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Relationship between academic achievement and COMLEX-USA Level 1 performance: a multisite study.

H H Baker1, R W Foster, B P Bates

  • 1West Virginia School of Osteopathic Medicine, Lewisburg 24901, USA. hbaker@wvsom.edu

The Journal of the American Osteopathic Association
|May 16, 2000
PubMed
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Academic performance in osteopathic medical school strongly predicts success on the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) Level 1. Higher academic standing correlated with higher pass rates and scores on the COMLEX-USA Level 1 exam.

Area of Science:

  • Medical Education
  • Licensing Examinations
  • Osteopathic Medicine

Background:

  • The Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) Level 1 is a critical assessment for osteopathic physicians.
  • Understanding predictors of COMLEX-USA Level 1 performance is essential for medical schools and students.
  • Previous research has explored various factors influencing licensing exam outcomes.

Purpose of the Study:

  • To investigate the association between academic performance during the first two years of osteopathic medical school and COMLEX-USA Level 1 scores.
  • To determine the predictive validity of academic classifications and grade point averages (GPAs) for COMLEX-USA Level 1 success.

Main Methods:

  • Analysis of data from 2,146 students across 18 American Osteopathic Association (AOA)-accredited colleges who took the June 1999 COMLEX-USA Level 1 examination.

Related Experiment Videos

  • Students were categorized by school representatives based on academic performance (top 20%, lowest 5%).
  • Correlations between COMLEX-USA Level 1 scores, GPAs, and faculty predictions of student pass/fail outcomes were calculated.

    • Main Results:

    • Students in the highest 20% academic group achieved a 100% pass rate on COMLEX-USA Level 1 (mean score: 599).
    • Students in the lowest 5% academic group had a 63.5% pass rate (mean score: 416.3).
    • Strong positive correlations were found between within-school GPAs and COMLEX-USA Level 1 scores (mean r = 0.79).

    Conclusions:

    • Early academic performance in osteopathic medical school is a significant predictor of COMLEX-USA Level 1 success.
    • Faculty predictions of student outcomes showed a tendency to overpredict failures.
    • Further research is warranted to understand the discrepancies in predicted versus actual COMLEX-USA Level 1 outcomes.