Physician-led · 1-on-1 · Live video online
Online, one-on-one board prep for A. T. Still University Kirksville College of Osteopathic Medicine students.
$349 per 50-minute session
Kirksville has one medical school, A. T. Still University Kirksville College of Osteopathic Medicine (ATSU-KCOM), a private DO college founded in 1892 whose main campus is here (school list). Missouri's only other DO college, Kansas City University College of Osteopathic Medicine, is based in Kansas City (school list).
Kirksville's one hospital on the CMS teaching hospital list is Northeast Regional Medical Center, at 315 South Osteopathy (CMS teaching hospital list). The NPPES registry lists 204 trainee registrations in Kirksville; among the core clerkship specialties, family medicine (64) and internal medicine (31) are largest, while pediatrics and OB/GYN have one each (NPPES NPI Registry).
Sources: A.T. Still University, KCOM student outcomes (checked October 29, 2026); ATSU-KCOM, Founding School of Osteopathy (checked November 1, 2026); ATSU-KCOM, Curriculum organization (checked November 1, 2026); ATSU-KCOM, Postgraduate Placement (checked November 1, 2026); ATSU News, ATSU-KCOM honors class of 2030 with White Coat Ceremony (checked November 1, 2026).
Kirksville is where the profession started. Andrew Taylor Still, DO, founded the college here in 1892, and it became the first institution of osteopathic education in the world (ATSU-KCOM). The campus still holds the Museum of Osteopathic Medicine beside ATSU's Gutensohn Clinic, the A.T. Still Research Institute and Northeast Regional Medical Center (ATSU-KCOM).
Each new class starts the same way. On July 11, 2026, ATSU-KCOM welcomed 168 members of the class of 2030 with a White Coat Ceremony at Truman State University's Baldwin Hall (ATSU News). For them the first board exam ahead is COMLEX Level 1.
The DO curriculum opens with Foundations of Medicine, a semester on the scientific principles behind clinical practice, and then moves to a patient-centered, systems-based model (ATSU-KCOM curriculum). Those campus years are the groundwork for Level 1, and we build Level 1 review on the same system order, so the weeks before the exam revisit material rather than meet it for the first time.
In Years 3 and 4 students leave town. They are based at regional clinical sites for 88 weeks of rotations plus six weeks of flex, vacation and commencement preparation, in a network spanning Arizona, Illinois, Indiana, Kansas, Michigan, Missouri, New Jersey, Ohio, Pennsylvania, Texas and Utah (ATSU-KCOM curriculum). Shelf exams and Level 2-CE are prepared from those sites, often far from classmates, which is where one-on-one online sessions help most.
The end point is residency. ATSU-KCOM reports a four-year rolling average postgraduate placement rate of 99.4% (ATSU-KCOM postgraduate placement), and Level 3 follows in the first years of training.
| School | Degree | Founded | Type | Exam series | In Kirksville |
|---|---|---|---|---|---|
| A. T. Still University Kirksville College of Osteopathic Medicine | DO | 1892 | Private | COMLEX-USA | Main campus |
School list: LCME and COCA lists, via the list of medical schools in the United States, checked October 2026.
On the CMS teaching hospital list (October 2026):
A. T. Still University Kirksville College of Osteopathic Medicine states: “In order to attend the commencement ceremony, students must have successfully completed COMLEX Level 1 and Level 2CE by December 31 of the academic year in which the student will graduate.” (ATSU-KCOM Policies, Procedures, and Processes (updated 04/2026), 2025-2026).
ATSU-KCOM grants the DO, so Kirksville students start with COMLEX Level 1, and many also sit USMLE Step 1 at about the same point.
Each core clerkship ends with an NBME shelf exam, and COMLEX Level 2-CE comes next: ATSU-KCOM reports a first-time pass rate of 94.81% on it for 2025-2026, against 92.48% nationally (ATSU-KCOM student outcomes). The college also wants Level 1 and Level 2-CE passed by December 31 of the graduating academic year, the condition for attending commencement (ATSU-KCOM policies). Our Level 2 vs Step 2 CK guide covers whether to add the USMLE version.
COMLEX Level 3 comes in residency, and ATSU-KCOM graduates passed it at 97.09% on the first attempt in 2025 (ATSU-KCOM student outcomes). Of the 159 class-of-2026 students who sought a residency, 158 were placed in graduate medical education (ATSU-KCOM student outcomes).
Kirksville graduates who stay in Missouri for residency or practice fall under Missouri's medical board. FSMB's Missouri summary, checked in October 2026, lists 3 attempts at USMLE Step 3, one fewer than the USMLE program's four per Step (FSMB, USMLE eligibility rules).
ATSU-KCOM graduates sit COMLEX, and that Missouri entry also lists 3 attempts on COMLEX. It does not say whether the three attempts are per Level or in total, so confirm that with the board before you book a retake (FSMB).
Google Trends ranks the Ottumwa-Kirksville metro area first among US metro areas for “USMLE” searches over the past five years, with a score of 100 out of 100, and second for “USMLE Step 1”, with a score of 65 (retrieved October 2026). That is a striking result for a college whose students take COMLEX, and it fits the many Kirksville students who also sit Step 1. Scores are relative, not counts of students.
204 trainees are registered in Kirksville under the NPPES training-program taxonomy; by core clerkship specialty, largest first:
| Specialty (NPPES taxonomy match) | Kirksville registrations | Shelf exam |
|---|---|---|
| Family medicine | 64 | family medicine shelf |
| Internal medicine | 31 | medicine shelf |
| Emergency medicine | 11 | emergency medicine shelf |
| Surgery | 8 | surgery shelf |
| Psychiatry and neurology | 4 | psychiatry shelf |
| Pediatrics | 1 | pediatrics shelf |
| OB/GYN | 1 | OB/GYN shelf |
Source: NPPES NPI Registry (CMS), October 2026; includes subspecialists; the API stops at 1,200.
Kirksville students work with the same team as everyone else, online, led by Sean.
Dr. Shauhin “Sean” Moazezi, DO
Dante Magdici
Alexandra LlovetOne-on-one by live video (Zoom or Google Meet) with our USMLE tutor team; prices and plans, our NBME practice exams guide, free intro call.
Quoted word for word from our student reviews, with the source of each one.
Sean and Sahith are prime boards tutors. They really helped me work through the logic of the questions and prioritize my thinking which has helped both with boards and in rotations! Special shputout to Sahith who put in a lot of time helping me through these things. Highly recommend them to anyone who is wanting to sure up their scores to crush exam day!
Yes. The college says that when Andrew Taylor Still, DO, founded it in Kirksville in 1892, it became the first institution of osteopathic education in the world.
At regional clinical sites in Years 3 and 4, across a network that ATSU-KCOM lists in Arizona, Illinois, Indiana, Kansas, Michigan, Missouri, New Jersey, Ohio, Pennsylvania, Texas and Utah.
88 weeks of rotations plus six weeks of flex, vacation and commencement preparation, according to the college's curriculum page.
FSMB's Missouri summary lists 3 attempts at USMLE Step 3, one fewer than the USMLE program's four per Step. It also lists 3 attempts on COMLEX without saying whether that is per Level, so confirm with the board.
Yes. Sessions are one-on-one by live video (Zoom or Google Meet), so they work from any of the regional sites, for shelf exams, COMLEX Level 2-CE and the USMLE.
Shelf exams
Boards and MCAT
Twenty minutes on the phone about your test date and practice scores. Sessions after that are $349 per 50-minute session.
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