The mean first-time COMLEX Level 1 exam scores from 2008 to 2020. The national mean (excluding LECOM Bradenton) and the LECOM Bradenton school mean (with 95% confidence intervals) are reported for each graduating class. LECOM Bradenton had class sizes ranging from 148 to 155 students between 2008 and 2014 and class sizes of 181–195 for 2015–2020. Sample sizes for the national mean (excluding LECOM Bradenton) almost doubled during from 2008 to 2020 (yearly totals: 3287, 3503, 3627, 4092, 4462, 4699, 4901, 5260, 5350, 5988, 6368, 6573, and 6832). Numbers above bars indicate the average exam scores. All differences between school and national means were statistically significant (adjusted p value < 0.001)