LUCOM student-doctors should be familiar with the following boards and exams offered by the National Board of Osteopathic Medical Examiners (NBOME).

COMSAEComprehensive Osteopathic Medical Self-Assessment Examination (COMSAE)

The COMSAE is a self-assessment examination for osteopathic student-doctors to gauge the base of their knowledge and ability as they prepare to take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA). A passing score on COMSAE is required for LUCOM student-doctors to be eligible to sit for COMLEX Level 1.

The cost of the student’s first COMSAE exam is covered by the student’s tuition. Failure of the first COMSAE exam will cause the student to pay out-of-pocket for a new COMSAE exam.

Additional information on LUCOM’s COMSAE requirements can be found within the Student Handbook under Academic Documents.

Need additional information on registration and specific dates related to the COMSAE? Email the LUCOM Office of the Registrar at


COMLEX Levels 1, 2 PE, and 2 CE

The COMLEX-USA examination series is designed to assess the osteopathic medical knowledge and clinical skills considered essential for osteopathic generalist physicians to practice osteopathic medicine. All student-doctors are required to pass COMLEX Level 1 and both components of COMLEX Level 2 examinations (CE and PE) to graduate from the COM. A student-doctor may take the COMLEX Level 1 and Level 2 examinations of the NBOME any time the examination is offered after a student-doctor becomes eligible.

The cost of the student-doctor’s COMLEX exams is an out-of-pocket cost and is not covered by tuition.

Eligibility stipulations and additional information is discussed in further detail within the Student Handbook under Academic Documents.

USMLEUnited States Medical Licensing Examination (USMLE)

The USMLE assesses a physician's ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills, that are important in health and disease and that constitute the basis of safe and effective patient care. The USMLE is an optional comprehensive exam provided by the NBOME which can provide resident application reviewers with more information on the LUCOM student-doctor’s knowledge and skills. The core benefit in taking this optional exam is to provide a competitive advantage to students applying for highly competitive residencies. The cost of the student-doctor’s USMLE exam(s) is an out-of-pocket cost and is not covered by tuition.

For more information, visit USMLE.

Have a concern or question about boards? Contact the LUCOM Office of the Registrar via email at or call (434) 592-5200.