RESOURCE GOVERNANCE + INTEGRATED WEEKLY OPERATING SYSTEM

YEAR 2 | PAGE 58D - TOP 10 + 10 RESOURCE DECISIONS + COMLEX/OMM MASTERY GATE

familiarity should tell a consistent story.

Cadence	Biomedical core	COMLEX / OMM layer
Daily 3x/week	Mixed or current-system questions; targeted mechanism/pathology repair only when errors justify it. Maintain weak biomedical concepts with short active recall.	Small COMLEX-style set or competency tagging; record OPP/communication/professionalism/system errors separately. 15-30 min OMM retrieval: diagnosis/mechanics; autonomics/Chapman; technique/safety.
Weekly	One larger timed mixed block + error-log review.	Hands-on lab retrieval when feasible + one COMLEX-style mixed set emphasizing osteopathic integration.

Periodic Use Qbank trend and weak-domain stability. COMSAE/school-required calibration; review domain profile, not just total result.

#	Scenario	Best response
1 2	Biomedical Qbank strong; OPP misses recur. Two full content courses cover the same systems.	Maintain biomedical questions; shift repair time to OPP retrieval + COMLEX OPP questions + lab feedback. Choose one primary structured course; keep the other only for targeted repair.
3 4	Can recite sacral labels but reverses motion logic. Technique setup remembered; contraindication missed.	Return to ease/barrier + school diagnostic sequence before technique memorization. Rebuild the family as mechanism + indication + contraindication + reassessment.
5 6	Viscerosomatic clue conflicts with dangerous conventional diagnosis. Video watched repeatedly; lab performance inconsistent.	Prioritize standard urgent evaluation; OPP clue is adjunctive, not a replacement. Stop passive rewatching; seek supervised partner/faculty correction on the unstable step.
7 8	TrueLearn percentage rising; same error type repeats. OMM scheduled only for final week.	Change remediation method and retest with new delayed questions; percentage alone is not stability. Move to the 3x/week spiral and attach OPP to current systems now.
9	One COMSAE strong; OPP domain and school practical weak.	Treat readiness as discordant; repair the weak signals before relying on the total score.

10 Resource list keeps expanding near the exam. Freeze broad resources; use questions, error log, targeted repair and official-format rehearsal.

Can move from presentation -> structural/autonomic clue -> osteopathic diagnosis -> safe technique class while preserving conventional diagnostic priority.
Can retrieve major regional biomechanics, autonomics/viscerosomatics, Chapman associations and technique contraindications without relying on isolated setup mnemonics.
Can distinguish conceptual board mastery from supervised manual-skill competency and use the school OMM lab for the latter.

Can interpret COMLEX-style and COMSAE/school data by error/domain type, then verify repair with new delayed questions.

Resource	Description	Link
TrueLearn COMLEX	- COMLEX-formatted question transfer	Open →
COMSAE Phase 1	- blueprint-aligned self-assessment	Open →
COMLEX-USA Level 1	- current official overview/specifications	Open →
COMAT Clinical - OPP	- dedicated OPP clinical blueprint 2026/27 COMLEX Level 1 resource + OMM expanded edition - verify current NBOME and school guidance before testing	Open →