One of the most significant pitfalls is treating the COMSAE score as an absolute predictor of COMLEX performance. As the NBOME repeatedly emphasizes, caution is necessary when using COMSAE for predictive purposes. Students should use COMSAE results as one data point among many—including Qbank performance, course grades, and COMAT scores.
Section two was the minefield. This was where COMSAE Form 107 distinguished itself from its USMLE cousins. It wasn't enough to know the pathology; one had to know the somatic dysfunction .
The exam leans heavily into core organ systems, with a particular focus on:
For the most accurate readiness assessment, experts recommend taking the COMSAE under timed and proctored conditions whenever possible. The NBOME itself notes that COMSAE examinations taken under timed and proctored conditions can provide meaningful assistance in assessing readiness.
COMSAE Phase 1 Form 107 is a vital diagnostic tool for any osteopathic medical student aiming to succeed on COMLEX Level 1. By treating the exam seriously and thoroughly reviewing the content, you can gain a clear picture of your readiness and build the confidence necessary to pass the main exam. comsae form 107
His stomach growled, a loud roar in the quiet room that made his cheeks burn. He ignored it. He was in the zone now, operating on pure instinct and adrenaline. He was no longer overthinking. He was parsing the language of the test writers, recognizing the patterns of distractors.
COMSAE Form 107 is more than just a practice test; it’s a diagnostic roadmap. Treat it like the real deal—sit in a quiet room, time yourself strictly, and don't look at your notes. The data you get back is only as good as the conditions under which you took the test. Are you currently prepping for COMLEX?
You won't have enough time to fix the weaknesses the exam uncovers. Final Thoughts
Student experiences vary considerably. Some find COMSAE 107 easier, while others report it is more challenging. The NBOME emphasizes that COMSAE is not designed to be a perfect predictor, and many students report that COMLEX felt different—sometimes easier, sometimes harder—than their COMSAE experience. One of the most significant pitfalls is treating
2. COMSAE Form 107 Score Interpretation and Passing Thresholds
Students have a to complete the entire examination. This timing provides a per-item pacing of approximately 1 minute and 20 seconds per question—comparable to the pacing required on COMLEX-USA Level 1. This timed format allows students to practice the mental endurance and time management skills necessary for the actual licensing exam.
Because Form 107 is often proctored by your school, test anxiety can play a massive role. Practice sitting for 4-hour blocks without looking at your phone, checking notes, or taking extended breaks. Managing your internal clock so you spend less than 1 minute and 20 seconds per question is paramount. What to Do If You Score Below Your Target
Developed by the National Board of Osteopathic Medical Examiners (NBOME) , COMSAE (Comprehensive Osteopathic Medical Self-Assessment Examination) Form 107 is frequently utilized as a mandatory baseline or "gatekeeper" exam. Section two was the minefield
Because COMSAE questions can feel vague, students often overthink and fall behind on time. Practice a pacing strategy where you spend no more than 60 to 75 seconds per question. If a question is entirely ambiguous, flag it, pick a highly educated guess, and move on. Interpreting Your Form 107 Score
Turn to resources like Savarese (OMT Review) for a rapid refresh of osteopathic principles, and use First Aid or Dirty Medicine videos to patch up weak foundational science gaps.
Indicates a high risk of failing the COMLEX Level 1. Immediate intervention and content review are required.