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There is no encompassing requirement to take the USMLE when applying for ACGME. Around 70% of ACGME programs already consider the comlex in light of the USMLE. Now that doesn't state preference as many PDs may still prefer DO applicants who take the USMLE but there is not study to back that claim.
If you go to a DO program, the comlex will be required no matter what. I am only aware of one 1 school (RVU) requires their students to take both Step 1 and Level 1.
The AOA and the group that will represent the AOA within the ACGME are trying very hard to provide all program directors with the tools to help quantify and learn the scores of the comlex.
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Thanks for the response, I didn't know that about the ACGME programs but it's good to know. Looks like I'll still end up taking the USMLE in addition to the COMLEX as I don't want to limit my options in any way possible. I've also heard from other students that some score better on one versus the other, so there's another reason for taking both. Annoying that the licensing exams won't be stream-lined but I won't have to worry about that for 2 years so I won't think about that for now.