COMLEX-USA Exam Policy
Students must pass COMLEX-USA Level 1, Level 2-Cognitive Evaluation (CE) and Level 2-Physical Evaluation (PE) examinations in order to graduate.

COMLEX-USA Pass Rate and Average Exam Scores

Historical first-time pass rates and average exam scores by CCOM students and graduates for COMLEX-USA Levels 1, 2-CE, 2-PE, and 3 can be found on the CCOM webpage at https://www.midwestern.edu/academics/degrees-and-programs/doctor-of-osteopathic-medicine-il.xml

COMLEX-USA Eligibility

The CCOM Dean must certify a student is in good academic and professional standing for a student to register for and take COMLEX-USA Levels 1, 2CE and 2PE.

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 the Level 1 exam, 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 Level 2 CE and Level 2 PE.  For both the Level 2 CE and the Level 2 PE, the initial attempt at each examination must be taken within the timeframe established by the Office of the Dean.

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.

Per the National Board of Osteopathic Medical Examiners (NBOME) requirements, the CCOM Dean may not certify graduates to register for and take the COMLEX-USA Level 3 except under limited circumstances.

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 failure notification. The student will be required to complete a program of study as directed by the CCOM Dean's designee and may be placed on mandatory academic leave (not to exceed 4 months) as outlined in the 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 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 the COMLEX-USA Level 1 must be completed within one year of the initial failure date.  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 the COMLEX-USA Level 1 a third time will be dismissed.

COMLEX Level 2 CE or Level 2 PE

Any student who fails the COMLEX-USA Level 2 CE or Level 2 PE (with no prior failures of any COMLEX-USA component) will be required to complete a program of study as directed by the CCOM Dean or their designee and may be placed on mandatory academic leave (not to exceed 4 months) as outlined in the 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 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 on the next scheduled block until a passing score is received. At no time will the student be placed on mandatory or elective leave to prepare for COMLEX-USA Level 2 CE or PE 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.

Any student who accumulates two COMLEX-USA failures in any combination of levels/examinations will be referred to the 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 in any combination of COMLEX-USA Levels 1, 2 CE or 2 PE examinations will be recommended for dismissal.