In 2025, What Medical Schools Require Casper?

While most of your medical school application is centered around your grades, hard skills, and personal background, the application does little to shed light on an applicant’s empathy, communication skills, and ethical decision making. In order to determine how strong an applicant’s soft skills are, dozens of schools across the United States and the world require applicants to take the Casper test, the major component of Acuity Insights. So, what medical schools require Casper, and how do you know if you need to take the test?

Read on to learn what the Casper test is, which schools require Casper, and why so many schools are adopting this test.

Save our complete Casper Test Guide for the best ways to prepare for Casper, detailed study strategies, Casper dos and don’ts, and frequently asked questions.

Last updated February 2025.

 

What Is the Casper Test and Do You Need to Take It?

The Computer-Based Assessment for Sampling Personal Characteristics, known more commonly as Casper, is part of Acuity Insights, a multi-part assessment designed to evaluate a prospective medical student’s people skills and critical reasoning.

  • Casper is a 65-85 minute situational judgment test.
  • Duet is a value-alignment assessment.

Learn more: Understanding Acuity Insights: Casper and Duet.

Acuity Insights Casper vs Duet

Developed in 2010 in Canada, Casper is a computer-based situational judgment test that measures who you are beyond your hard skills and grades—the test assesses your interpersonal skills, ethical decision-making, empathy, and resilience.

The Casper tests people based on the following 9 competencies:

  • Collaboration
  • Communication
  • Empathy
  • Fairness
  • Ethics
  • Motivation
  • Problem solving
  • Resilience
  • Self-awareness

Casper Test 9 Competencies

Casper is made up of 11 scenarios. There is a typed response section and a video response section. Within each section, you will be presented with either a word-based or video-based scenario followed by two open-ended questions.

Typically, the scenarios are not based in a clinical setting but are instead taken from everyday life. For example, if you’re grocery shopping and see a pregnant teenager steal some diapers, what do you do?

Casper takes about 65-85 minutes, which includes two breaks. In the video response section, you have one minute to respond to each question individually. In the typed response section, you have 3.5 minutes to respond to two questions before the test automatically moves on to the next scenario.

Each of the 11 scenarios is scored by a unique rater, which means no two scenarios of your test will be scored by the same person. Therefore, your Casper score is made up of multiple different, objective impressions of you. The raters have no prior knowledge of you whatsoever and have no idea how you answered the other scenarios.

Casper raters are required to complete a training session and accreditation in order to score the test, and your test results are automatically sent to the schools you’re applying to.

Casper isn’t a test of your academics—Learn How the Casper Test Is Scored.

Whether or not you need to take the test depends on the schools you are applying to.

Only certain schools require applicants to take a Casper test, but the list fluctuates each year.

How to Decide Which Medical Schools to Apply to (12 Important Questions)

 

What Medical Schools Require Casper?

Currently, there are dozens of programs in the US that require Casper, as well as schools in Canada, the United Kingdom, Australia, New Zealand, and Qatar.

Here is a list of every US medical school that requires Casper. (Updated February 2025)

Allopathic (MD) Medicine

  1. Baylor College of Medicine
  2. Boston University Aram V. Chobanian & Edward Avedisian School of Medicine
  3. Burnett School of Medicine at TCU
  4. Central Michigan University College of Medicine
  5. Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
  6. Drexel University College of Medicine
  7. East Tennessee State University James H. Quillen College of Medicine
  8. Louisiana State University New Orleans – School of Medicine
  9. Medical College of Wisconsin
  10. Meharry Medical College
  11. Michigan State University College of Human Medicine
  12. Netter School of Medicine Quinnipiac University
  13. New York Medical College
  14. Renaissance School of Medicine at Stony Brook University
  15. Rush University Medical College
  16. Rutgers Robert Wood Johnson Medical School
  17. Temple University Lewis Katz School of Medicine
  18. Texas Tech Health Sciences Center El Paso
  19. Tulane University School of Medicine
  20. University of Colorado Denver Medical School
  21. University of Nevada, Reno School of Medicine
  22. University of Texas at Tyler School of Medicine
  23. University of Texas Health Science Center Houston, McGovern Medical School
  24. University of Texas Health Science Center San Antonio, Long School of Medicine
  25. University of Texas Medical Branch, John Sealy School of Medicine
  26. University of Texas Southwestern
  27. University of Vermont Larner College of Medicine
  28. Virginia Commonwealth University School of Medicine
  29. Wake Forest School of Medicine

Osteopathic (DO) Medicine

  1. Arkansas College of Osteopathic Medicine
  2. Sam Houston State University College of Osteopathic Medicine
  3. Touro College of Osteopathic Medicine NY/MT
  4. William Carey University College of Osteopathic Medicine

For medical schools around the world, here is a list of every school and program that requires applicants to take Casper

 

Why Do Medical Schools Require Casper?

Medical school applicants hoping to one day become physicians must have a strong foundation of medical knowledge and possess superior smarts. Fortunately, there are plenty of metrics with which to test an applicant’s cognitive abilities. More schools are adopting Casper because it assesses areas of being a doctor that are underrepresented in your medical school application.

Strong interpersonal skills are just as vital to a doctor’s success as superior cognitive abilities and medical know-how. Doctors must be able to effectively listen and communicate with their patients in order to accurately diagnose them and, depending on the specialty, deliver bad news to the patient and their family when the time comes. They must also maintain absolute professionalism throughout every patient interaction and be guided by iron-clad ethics.

While your personal statement, letters of recommendation, and Work and Activities section provide some insight into your ethical decision-making, empathy, and communication skills, the primary focus of your medical school application is your hard skills.

Admissions committees want to know who you are beyond your grades. They do not want to accept an applicant with stellar grades if it means that the applicant is socially inept, rude, or possesses a Machiavellian sense of morals and ethics.

When faced with an ethical dilemma, as physicians often are, what will you do? Will your patients feel safe and comfortable with you, or will they dread every interaction and question whether or not you have their best interests at heart?

Some admissions committees are prioritizing having these questions answered before they accept an applicant to their program.

 

Casper Test Dates

CASPer Test dates for 2025 and 2026

In order to register for the Casper test, you must create an Acuity Insights account with the following information:

  • Government-issued photo ID
  • Valid email address
  • Working webcam
  • Working microphone

You must register for your Casper at least 3 days before your preferred test date so that your identity can be verified and your payment processed. Do not book the test last minute.

Casper test dates vary between schools. It’s imperative that you pay close attention to the due dates set by the schools you are applying to. The test dates for upcoming admissions cycles are made available in the spring.

You can only take the Casper once during an admissions cycle. If you are unsuccessful at matriculating to medical school, you will have to take Casper again the following admissions cycle.

View the latest Casper test dates and times.

 

Casper Test Preparation

You can’t actually study for the Casper like other tests, but you can practice for it by answering sample test questions, taking practice tests, increasing your typing speed, improving your reading comprehension, and understanding the video format—all of which we strongly recommend you do!

Casper is not a complicated test, nor is it a long one, but it will challenge you in ways tests of your hard skills won’t. In order to be successful, set plenty of time aside to practice and prepare.

Review our 15 different Casper preparation strategies that will help you succeed on test day.

 

Casper Prep with Med School Insiders

The Med School Insiders Casper prep platform leverages cutting-edge AI technology combined with in-depth video tutorials. It’s the most comprehensive prep resource for Casper out there.

Med School Insiders Casper AI Course.

Get instant feedback on both the typed and video response sections of the Casper test, including immediate personalized evaluation and emotion detection analysis. For the typed section, our platform will help you improve your typing speed as you simultaneously master essential Casper vocabulary. 

The course includes unlimited practice problems, which means you’ll have endless opportunities to refine your skills, adapt to various scenarios, and truly understand the nuances of the Casper exam. 

Plus, it comes with a 3-day money-back guarantee, so you can try it for yourself at zero risk.

Still have questions? We cover 19 common Casper questions in our Casper Test FAQ.

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This Post Has 2 Comments

  1. Ian

    West Virginia says applicants are “encouraged, but not required” to take the CASPER exam

  2. Katie

    Some of these schools accept either the casper or preview

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