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About COMLEX-USA Level 2-CE

Passing COMLEX-USA Level 2-Cognitive Evaluation (Level 2-CE) indicates that you have demonstrated competence in the clinical sciences and related physician competency domains for osteopathic medical care of patients as required to enter into supervised graduate medical education settings and to continue lifelong learning.

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Examination Description

COMLEX-USA Level 2-CE is a one-day, computer-based assessment that integrates application of knowledge in clinical and foundational biomedical sciences with other physician competencies related to the clinical care of patients and promoting health in supervised clinical settings. Specific content information can be found in the COMLEX-USA Master Blueprint. Familiarizing yourself with the Blueprint will help you anticipate the type of content you will encounter during your Level 2-CE exam.

Test Specifications

Competency domains assessed include osteopathic principles and practice, osteopathic patient care, application of osteopathic medical knowledge, practice-based learning and improvement, communication skills, professionalism and ethics, and systems-based practice.

Competency assessment occurs in the context of clinical and patient presentations and systems-based practice as required for entry into the supervised practice of osteopathic medicine as an independently practicing osteopathic generalist physician, and for readiness for lifelong learning and practice-based learning and improvement. 

Dimension 1 of the COMLEX-USA blueprint consists of seven competency domains. These consist of foundational abilities, representing the required elements and outcomes that define knowledge, skills, experience, attitudes, values, behaviors, and established professional standards an osteopathic physician should possess.

Dimension 1 Competency Domains Minimum % Level 2CE
1 Osteopathic Principles, Practice, and Manipulative Treatment 10%
2 Osteopathic Patient Care and Procedural Skills 30%
3 Application of Knowledge for Osteopathic Medical Practice 26%
3.1 Foundational Biomedical Sciences Knowledge Base 25%
4 Practice-Based Learning and Improvement in Osteopathic Medical Practice 7%
5 Interpersonal and Communication Skills in the Practice of Osteopathic Medicine 5%
6 Professionalism in the Practice of Osteopathic Medicine 7%
7 Systems-Based Practice in Osteopathic Medicine 5%

Dimension 2 consists of ten clinical presentations, which represent the manner in which a particular patient, group of patients, or community present for osteopathic medical care.

Dimension 2: Clinical Presentations Minimum % Level 2CE
1 Community Health and Patient Presentations Related to Wellness 12%
2 Human Development, Reproduction, and Sexuality 5%
3 Endocrine System and Metabolism 5%
4 Nervous System and Mental Health 10%
5 Musculoskeletal System 13%
6 Genitourinary/Renal System and Breasts 5%
7 Gastrointestinal System and Nutritional Health 10%
8 Circulatory and Hematologic Systems 10%
9 Respiratory System 10%
10 Integumentary System 5%

You Passed! What’s Next?

Usually, within four to six weeks of taking your exam, you will receive an email indicating that your score is ready for review.

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