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Need to take the Casper for medical school? Read on to learn more about the new Casper exam format, how it’s scored, and more!
If you’re applying to med school, you may need to take the Casper test as part of your medical school application. But what exactly is the Casper? Many medical schools ask for Casper test results to round out a student’s application.
We’re here to provide you with everything you need to know about the exam. You’ll learn the Casper’s purpose, format, and how admissions committees use the results.
The Casper (Computer-Based Assessment for Sampling Personal Characteristics) is a form of situational judgment test (SJT) run and developed by Altus Assessments Inc. The psychological test presents realistic, hypothetical scenarios which you must answer questions about.
You want to register for the Casper at least three days before your preferred test date. It takes time for the system to process your payment and verify your identity, so don’t wait until the last minute to register. If you require accommodations, you should complete your Casper registration at least three weeks before the test date.
To register for a Casper test, you must create a Casper account with the following:
You’ll be recorded throughout the first section, which is why a working webcam is required. This is to ensure you’re not cheating in any way. You can take the Casper test once per admissions cycle. Remember, all fees are final and non-refundable, so ensure you register for the correct Casper exam for your region.
If you’re applying to one of the many medical schools that require the Casper exam, you’ll need to take it as part of your application. These include US medical schools, both allopathic and osteopathic, and several Canadian med schools.
The Casper test is important because it evaluates a student’s behaviors and personality traits rather than head knowledge. This allows medical schools to see a different side of you and assess whether or not your characteristics would make you a good physician.
Since there is often a significant social component to being a doctor, the Casper test is a very important tool to help schools determine your compatibility with the medical field.
The Casper test’s purpose is to ensure students are academically capable and behaviorally qualified to succeed in the medical profession. While the MCAT puts your education to the test, the Casper centers around whether you have the characteristics of someone who would make an excellent physician.
Therefore, applicants can demonstrate their people skills early in the application process, giving them a better chance of receiving an interview invitation.
The Casper test assesses the following behavioral characteristics:
The Casper’s purpose is to assess your soft skills.
The Casper test format has some updates! The new version is made up of 11 scenarios:
Typed responses will be scored individually. You have one minute to record each of your video responses and three and a half minutes to respond to the two typed-response questions per scenario.
Casper provides an optional 10-minute break after the video response section and another 5-minute break halfway through the typed response section. The Casper test takes approximately 65-85 minutes to complete.
Ensure you give complete answers because you can’t review them at the end. A different person grades each section, and once the exam has been scored, it’s sent to the programs you selected. You won’t receive your score, nor will you have access to it.
Each school sets its own criteria, so a score considered high for one school might not be as high for another.
Word-based questions provide a scenario, and the student must respond to the accompanying questions. Let’s look at an example from a previous edition of the Casper:
You are a physician on duty at the local ER. A 'scruffy' looking middle-aged man dressed in sweatpants and an old sweater walks in complaining of severe back pain. While taking the history, the man kept insisting that the only thing that helps his pain is a very strong painkiller. A nurse quietly tells you that this gentleman frequently visits the hospital and gets prescribed painkillers.
1. What is going through your mind right now?
2. How would you handle the patient if he kept insisting on getting prescribed painkillers?
These questions ask you to use your problem-solving and critical-thinking abilities to come to a conclusion. You want to discuss how you reached your conclusion, the action you would take, and why. Here is another form of a word-based question:
Think of a time when you had to make a sacrifice in order to accomplish a goal.
This is a broader statement that requires the applicant to discuss a moment in their life, expand upon it, and explain how it has affected them. Broader questions aren’t as geared towards critical thinking and reasoning as the other example. Rather, this pulls from your experiences to get a better understanding of who you are.
Video-based questions offer a short clip to watch, followed by questions to respond to. When you watch some examples of previous video-based questions on the Casper test, you’ll see that each one varies to gauge your behavioral characteristics stated earlier.
There isn’t a particular time that is better to take the Casper but most students take it in April or May of their application year. It all depends on when you feel prepared enough to take the test! However, the earlier you take it, the better, as some schools won’t consider your application until they receive a score.
The Casper test is scored by human raters. Each of the 11 scenarios is evaluated by a different person, so 11 independent raters provide 11 separate scores. Responses are generally evaluated on a numerical scale (from 1 to 9).
The testing system then aggregates and standardizes those scores to produce your final result, which is reported as a quartile (1st to 4th) relative to other applicants.
Your score reflects how well you demonstrate key professional and interpersonal skills compared to other test-takers.
Casper uses multiple raters to ensure fairness and consistency:
After all responses are scored, your scores are averaged across raters. Then they are standardized. That means your performance is compared to others who took the test on the same day.
This process reduces bias and ensures that one weak response does not disproportionately affect your final result.
Raters don't have an "answer key" to score each scenario. Instead, they use a standardized rubric to evaluate how well you demonstrate 10 core competencies:
Each response is scored on a 1-9 scale, where 1 is poor and 9 is excellent.
Raters focus on:
They are instructed to ignore spelling, grammar, and typing speed. Strong answers show thoughtful reasoning, not perfect writing.
Responses that suggest unsafe, unethical, or unprofessional behavior are flagged and can significantly lower your score.
Casper scores are reported differently to applicants and to medical schools. You do not see your exact Casper score. Instead, you receive a quartile ranking that shows how you performed relative to other test-takers on your test date.
Your result will fall into one of four groups:
This quartile system gives you a broad performance range, not a precise score. You will not see your raw score, percentile, or how close you were to another quartile.
No, medical schools do not see your quartile ranking. They receive a z-score, which is a more precise measure of your performance.
A z-score tells admissions committees how many standard deviations your score is above or below the mean of your test cohort. In simple terms, it answers the following:
In practical terms:
The further from 0, the stronger or weaker your performance.
For example, let’s say two applicants both received a 4th quartile result.
Both are in the top quartile, but Applicant B performed significantly stronger.
Unlike quartiles, which group applicants into broad ranges, z-scores give schools a precise measure. This lets them:
It’s also important to understand that Casper scores are standardized within each test cohort (your test date). Schools interpret your performance relative to others who took the test at the same time, not across all applicants globally.
You typically receive your Casper score about four weeks after your test date.
Here’s how the timeline works:
This delay happens because multiple human raters manually score Casper. They then average and standardize the scores before releasing results.
Keep in mind that schools receive your scores before you do, so your application can continue moving forward even if you have not yet seen your results.
Your Casper score is somewhat important for schools that require or recommend it, but it is only one part of your application. Most programs use Casper as a supplemental screening tool to assess professionalism and interpersonal skills. Schools typically consider it alongside your GPA, test scores, essays, and experiences.
Few med schools use strict cutoffs, so a lower score does not automatically disqualify you.
You can find your Casper quartile score in your Acuity Insights account about four weeks after your test date. You will see a quartile ranking (1st to 4th) that shows how you performed relative to other test-takers. You will not see your raw score or exact percentile.
A good Casper score is typically in the 3rd or 4th quartile.
Programs interpret Casper scores within the context of your full application.
No, you cannot technically fail the Casper test. Casper does not use a pass-or-fail system. Instead, you receive a quartile ranking that shows how you performed relative to other test-takers.
The lowest possible result is the 1st quartile, which means you scored lower than most applicants in your cohort. While this may weaken your application, it does not automatically disqualify you.
Admissions committees review Casper as part of a holistic application, so they consider your score alongside your GPA, test scores, essays, and experiences.
You cannot retake Casper within the same admissions cycle. You are allowed to take Casper once per cycle. Your score is distributed to all selected programs. If you apply again in a future cycle, you have to take the test again.
You can improve your Casper performance by practicing structured responses and focusing on ethical reasoning.
To improve:
The best Casper prep involves consistent practice to learn how to communicate your thought process clearly and efficiently.
Inspira Advantage offers a virtual, private tutoring program that can give you the one-on-one time you need to perfect your responses and improve your score.
Not every school requires the Casper, so there’s no use stressing about it unless you absolutely have to! Here’s a comprehensive list of all of the schools that require the Casper:
Although it’s challenging to know exactly how to “study” for the Casper test (since it’s based on your behavior and ethics), there are different ways you can prepare for the exam. You can better prepare yourself for the Casper by:
The best way to get more comfortable with Casper test content is to work with practice questions. You can find some sample Casper practice questions in our tool down below! You should also consider getting some Casper tutoring with an expert who knows exactly how to get you to the fourth quartile!
You should plan to study for six to eight weeks in order to be fully prepared for the Casper. However, this timeline may shift depending on how familiar you already are with the test’s material. A solid study plan can help you manage your time well.
Preparing for this test may seem overwhelming considering there’s no telling which questions you’ll be asked! To give yourself the best chance of success, we’ve gathered some tips from experts on how to do well on the Casper:
The key to building confidence and really refining your performance on the Casper test is practice. If you familiarize yourself with different scenarios and perfect your responses, you’ll feel prepared for the real exam and ready to tackle any question that comes your way.
The test-makers are looking for genuine reactions that reflect how you would handle these situations in real life, so it makes perfect sense to draw from your own experiences when crafting your answers.
Getting feedback from someone you trust can help you fine-tune your responses and let you know if your answer is coming across how it’s intended to.
On test day, you'll be under intense pressure and strict time limits for each question. The best way to manage this stress is to become accustomed to it through practice.
Staying organized is key during the test. Creating a template on how to answer these responses can make them more manageable, help you answer each one consistently, and ensure you cover all essential points.
Still have questions about the Casper test for medical school? Read on to have your burning questions answered.
Many MD and DO programs require applicants to take the Casper exam. You should check program requirements to determine if this test is required.
Programs want to ensure students have the soft skills necessary to become great physicians. While there are other application materials they can use, the Casper is a cost-effective way to reach all applicants.
This exam is often used as an intermediary between the application and the interview. So, your performance on the Casper could dictate whether or not you get an interview.
Because the Casper is a behavioral exam, study for it the way you would for an MMI interview. The best method for preparing is to take practice Casper tests. Because you have limited time to type your response, practicing your typing can help. You can try to increase your typing speed to answer the questions provided in three and a half minutes.
Because your Casper results are only usable in the current application cycle, you want to take the test as soon as possible. The test is administered online, so you can take the exam from home. Register for the Casper test on the dates they have available.
Webcams are strictly required for the Casper to ensure you aren’t cheating; it’s part of the identity assertion and proctoring methods. Your face must be visible during the exam.
While minimizing spelling and punctuation errors is encouraged, Casper raters are trained to disregard these mistakes when they review your responses. Reviewers are more concerned with the content of your responses.
The Casper costs $85, which includes score distributions to seven schools. It will cost $18 per additional school.
It depends on the importance each medical school places on your results. Many schools may use your scores and application materials to decide whether or not to invite you to interview. It’s best to do as well as possible on your Casper exam!
The Casper takes approximately 65-85 minutes to complete.
You may only take the Casper test once per admissions cycle.
The results of your Casper test are only valid for one admissions cycle. If you need to reapply to medical school in a separate admissions cycle, you will need to retake the test.
Yes, there are accessible testing options available for the Casper. These may include additional time, assistive software, and assistive personnel. You may submit a request for testing accommodations after you book your Casper test.
You can expect to receive your Casper results and quartile scores about one month after the test date. You’ll be able to view your results in your Acuity Insights account and will receive an email notification when they are available.
The Casper test is becoming more popular to help medical schools review applicants. It’s essential to understand the test’s importance, format, and how you can benefit from taking it. If you want an advantage against others in the applicant pool, be sure to prepare for the test in advance.
Orthopaedic Surgery Resident Physician
Lewis Katz School of Medicine at Temple University
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