Administered by the National Board of Osteopathic Medical Examiners (NBOME), the Comprehensive Osteopathic Medical Licensing examination (COMLEX-USA) is a three-level standardized licensure examination designed to assess the competencies essential for practice as an osteopathic physician.

All Texas College of Osteopathic Medicine (TCOM) students are required to take COMLEX Level 1 prior to entering clinical clerkships. All TCOM students are required to take COMLEX Level 2-CE at the beginning of Year 4 of the curriculum. COMLEX Level 3 is administered during the graduate medical education portion of their training. In order to graduate from the TCOM, students must successfully pass Level 1 and Level 2-CE.

Below is the first-time pass rate data for TCOM students and graduates. Pass rates are reported based on testing cycle.

Year Level 1 Level 2-CE Level 3
  UNT Health -
TCOM
National UNT Health -
TCOM
National UNT Health -
TCOM
National
2020 - 2021 97.4% 93.7% 98.2% 96.5% 100% 97.0%
2021 - 2022 97.8% 92.2% 94.4% 95.1% 99.6% 97.1%
2022 - 2023 93.4% 90.6% 96.3% 94.5% 99.5% 96.3%
2023 - 2024 94.0% 93.1% 97.8% 92.5% 96.4% 94.7%
2024 - 2025 97.4% 90.3% 93.5% 91.3% 97.8% 96.8%