The is a standardized self-assessment examination designed by the National Board of Osteopathic Medical Examiners (NBOME) to help osteopathic medical students gauge their readiness for the COMLEX-USA Level 1 licensure exam . Exam Structure and Format Total Items : Form 108 typically consists of 176 items .
"I took 108 ten days out. Scored a 472. Freaked out. Grinded OMM for 10 hours a day. Got a 507 on the real deal. 108 is hard, but it's fair." – OMS-III, Kansas City University comsae form 108
: As of recent academic cycles (2023–2025), Form 108 is among the most commonly mandated by osteopathic medical schools for COMLEX Level 1 eligibility. COMSAE Phase 1 Form 108 The is a
: Includes Endocrine, Genitourinary/Renal, and Integumentary systems, as well as Human Development. Scored a 472