College of Osteopathic Medicine COMLEX Pass and Graduation Placement Rates

Policy regarding methods used to collect and review information on student outcomes and licensure pass rates: Data regarding student pass rates on licensure exams is collected annually from national licensing bodies and is posted to LECOM’s website. This information is collected and reviewed by the Dean of each respective program and the Provost of the institution. Once the data has been reviewed and confirmed, it is approved by the Office of Communications and Marketing for use on the website, as well as in recruitment materials.

The Commission on Osteopathic College Accreditation (COCA) provides Accreditation of Colleges of Osteopathic Medicine: COM Continuing Accreditation Standards that each College of Medicine is required to follow.  The latest update of these Standards was September 26, 2023.  Two Elements of the Standards require publication of outcomes:  Element 11.4a: COMLEX-USA and Element 11.4b GME Placement Rates.  These data are included below.

Element 11.4a:  COMLEX-USA

Prior to graduation, all students must demonstrate osteopathic medical knowledge and osteopathic clinical skills by passing the Comprehensive Osteopathic Medical Licensing Examination of the United States (COMLEX-USA) undergraduate examinations (Level 1 and Level 2) and meeting a national standard for osteopathic clinical skills competency.

The COM must continually publish to the public the first-time pass rates for all students in each of the competency assessments in the COMLEX-USA examination series (Level 1, Level 2, and Level 3) as reported by the NBOME. COMs must update their public websites within 30 days of receiving their annual update for each COMLEX-USA level testing cycle.

Element 11.4b: GME Placement Rates

A COM must continually publish publicly the placement rates of its students in graduate medical education programs.  A COM must make available by request four years of student GME placement rates including, at aminimum, race/ethnicity and gender demographic data. The mechanism to request this data must be published and easily identifiable on the COM’s website. When applicable, for any value less than ten, the COM should indicate that value as “less than 10” in place of the value.LECOM has three campuses with COMLEX data and graduates.

LECOM Campuses’ COMLEX data structure based on AOA-COCA classification:

The LECOM at Seton Hill campus, located in Greensburg, PA is an additional location of LECOM Erie, as is the LECOM at Elmira campus in Elmira, NY. As additional locations, all student-related data is included with the LECOM Erie campus data. LECOM at Elmira matriculated its first class in fall 2020, so these students are first included in the Erie data for COMLEX Level 1 in the 2022-23 test cycle. LECOM Bradenton in Bradenton, FL is a branch campus and their student-related data is presented separate from the Erie campus data.

The following information is presented as LECOM’s response to Element 11.4a: COMLEX-USA.

What are the COMLEX exams?

All Osteopathic medical students are required to take COMLEX Levels 1, 2, and 3.  The National Board of Osteopathic Medical Examiners (NBOME) website ( provides the following description of the COMLEX Exams:

“COMLEX-USA (Comprehensive Osteopathic Medical Licensing Examination of the United States) is a three-level, national standardized licensure examination designed for licensure for the practice of osteopathic medicine. COMLEX-USA is designed to assess osteopathic medical knowledge, knowledge fluency, clinical skills, and other competencies essential for practice as an osteopathic generalist physician. It is also a graduation requirement for attaining a DO (Doctor of Osteopathic Medicine) degree from colleges of osteopathic medicine in the United States, and for entry into and promotion within graduate medical education (residency) training programs.” For additional information on the NBOME and COMLEX exams, please refer to the website.

Students take the COMLEX Level 1 following completion of their second year and Level 2 after the completion of their third year. Level 3 must be taken after graduation and during GME residency.

LECOM Comlex Performance Summary:


First time pass rate for testing cycles for years 2019/20 to 2022/23



First time pass rate for testing cycles for years 2019/20 to 2022/23


COMLEX LEVEL 2 PE (Performance Evaluation) BOARD PASS RATES

First time pass rate for testing cycles for years 2016/17 to 2019/20


*COMLEX Level 2PE was suspended by the National Board of Osteopathic Medical Examiners in 2020. The AOA-COCA Element 6.12 has not yet been updated to reflect this change.


First time pass rate for testing cycles for years 2018/19 to to 2022


COMLEX-USA Level 3 must be taken after a student has graduated and entered residency. Each residency program determines any requirements for preparation and may set the date when the exam must be taken.

The following information presented as LECOM’s response to Element 11.4b: GME Placement Rates

The placement rate must be calculated by dividing the number of students who entered into a PGY-1 position by the number of students that applied to enter into a PGY-1 position. View the detailed match information.

No. of Graduates552561555539546
Not seeking GME10710610
No. Seeking GME542554545533536
AOA Match & Scramble25621695n/an/a
ACGME Match & SOAP263307428488511
Other Match143116
No. Unmatched10045
Placement Rate99.8%100%100%99.3%99.1%