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  • sdadmin
    Keymaster
    February 20, 2019 at 1:39 pm #2290
    1. WHEREAS, to be a fully practicing osteopathic physician 1 the Comprehensive Medical
    2. Licensing 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
    2. COMLEX and United States Medical Licensing Examination (USMLE) to match into
    3. residency1; and
    1. WHEREAS, osteopathic medical students further believe they are limiting their residency
    2. options by not taking the USMLE1; and
    1. WHEREAS, the two above perceptions are reinforced by the osteopathic community by
    2. publishing on the AOA website students should consider taking both COMLEX and USMLE2;
    3. 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 (NBME)- Comprehensive Basic
    2. Science Exam (NBME-CBSE) score of osteopathic medical students in a study could not be
    3. statistically distinguished from that of the national cohort of allopathic medical students4; and
    1. WHEREAS, historical COMLEX Level 1 to USMLE Step 1 score conversion formulas used are
    2. not accurate5; and
    1. WHEREAS, the most widely used conversion formula would convert a COMLEX Level 1 score
    2. of 500, 50th percentile, to a USMLE Step 1 score of 188, 5th percentile5; and
    1. WHEREAS, osteopathic students spend an additional $610 to register for USMLE Step 1 as of
    2. 20186, not to mention additional money spent on board preparation materials specific to USMLE
    3. Step 1; and
    1. WHEREAS, moving to a single accreditation system of the AOA and Accreditation Council for
    2. Graduate Medical Education (ACGME) means that residency directors will review an increasing
    3. number of applications with COMLEX scores; and
    1. WHEREAS, on November 13th, 2018 the American Medical Association (AMA) passed
    2. Resolution 955 – Equality for COMLEX and USMLE, which promotes “equal acceptance of the
    3. USMLE and COMLEX at all United States residency programs7;” and
    1. WHEREAS, Resolution 955 encourages the AMA to work with the AOA, ACGME, NBME,
    2. National Board of Osteopathic Medical Examiners (NBOME), and the Association of American
    3. Medical Colleges (AAMC), to educate residency program directors 32 on the interpretation of
    4. COMPLEX scores7; and
    1. WHEREAS, Resolution 955 further promotes higher COMLEX utilization with residency
    2. program matches7; now, therefore, be it
    1. RESOLVED, that the Student Osteopathic Medical Association (SOMA) encourages the AOA
    2. to support the AMA in Resolution 955 during the transition to a single accreditation system; and,
    3. be it further
    1. RESOLVED, that SOMA encourages the AOA to invest in continued education of ACGME
    2. residency program directors; and, be it further
    1. RESOLVED, that SOMA encourages the AOA to promote higher utilization of COMLEX
    2. scores within all United States residency programs; and, be it further
    1. RESOLVED, that SOMA encourages the AOA to work alongside the AMA to improve
    2. interpretation of the COMLEX and promote equal acceptance of the COMLEX and USMLE in
    3. evaluating residency applicants.

    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 (CONFIRM LINK)
    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 (CONFIRM LINK)
    6. USMLE Exam Fees | NBME. (n.d.). Retrieved September 14, 2018, from https://www.nbme.org/students/examfees.html
    7. American Medical Association. (2018). The grading policy for medical licensure examinations. (AMA policy H-275.953).

    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
    Gabrielle Chang, OMS I – Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest
    Whitley Nelson, OMS I – Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest
    Andrew Cox, OMS I – Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest
    Steven Gay, OMS I – Western University of Health Sciences College of Osteopathic Medicine of the Pacific-Northwest

    Action Taken:

    Date:

    Effective Time Period: Ongoing

  1. Daniel Sunderland
    LECOM at Seton Hill
    Posts:
    February 22, 2019 at 11:26 am #2405

    I disagree with this resolution because it inherently supports the idea that two tests are necessary going forward, despite the Match merger. Having two tests puts significant financial and academic burdens on DO students which simply do not exist for our MD counterparts. Though AMA recently declared COMLEX and USMLE equivalent, it is unrealistic to expect program directors to change decades-long and scientifically documented discrimination against COMLEX scores within the next few years. Every year where this discrimination exists is another class-year of DO students who face unfair burdens. This is why there should be one test for all medical students with an osteopathic supplement for DO programs. Increasing education about COMLEX equivalency will not remove the extra burdens of taking two tests (done as a safety measure against bias), nor decrease the anti-COMLEX bias instantly. We need to focus on making one centralized testing system.