COMSAE Form 107 is a challenging but invaluable tool in an osteopathic medical student's arsenal. It is notorious for its vagueness and heavy emphasis on microbiology and foundational OMM, but it is ultimately a highly conquerable exam. By shifting your preparation to focus on COMLEX-style question banks, mastering viscerosomatic reflexes, and maintaining a steady testing pace, you can secure the score you need to clear your school's requirements and excel on the boards.
Take Form 107 early (6-8 weeks out). Do not let the score break you. Review every single OMM question twice. And remember: the real COMLEX, for all its flaws, is rarely as cruel as the ghost of 107.
Understanding what your COMSAE 107 score actually means is arguably more important than the score itself. The NBOME provides detailed scoring reports that include both a three-digit standard score and a performance profile.
Every COMSAE form has its own "personality," and students frequently discuss the specific flavor of Form 107. Based on historical student feedback and exam performance trends, Form 107 is often characterized by:
has become a focal point for students looking to simulate the real exam environment.
Deep Dive into OMM: Use the "Savarese" (Green Book) or OnlineMedEd OMM videos to solidify your foundations. OMM is often the easiest way to boost your score quickly because the question pool is more predictable than general pathology. Interpreting Your Results
And in the brutal, beautiful process of becoming a doctor, that’s exactly what you need: a mirror, not a friend.
"I scored a 430 on COMSAE 107 two weeks before COMLEX. I almost cancelled. I ended up scoring a 512 on the real thing. Don't let 107 psych you out." –
COMSAE Phase 1 Form 107 is one of several self-assessment exams provided by the National Board of Osteopathic Medical Examiners (NBOME)
Unlike older forms (such as 101, 102, or 103), Form 107 was released to reflect changes in the COMLEX blueprint, including an increased emphasis on clinical presentation, patient safety, and osteopathic principles. It is a 352-question exam broken into four 88-question blocks, and you are given 4 hours to complete the entire exam (typically 60 minutes per block, though timing can vary based on accommodation).
Is COMSAE Form 107 a good exam? That depends on your definition of “good.”
