Casper, PREview or neither? What US medical schools require for 2027 entry

Which US MD and DO schools ask for Casper or the AAMC PREview exam for 2027 entry, checked against the AAMC, Acuity Insights and each school’s admissions page.

Sandbox teamUpdated 2 min readHow we check facts

Key facts

  • Rush Medical College no longer requires or recommends Casper for students starting in fall 2027.
  • The AAMC sorts PREview schools for the 2027 application year into four groups: requiring it, recommending it, requiring a situational judgment test that PREview satisfies, and exploring it.
  • US MD and DO applicants take the same Casper test type as last cycle, even though Acuity renamed other test types for 2026–27.
  • PREview has 186 questions, takes up to 75 minutes, and is scored from 1 to 9.
On this page
  1. The latest change
  2. How the AAMC groups PREview schools
  3. What PREview looks like
  4. Casper for US medical schools
  5. Schools in Sandbox Atlas
  6. Questions
  7. Sources

US medical schools use two different situational judgment tests: Casper, from Acuity Insights, and PREview, from the AAMC. Many schools use neither. Here is how to tell which ones your list needs for 2027 entry.

The latest change

Rush Medical College dropped Casper. Its admissions page says: “For students applying to matriculate at Rush in Fall 2027, the Casper exam is no longer required or recommended for admission.”1

How the AAMC groups PREview schools

The AAMC keeps an official list of “participating schools for the 2026 PREview testing year (2027 medical school application year),” last updated June 12, 2026.2 Each school is in one of four groups:

  • Requiring PREview. You can submit your application, but the school may not consider it complete until it has your score.
  • Recommending PREview. You can apply with or without a score.
  • Requiring a situational judgment test, which PREview satisfies. These schools want an SJT score, and PREview counts.
  • Exploring PREview for future use. These schools may look at scores but won’t use them to make admission decisions this cycle.3

Use the filter on the AAMC page to see which schools are in each group.2

What PREview looks like

PREview has 186 questions built on short, text-based scenarios.4 You rate how effective each response is on a 4-point scale, from very ineffective to very effective. The exam takes up to 75 minutes,3 and scores are reported from 1 to 9.5 The AAMC says more than half of all medical school applicants now take it, even when they apply to schools that don’t require it.5

For 2026, PREview was offered from April through October, with score reports about 30 days after each testing window.6

Casper for US medical schools

Acuity renamed several Casper test types for 2026–27, but not the one for US MD and DO programs. For those, Acuity says: “Your test type has not changed for the 26/27 cycle.”7

Schools in Sandbox Atlas

These tables list the US programs in Sandbox Atlas whose admissions pages state a Casper or PREview requirement. “Not stated” means the school’s pages don’t say either way. “Not required” can include schools that recommend PREview, so check the AAMC list for those.

US MD programs that state a Casper or PREview requirement
SchoolCasperPREviewVerified
Alice L. Walton School of Medicine (independent)ArkansasNot statedNot required
Baylor College of MedicineTexasRequiredNot stated
Belmont UniversityTennesseeNot statedNot required
Boston UniversityMassachusettsRequiredNot stated
California University of Science and MedicineCaliforniaRequiredNot stated
Case Western Reserve UniversityOhioNot requiredNot required
Central Michigan UniversityMichiganNot requiredNot stated
Charles R. Drew University of Medicine and ScienceCaliforniaNot requiredNot required
East Tennessee State UniversityTennesseeRequiredNot stated
Geisinger College of Health SciencesPennsylvaniaNot requiredNot required
Hofstra University (with Northwell Health)New YorkRequiredNot stated
Howard UniversityDistrict of ColumbiaNot statedNot required
Kaiser Permanente Bernard J. Tyson School of Medicine (independent)CaliforniaNot statedRequired
Louisiana State University Health ShreveportLouisianaNot requiredNot required
Mayo Clinic College of Medicine and ScienceMinnesotaNot statedNot required
Medical College of WisconsinWisconsinRequiredNot required
Meharry Medical CollegeTennesseeRequiredNot stated
Mercer UniversityGeorgiaNot statedNot required
Michigan State UniversityMichiganRequiredRequired
New York Medical College (Touro University System)New YorkRequiredNot stated
Nova Southeastern UniversityFloridaNot statedRequired
Oakland UniversityMichiganNot statedNot required
Oregon Health & Science UniversityOregonNot requiredNot required
Quinnipiac UniversityConnecticutRequiredNot stated
Rosalind Franklin University of Medicine and ScienceIllinoisNot statedNot required
Rowan UniversityNew JerseyNot statedNot required
Rush UniversityIllinoisNot requiredNot stated
Rutgers, The State University of New JerseyNew JerseyNot requiredNot required
Rutgers, The State University of New JerseyNew JerseyRequiredRequired
Saint Louis UniversityMissouriNot statedRequired
Southern Illinois UniversityIllinoisNot statedNot required
Stony Brook University (SUNY)New YorkRequiredNot stated
Temple UniversityPennsylvaniaRequiredNot required
Texas A&M UniversityTexasRequiredNot stated
Texas Christian UniversityTexasRequiredNot stated
Texas Tech University Health Sciences Center El Paso (Texas Tech Health El Paso)TexasRequiredNot stated
The George Washington UniversityDistrict of ColumbiaNot statedRequired
The University of OklahomaOklahomaNot statedNot required
The University of Texas at San Antonio (UT San Antonio; formerly UT Health Science Center San Antonio)TexasRequiredNot stated
The University of Texas at TylerTexasRequiredNot stated
The University of Texas Health Science Center at Houston (UTHealth Houston)TexasRequiredNot required
The University of Texas Medical Branch at GalvestonTexasRequiredNot stated
The University of Texas Southwestern Medical CenterTexasRequiredNot stated
The University of ToledoOhioNot statedNot required
Tulane UniversityLouisianaNot requiredNot required
Uniformed Services University of the Health SciencesMarylandNot statedNot required
University at Buffalo, State University of New YorkNew YorkNot statedNot required
University of Alabama at BirminghamAlabamaNot statedRequired
University of Arkansas for Medical SciencesArkansasNot requiredNot required
University of California San DiegoCaliforniaNot statedNot required
University of California, DavisCaliforniaNot requiredRequired
University of California, Los AngelesCaliforniaNot statedRequired
University of California, San FranciscoCaliforniaNot statedNot required
University of Colorado AnschutzColoradoRequiredNot stated
University of Hawaiʻi at MānoaHawaiiNot statedRequired
University of Illinois Urbana-ChampaignIllinoisNot requiredNot required
University of LouisvilleKentuckyNot statedNot required
University of Massachusetts (UMass Chan Medical School)MassachusettsNot statedRequired
University of MiamiFloridaNot requiredNot stated
University of MichiganMichiganNot requiredNot required
University of MinnesotaMinnesotaNot statedRequired
University of Nevada, Las VegasNevadaNot requiredNot required
University of Nevada, RenoNevadaNot requiredRequired
University of RochesterNew YorkNot requiredNot required
University of UtahUtahNot statedRequired
University of VermontVermontRequiredNot required
University of VirginiaVirginiaNot requiredNot required
University of WashingtonWashingtonNot requiredNot required
Vanderbilt UniversityTennesseeNot statedNot required
Virginia Commonwealth UniversityVirginiaRequiredNot required
Virginia Tech (Virginia Polytechnic Institute and State University)VirginiaNot statedNot required
Wake Forest UniversityNorth CarolinaRequiredNot stated
Washington State UniversityWashingtonNot statedNot required
Washington University in St. LouisMissouriNot statedRequired
Wayne State UniversityMichiganNot requiredNot required
West Virginia UniversityWest VirginiaNot requiredNot required
Wright State UniversityOhioNot statedNot required
US MD programs that state a Casper or PREview requirement. 77 programs in Sandbox Atlas. Each school links to its Atlas profile, which cites the school’s official pages.
US DO programs that state a Casper requirement
SchoolCasperVerified
Arkansas College of Osteopathic Medicine (Arkansas Colleges of Health Education - ACHE)DO, ArkansasNot stated
Des Moines UniversityDO, IowaNot stated
Philadelphia College of Osteopathic MedicineDO, GeorgiaNot required
Sam Houston State UniversityDO, TexasRequired
Touro UniversityDO, New YorkRequired
William Carey UniversityDO, MississippiRequired
US DO programs that state a Casper requirement. 6 programs in Sandbox Atlas. Each school links to its Atlas profile, which cites the school’s official pages.
Requirements change between cycles. Before you book a test, confirm on each school’s own admissions page, which every Atlas profile links to.

Questions

Do I need both Casper and PREview?

Only if your list includes schools that require each one. Some schools require a situational judgment test and accept PREview to satisfy it. Check each school’s own admissions page and the AAMC’s PREview list.

When are PREview scores released?

The AAMC releases PREview score reports about 30 days after each testing window.

Does Rush still require Casper?

No. Rush says that for students starting in fall 2027, Casper is no longer required or recommended.

Sources

  1. Rush University, Rush Medical College. Applying to the Doctor of Medicine (MD) programrushu.rush.edu · Accessed October 2026
  2. AAMC. Schools participating in the AAMC PREview examstudents-residents.aamc.org · Accessed October 2026
  3. AAMC. AAMC PREview Essentials, 2026students-residents.aamc.org · Accessed October 2026
  4. AAMC. AAMC PREview exam test formatstudents-residents.aamc.org · Accessed October 2026
  5. AAMC. AAMC PREview professional readiness exam: guide for medical schools (June 2026)aamc.org · Accessed October 2026
  6. AAMC. Register for the AAMC PREview examstudents-residents.aamc.org · Accessed October 2026
  7. Acuity Insights. How do I find the right Casper test type?intercom.help · Accessed October 2026

Schools in this post

Rush University

Keep reading

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