CASPer for Medical School: The 2025 Applicant Guide

The CASPer test is now a mandatory component of the medical school application for hundreds of programs in Canada, the United States, and Australia. Here is what you need to know as an applicant.

Why Medical Schools Use CASPer

GPA and MCAT scores predict academic performance, but they tell admissions committees very little about whether you will be an empathetic, ethical, and collaborative physician. CASPer was created to fill this gap. Research from McMaster University, where CASPer was developed, shows that it predicts clinical performance, professionalism ratings, and lower likelihood of academic remediation during medical school.

Top Medical Schools Requiring CASPer (Canada)

University of Toronto Faculty of Medicine
McMaster University School of Medicine
University of Ottawa Faculty of Medicine
Queen's University School of Medicine
Western University Schulich School of Medicine
University of Calgary Cumming School of Medicine
University of Alberta Faculty of Medicine
University of British Columbia Faculty of Medicine
Dalhousie University Faculty of Medicine
University of Manitoba Max Rady College

Top Medical Schools Requiring CASPer (USA)

Howard University College of Medicine
Michigan State University College of Human Medicine
University of Vermont Larner College of Medicine
Wake Forest School of Medicine
Tulane University School of Medicine
New York Medical College
Hofstra/Northwell Zucker School of Medicine
Nova Southeastern University
Rosalind Franklin University
University of South Carolina School of Medicine

How CASPer Fits Into Your Application

CASPer is submitted separately from your primary application and shared with the specific schools you select. Schools receive your quartile score (Q1, Q2, Q3, or Q4) rather than a raw numeric score. Most programs that require CASPer use it as a screening tool: a low score (Q1 or Q2) can result in your application not advancing to the interview stage, even with excellent GPA and MCAT scores.

Important: A single CASPer score is shared with all schools you designate. You take it once per application cycle, so preparation matters significantly.

CASPer Quartile Benchmarks

Q4 (75th percentile)Excellent

Your responses demonstrate exceptional nuance, empathy, and ethical reasoning. This score significantly strengthens your application.

Q3 (50th percentile)Above Average

Solid responses showing good judgment. Most competitive applicants achieve Q3 or higher.

Q2 (25th percentile)Below Average

Responses are functional but lack depth or fail to fully engage with the ethical dimensions of scenarios.

Q1 (bottom 25%)Weak

Responses show poor judgment, superficial reasoning, or fail to demonstrate key competencies. Will likely harm your application.

When to Take CASPer

CASPer is available year-round, but you must complete it before the application deadlines of your target schools. Most Canadian medical school applicants take it between May and August for September start programs. Allow at least 4 to 6 weeks to properly prepare. You can only take the test once per application cycle for a given discipline (medicine, nursing, etc.), so treat preparation seriously.

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