Omni Guidance Service A guide published by Five Branches University
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

SchoolYearFirst-timePassersPass %Cohort
Five Branches University2024423890.540+
Five Branches University2022423890.540+
Five Branches University2023322887.530+
Acupuncture & Integrative Medicine College2024212095.220+
Acupuncture & Integrative Medicine College2022241875.020+
Acupuncture & Integrative Medicine College2021222090.920+
Academy of Chinese Culture & Health Sciences2021262284.620+
Academy of Chinese Culture & Health Sciences2022211676.220+
University of East-West Medicine2021231878.320+
Five Branches University2021262284.620+
Five Branches University2025121191.710+
Academy of Chinese Culture & Health Sciences2023181794.410+
Acupuncture & Integrative Medicine College2023171376.510+
University of East-West Medicine2024161610010+
University of East-West Medicine2023161610010+
Academy of Chinese Culture & Health Sciences202413969.210+
University of East-West Medicine202510880.010+
Academy of Chinese Culture & Health Sciences202544100<10
California University – Silicon Valley2021–242 avg2 avg100<10
California University – Silicon Valley20254375.0<10
Acupuncture & Integrative Medicine College202533100<10
Oikos University2021–246 avg4 avg66.7<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 — holding roughly 90.5% with cohorts above 40 participants (2022 and 2024) shows a curriculum that is both scalable and effective.

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.

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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