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The Founding Story

When admissions tools are unreliable and inaccurate, we aren’t getting a true picture of the applicant. And, when these tools create unnecessary barriers, it can collapse the much-needed diversity in the profession. This fails applicants, academic programs, and our society as a whole.

These assessment issues drove co-founders, Harold Reiter, MD MEd (co-creator of the MMI Interview) and Kelly Dore, PhD, internationally renowned researchers in admissions and assessment, to formulate a series of fair and effective methods of selection. Their assessment methods are now used in a variety of prestigious professional training programs.



The Problem

Fresh off the successful creation and implementation of the Multiple Mini Interview (MMI) at McMaster University, a longstanding problem became all the more obvious. On the basis of applicant people skills, we could now use an evidence-based approach to select from the 500 individuals invited to interview, using a combination of academic attributes and their non-academic attributes through the MMI. But what about the thousands of applicants who were screened out prior to the interview?


The Depth of the Challenge

Whatever we did, it would have to respect the same testing principles that allowed the Multiple Mini Interview to work – multiple independent items scored, minimize applicants’ ability to game the test and, avoid creating a hurdle for members of under-represented groups. But if testing thousands across the country and potentially around the world, it would have to also be geographically and financially accessible.

The goal was not to replace the MMI but to develop something further upstream in the process that could be used in combination with academic metrics to bring the best candidates to the limited interview slots.


PhD & the MD

Kelly Dore, who was working on her PhD was actively involved in the admissions process at McMaster University’s Medical School, helping to manage the evidence-fraught personal statements used to measure personal attributes and people skills. Kelly had been actively involved in research trying to improve the value of the personal statements, however, attempts had demonstrated that the best principles applied to a bad tool couldn’t make it better.

Kelly and Harold, the Chair of Admissions at McMaster’s Medical School at the time, decided they would work together to achieve their common goal – developing an evidence-based screening tool, to measure people skills in all applicants to medical school.


The Lightbulb Moment

In the review of the literature, Kelly and Harold came across the conclusions of a literature review by Ginsburg and colleagues on the ethical decision-making of graduate medical trainees (residents). In contrast to the way all other situational judgment tests were being used, our new test would ask not only what the test-taker would do in a presented scenario, but more importantly why they would do it.

This depth of response required the use of constructed-response (open-ended) rather than a selected-response (e.g. multiple-choice questions or rank order optional responses) test. This would mean that the test would be scored by human raters, not by computers.


The Supporters

The idea captured the imagination of medical education grant-providing institutions in both Canada (Medical Council of Canada) and the United States (Stemmler Fund of the National Board of Medical Examiners) as well as the Faculty of Health Sciences at McMaster University, all of whom very generously supported the early research and development of the constructed-response situational judgment test that came to be known as CASPer. At one critical junction, the Medical Council of Canada gave superb guidance by encouraging our inclination to ensure accessibility by providing the test fully online.


A Risky Decision

At the risk of great embarrassment if it did not work, the Faculty of Health Sciences gave the green light to proceed with CASPer. Despite the fact that the test was not as refined as it is today, the faculty believed there were important insights to be gained from this test about candidates applying. The test was successfully implemented through its inaugural year as the people skills screening test for the Michael G. DeGroote School of Medicine at McMaster.


Rising Interest

As the test gained wider attention, other programs outside McMaster expressed an interest in using CASPer. The test could only be more widely disseminated from an entity outside of McMaster, as other schools’ applicant data could not be allowed to flow through McMaster servers. Initial conversations were had with Innovation Factory in Hamilton and led by Bernerd Lim, an entrepreneur in residency who supported Kelly and Harold through these first steps.

September 2014

Altus Assessments was Born

Altus Assessments was created as the company that would continue the research, development and delivery of the CASPer test to academic programs around the world.

January 2015

Welcome Rich!

Rich Emrich officially appointed CEO of Altus Assessments.

March 2015

Hello Canada!

First Canadian medical school outside of McMaster University signs on to use CASPer; University of Ottawa. Many others followed shortly after.

March 2015

Welcome Below the Border!

New York Medical College and Rutgers Robert Wood Johnson Medical School come on as the first two US medical schools to have their applicants take the CASPer test for admission.


Altus Assessments delivered the CASPer test to 21,447 applicants in 2015/2016 for healthcare programs across Canada and the United States

September 2017

The Land Down Under!

A group of teacher education programs in Victoria State, Australia introduce CASPer to their admissions process to help meet the AITSL requirements set out by the Australian government to help improve the quality of teachers across the country.


Altus Assessments delivers the CASPer test to another 33,750 applicants for programs across Canada, the United States, and Australia.

September 2018

What an honour

Altus Assessments is accepted to the Lazaridas Scale-Up Program to help scaling companies grow more strategically with the help of experts across many disciplines.

December 2018

Altus Assessments delivers 169 unique test slots to an additional 82,382 applicants for programs across Canada, the United States, and Australia/New Zealand.


On track

Altus Assessments is set to deliver CASPer to over 100,000 applicants worldwide this year alone, with more test dates than ever before!

April 2019

5 years

Altus Assessments celebrated 5 years of excellence in providing admission teams around the world with a reliable tool to assess their applicants.

June 2019

The Admissions Summit

Altus Assessments delivers an admissions-focused conference to give back to the admissions community that has welcomed us over all these years. The Admissions Summit was held in Toronto, ON on June 10-11, 2019.

We had attendees from near and as far away as Australia sharing their knowledge and building networks of healthcare admissions professionals.

June 2019

Advocating for Applicants

Altus Assessments launches the newly improved Account dashboard for applicants. The new version addresses a number of pain points gathered through applicant feedback while also modernizing the overall design of the dashboard.

November 2019

Deloitte’s Technology Fast 50™ “Companies to Watch”

Altus Assessments is proud to announce that we have been selected as one of Deloitte’s Technology Fast 50™ “Companies to Watch”, a list celebrating up and coming innovative companies with early-stage growth, exceptional technology and experienced senior leadership.

The awards speak to the unique strengths of the technology industry within Canada, and we are honoured to be a part of this prestigious group of companies. For 22 years, this program has recognized forward-thinking companies at the cutting edge of innovative technologies.

March 2020

The Altus

Altus Assessments circulated the first edition of The Altus. The newly formatted annual journal that informs our partners about developments in admissions research and technology.

April 2020

Altus Education

In response to the cancellations of academic conferences due to the COVID-19 pandemic, Altus Assessments hosted a 6-part webinar series featuring our co-founders. The aim of the series is to share some knowledge in the admissions space while also providing a platform for meaningful peer discussions.

June 2020

The Admissions Summit 2020

Altus Assessments is hosting the second annual Admissions Summit online. Attendees will be able to participate and listen to speakers in the comfort of their own homes.

Registration is now open. Visit for more information.