Background:
Osteopathic medical students must take COMLEX-USA examinations for graduation and for licensure in many jurisdictions. COMLEX-USA is aligned with the educational pathway and curriculum for osteopathic students and evidence-based for the practice of osteopathic medicine. Historically, osteopathic students applying to ACGME-accredited residency programs were frequently advised to take USMLE examinations, in addition to their COMLEX-USA, to be competitive at some programs.