Osteopathic Physician and Surgeon
Examination Requirements

Applications for Licensure by Examination are based on all parts of one or a specific combination of parts of the following licensing examinations:

United States Medical Licensing Examination (USMLE)

National Boards of Medical Examiners (NBME)

National Boards of Osteopathic Medical Examiners (NBOME)

Comprehensive Osteopathic Medical Licensing Examination - USA (COMLEX-USA)

Federation Licensing Examination (FLEX)

Licentiate of the Medical Council of Canada (LMCC)

A score of 75 must be achieved on all steps of the examination. A score of 75 must be achieved within four attempts on each step and all steps must be passed within seven years of passing the first examination.

You must request that official documentation of passing scores obtained on all parts of the licensing examination you took be sent directly from the official repository of scores to this office.

Following is a list of the official repository for scores for all of the accepted examinations, including phone number and website:

USMLE and FLEX contact FSMB at (817) 868-4000 website at www.fsmb.org

NBME (215) 590-9592 website at www.nbme.org

NBOME and COMLEX (773) 714-0622 website at www.nbome.com

LMCC (613) 521-6012 website at www.mcc.ca/english/registration/

Applications for Licensure by Reciprocity are most often based on a State Board Examination. (If you have taken any of the exams listed above you probably do NOT qualify for Reciprocity.) These individuals must also meet all other requirements for licensure by examination. The Board of Medicine and Surgery will review the requirements under which you were licensed in the other state for comparability with Nebraska requirements. Please have the state in which you took the Board examination forward your scores and the requirements in effect at the time of your licensure to this office. In addition to having taken a State Board Examination, the applicant by reciprocity is required to have either practiced or been in an approved postgraduate education program for at least one out of the last three years.