According to the 2010 NBOME Annual Report the NBOME undertook an objective evaluation of more than 200 item writers and case authors who contributed to all levels of the COMLEX-USA examinations in 2010 while making its 2010 Item Writer of the Year selections.

The COMLEX-USA examination sequence is currently accepted for licensure in 50 states, and is used as an accreditation requirement for all schools and colleges of osteopathic medicine by the Commission on Accreditation of Colleges of Osteopathic Medicine of the

American Osteopathic Association

.