Comsae Form 107 | ULTIMATE |

“I got a 412 on Form 107 two weeks before COMLEX. I was devastated. I reviewed everything I missed, especially OMM and micro. Real COMLEX: 532. That 107 was way harder.” – OMS-III

“Our school required a 450 on any COMSAE to sit for COMLEX. I took 107 and got a 390. Panic. Took 105 the next week – 480. Took 107 again after two weeks of studying (different version? Same number?) – 460. Real COMLEX: 489. So yes, it’s a harsh grader.” – OMS-II

“Don’t use 107 as your only assessment. I scored 80th percentile on TrueLearn, 85% on OMM practice tests, but 107 gave me a 440. It’s like they intentionally write vague stems. But the real COMLEX felt closer to 105 and TrueLearn.” – OMS-III

ComSAE Form 107 is a standardized compliance and safety assessment form used to document the results of a systems audit and risk evaluation (assumption: a checklist-style audit form for communications, safety, or systems audits). It captures findings, risk ratings, recommended actions, responsible parties, and timelines.

Here is a week-by-week approach to integrating Form 107 into your dedicated study period. comsae form 107

Q: Is COMSAE Form 107 harder than the real COMLEX? A: Most students report yes. The real COMLEX has more straightforward “next best step” questions and fewer extremely convoluted vignettes.

Q: How much does COMSAE 107 under-predict? A: On average, 40-60 points. Some outliers see a 100+ point jump. No one (to our knowledge) has scored higher on 107 than on COMLEX.

Q: Can I use COMSAE 107 to decide if I’m safe to take COMLEX? A: Use it as one data point. If you score <350 on 107 and also <380 on 105, you are at risk. If you score 400 on 107 but 480 on 105, you are likely safe.

Q: Where do I buy COMSAE Form 107? A: Directly from the NBOME website via the COMSAE purchase portal. Your school may also provide access. Cost is approximately $60-70 per form. “I got a 412 on Form 107 two weeks before COMLEX

Q: Are there answer explanations for COMSAE 107? A: Yes—brief ones. The NBOME provides a few sentences of explanation per question. For deeper understanding, use an external OMM resource or form a study group.

Ask any group of third-year medical students which COMSAE felt the most demoralizing, and the answer is often Form 107. Here’s why:

Form 107 is the best predictor of “Will I fail?” but a poor predictor of “How high will I score?”

Pro tip: After you finish Form 107, ignore the three-digit score for 24 hours. Instead, review every OMM and ethics question you missed—those are the easiest points to gain before test day. “Our school required a 450 on any COMSAE to sit for COMLEX


Have you taken Form 107? Share your experience below (score jump/drop vs. real deal). 👇

If you are an osteopathic medical student preparing for the COMLEX-USA Level 1, you have likely heard the whispers: “Form 107 is the hardest one.” Or, “Form 107 underpredicts everyone.” Maybe you’ve even seen a confusing score report that left you questioning your entire study plan.

Understanding COMSAE Form 107 is no longer optional—it is a critical strategic move in your board preparation. This article will dissect everything you need to know: what Form 107 tests, how it compares to other COMSAE forms (102, 103, 105, 106, 108, 109, 110), its predictive accuracy for actual COMLEX scores, common pitfalls, and how to leverage your results to pass—and excel—on test day.