Received: 13 October 2020
Accepted: 4 January 2021
First Online: 21 January 2021
Ethics approval and consent to participate
: <b>Ethical approval statement</b>: Our research project of “Using Simulation Modeling to Predict Failure on COMLEX 1 and 2 at First Attempt Through a Longitudinal Investigation” was approved by IRB committee of Rocky Vista University College of Osteopathic Medicine (RVUCOM), and the IRB number was IRB #2019-0079. IRB determined the study was exempt.<b>Accordance statement for guidelines</b>: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.<b>Informed consent statement</b>: The waiver was obtained for informed consent from IRB committee of RVUCOM.
: Not applicable.
: The authors declare no competing interests.