By: Hailey Baird, PharmD; Jaclyn Boyle, PharmD, MS, MBA, BCACP, FASHP; and Hope Hafner, PharmD Candidate
One of the biggest hurdles cited by pharmacy students in our institution is the challenge of navigating life stressors or feelings of burnout while trying to maintain academic success. Academic challenges are complex and can lead to students being hesitant to seek support. Also, due to the fast-paced nature of curricula, it can be difficult for students to self-identify academic struggles until too late in the course or when their grades are irrecoverable.
Colleges should identify academic struggles early and proactively communicate support measures. With the focus of identifying effective early interventions in mind, literature supports that both cognitive and non-cognitive factors may influence a student’s potential for academic success.1,2 Designing an early identification and proactive intervention process that is constructive and engaging from both the college and the student perspective is imperative and supports ACPE 2025 Standard 4.4.b.
Rethinking Student Success & Academic Support
In 2023, Robinson and colleagues shared many perspectives about the changing dynamics of student success, including the Behavior, Affect, Cognition, Environment, and Integrated Systems (BACEIS) model. The BACEIS model emphasizes that a student’s ability to be successful academically is impacted by a complicated web of internal and external factors.3 Available literature has described key interventions in preventing and addressing academic challenges (Table).3,4,5

Supporting literature:
- Survey data on orientations, boot camps, and pre-matriculation programs in schools/colleges of pharmacy
- Defining advising, coaching, and mentoring for student development in medical education
- Clinical Skills Tutoring Program (CSTP): Developing a curriculum for medical student clinical skills peer tutors
- Peer tutoring programs in health professions schools
- The life raft to keep students afloat: early detection, supplemental instruction, tutoring, and self-directed remediation.
- Development and perceptions of an academic success tool for pharmacy students.
- Addressing the challenges of providing accommodations for pharmacy students with disabilities across learning environments.
- Intervention and remediation: a descriptive study of practices in pharmacy education.
One Institution’s Experience:
Throughout the last academic year, and in light of declining admissions trends and outcomes data indicating increased rates of academic struggle, we began a continuous quality improvement effort throughout the last academic year (Figure). We are now deploying the new workflow and integrating changes as feedback and outcomes are evaluated.
Lessons Learned So Far:
In the context of the BACEIS model, we aimed to incorporate several aspects of the model into changes in our support process:3
- Preventative Strategies:
- Early identification: Throughout the restructuring of our program, we were faced with several barriers. First, student data is held across multiple platforms, making it difficult to obtain a complete picture of a student’s academic performance. Integrated data solutions could support early identification, but would need to be factored into the institutional budget.
- Academic coaching: For a successful coaching intervention, students need to share their motivations and struggles. Student struggles may stem from a multitude of sources and one singular path to intervention might not meet the needs of all students. Our university services, course directors, faculty advisors, and Office of Student Success are integrated into communications within our new outreach and support process. The Director of Student Success and our Senior Administrative Coordinator lead the outreach and scheduling of academic coaching appointments.
- Intervention
- Student-led development plan: Coaching conversations can elicit a student’s unique needs and inform a personalized development plan. Hosting coaching conversations built on motivational interviewing principles will create venues which foster behavioral change. These conversations are led by our Director of Student Success and tracked within our learning management system for documentation and accountability purposes.
- Process redesign: Our progression committee, assessment committee, university services, faculty involved with remediation, advisors, and Student Success team are collaborating to review existing intervention processes including remediation and progression committee outcomes. As we develop our new workflow, we aim to create a synergistic program that both students, faculty, and staff will feel confident taking part in.
As we launch our re-designed support system this fall, we will share our challenges and hopeful successes with the Academy. If we’re finding the oars that are most effective, sharing best practices will not only help our respective institutions, but ultimately, and most importantly, the students we collectively serve.
References:
- Spivey CA, Chisholm-Burns MA, Johnson JL. Factors associated with student pharmacists’ academic progression and performance on the national licensure examination. Am J Pharm Educ. 2020;84(2):7561. https://doi.org/10.5688/ajpe7561
- Chisholm-Burns MA, Berg-Poppe P, Spivey CA, Karges-Brown J, Pithan A. Developing a framework of relationships among noncognitive factors in Doctor of Pharmacy students’ academic performance. Am J Pharm Educ. 2021;85(10):8608. https://doi.org/10.5688/ajpe8608
- Robinson ET, Cochrane ZR, Akiyode O, et al. Envisioning the future of student success: report of the 2022-2023 AACP Student Affairs Standing Committee. Am J Pharm Educ. 2023;87(3):1-10. https://doi.org/10.1016/j.ajpe.2023.100559
- Tafreshi J, Chorbadjian S, Jaradat D, Johannesmeyer S. Supporting students with academic difficulties. Curr Pharm Teach Learn. 2021;13:255-260. https://doi.org/10.1016/j.cptl.2020.10.008
- Burning SM, Williams A, Cavanaugh T. The life raft to keep students afloat: Early detection, supplemental instruction, tutoring, self-directed remediation. Curr Pharm Teach Learn. 2022;14:1060-1067. https://doi.org/10.1016/j.cptl.2022.07.018
Author Bio(s):

Hailey Baird, PharmD is a Clinical Pharmacy Specialist in Primary Care at University Hospitals in Cleveland, Ohio. Educational interests include interprofessional education and professional development. In her free time, Hailey enjoys hiking, trying new restaurants, and spending time with her dog.
Jaclyn Boyle, PharmD, MS, MBA, BCACP, FASHP is the Assistant Dean of Student Success and an Associate Professor of Pharmacy Practice at the Northeast Ohio Medical University College of Pharmacy. Her educational interests include professional development, organizational psychology, well-being and leadership. Jaclyn is very active in professional organizations. In her free time, she enjoys spending time with her family and friends, spinning, and yoga.


Hope Hafner, PharmD, is interested in pursuing a career that serves the geriatric population. In her free time, she enjoys spending time with family and her pets, writing, and cooking.
Pulses is a scholarly blog supported by a team of pharmacy education scholars.