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Student Doctors Prepping for COMLEX COMLEX 2


Exam Prep

Demonstrate your clinical knowledge

COMLEX-USA Level 2-CE emphasizes the medical concepts and principles necessary for providing osteopathic medical care to patients.

It is typically completed during the third or fourth year of medical school and:

  • Assesses your clinical skills and problem-solving techniques through the lens of the osteopathic philosophy

You can prepare for COMLEX-USA Level 2-CE using self-assessment tools such as COMSAE or WelCOM or through practice exams. Learn more on the NBOME website.

The NBOME’s Road to DO Licensure is also designed to help you prepare for COMLEX-USA and to hear directly from others who have taken the test previously.

The two parts of the Level 2 exam can be taken in any order, but both must be completed before you can take Level 3. Here’s how to prepare for COMLEX 2:


  • Pass COMLEX-USA Level 1.
  • Complete your second year of study at an accredited college of osteopathic medicine.
  • Your COM must provide attestation that you are a student in good standing.

Exam Registration

Visit the NBOME website to register, submit payment and schedule COMLEX-USA Level 2-CE. If you have trouble registering, contact the Dean’s Office of your school because eligibility is initiated by your dean through a secure web page.

Be sure to read the Bulletin of Information before registering for the test. The NBOME has strict regulations regarding confidentiality and test-taker conduct prior to, during and after the administration of any COMLEX-USA examination.

On Exam Day

The exam is administered over two four-hour sessions in one day. Each question tests your ability to make problem- and symptom-based assessments. You have the option of two 10-minutes breaks as well as an optional 40-minute lunch break.

For more on what to expect on Exam Day, visit the NBOME website. Learn more about exam content in the COMLEX-USA Level 2-CE Blueprint.

After the Exam

You’ll need to pass COMLEX-USA Level 2-CE in order to advance in the examination series. A passing score is based on how many questions you answer correctly on the total examination, not individual content areas. Note that scores are not adjusted or based on any curve due to the performance of others who tested at or about the same time.

You will receive an email providing access to your scores approximately one month after the exam. The minimum passing score for COMLEX-USA Level 2-CE is 400.

Visit NBOME for more information on examination scoring.

Level 2-PE

Please note that COMLEX-USA Level 2-PE has been indefinitely suspended. The NBOME continues to explore other avenues to assess clinical skills in future osteopathic physicians.

The Special Commission on Osteopathic Medical Licensure Assessment, which comprises individuals from across the profession, is tasked with determining how the COMLEX-USA examination series can best address the rapidly changing needs of the osteopathic profession and of healthcare in general.

  • Pro Tip: To convert your score from three digits to a two-digit percentile, open NBOME's Percentile Score Converter and enter your three-digit score. Next select the examination level and testing cycle of the exam before pressing the Convert button.

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