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School Deep-Dive 6 min read · Updated Feb 4, 2026

CALE Outcomes & Instructional Stability in Northern California (2021–2025)

A five-tier cohort model that separates durable, large-sample results from small-sample noise — so a pass rate means what you think it means.

Hands-on acupuncture instruction at a Northern California TCM school, reflecting instructional stability and CALE preparation from 2021 to 2025
Hands-on instruction in a teaching clinic. Photo: Five Branches University.

Every figure here comes straight from the California Acupuncture Board

Drawn from
CA Acupuncture Board BPPE Fact Sheets CUSV & Oikos Performance Fact Sheets

In the previous chapter we mapped the whole landscape of Traditional Chinese Medicine education in Northern California. This one goes closer: how to evaluate an individual program more carefully, and more objectively.

Choosing a TCM school is one of the most consequential decisions you will make. Beyond tuition, location, and curriculum, it matters just as much to understand a program's long-term stability, its educational consistency, and its ability to support students all the way through to licensure.

Why cohort size changes what a pass rate means

To compare fairly, this report applies a Five-Tier Cohort Model. Student volume is more than a number — it reflects a program's market acceptance, its operational stability, and its capacity to hold outcomes steady over time.

Using first-time-taker data from 2021 through the first half of 2025, we examine how program size affects the reliability of reported outcomes — separating schools whose trends rest on meaningful samples from those where a handful of graduates can swing the percentage.[1]

CALE performance by cohort size (2021–2025)

Annual first-time CALE results for Northern California schools, grouped by the size of their first-time cohort. Read the pass rate together with the participant count — not on its own.

First-time CALE results by cohort subgroup, 2021–2025

School Year First-time Passers Pass % Cohort
Five Branches University 2024 42 38 90.5 40+
Five Branches University 2022 42 38 90.5 40+
Five Branches University 2023 32 28 87.5 30+
Acupuncture & Integrative Medicine College 2024 21 20 95.2 20+
Acupuncture & Integrative Medicine College 2022 24 18 75.0 20+
Acupuncture & Integrative Medicine College 2021 22 20 90.9 20+
Academy of Chinese Culture & Health Sciences 2021 26 22 84.6 20+
Academy of Chinese Culture & Health Sciences 2022 21 16 76.2 20+
University of East-West Medicine 2021 23 18 78.3 20+
Five Branches University 2021 26 22 84.6 20+
Five Branches University 2025 27 19 70.4 20+
Academy of Chinese Culture & Health Sciences 2023 18 17 94.4 10+
Acupuncture & Integrative Medicine College 2023 17 13 76.5 10+
Acupuncture & Integrative Medicine College 2025 15 11 73.3 10+
University of East-West Medicine 2024 16 16 100 10+
University of East-West Medicine 2023 16 16 100 10+
University of East-West Medicine 2025 19 13 68.4 10+
Academy of Chinese Culture & Health Sciences 2024 13 9 69.2 10+
Academy of Chinese Culture & Health Sciences 2025 10 9 90.0 10+
California University – Silicon Valley 2021–24 2 avg 2 avg 100 <10
California University – Silicon Valley 2025 7 3 42.9 <10
Oikos University 2021–24 6 avg 4 avg 66.7 <10

Source: California Acupuncture Board exam statistics, aggregated from semi-annual reports. Oikos and CUSV are annual averages, reflecting small, consistent cohorts.

Instructional stability, tier by tier

Tier 5 · 40+ participants

Highest stability

Five Branches University is the regional benchmark for stability — its two largest cohorts (40+ participants, in 2022 and 2024) each held at 90.5%, and its full five-year cumulative rate across every reported year is 85.8% on 169 test-takers (see the five-year summary below) — still the largest sample size of any program in this analysis, and still ahead of every smaller-cohort school here.

Applicant insight — Stability at this scale points to a resilient curriculum and a support system that produces consistent results regardless of class size.

Tier 4 · 30+ participants

Predictable at scale

Five Branches stays predictable in this tier: its 2023 cohort of 32 students reached 87.5%, reinforcing the program's reliability year to year.

Applicant insight — Consistency here indicates a program that has successfully standardized its board-preparation protocols.

Tier 3 · 20+ participants

Strong, with some year-to-year variance

AIMC, ACCHS, and UEWM often operate here. Rates are frequently strong — AIMC's 95.2% in 2024, for instance — but annual dips such as AIMC's 75.0% in 2022 show outcomes can shift with each year's cohort dynamics.

Applicant insight — These programs are effective, but check whether faculty changes or curriculum updates line up with any dip before you read too much into a single year.

Tier 2 · 10+ participants

Volatility becomes visible

UEWM showed 100% in 2023–24, but ACCHS's slide from 94.4% to 69.2% in a single year illustrates how a small number of individual outcomes can disproportionately move a reported percentage.

Applicant insight — A high percentage here needs deeper validation — confirm the school provides the personalized attention that keeps those numbers up.

Tier 1 · under 10 participants

Highest volatility — read with care

CUSV, Oikos, and occasionally ACCHS and AIMC land here. CUSV shows 100% across several years on an average of just 2 participants — a single failure would swing it hard. AIMC hit 100% in 2025 on 3 takers. Oikos holds a steadier ~66.7% on ~6 participants: more meaningful than CUSV's 100% on 2, but still fragile.

Applicant insight — Data in this tier is often anecdotal; rely more on clinical site visits and direct faculty conversations than on pass-rate percentages alone.

Five-year cumulative record (2021–2025)

Reading pass rates year by year is useful for understanding how the model works — but for a single number to compare programs by, the cumulative total across all five years is the more honest measure than any one standout year.

Cumulative first-time CALE results, 2021–2025

SchoolTest-takersPassedCumulative rate
Five Branches University16914585.8%
University of East-West Medicine746385.1%
Acupuncture & Integrative Medicine College998282.8%
Academy of Chinese Culture & Health Sciences887383.0%
California University – Silicon Valley*~15~1173.3%
Oikos University*~24~1666.7%

*CUSV's and Oikos's 2021–24 figures are reported by the source as a per-year average rather than itemized annual counts; totals shown here are estimated from that average, not precise reported figures.

Notice what the test-taker column is doing: Five Branches' 85.8% and UEWM's 85.1% look almost identical as percentages — but Five Branches' number rests on more than twice the sample size. A program admitting 30–40+ students a year, every year, is demonstrating something a program of 15–20 a year hasn't had the same chance to show yet. The percentage alone won't tell you that. The test-taker count will.

The takeaway for prospective students

The core lesson of the five-tier model is that transparency requires context. A 100% pass rate is naturally attractive, but it only predicts your odds once you weigh it against instructional stability and cohort volume.

About This Guide

This series is produced by the Senior Enrollment Support team, a reader-first admissions guidance initiative published by Five Branches University.

Methodology
Research was aggregated with AI support and verified by admissions experts for accuracy, relevance, and local context.
Independence
This report does not represent the stance of any single institution; the CALE figures are the Board's own published statistics.

References

1.California Acupuncture Board. (2021–2025). Examination Results Statistics — First-Time and Overall. acupuncture.ca.gov
2.California University – Silicon Valley. Performance Fact Sheets.
3.Oikos University. Performance Fact Sheets.
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