Student Outcomes

See how SHSU-COM student doctors perform on board exams and with residency placements, and what these say about our mission in action.

At Sam Houston State University College of Osteopathic Medicine (SHSU-COM), student outcomes reflect our commitment to academic excellence, clinical readiness, and service to medically underserved communities.

SHSU-COM received full accreditation status from the Commission on Osteopathic College Accreditation (COCA) in April 2024, earning the distinction of Accreditation with Exceptional Outcomes – the highest accreditation possible, and valid for 10 years. For more details or to file a complaint, visit osteopathic.org/accreditation.

To learn more about our accreditation status and governing bodies, visit the Accreditation page.

Outcomes at a Glance

100% FIRST-TIME PASS RATE FOR COMLEX LEVEL 3 Among 2024 graduates who attempted the exam
58% GRADUATES MATCHED IN PRIMARY CARE Includes Family Med, Internal Med, Ob/Gyn, and Pediatrics
56% GRADUATES MATCHED IN TEXAS Across all specialties and match types

Student Outcomes by Cohort

As required by COCA Standards, the following table lists the COMLEX-USA (aka, “the boards”) first time pass rates and residency match rates by graduation cohort.
SHSU-COM Cohort - Graduation Year	COMLEX-USA Pass Rate (Level 1)	COMLEX-USA Pass Rate (Level 2)	COMLEX-USA Pass Rate (Level 3 ‡)	Match Results (Main and Military)	Match Results (Match Day)	Match Results (Total Placement)	Match Results (In Texas)	Match Results (In Primary Care †)	Placement Locations
2024	97.1%	97.1%	100%	91%	99%	100%	58%	62%	Report
2025	99.0%	-	-	95%	99%	99%	55%	56%	Report
2026	-	-	-	-	-	-	-	-	-

Note: While Level 1 and Level 2 pass rates are tied to student progression, Level 3 pass rates are reported by the NBOME based on the calendar year in which the exam is taken. Because students take Level 3 during residency at varying times post-graduation, Level 3 results listed below are aligned to the most closely associated graduation cohort for reporting purposes.

* First-time scores.
† FM, IM, Ob/Gyn, and Pediatrics.
‡ Level 3 results are reported by calendar year and may include graduates from multiple cohorts. As a result, Level 3 data is aligned with the most appropriate cohort for tracking and may not reflect a single graduating class.

Last updated 06/04/2025.