Medical Schools That Require CASPer in the US
The US medical school application is already one of the most demanding processes in professional education — MCAT preparation, primary and secondary applications, letters of recommendation, and a timeline that spans more than a year. For applicants targeting programs that require the CASPer test, there is one more assessment to plan for. Approximately 50 US MD and DO programs require CASPer as of the 2026 admissions cycle, and for many of them, a low quartile result triggers automatic screening before a single admissions reviewer reads your file.
Which US medical schools require CASPer? How does the US Medical test type differ from the Canadian version? And how do programs actually use your score? This guide answers all three questions with a full state by state list, a breakdown of how individual programs apply CASPer in their admissions decisions, and a clear preparation framework for applicants targeting Q3 or Q4.
Once you know your programs require CASPer, the next step is scored practice. MYLS Interview gives you AI powered feedback on every response across all nine official competencies, so you know exactly where you stand before test day.
Do US Medical Schools Require CASPer?
Not all US medical schools require CASPer, but a significant and growing number do. As of the 2026 admissions cycle, approximately 50 MD and DO programs across the United States require CASPer as part of their admissions process. This represents roughly one third of all accredited US medical schools. The list is not static — programs add and occasionally remove CASPer requirements each admissions cycle, so confirming requirements for the specific cycle you are applying in is essential.
According to Acuity Insights, the US Medical test type is the most widely administered CASPer version globally, with approximately 50 US MD and DO programs requiring it as of the 2026 admissions cycle. US applicants sit this version separately from the Canadian Medical, Canadian Nursing, and other regional test types. If you are applying to both US and Canadian medical schools, you must register for and sit both versions independently — scores are not transferable between them.
The US Medical CASPer test window runs from July through May. Key registration steps for US medical school applicants:
- Create an account at acuityinsights.app
- Select the US Medical test type
- Choose a test date between March and May
- Designate all target programs before payment
- Complete payment — $85 base fee covers nine programs
- Run the systems check at least 48 hours before test day Most US medical school primary applications open in late May or early June through AMCAS or AACOMAS, and CASPer scores are typically required alongside or shortly after the primary application submission. Applicants should aim to sit CASPer between March and May to ensure their score is available when programs begin reviewing files.
US MD Programs That Require CASPer
The following allopathic MD programs in the United States require CASPer as of the 2026 admissions cycle. This list reflects confirmed requirements and is organized by state for easy reference.
| Medical School | State |
|---|---|
| Tulane University School of Medicine | Louisiana |
| Drexel University College of Medicine | Pennsylvania |
| Texas A&M School of Medicine | Texas |
| Hackensack Meridian School of Medicine | New Jersey |
| Boston University Chobanian and Avedisian School of Medicine | Massachusetts |
| East Tennessee State University Quillen College of Medicine | Tennessee |
| Louisiana State University School of Medicine New Orleans | Louisiana |
| Louisiana State University Health Shreveport | Louisiana |
| UT Health San Antonio Long School of Medicine | Texas |
| University of Texas Medical Branch | Texas |
| Texas Tech University Health Sciences Center School of Medicine | Texas |
| Texas Tech University Health Sciences Center El Paso Paul L. Foster School of Medicine | Texas |
| Meharry Medical College | Tennessee |
| Morehouse School of Medicine | Georgia |
| New York Medical College | New York |
| Rosalind Franklin University Chicago Medical School | Illinois |
| University of Illinois College of Medicine | Illinois |
| Rush Medical College | Illinois |
| Loyola University Chicago Stritch School of Medicine | Illinois |
| Southern Illinois University School of Medicine | Illinois |
| University of Missouri Columbia School of Medicine | Missouri |
| University of Missouri Kansas City School of Medicine | Missouri |
| Saint Louis University School of Medicine | Missouri |
| University of Mississippi Medical Center School of Medicine | Mississippi |
| University of South Alabama Whiddon College of Medicine | Alabama |
| University of Kentucky College of Medicine | Kentucky |
| Joan C. Edwards School of Medicine at Marshall University | West Virginia |
| West Virginia University School of Medicine | West Virginia |
| Virginia Tech Carilion School of Medicine | Virginia |
| Eastern Virginia Medical School | Virginia |
| Geisinger Commonwealth School of Medicine | Pennsylvania |
| Cooper Medical School of Rowan University | New Jersey |
| New Jersey Medical School Rutgers | New Jersey |
| Robert Wood Johnson Medical School Rutgers | New Jersey |
| University of Vermont Larner College of Medicine | Vermont |
| University of New England College of Osteopathic Medicine | Maine |
CASPer Requiring Programs by State
Texas leads all states with Texas A&M School of Medicine, UT Health San Antonio, University of Texas Medical Branch, Texas Tech University Health Sciences Center, and Texas Tech El Paso all requiring CASPer.
Illinois has four programs: University of Illinois College of Medicine, Rush Medical College, Loyola University Chicago Stritch School of Medicine, and Southern Illinois University School of Medicine.
New Jersey has four programs: Hackensack Meridian School of Medicine, Cooper Medical School of Rowan University, New Jersey Medical School Rutgers, and Robert Wood Johnson Medical School Rutgers.
Missouri has three programs: University of Missouri Columbia, University of Missouri Kansas City, and Saint Louis University School of Medicine.
Louisiana has three programs: Tulane University, Louisiana State University New Orleans, and Louisiana State University Health Shreveport.
Additional programs are located in Virginia, West Virginia, Tennessee, Pennsylvania, North Carolina, Vermont, and Maine.
Requirements change each admissions cycle. The American Association of Medical Colleges maintains AMCAS resources for MD applicants. The official and most current list of US programs that require CASPer is maintained by Acuity Insights. Always confirm directly on each program's admissions page before registering.
US DO Programs That Require CASPer
Osteopathic DO programs that require CASPer use the same US Medical test type as MD programs, scored against the same nine competency framework. DO applicants apply through AACOMAS rather than AMCAS. Because DO program CASPer requirements change more frequently than MD program requirements, confirm directly with each osteopathic program for the current cycle. Key programs include those affiliated with American Association of Colleges of Osteopathic Medicine member schools.
Programs That Require Both CASPer and Duet
Several US programs require both CASPer and Duet — two separate assessments administered by Acuity Insights. CASPer is a situational judgment test that evaluates how you reason through ethical and interpersonal scenarios. Duet is a value alignment questionnaire that measures fit between your values and a program's culture. Duet has no right or wrong answers and requires no preparation beyond completing it honestly.
| Program | State | Assessment Required |
|---|---|---|
| Tulane University School of Medicine | Louisiana | CASPer and Duet |
| Hackensack Meridian School of Medicine | New Jersey | CASPer and Duet |
| University of Texas Medical Branch | Texas | CASPer and Duet |
| Texas Tech University Health Sciences Center | Texas | CASPer and Duet |
| East Tennessee State University Quillen College of Medicine | Tennessee | Duet also required |
If your programs require Duet, it will appear automatically in your Acuity Insights account once you add those programs to your distribution list. You do not need to register or pay separately for Duet.
US Medical CASPer Test Type: Key Details
US medical school applicants sit the US Medical test type, which shares the same structure as other CASPer versions but is registered and scored independently from Canadian and other regional versions.
| Feature | Detail |
|---|---|
| Test type name | US Medical |
| Number of scenarios | 11 (7 typed, 4 video) |
| Typed section time | 3.5 minutes per scenario |
| Video section time | 1 minute per question |
| Total duration | 65 to 85 minutes including break |
| Score format | Quartile ranking (Q1 to Q4) |
| Registration fee (2026 to 2027) | $85 base fee, covers 9 programs |
| Additional program fee | $20 per additional program |
| Test window | July to May |
| Recommended registration window | March to May |
| Registration platform | acuityinsights.app |
The $85 base fee covers score distribution to nine programs — more generous than many other standardized testing programs. Applicants applying to more than nine CASPer requiring programs will pay $20 per additional score report. There is also a rescheduling fee if you change your test date within 30 days of your original appointment.
How US Medical Schools Use CASPer Scores
US medical schools that require CASPer use it in several different ways. Understanding these models helps applicants set the right preparation target and application strategy.
Pre Interview Screening Filter
Some programs use CASPer as a hard filter before the interview stage. At UT Health San Antonio, for example, applicants cannot receive an interview invitation unless they have completed CASPer. Programs using this model may apply a minimum quartile threshold — applicants below Q3 are removed from consideration regardless of their MCAT score or GPA. This is the highest stakes use of CASPer in the US admissions context.
Composite Admissions Score Component
Many programs incorporate CASPer as one weighted factor in a composite admissions score alongside GPA, MCAT, personal statement quality, and other application elements. In this model, a Q2 CASPer result can partially offset strong academic metrics, though the risk of a low score affecting overall competitiveness remains meaningful.
Holistic Review Supplement
Some programs use CASPer as supplementary information reviewed alongside the full application in a holistic admissions process. In this model, CASPer does not function as an automatic filter but contributes to the reviewers' overall impression of the applicant's professional character and interpersonal skills.
Most US programs do not publicly disclose which model they use or what quartile thresholds they apply. The consensus among admissions advisors is that Q3 represents the minimum acceptable result at most programs and Q4 is the preparation target.
CASPer vs PREview: Which Do US Medical Schools Require?
US medical school applicants frequently encounter both CASPer and the AAMC PREview exam in their target program requirements. These are two separate assessments with different formats, administrators, and program adoptions.
| Feature | CASPer | PREview |
|---|---|---|
| Administrator | Acuity Insights | AAMC |
| Format | Open response (typed and video) | Multiple choice |
| Number of scenarios | 11 | 30 |
| Time per scenario | 3.5 minutes (typed) / 1 minute (video) | Untimed per scenario |
| Scoring | Quartile ranking (Q1 to Q4) | Quartile ranking |
| Programs requiring it | Approximately 50 US MD and DO programs | Approximately 12 US MD programs |
| Preparation approach | Framework based, timed typed and video practice | Multiple choice strategy, scenario analysis |
Approximately 12 US MD programs require PREview rather than CASPer. A small number of programs accept either. If your target programs include both CASPer and PREview requirements, plan and budget for both — they require separate registrations and different preparation approaches. MYLS Interview covers CASPer preparation specifically.
US Medical Schools That Require CASPer: Answers to the Questions Applicants Ask Most
Who needs to take CASPer for US medical school?
Applicants to any US MD or DO program that lists CASPer as a required component of its admissions process must complete the US Medical test type through Acuity Insights. As of 2026, approximately 50 programs require it. Applicants to programs in both the US and Canada must register separately for the US Medical and Canadian Medical test types, as scores are not transferable between versions.
What is the US Medical CASPer test type?
The US Medical test type is the version of CASPer administered to applicants for US MD and DO programs. It consists of 11 scenarios — seven typed and four video questions — scored by trained raters across nine official competencies. The base registration fee of $85 covers score distribution to nine programs, with additional programs available at $20 per score report. It is registered and scored independently from the Canadian Medical, Canadian Nursing, and other test types.
When should US medical school applicants take CASPer?
US medical school applicants should aim to sit CASPer between March and May so scores are available when programs begin reviewing primary applications in late June or July. AMCAS applications open in late May, and most programs that require CASPer expect scores to be on file alongside or shortly after the primary submission. Do not wait until after you submit your primary application to register — test dates in spring fill early.
Where do US applicants register for CASPer?
US medical school applicants register for the US Medical CASPer test type through the Acuity Insights platform at acuityinsights.app. Select the US Medical test type, choose a date, complete the $85 payment, and designate which programs receive your scores. Complete the required systems check at least 48 hours before your test date to verify your webcam, microphone, and browser meet technical requirements.
Why do US medical schools require CASPer?
US medical schools require CASPer because MCAT scores and GPA do not measure professional competencies such as empathy, ethical reasoning, and communication under pressure. These are qualities that directly affect patient outcomes and clinical team performance. CASPer provides a standardized measure of these competencies that can be applied consistently across large applicant pools before the resource intensive interview stage.
How do I know if my target programs require CASPer or PREview?
Check each program's secondary application instructions and admissions requirements page directly. The Acuity Insights program directory lists all programs that require CASPer. The AAMC maintains a separate list of programs requiring PREview. Some programs accept either; most require one or the other. Confirm for each program in the specific cycle you are applying in, as requirements change annually.
How MYLS Interview Helps US Medical School Applicants Prepare for CASPer
US medical school applicants face a highly competitive CASPer field. The US Medical test pool includes thousands of applicants from across the country, and programs using CASPer as a pre interview screening filter apply it rigorously. MYLS Interview is an AI powered mock interview preparation platform built for applicants to competitive professional programs, including US MD and DO programs.
About MYLS Interview
MYLS Interview is a dedicated mock interview and university admissions preparation platform offering over 190 interview programs and 24,000 practice questions. It covers CASPer preparation for US Medical applicants with AI powered feedback on every response scored against the official nine competency framework.
Our Features
- 190+ interview programs covering CASPer for US MD and DO applicants
- 24,000+ practice questions across all nine competencies and all three CASPer question types
- Video response practice with playback, delivery feedback, and improvements
- AI powered response feedback identifying competency gaps after every practice response
- US MD specific preparation track weighted toward clinical ethics, patient advocacy, and professionalism scenarios
- Timed mock tests replicating US Medical CASPer conditions with typed and video sections in sequence
How We Can Help US Medical School Applicants
For US medical school applicants, CASPer is one of the few remaining components of a competitive application where structured preparation produces a measurable improvement in outcome. MYLS Interview's CASPer preparation track covers the clinical ethics, interpersonal conflict, and professionalism scenarios that US programs weight most heavily. The AI feedback system identifies which of the nine competencies your responses demonstrate clearly and which are absent or implied rather than explicit — the distinction that separates Q2 from Q4 responses. Applicants can practice the realistic full CASPer test and begin scored practice immediately.
Start Preparing for US Medical School CASPer Today
For the programs that require CASPer, your score may be a direct admissions variable. At programs that use it as a pre interview filter, a Q1 or Q2 result removes your application from consideration before any reviewer reads your personal statement or reviews your clinical experience. At programs that use it as a composite score component, a strong CASPer result can differentiate you from applicants with similar academic metrics.
The preparation investment is the same either way: structured, timed, feedback informed practice that builds the response instincts and competency awareness that Q3 and Q4 scores require. Applicants ready to begin can start immediately with FREE CASPer test.
Frequently Asked Questions
How many US medical schools require CASPer?
Approximately 50 US MD and DO programs require CASPer as of the 2026 admissions cycle. This represents roughly one third of all accredited US medical schools. The number has grown steadily since CASPer was first adopted by US programs and continues to expand each cycle. Always confirm requirements for the specific cycle you are applying in through the Acuity Insights program directory.
Is CASPer required for all US MD programs?
No. CASPer is required by specific MD and DO programs, not all 150 plus accredited medical schools. Many highly ranked programs including Harvard, Johns Hopkins, and Stanford do not currently require CASPer. Whether CASPer is required depends entirely on each individual program's admissions requirements for that cycle.
What is a good CASPer score for US medical school?
US medical school applicants should target Q3 as the minimum acceptable result and Q4 as the preparation goal. Q4 represents the top 25% of all test takers for the US Medical test type in that cycle. Programs using CASPer as a pre interview filter may apply Q3 or Q4 as the threshold for continued consideration. Applicants do not see their own score — it is sent directly to designated programs.
How much does CASPer cost for US medical school applicants?
The base registration fee for US medical school applicants is $85 for the 2026 to 2027 admissions cycle. This fee covers score distribution to nine programs. Each additional program beyond nine costs $20 per score report. There is a rescheduling fee if you change your test date within 30 days of your original appointment. Fee waivers are available for applicants demonstrating financial need through the Acuity Insights platform.
Can I take CASPer more than once for US medical school?
No. You can only take CASPer once per admissions cycle per test type. If you are applying to both US and Canadian medical schools, you will sit both the US Medical and Canadian Medical test types, but each is taken once per cycle. CASPer scores are valid for one admissions cycle only and do not carry over to subsequent cycles. If you are reapplying in a new cycle, you must retake the test.
Do US medical schools see my CASPer score before interviewing me?
Yes. CASPer scores are distributed to designated programs before or during the primary application review period. Programs that use CASPer as a pre interview screening filter review scores before deciding whom to invite for interviews. Programs using CASPer as a composite score component may review it at any point during the admissions process.
What happens if I forget to add a program to my CASPer distribution list?
You can add programs to your score distribution list after taking the test, as long as those programs are still accepting CASPer scores for the current cycle. Adding a program after the test incurs the standard per program fee of $20. However, if a program's CASPer submission deadline has passed, adding it to your distribution list will not result in a valid submission for that cycle. Always designate all target programs before test day to avoid deadline complications.