Mining for Retention Gems and Unearthing Identity and Belonging

Am J Pharm Educ. 2023 Jul;87(7):100094. doi: 10.1016/j.ajpe.2023.100094. Epub 2023 May 9.

Abstract

Objective: To determine the relationship between first-year retention and variables related to professional engagement and professional, academic, and personal identities.

Methods: This study evaluated data from 3 cohorts of students at a private 0-6 college of pharmacy. A theoretical and conceptual framework linking professional identity and retention informed the study. Professional engagement scores from the first semester of pharmacy school served as a surrogate of professional identity. Grade point average (GPA) and traditional demographic variables (eg, gender, race/ethnicity, in-state resident) served as surrogates of academic and personal identities, respectively. Logistic regression models were used to determine the relationship between first-year retention and identity variables.

Results: Belonging, a domain of professional engagement, was positively related to first-year retention. In multivariable models, belonging and cumulative GPA were associated with increased odds of retention, while in-state status was associated with decreased odds. In separate models for those with GPA ≥3.00, and<3.00, belonging was associated with first-year retention in both. Belonging was also associated with first-semester retention, but not second-semester retention.

Conclusion: A decision to leave a Doctor of Pharmacy program is complex, but the vast majority of the literature in pharmacy education appears to focus most intently on academic variables, including GPA. This study demonstrates that belonging, an important element in professional identity formation, remains related to first-year retention, even after controlling for grades and other personal variables. This finding unearths several theory-informed gems and strategies that educators may employ to enhance retention.

Keywords: Attrition; Belonging; Professional engagement; Professional identity formation; Retention.

MeSH terms

  • Education, Pharmacy*
  • Ethnicity
  • Humans
  • Logistic Models
  • Pharmaceutical Services*
  • Pharmacies*