The Casper test is a distributed by Acuity Insights (formerly Altus assessments). Medical schools use it to evaluate how an applicant aligns with their program and to develop a holistic understanding of each student. The test allows medical students to demonstrate their communication and other non-cognitive skills. Typically, the Casper is administered prior to an in-person or virtual interview at a medical school, and is considered part of the secondary application process. At some medical schools, you may take the test later.
Keep reading to find out more about Casper exams and how to prepare.
Casper stands for Computer-based Assessment for Sampling Personal Characteristics. Prior to 2023, Casper was 1 of 3 exams that comprise the Altus Suite, a multi-part assessment used in medical school admissions cycles. Casper is an open-response, situational judgment test (SJT) that evaluates professionalism and non-cognitive skills, such as collaboration, problem-solving, ethics, and empathy.
In 2023, Altus Assessments and One45 merged to become Acuity Insights. After much research, Acuity Insights made slight changes to the Casper test, including the decision to combine the scores for typed and video responses to make admissions more equitable.
Do you have to take the Casper test to go to medical school? You only have to take the Casper test to go to medical school if you are applying to a medical school that requires it.
First used in Canada, more than 60 United States-based medical schools and roughly a dozen residency programs have now adopted its use. Casper helps schools screen applicants as part of the admissions process.
Medical schools and residency programs use the Casper exam in lieu of, or in addition to, the traditional medical school interview.
At the beginning of 2023 the Casper test changed after Altus and One45 merged. It still incorporates video responses via webcam, but this section comes first, before the typed sections, to prevent any typed answers being lost due to video uploading issues. Casper includes 14 dilemmas or scenarios, followed by 2 questions, each with 5 minutes to respond. Think of Casper as an automated set of multiple mini interviews.
What is the Casper exam format? The Casper exam format includes:
How long is the Casper exam? The Casper exam takes 90-110 minutes to complete.
What kinds of questions are on the Casper test? Casper questions tend to include a range of medical, ethics, and behavioral scenarios. Not all questions are medically related, in fact most are behavioral questions.
Consider this statement: “From time to time, we deal with conflict in some form.”
Open-ended questions to the applicant:
The Casper exam is not necessarily a test you need to study for with a practice test, like the MCAT. In fact, it’s designed not to be studied for. It’s a test of your ability to think and handle situations. However, we do recommend you go through a few Casper scenarios or sample Casper cases to get an idea of what to expect.
For that, the MedSchoolCoach Casper Prep program is perfect. It will take you through every aspect of the exam you need to understand and includes coaching by a physician.
Other recommendations we’ve included below come from Je Suis Banane on Student Doctor Network:
Read “Doing Right” by Philip C. Hébert: This is an excellent crash course in medical ethics. The book contains a lot of different scenarios that if you have time to read will give you great insight.
Look up the background/FAQs of Casper: Get a great understanding of the format of the test, take the TakeAltus.com, and use the MedSchoolCoach Casper Prep Program to your advantage. Learn the history, and acknowledge that the test is designed so that it is difficult to improve your score by studying.
Find sample test questions from different websites and use those to your advantage: You’ll find lots of resources on YouTube if you do a quick search for ‘Casper sample questions,’ ‘medical ethics questions,’ or ‘medical interview questions.’
Practice taking notes for videos & sample questions to accurately grasp scenario: On test day, you can’t go back and re-watch the video — it’s a 1-time deal. Make it count. Hone your note-taking skills beforehand.
When should you take the Casper exam? You should take the Casper exam while preparing your AMCAS application, since schools have begun requiring the Casper score along with the primary application. We recommend registering for the exam in April or May of the year you apply.
While you’re gathering information for you medical school application — pre-med GPA, MCAT, LOR, post-bacc, etc. — go ahead and schedule a test date. Be sure to give yourself enough time to prepare for the exam.
Note: it will take 2-3 weeks for scores to be distributed to schools, so plan early.
How much does the Casper test cost? It generally costs $10 to take the Casper test, plus an additional $10 per school that receives your scores.
Each of the 15 scenarios are scored by a different independently contracted test rater. Raters are instructed to ignore spelling and grammar mistakes and to focus on content alone.
For testers with a slower typing speed, take note: If you don’t finish answering within the allotted 5 minutes, raters will try to understand your train of thought. Any bullet points or unfinished sentences will contribute to your score.
Test takers should be sure to always explain why they’ve taken a certain stance on a topic, as raters are instructed to evaluate your intent and not your specific stance.
Prior to the 2022-2023 test update, Altus shared that each scenario was scored with a rating between 1 and 9. With the updated test, Altus has not disclosed how test scores are determined. During the first application cycle with this new test, only schools selected to participate in the early adopter program will receive test results from the video response section.
The medical schools that use the Casper test change every year. Medical schools that currently require Casper include:
Find out more about the medical schools using the Casper/Altus Suite in our Ultimate Guide to Virtual Assessments.
The following residency programs use Casper:
Family Medicine:
General Surgery:
Internal Medicine:
OB-GYN:
Psychiatry:
Along with the Casper exam, there are two other portions of the Altus Suite assessments.
Snapshot is a one-way video response tool designed to give students an opportunity to demonstrate their personal attributes, particularly during this time where in-person communications are difficult. It is about 10-15 minutes in length, with unlimited time for practice questions. The format is such that there are 3 one-way questions with 2 minutes to record a video response to each.
Duet is a value alignment assessment designed to compare the alignment of the values that matter most to a student in a residency program with those of the program(s) that they are applying to. It is about 15-20 minutes in length. The format has 30 program characteristics that are compared in pairs across 3 categories, with no time limits.
We recommend verifying with each school you’re applying to about which parts of the Altus Suite are required for their applications process.
If you need help preparing for the Casper exam, check out this resource: Medical School Casper Preparation.
We’ll pair you with a Physician Advisor that’s interviewed thousands of medical school candidates and served on admissions committees. They provide a realistic experience, so you know exactly what to expect when it’s time to take the Casper exam. We’re here to help you maximize your chances of getting accepted — the first time.
Dr. Marinelli has practiced family medicine, served on the University of California Admissions Committee, and has helped hundreds of students get into medical school. She spearheads a team of physician advisors who guide MedSchoolCoach students.