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Scores and quartiles

How CASPer Quartiles Work and What Your Result Means

A quartile is a broad comparison group, not a percentage score. It places your performance in one of four bands relative to other applicants in your test cohort.

By BDALab Editorial TeamPublished June 14, 2026Updated June 14, 20267 min read
Editorial note

BDALab is independent and is not affiliated with Acuity Insights, the ADA, or the AAMC. Exam details are checked against official sources; strategy recommendations are educational guidance, not official policy.

Quartiles are ranges, not exact scores

A first-quartile result indicates the lowest comparative band and a fourth-quartile result indicates the highest. A quartile does not tell you your exact score, percentile, or how close you were to the next band.

Programs receive the score information used in their admissions process. Applicants should avoid treating a quartile as a complete prediction of admission because each program decides how to weigh CASPer alongside academics, experiences, references, and other requirements.

How to interpret each band

  • Fourth quartile: strong relative performance, but not an admission guarantee.
  • Third quartile: above the midpoint of the comparison group.
  • Second quartile: below the midpoint, with substantial overlap in practical ability near band boundaries.
  • First quartile: a signal to review response quality and timing, not a verdict on your suitability for a profession.

What can lower a result

  • Failing to answer the exact question.
  • Making confident assumptions when the scenario leaves important facts unknown.
  • Using empathy statements without making a decision.
  • Escalating immediately when a private, lower-risk intervention would be appropriate.
  • Leaving responses unfinished because the opening is too long.

A better improvement target

Instead of chasing a quartile, track observable response habits: time to reach a decision, number of relevant stakeholders considered, whether conditions are explicit, and whether the final action is concrete. Those measures are trainable even when the official score is not visible.

Put the guide into practice

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Questions

Frequently asked questions

Is fourth quartile a perfect CASPer score?

No. It is the highest broad comparative band, not a perfect score.

Can I get admitted with a first- or second-quartile CASPer result?

Admissions decisions depend on the program and the rest of the application. A quartile alone cannot determine the outcome.

Sources and review

Reviewed under the BDALab editorial policy. Always confirm current requirements with the official testing organization.

  • Acuity Insights: About Casper
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