLVED, that the Student Osteopathic Medical Association (SOMA) lobby the AOA to discourage
    2. residency directors’ use of COMLEX and USMLE score conversion formulas; and, be it further
    1. RESOLVED, that SOMA lobby the AOA to make an educational session about COMLEX scores
    2. interpretation mandatory for residency programs in order to attain Single Accreditation

    References

    1. Hasty, R. T., Snyder, S., Suciu, G. P., & Moskow, J. M. (2012). Graduating Osteopathic Medical Students’ Perceptions and Recommendations on the Decision to Take the United States Medical Licensing Examination. The Journal of the American Osteopathic Association, 112(2), 83–89. https://doi.org/10.7556/JAOA.2012.112.2.83
    2. AOA. (2018). Students & Single GME | American Osteopathic Association. Retrieved July 20, 2018, from https://osteopathic.org/students/resources/single-gme/
    3. Weizberg, M., Kass, D., Hussains, A., Cohen, J., & Hahn, B. (2014). Should Osteopathic Students Applying to Allopathic Emergency Medicine Programs Take the USMLE Exam? Western Journal of Emergency Medicine, 15(1), 101–106. https://doi.org/10.5811/westjem.2013.8.16169
    4. Davis, G. E., & Gayer, G. G. (2017). Comparison of Basic Science Knowledge Between DO and MD Students. The Journal of the American Osteopathic Association, 117(2), 114. https://doi.org/10.7556/jaoa.2017.022
    5. Parikh, S. P., & Shiembob, C. A. (2010). New COMLEX-USA-to-USMLE Conversion Formula Needed. The Journal of the American Osteopathic Association, 110(7), 400–401. https://doi.org/10.7556/JAOA.2010.110.7.400
    6. USMLE Exam Fees | NBME. (n.d.). Retrieved September 14, 2018, from https://www.nbme.org/students/examfees.html

    7. Submitted by:
      Jordan Johnstone, OMS II, Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest
      Kali Chiriboga, OMS II, Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest
      Matthew LaPlante, OMS II, Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest

      Action Taken:

      Date:

      Effective Time Period: Ongoing

  1. Harris Ahmed
    BCOM
    Posts:
    October 3, 2018 at 1:42 pm #1965

    The goal should be to eliminate the COMLEX, make it pass/fail, or to replace its role as a licensing exam to an exit exam for DO medical students. MD and DO students should be held to the same uniform standard of the USMLE exam. We will not be successful advocating for the COMLEX being viewed with equal footing.