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CASPer format

CASPer Format

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01

The official format at a glance

Acuity Insights currently describes CASPer as 11 scenarios split across two sections. Four scenarios use recorded video responses and seven use typed responses. Scenarios may be presented as text or video.

  • Video responses: 4 scenarios, 2 questions per scenario, 1 minute per response
  • Typed responses: 7 scenarios, 2 questions per scenario, 3.5 minutes total
  • Typical total duration: 65 to 85 minutes, including optional breaks
  • Each scenario is evaluated by a different trained human rater
02

What the test is trying to measure

The official competency list includes collaboration, communication, empathy, fairness, ethics, motivation, problem solving, resilience, and self-awareness. Strong responses make these qualities visible through decisions, not labels.

03

How to use the time

  • Answer the question in your first sentence instead of spending half the response restating the prompt.
  • Name missing information only when it could change your decision.
  • Use conditional language: explain what you would do if the concern is confirmed and what you would do if it is not.
  • End with a concrete follow-up, such as checking safety, documenting a concern, or revisiting the conversation.
04

Test-day checklist

  • Complete Acuity Insights' official systems check and sample test.
  • Confirm your camera, microphone, browser permissions, lighting, and internet connection.
  • Practice recovering after an imperfect response; one weak scenario should not affect the next one.
  • Check the official site close to your test date because format and administration details can change.
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Frequently asked questions

How many scenarios are on CASPer in 2026?

Acuity Insights currently lists 11 scenarios: four video-response scenarios and seven typed-response scenarios.

How long is the CASPer test?

Acuity Insights says CASPer typically takes 65 to 85 minutes, including optional breaks.

Is CASPer scored by AI?

Acuity Insights states that trained human raters score the test and that each scenario is evaluated by a different rater.

Sources and review

Reviewed under the BDALab editorial policy. BDALab is independent and is not affiliated with Acuity Insights, the ADA, or the AAMC.

  • Acuity Insights: About Casper

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