As the landscape of osteopathic board preparation shifts, has emerged as one of the most talked-about, feared, and relied-upon assessments in the lead-up to the COMLEX-USA Level 1. Released by the NBOME (National Board of Osteopathic Medical Examiners) as part of their Phase 2 overhaul, Form 108 is not just another practice test—it is often considered the gold standard for predicting your real COMLEX score.
In this long-form guide, we will dissect everything you need to know about COMSAE Form 108: what it tests, how it compares to other forms (106, 107, 109, 110), its predictive value, common pitfalls, and a strategic study plan to conquer it. COMSAE (Comprehensive Osteopathic Medical Self-Assessment Examination) is a series of practice exams offered by the NBOME. Unlike third-party resources (TrueLearn, UWorld, Bootcamp), COMSAE is the official assessment. The questions are written by the same people who write the real COMLEX. comsae form 108
If you are a student at a College of Osteopathic Medicine (COM), you have likely heard the whispered warnings and anxious chatter in group chats: “Have you taken Form 108 yet?” or “How predictive is COMSAE 108, really?” As the landscape of osteopathic board preparation shifts,