Taking COMLEX - Should I bother with USMLE?

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daveyjwin

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I go to a DO school (of course) and I am already scheduled to take the COMLEX in May. I had originally planned on taking the USMLE, but now it's getting late to sign up, and I don't have a lot of money such that I can blow $500 on a test that may not be that important. Now, I'm pretty certain that I can get a 600 +/- 25 or points on the COMLEX. My key worry is that I will do well on the COMLEX, but average on the USMLE. So:

-If I do well on COMLEX, am I likely to do well on USMLE?
-If I do well on COMLEX, would it even matter if I took the USMLE?
-If I do well on COMLEX, but average on USMLE, how would that look?
-Should I take both? How would it help?
 
I've heard (I'm taking COMLEX & USMLE also this year) that if you are concerned about whether or not you would do well on the USMLE (looking for a gauge of your possible score on USMLE) is to take one or more of the NBME exams. I do know that the passing rate of DOs taking the USMLE is around 70%, so doing well on the COMLEX doesn't always turn out a decently good score on the USMLE.
 
-If I do well on COMLEX, would it even matter if I took the USMLE?


I've heard that DO residency's only look at your COMLEX score. Would we even have to put our USMLE score on our AOA application?



You should think about which residency programs your going to apply to and whether they require taking the USMLE or not.
 
I'd spend some time searching - you'll probably find more than you wanted to know, especially check out the specialty forums. Based on my limited experience, I would say that a lot of the answers to your questions seem to be fairly residency specific...ie I can think of a couple competitive allopathic programs that will take COMLEX, while other less competitive programs are not so DO friendly...it seems difficult to make generalizations.

I decided to take USMLE mainly because of geography - I'm interested in areas where there are few to no DO residencies ie. west of the Mississippi.

There are quite a few other reasons, but this is the easiest one to explain.

Bottom line, IMO - doing well the on the USMLE can only open up doors for you. In the grand scheme of things, that's well worth $600.

However, I would say that it is possible that you could do well on COMLEX and fare considerably less well on USMLE - only ~75% of OMS's that attempt USMLE even pass. The NBME mentioned above is a good idea to prevent this.
 
I go to a DO school (of course) and I am already scheduled to take the COMLEX in May. I had originally planned on taking the USMLE, but now it's getting late to sign up, and I don't have a lot of money such that I can blow $500 on a test that may not be that important. Now, I'm pretty certain that I can get a 600 +/- 25 or points on the COMLEX. My key worry is that I will do well on the COMLEX, but average on the USMLE. So:


-Should I take both? How would it help?

I cut and pasted the following from another thread....this advice is spot on in my opinion

Originally Posted by predodoc

"Ive posted my method for this decision below in other threads and I think it works, so read below. Also, some Deans and Professors will tell you that you dont need the usmle and to not take it because "other students have be accepted in that field w/o usmle". Most of the time they want you to take only comlex so that it will become "more accepted" or to encourage you to do a DO residency. The reality is that if you do well on usmle it will make you more competitive at any allopathic program. But if you do very poor or fail then It will probably hurt you more than if you just took comlex. So follow what I wrote below.

I would like to share what I think THE Method all DOs out there should use to make this decision.

I would say this fits 95%+ of DO's.


ALL DO's SHOULD take the USMLE UNLESS you fall into 1 of 3 three categories

1. You KNOW 100% that you want to do a primary care specialty.
or
2. You KNOW 100% that you want to do an Osteopathic residency (no matter what specialty you want to do)
or
3. You are in danger of failing/doing poor on USMLE(read below)

Most people don't know how they will do on USMLE before taking it, so if you fall under #3 then do the following:
1. Plan on taking both test and sign up for BOTH of them
2. About 1-2 months before the USMLE take either the NBME 2 or 3 practice test on the NBME website($45 each).
3. Decide if you think it is worth it to take the USMLE from your NBME score. You should probably make your cut off at 1 month be about 185-200 to be safe with a worth while score. If you make below that, its your call. Some people can bring their score up 30+points in a month, but some can only bring it up a little.
Bottom line is with a USMLE score below a 200 you probably wasted your time/money. Personally I would only consider it really worth it if you score 215+.
So you signed up for both and didnt make the "cut off" at 1 month, then call and cancel. I think you only loose about $50 by canceling within a certain amount of time.
So worst case scenario- you sign up for both, then do terrible on the NBME practice test, so you cancel and loose about $50 for canceling and $45 for the NBME test.
Best case scenario- YOU TOTALLY SURPRISE YOURSELF WITH HOW WELL YOU DID ON THE USMLE AND LAND AN AWESOME RESIDENCY."


-
If I do well on COMLEX, am I likely to do well on USMLE?
most likely...you've gotta take an NBME or 2 to know for sure

-
If I do well on COMLEX, would it even matter if I took the USMLE?
yes, depending on the residency program

-If I do well on COMLEX, but average on USMLE, how would that look?

if you do average...ie 215-220...thats alright....but I agree w/ the post above that having a good COMLEX w/ a crappy (but passing) USMLE will hurt you
 
I go to a DO school (of course) and I am already scheduled to take the COMLEX in May. I had originally planned on taking the USMLE, but now it's getting late to sign up, and I don't have a lot of money such that I can blow $500 on a test that may not be that important. Now, I'm pretty certain that I can get a 600 +/- 25 or points on the COMLEX. My key worry is that I will do well on the COMLEX, but average on the USMLE.
So:

-If I do well on COMLEX, am I likely to do well on USMLE?
Yes
-If I do well on COMLEX, would it even matter if I took the USMLE?
Yes
-If I do well on COMLEX, but average on USMLE, how would that look?
It won't make any difference to DO programs.
It will likely not make much difference to MD programs (though keep in mind several MD programs wouldn't have even considered your application if you didn't pass the USMLE to begin with).

-Should I take both?
My take on this answer...

Those who do NOT need to take the USMLE:
a) in the military and wants to match at a military residency
b) wants to go into pediatrics, psychiatry, OB/GYN or family medicine [or internal medicine at a non-competitive hospital AND not interested in sub-specializing in Cardiology or GI]
c) plan to do a residency at a DO hospital
d) plan to stay in the midwest (<-- specifically at a DO friendly hospital; note: this does not include Chicago)
e) most importantly someone that is positive they would do very poorly on the USMLE regardless of how much preparation they do (best way to figure this out is by taking a practice NBME)

Who I think SHOULD take the USMLE:
a) not in the military
b) wants the option to pursue a competitive field [radiology, derm, plastics, orthopedics, opthomology, ENT, urology]
c) wants to get into a university affiliated internal medicine spot to be in good standing for a competitive fellowship such as cardiology/GI... wants the best chance to match at most allopathic hospitals
d) wants to do a residency on the coastlines
e) most importantly is certain they would do well on the USMLE with the proper preparation

How would it help?
To be totally frank, this has more to do with helping the admissions committee make a fair and objective evaluation of every candidate. Many programs simply want to see that you were able to pass the USMLE. If a committee is on the fence about where to rank you versus another MD candidate, having a stronger USMLE score can make the difference. But just to state the obvious, in this scenario the USMLE would only help you IF you do well. If you do poorly on the USMLE (or worse, fail), then it will hurt your application at certain competitive locations.
 
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