If you are applying to medical school, you may be required to take the Casper test as part of your application. This situational judgment assessment evaluates your personal and professional attributes, giving admissions committees insight into your suitability for a career in medicine beyond grades and test scores.
This guide covers the Casper test’s purpose, structure, scoring, and how schools use the results in their admissions process.
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Casper (Computer-Based Assessment for Sampling Personal Characteristics) presents realistic, hypothetical scenarios that test your ethical reasoning, empathy, communication, and problem-solving abilities.
It is part of a growing trend in medical school admissions to assess applicants’ non-academic skills, often alongside the MCAT, GPA, and other application materials.
You must create a Casper account and register for your preferred test date at least three days in advance. Required items include:
If you need testing accommodations, register at least three weeks before your preferred date. The test is offered once per admissions cycle, and fees are non-refundable.
Many U.S. MD and DO programs, as well as some Canadian medical schools, require Casper. Always check the specific requirements for each school on your list.
While academic ability is critical, physicians must also excel in areas such as communication, empathy, and ethical decision-making. Casper allows schools to assess these traits early in the admissions process, sometimes before deciding who to invite for interviews.
The test measures ten key behavioral characteristics:
Casper currently includes 11 scenarios:
Each scenario has two questions. You will have:
You cannot review or edit answers after submission. Different raters score each scenario independently. The test takes about 65–85 minutes to complete, with optional breaks between sections.
Word-Based Example:
You are a physician in an ER. A patient with a history of seeking pain medication requests a strong prescription for back pain.
Video-Based Example:
Watch a short clip of a workplace conflict and answer two follow-up questions about your approach to resolving it.
Most applicants take Casper in April or May of their application year, but the best time depends on when you feel ready. Some schools will not review your application until they have your Casper score.
Casper scores are relative and placed into quartiles:
A third or fourth quartile score is typically considered competitive, though schools review Casper results alongside other materials.
Casper results are incorporated into a holistic admissions review, often influencing interview invitations. The assessment helps programs identify applicants with the interpersonal and professional qualities necessary for medical training and patient care.
For the most current list, check the official Casper test dates and requirements.
Because Casper measures situational judgment, you cannot “cram” in the traditional sense, but you can prepare by:
The Casper test offers medical schools a deeper look at your interpersonal skills and ethical judgment. By understanding its format and preparing with realistic practice scenarios, you can approach test day with confidence and present yourself as a strong, well-rounded candidate.
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Author: Go-Elective Abroad
Date Published: Dec 14, 2025
Go Elective offers immersive opportunities for medical students, pre-med undergraduates, residents, nursing practitioners, and PAs to gain guided invaluable experience in busy hospitals abroad. Discover the power of study, travel, and impact.