Customized Assessment Services

Build exams tailored to your unique curriculum

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Custom exams with NBME-quality questions

Customized Assessment Services (CAS) is a flexible exam-building tool that gives you access to thousands of NBME questions developed by committees of subject matter experts. This means you can create exams that align with your unique curriculum, all while spending less time writing questions and dedicating more time to your students.

Use detailed filters and a keyword search function to easily find questions that match the topics covered in your course

Combine foundational and clinical science questions to create tests that support a variety of curricular approaches

Select between proctored and non-proctored options to increase the flexibility of when and where you administer your exams

Designate your desired difficulty during the exam-building process to match the needs of your course or a specific administration

View performance data at a question and examinee level to identify knowledge gaps and provide targeted remediation

Provide your students with access to their results through the INSIGHTS® dashboard alongside their other NBME assessments

Facilitate student learning with the CAS Practice option

Administer exams without room reservations or proctors, so you can test students early and often throughout your course. Share immediate feedback on their performance to facilitate learning, foster group discussion, and provide specialized instruction.

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Share results through the INSIGHTS® dashboard

All results for CAS Proctored and Practice exams are available to students through the INSIGHTS dashboard three days after being provided to schools. Skip the hassle of distributing score reports and enable your students to view their results alongside other NBME assessments.

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Dive deeper with the Item Analysis Application

View performance across score categories on your exam to identify knowledge gaps and filter by examinee, so you can provide individual students with targeted feedback. A PDF summary of the information provided in the Item Analysis App is also available for download.

Download Sample PDF

CAS provides a user-friendly portal to quickly review questions for content, map them to course objectives, and build examinations—all while balancing additional professional responsibilities.

Assistant Dean at a U.S. Medical School

See how other schools use CAS to meet their unique needs.*

Saving time for faculty and delivering high-quality exams for students

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Successfully shifting to a fully integrated curriculum

Download Case Study

^{*These case studies have been anonymized and reflect the personal opinions of CAS users. They do not constitute an endorsement by a university/institution.}

Pricing

With CAS, you can create unlimited customized exams during a 12-month subscription period for an annual fee of $1,500.

This subscription includes:

Program set-up
Support for test construction and administration activities
Construction of all examinations
Score reports for each examination

Administration fees are based on the number of test items in a customized exam and will be assessed when your exam is ordered for administration.

CAS Practice Administration Fees

Number of items on test	Fee per examinee
1-25	$10
26-50	$22
51-150	$32

CAS Proctored Administration Fees for July 1, 2024 – June 30, 2025

Number of items on test	Fee per examinee
1-25	$19
26-150	$33
151+	$42

CAS Proctored Administration Fees for July 1, 2025 – June 30, 2026

Number of items on test	Fee per examinee
1-25	$20
26-150	$34
151+	$43

Sample Score Reports

Resources

Download the program guide, view system requirements, and find answers to common questions.

Ready to get started?

Complete the consultation request form to get in touch with NBME staff.