Arizona College of Osteopathic Medicine

Glendale, AZ Campus

COMLEX-USA Exam Policy

Arizona College of Osteopathic Medicine

Students must pass COMLEX-USA Level 1, COMLEX-USA Level 2 CE and COMLEX-USA Level 2 PE examinations to be eligible to graduate.

COMLEX-USA Pass Rate and Average Score 

Historical first-time pass rates and average scores by AZCOM students and graduates for COMLEX-USA Levels 1, 2 CE, 2 PE, and 3 can be found on the AZCOM Fast Facts webpage at www.midwestern.edu/programs-and-admission/az-osteopathic-medicine.html

COMLEX-USA Eligibility

Students must successfully complete all OMS II course requirements, and meet other requirements as established by the Office of the Dean, prior to being authorized to take COMLEX-USA Level 1. For those students authorized to take COMLEX-USA Level 1, the initial attempt to pass the examination must occur within the timeframe established by the Office of the Dean. Students begin clinical rotations while awaiting results of their first examination attempt.  

Students must pass the COMLEX-USA Level 1 examination and meet requirements as established by the Office of the Dean prior to taking COMLEX-USA Level 2 CE and Level 2 PE. For both the Level 2 CE and the Level 2 PE, the initial attempt at each examinaiton must be taken within the timeframe established by the Office of the Dean.

The AZCOM Dean must certify a student is in good academic and professional standing for a student to register for and take COMLEX-USA Levels 1, 2 CE and 2 PE. Per National Board of Osteopathic Medical Examiners (NBOME) requirements, the AZCOM Dean may not certify graduates to register for and take the COMLEX-USA Level 3, except under limited circumstances. 

The United States Medical Licensing Examination (USMLE) is not a substitute for any component of the COMLEX-USA examination, and does not fulfill a graduation requirement. 

COMLEX-USA Level 1

Any student who fails the COMLEX-USA Level 1 examination on the first attempt will be permitted to complete the clinical rotation in which he/she is participating at the time of the failure notification. The student will be required to complete a program of study as directed by the AZCOM Dean, or their designee, and may be placed on a mandatory academic leave (not to exceed 4 months) as outlined in the Student Promotions and Graduation Committee, Clinical (Promotions Committee) guidelines. The student will be placed on academic probation until the passing COMLEX-USA Level 1 score is received. 

Any student who fails the COMLEX-USA Level 1 examination a second time will be allowed to complete the clinical rotation in which he/she is participating at the time of failure notification. The student must meet with the Clinical Student Promotion and Graduation Committee, Clinical (Promotions Committee) to determine the most appropriate course of action for the third attempt. The student may be placed into a second directed study program and/or academic leave for a maximum of four months. Upon receipt of a passing score, the student may resume rotations on the next scheduled block.  

All retakes of COMLEX-USA Level 1 must be completed within one year of the date of the initial failure. At no time will the student be placed on mandatory or elective leave to prepare for COMLEX-USA Level 1 that will delay student progress to the extent that it would take more than six years from matriculation for him/her to complete the D.O. program. 

A student who fails COMLEX-USA Level 1 a third time will be dismissed. 

COMLEX-USA Level 2 CE or Level 2 PE 

Any student who fails the COMLEX-USA Level 2 CE or Level 2 PE examination (with no prior failures of any COMLEX-USA component) will be required to complete a program of study as directed by the AZCOM Dean, or their designee, and may be placed on mandatory academic leave (not to exceed 4 months) as outlined in the Student Promotions and Graduation Committee, Clinical (Promotions Committee) guidelines. If on an academic leave of absence, the student may resume rotations on the next scheduled block after he/she has taken the examination for the second time and is awaiting the results. 

Any student who fails COMLEX-USA Level 2 CE or Level 2 PE a second time (with no prior failures of any other COMLEX-USA component) will be referred to the Student Promotion and Graduation Committee, Clinical (Promotions Committee) to determine a course of action, which may include a mandatory academic leave of absence not to exceed 4 months in length. The student will be placed on academic probation until the examination is passed. The student may not return to rotations until a passing score is received. 

Any student who accumulates two COMLEX-USA failures (in any combination of levels/examinations) will be referred to the Student Promotion and Graduation Committee, Clinical (Promotions Committee) to determine a course of action. The Committee will review the student's academic record and use this information to decide whether the student may return to clinical rotations while awaiting the results of their retake, or if they may not return to rotations until a passing score is achieved. 

A student who accumulates three COMLEX-USA failures of the same level, or any combination of COMLEX-USA Levels 1, 2 CE or 2 PE examinations, will be dismissed.