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2026 Requirements
US & Canada
Updated 2026

Which Medical Schools Require the CASPer Test?

Updated By Mahad Farooq · Founder, CasperCoach

So What Medical Schools Need the CASPer Test in 2026? A comprehensive guide to medical schools requiring CASPer, powered by CasperCoach.

Applying to medical school, you will have likely heard recently about the CASPer test, which is a part of the Altus Suite. CASPer is a test that assesses ethical judgment, communication and the professionalism that a grade and MCAT score cannot possibly quantify. Not all schools though necessitate it. What are the medical schools that use the CASPer test in 2026, then? I will break it down.

If you want to completely break down CASPer format, practice resources and study tips, I cannot recommend CasperCoach enough. It is where I obtained the latest requirements of the CASPer, as well as prepared myself to take the exam.

US Medical Schools

U.S. Schools of Medicine Which Mandate CASPer

Dozens of U.S. medical schools require CASPer in their admissions process as of 2026. Schools which already have CASPer requirement (or had it in the past few cycles) are:

US Medical Schools Requiring CASPer

  • • Tulane University School of Medicine
  • • Virginia Tech Carilion School of Medicine
  • • New York Medical College
  • • Eastern Virginia Medical School (EVMS)
  • • College of Medicine at University of Illinois
  • • Lewis Katz School of Medicine Temple University

Why These Schools Use CASPer

CASPer is a thing used in these schools to assess real-life competencies such as ethical decision-making and communication. Applying to any of them, you have to practice with CASPer practice test.

Canadian Medical Schools

Canadian Medical-School Requirements Change by Cycle

Verify the school, entry year, test type, and pathway before booking.

Canadian Schools Requiring CASPer

This is a set of verified examples, not a permanent national list. Recheck every program in the cycle you apply.

CASPer's Role in Canadian Admissions

Do not carry last year's list forward. For 2027 entry, uOttawa's current standard requirements list an Acuity early-phase MMI instead of CASPer. Read the uOttawa Medicine requirement update before booking, especially if an older source still tells you to distribute a CASPer result there.

Why CASPer is Used in Medical Schools?

CASPer is different to the MCAT or GPA because they examine how their position in a real-life, ethically complex situation would be. It is used to evaluate in medical schools:

Professionalism

Professional conduct and behavior

Bedside Manner & Empathy

Patient care and compassion

Pressure Communications

Communication under stress

Ethical Problem Solving

Moral reasoning and decision-making

It is easy to find the test stressful, but the answer structure guide CASPer helped me to come up with clear, considered answers without having to hyperventilate in the time limit.

Preparing to Take CASPer

When the medical schools that you are applying to expect you to take CASPer, you will have to prepare. This is what worked how I did it:

Practice Tests

Since exam day is an important event, it is useful to take a serious simulated test at CasperCoach.

Answer Structure

Study a tested answer framework by CASPer answer structure.

AI Feedback

Garner the AI feedback on your responses via CasperCoach.

It was this option of being realistic in practice and having a systematic feedback that assisted me to reach the 4th quartile in scoring, which I never thought I could attain when I started.

Final Thoughts

Not all medical schools use CASPer, but CASPer is used in many. The number is increasing annually. Admission requirements must be checked again before admission and they should be planned upon.

To get an in-depth idea of what medical schools demand CASPer in 2026, as well as achieve practice test, score distribution and tactical videos, begin with CasperCoach. The preparation is the most thorough CASPer resource I had before entering the test day and I felt confident.

Key Takeaways

  • US Medical Schools: Several prominent US medical schools require CASPer, including Tulane, Virginia Tech Carilion, and New York Medical College.
  • Canadian Medical Schools: CASPer is more widespread in Canada, with schools like McMaster University (where CASPer was created) requiring it.
  • CASPer's Purpose: The test evaluates real-life competencies like ethical decision-making, communication, and professionalism that grades and MCAT scores cannot measure.
  • Preparation is Key: Use CasperCoach for practice tests, answer structure guidance, and AI feedback to achieve your target score.
  • Growing Trend: The number of medical schools requiring CASPer is increasing annually, so always check current requirements.

Applying to McMaster? The school requires CASPer but does not publish a fixed quartile cutoff. Read the cycle-specific McMaster CASPer score and requirements guide before treating forum estimates as admissions rules.