Letters to the EditorLetter to the Editor Response to “COMSAE phase 1: value added” Jeanne M. Sandella, DO; Brandon Craig, PhD; Tsung-Hsun Tsai, PhD; Marie Fleury, DO, MBA; and Andrea Clem, DO Notes and Affiliations Notes and Affiliations Received: June 8, 2021 Accepted: June 8, 2021 Published: July 5, 2021 Jeanne M. Sandella, DO, The National Board of Osteopathic Medical Examiners, Philadelphia, PA, USA Brandon Craig, PhD, The National Board of Osteopathic Medical Examiners, Chicago, IL, USA Tsung-Hsun Tsai, PhD, The National Board of Osteopathic Medical Examiners, Chicago, IL, USA Marie Fleury, DO, MBA, The National Board of Osteopathic Medical Examiners, Chicago, IL, USA Andrea Clem, DO, The National Board of Osteopathic Medical Examiners, Chicago, IL, USA J Osteopath Med; 121(8): 719-721 https://doi.org/10.1515/jom-2021-0160