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USMLE & COMLEX Tutor in Texas

Online, one-on-one board prep for students at Houston, Fort Worth, and Bryan and beyond, built around Texas's licensing rules.

$349 per 50-minute session

Dr. Shauhin “Sean” Moazezi, DOFoundersince 2017

Texas has thirteen MD schools and three DO schools, and eight of the sixteen opened in 2008 or later, from Texas Tech's El Paso school in 2008 to UT Tyler in 2022 (list of medical schools). The two oldest, the University of Texas Medical Branch in Galveston (1891) and Baylor in Houston (1900), have both been LCME-accredited since before 1942 (LCME).

Clerkships run through 98 teaching hospitals on the CMS list, 14 of them in Houston and 11 in Dallas (CMS teaching hospital list). Five MD schools each have 224 to 240 first-year places in 2025-26, Baylor and McGovern among them, while Dell Medical School in Austin has 50 (AAMC FACTS).

Medical schools in Texas

SchoolCityDegreeFoundedTypeExam series
Baylor College of MedicineHoustonMD1900PrivateUSMLE
University of Houston Tilman J. Fertitta Family College of MedicineHoustonMD2020PublicUSMLE
McGovern Medical School at The University of Texas Health Science Center at HoustonHoustonMD1970PublicUSMLE
Texas Christian University Anne Burnett Marion School of MedicineFort WorthMD2019PrivateUSMLE
Texas A&M University Naresh K. Vashisht College of MedicineBryanMD1973PublicUSMLE
Texas Tech University Health Sciences Center School of MedicineLubbockMD1969PublicUSMLE
University of Texas at Tyler School of MedicineTylerMD2022PublicUSMLE
Texas Tech University Health Sciences Center El Paso Paul L. Foster School of MedicineEl PasoMD2008PublicUSMLE
University of Texas at Austin Dell Medical SchoolAustinMD2013PublicUSMLE
University of Texas Medical BranchGalvestonMD1891PublicUSMLE
University of Texas Rio Grande Valley School of MedicineEdinburgMD2015PublicUSMLE
University of Texas Health Sciences Center at San Antonio Long School of MedicineSan AntonioMD1968PublicUSMLE
University of Texas Southwestern Medical CenterDallasMD1943PublicUSMLE
Sam Houston State University College of Osteopathic MedicineConroeDO2019PublicCOMLEX-USA
University of the Incarnate Word School of Osteopathic MedicineSan AntonioDO2015PrivateCOMLEX-USA
University of North Texas Health Science Center Texas College of Osteopathic MedicineFort WorthDO1970PublicCOMLEX-USA

Several of these schools teach students at more than one site: Baylor College of Medicine also lists Temple, Texas; Texas A&M University Naresh K. Vashisht College of Medicine also lists Bryan, Texas, Dallas, Texas, Houston, Texas, Kingsville, Texas, Round Rock, Texas, San Antonio, Texas; Texas Tech University Health Sciences Center School of Medicine also lists Amarillo, Texas, Odessa, Texas, Lubbock, Texas (Covenant Branch).

School list: LCME and COCA accreditation lists, via the list of medical schools in the United States, checked October 2026.

Teaching hospitals in Texas by city

  • Houston: St. Joseph Medical Center; Memorial Hermann Texas Medical Cntr; UT MD Anderson Cancer Center; Memorial Hermann Hospital Sys; CHI St. Lukes Health Baylor Med Ctr; The Methodist Hospital; Houston Northwest Medical Center; HCA Houston Healthcare West; Houston Healthcare Medical Center; Womans Hospital of Texas; Memorial Hermann TIRR; Texas Children's Hospital; Harris County Psychiatric Center; University General Hospital LP
  • Dallas: Dallas County Hospital District; Baylor University Medical Ctr; UT Southwestern University Hosp; Methodist Dallas Medical Center; Texas Health Dallas; Medical City Dallas; Methodist Charlton Medical Center; UT Southwestern Med Ctr-Zale Lipshy; Baylor Heart and Vascular Hospital; Baylor Institute for Rehabilitation; Childrens Medical Center of Dallas
  • San Antonio: Baptist Health System; University Health System; Santa Rosa Healthcare; Methodist Hospital; Southwest General Hospital; Methodist Ambulatory Surgical Hospital; Sa Warm Springs Rehab Hosp; Childrens Hospital of San Antonio
  • Fort Worth: TCHD D/B/A JPS Health Network; TX Hlth Harris Methodist Hospital; Baylor S&W All Saints Medical Center; Medical City Fort Worth; Cook Children's Medical Center
  • Austin: Ascension Seton Medical Center; Dell Seton Medical Center at the University of Texas; South Austin Medical Center; North Austin Medical Center; Dell Childrens Medical Center
  • El Paso: The Hospitals of Providence-Memorial; University Medical Center of El Paso; Las Palmas Medical Center; The Hospitals of Providence Transmountain Campus
  • Corpus Christi: Christus Spohn Hosp Corpus Christi; Corpus Christi Medical Center; Driscoll Childrens Hospital
  • Tyler: UT Health East Texas Tyler; Christus Mother Frances Hosp-Tyler; UT Health Center at Tyler
  • Longview: Good Shepherd Medical Center; Good Shepherd Medical Center
  • Lubbock: Covenant Medical Center; University Medical Center
  • Waco: Ascension Providence; Hillcrest Baptist Medical Center
  • Edinburg: South Texas Health System; Doctors Hospital at Renaissance
  • Texarkana: Wadley Regional Medical Center; Christus St. Michael
  • Amarillo: Northwest Texas Hospital; Baptist Saint Anthonys Hospital
  • Denton: Medical City Denton; Texas Health Denton
  • Plano: Medical City Plano; The Heart Hospital Baylor Plano
  • Wichita Falls: United Regional Health Care System
  • Bryan: St. Joseph Regional Health Center
  • Galveston: The University of Texas Medical Branch
  • Laredo: Laredo Medical Center
  • Harlingen: Valley Baptist Medical Center
  • Temple: Scott and White Memorial Hospital
  • North Richland Hills: Medical City North Hills
  • Weslaco: Knapp Medical Center
  • Odessa: Medical Center Health System
  • Midland: Midland Memorial Hospital
  • Victoria: Detar Healthcare Systems
  • Weatherford: Medical City Weatherford
  • Conroe: Conroe Regional Medical Center
  • Garland: Baylor Medical Center at Garland

Plus 15 more Texas cities on the same CMS list.

Facts about Texas

SchoolCityLCME accreditationNext full survey2025-26 applicationsFirst-year placesEntering class from Texas
Anne Burnett Marion School of Medicine at Texas Christian UniversityFort WorthFull, since 20182027-286,2736018.3%
Baylor College of Medicine School of MedicineHoustonFull, since before 19422029-306,07322487.5%
Dell Medical School – University of Texas at AustinAustinFull, since 20152032-335,6845098%
McGovern Medical School at UTHealth HoustonHoustonFull, since 19702027-286,10424094.2%
Paul L. Foster School of Medicine Texas Tech University Health Sciences Center at El PasoEl PasoFull, since 20082027-284,81113090%
Texas A&M University Naresh K. Vashisht College of MedicineCollege StationFull, since 19762027-286,08620084.5%
Texas Tech University Health Sciences Center School of MedicineLubbockFull, since 19712032-335,34818295.6%
The University of Texas at San Antonio Joe R. and Teresa Lozano Long School of MedicineSan AntonioFull, since 19682026-275,77423287.5%
The University of Texas at Tyler School of MedicineTylerPreliminary (2022)2026-274,9904095%
University of Houston Tilman J. Fertitta Family College of MedicineHoustonProvisional (2020)2025-265,2476093.3%
University of Texas Medical Branch John Sealy School of MedicineGalvestonFull, since before 19422030-315,45023090%
University of Texas Rio Grande Valley School of MedicineEdinburgFull, since 20152027-284,7895596.4%
University of Texas Southwestern Medical SchoolDallasFull, since 19432025-266,02522987.8%

Accreditation: LCME directory; applications, places and in-state share: AAMC FACTS, Table A-1.

CityInternal medicine residency programFirst-time takers, 2023-2025Passed
HoustonBaylor College of Medicine Program16199%
HoustonBaylor College of Medicine Program (combined medicine-pediatrics)26100%
HoustonUniversity of Texas Health Science Center at Houston Program11684%
HoustonUniversity of Texas Health Science Center at Houston Program (combined medicine-pediatrics)2295%
HoustonHouston Methodist Hospital (Medical Center) Program5198%
DallasUniversity of Texas Southwestern Medical Center Program16493%
DallasUniversity of Texas Southwestern Medical Center Program (combined medicine-pediatrics)12100%
DallasBaylor University Medical Center Program39100%
DallasMethodist Health System Dallas Program3895%
DallasTexas Health Resources (Dallas) Program1995%
San AntonioUniversity of Texas Health Science Center San Antonio Joe and Teresa Lozano Long School of Medicine Program9990%
GalvestonUniversity of Texas Medical Branch Hospitals Program8290%
JBSA Fort Sam HoustonSan Antonio Uniformed Services Health Education Consortium Program8190%
TempleBaylor Scott & White Medical Center - Baylor College of Medicine (Temple) Program6692%
AustinUniversity of Texas at Austin Dell Medical School Program6395%
El PasoTexas Tech University HSC El Paso Program4393%
El PasoTexas Tech University HSC El Paso/Hospitals of Providence Transmountain Campus Program1894%
WeslacoUniversity of Texas RGV (Knapp) Program4689%
AmarilloTexas Tech University (Amarillo) Program4295%
LubbockTexas Tech University Health Sciences Center at Lubbock Program4190%
HarlingenUniversity of Texas RGV (VBMC) Program2986%
Fort BlissWilliam Beaumont Army Medical Center Program2886%
Round RockBaylor Scott and White Medical Center - Round Rock Program2282%
Fort WorthTexas Health Resources/Harris Methodist Hospital Fort Worth Program1283%

ABIM internal medicine certification exam by residency program: ABIM residency program pass rates; ABIM says to read rates from under 25 takers with caution.

  • Texas Medical Board license applicants must pass the board's jurisprudence (JP) exam with a score of 75 or better; the board sets no limit on JP attempts and charges nothing per attempt. (Texas Medical Board)
  • The JP exam covers the Texas Occupations Code and the board's rules in the Texas Administrative Code: licensing eligibility, registration renewal, continuing education, scope of practice, and how complaints are investigated and enforced. (Texas Medical Board)
  • In the 2025 Main Residency Match, programs in Texas offered 2,871 residency positions in 32 specialties, the most in internal medicine (856), family medicine (333), and pediatrics (223). (NRMP)

Sources: LCME, directory of accredited U.S. programs (checked October 29, 2026); AAMC FACTS, Table A-1, 2025-2026 (checked October 29, 2026); Texas Medical Board, jurisprudence exam FAQs (checked November 1, 2026); NRMP, 2025 Main Residency Match by state and specialty (checked October 29, 2026); ABIM, residency program pass rates 2023-2025 (checked October 29, 2026).

The Texas jurisprudence exam

Texas adds one exam the national series do not: the Texas Medical Board's jurisprudence (JP) exam, which license applicants must pass with a score of 75 or better. It tests Texas law, not medicine: the Texas Occupations Code and the board's rules in the Texas Administrative Code, from licensing eligibility and registration renewal to continuing education, scope of practice, and how complaints are investigated (Texas Medical Board).

The JP exam does not draw on the three-attempt budget Texas sets for each USMLE Step or COMLEX Level: the board sets no limit on JP attempts and charges nothing per attempt (Texas Medical Board; FSMB). So it belongs at the end of the licensing plan, after Step 3, while the national exams are where every sitting counts.

Residency in Texas

In the 2025 Main Residency Match, Texas programs offered 2,871 positions in 32 specialties: 856 in internal medicine, 333 in family medicine, 223 in pediatrics, 204 in emergency medicine and 201 in surgery (NRMP). Internal medicine alone is close to a third of the state's positions.

The largest internal medicine programs by ABIM first-time takers in 2023-2025 were UT Southwestern's in Dallas (164) and Baylor College of Medicine's in Houston (161), followed by UTHealth Houston (116) and UT Health San Antonio (99) (ABIM). Texas internists from all of them sit the ABIM internal medicine exam after residency.

Which board exams Texas students take

All thirteen Texas MD schools prepare students for the USMLE. In Houston those are Baylor, McGovern Medical School and the University of Houston's Fertitta Family College of Medicine. The rest are UT Southwestern in Dallas, UT Health San Antonio, UTMB in Galveston, Dell Medical School in Austin, Texas Tech in Lubbock and El Paso, Texas A&M in Bryan, TCU in Fort Worth, UT Tyler, and UT Rio Grande Valley in Edinburg.

The three DO schools take COMLEX-USA. They are Sam Houston State in Conroe, the University of the Incarnate Word in San Antonio, and the UNT Health Science Center's Texas College of Osteopathic Medicine in Fort Worth. Texas does not split the two series when it counts attempts: its board allows three at each USMLE Step or COMLEX Level (FSMB).

Texas licensing rules that affect your exam plan

Texas puts both exam families under one rule: three attempts at each USMLE Step or COMLEX Level, and a window the FSMB prints as 7 years+ (FSMB). The board names its own exceptions, among them a Texas Physician in Training permit held by September 1, 2005, five years licensed in good standing elsewhere, MD/PhD programs, and limited licenses for an MUA or HPSA (FSMB).

RuleWhat Texas requires
Training before first license1 year; 2 years IMG
Exam attempts3 attempts at each USMLE Step or COMLEX Level. (Exceptions may apply for applicants who held a Texas Physician in Training permit on or before September 1, 2005 or who have been licensed in good standing in another state for 5 years. See TMB website for more information.)
Time limit7 years+ to complete the USMLE or COMLEX. (Exceptions may apply for applicants who are especially board certified or who completed combined MD/PhD programs, or who exceed the time limit but are willing to accept a limited license to practice exclusively in an MUA or HPSA. See TMB website for more information.)

Source: FSMB state licensure requirements, checked October 2026; confirm with the board before relying on them.

What Texas's rules mean for how you study

  • Plan around the state cap, not the USMLE cap. Texas allows three at each Step or Level, one fewer than the four per Step the USMLE itself allows (FSMB, USMLE eligibility rules).
  • Each Step has its own budget. Texas counts attempts at each USMLE Step or COMLEX Level, so retaking Step 1 does not spend Step 2 CK or Step 3 attempts, and DO students count each Level separately (FSMB).
  • Watch the clock. The window is 7 years+ to finish the USMLE or COMLEX, and exceptions exist for some board-certified applicants, MD/PhD graduates and limited licenses in shortage areas, but plan to finish inside it (FSMB).

Many Texas students rotate, interview or match next door. Texas's neighbors on our list: Arkansas (2 MD, 1 DO), Louisiana (3 MD, 1 DO), New Mexico (1 MD, 1 DO), Oklahoma (1 MD, 1 DO).

How much Texas searches for board prep

Over the past five years Texas ranks 14th of 51 in Google Trends for USMLE searches and 29th for COMLEX, in a state with thirteen MD schools and three DO schools. Interest fades as the search gets narrower: USMLE Step 1 ranks 17th, Step 2 25th and shelf exam 31st, its weakest of the five terms. Of the five terms, only USMLE itself ranks in the top 15.

Search termTexas rank of 51
USMLE14
USMLE Step 117
USMLE Step 225
COMLEX29
Shelf exam31

Source: Google Trends, United States, past 5 years, retrieved October 2026; ranks show relative interest, not student numbers.

What students say

Quoted word for word from our student reviews, with the source of each one.

review

I truly couldn’t have passed Step without Sean and Sahith’s support. They gave me practical techniques and a clear way to approach questions that completely changed how I think about exams, and it’s something I’ll keep using going forward. They also helped me focus my energy on the most important information instead of getting lost in everything else. Just as important, they were a real support system for me through the whole prep process. I can’t say enough good things about working with them, it was honestly a game changer for me!

Mira NakhleGoogle review

Questions from Texas students

Do I need to pass a jurisprudence exam for a Texas medical license?

Yes. The Texas Medical Board requires its jurisprudence exam, with a passing score of 75 or better. There is no limit on attempts and no cost per attempt.

How many times can I take the USMLE in Texas?

Three attempts at each USMLE Step or COMLEX Level, per FSMB, with exceptions for some applicants who held a Texas Physician in Training permit by September 1, 2005 or have been licensed in good standing elsewhere for 5 years.

How long do I have to finish the USMLE in Texas?

FSMB prints the window as 7 years+, with exceptions for some board-certified applicants, combined MD/PhD graduates and limited licenses in medically underserved or shortage areas.

How many residency positions does Texas offer?

Texas programs offered 2,871 positions in 32 specialties in the 2025 Main Residency Match, 856 of them in internal medicine, per NRMP.

Do you tutor DO students at TCOM, UIW and Sam Houston State?

Yes. We tutor Texas DO students one-on-one by live video (Zoom or Google Meet) for COMLEX Levels 1, 2-CE and 3, and for the USMLE when they sit both.

Book a free intro call

Twenty minutes on the phone about your test date and practice scores. Sessions after that are $349 per 50-minute session.

Dr. Shauhin “Sean” Moazezi, DO5.0 from 283 Wyzant ratings5.0 from 47 Google reviews