Character and Leadership

Jason Weber was particularly attuned to the quiet student who sat in the very back row of the class he was leading. The student didn’t speak out, and rarely engaged. He was, as Weber recalls, very, very, shy. But this classroom wasn’t meant to be a spectator-sport environment. It was Texas Tech’s inaugural cohort of its new leader development program, designed to help students build confidence and purpose through active participation. Weber didn’t stop trying to draw him out, and slowly a relationship formed. 

About three-quarters through the semester, the student, Octavio Garza IV, approached him with surprising news.

“He said, ‘I just want to let you know that when I started this program, I didn’t really want to be here. But I just thought, maybe this would be good for me,’” recalls Weber, who in addition to being facilitator of the leader development program, is Associate Vice Chancellor-Leader and Culture Development of the Texas Tech University System. Octavio told him that his experience in this program made him decide to stick his neck out and apply for a student ambassador position, and that he had been selected.  

The following year, Weber would see Octavio in public roles around campus, staffing tables and handing out root-beer floats to new students. “This is someone who engaged with students doing things I never thought he would do,” Weber says. “Once I saw him in the hall, and I pulled him into my classroom to speak to a group about his experience with the program. He ended up standing in front of a whole room of people talking for five minutes on his experience and how beneficial it was. He had just completely come out of his shell.”              

Octavio has since graduated, and instead of following a career in law enforcement as planned, he decided to pursue a master’s degree in education while working in the admissions office for Angelo State University, part of the Texas Tech University system. “The school and that program had a huge impact on me,” he says, “and now I’d like to work in a career where I can help students make choices that will change their education, and their life.”

Texas Tech’s program for juniors, Lead Like A Ram, is now in its third year, and has become so popular that the two cohorts fill quickly. Participants meet twice a month for a two-hour learning session, with both groups overlapping over a shared dinner. The program is being piloted in different forms at other locations within the Texas Tech University System, and Weber hopes 2026 will see the launch of a version for graduate students in medicine.

Texas Tech is one of many institutions taking seriously the question, What kind of leaders does the world of tomorrow need, and how do we cultivate them? A 2021 study published by the Harvard Business School identified the top 10 leadership skills in demand for the future of work, including inclusive leadership, engaging and inspiring leadership, and leadership without formal authority. Meanwhile, a 2023 study by the National Society of Leadership and Success concluded that students today aren’t developing three essential skills most needed for the modern workplace: communication, decision-making, and leadership.

Academics and administrators interested in developing leaders through higher education have a new ally in the Carnegie Foundation for the Advancement of Teaching. Known for a broad range of transformative advancements in education, the foundation expanded its classifications of institutions in higher education to include programs focusing on Leadership for Public Purpose. The foundation defines its interest in university leadership development in this way: “Effective leadership for public purpose transcends functional or instrumental leadership (i.e., personal career or political gain; or narrow business or organization outcomes), in pursuit of collective public good, including justice, equity, diversity, and liberty.”

This year marks the first cycle of the evaluations for the Carnegie Elective Classification for Leadership for Public Purpose, with 25 U.S. institutions of higher education held up as pioneers on the national landscape of leadership development, including Rice University.

In 2015, renown venture capitalists and tech executives John and Ann Doerr—both Rice alums with bachelor’s and master’s degrees in electrical engineering—decided to make a major investment in leadership at their alma mater. Earlier contributions established their investment in engineering leadership, and they wanted to make it available to students throughout the university.

The Doerr Institute for New Leaders is the result of their $50 million gift designed to empower students with the skills, training, and confidence to make a true difference in the world, through a combination of hands-on, real-world experience, and guidance from personal coaches. The institute has a wide range of programming for Rice students at no added charge: Using a combination of classroom-based learning, excursions to watch leaders in action, one-on-one leadership coaching, and group coaching, the university practices its belief that leaders aren’t born or made, they are grown.

The focus on the word leader over leadership at Rice and many other schools is a conscious one, says Ryan Brown, Managing Director for Measurement at the institute.

“Leader development is about developing the person as a leader and their capacity as a leader, their identity as a leader. When you say leadership development, you could mean the dynamic between a leader and a follower. You could mean that broader social system in place within which leadership is happening and potential leaders are being identified. But you’re getting into more organizational or system dynamics, and that’s not what we do,” he said. “Because we don’t operate within an organization where that leadership is happening in a corporate structure, for example, elevating a person. What we’re focusing on is developing each student as a leader, then we actually want our leaders to leave, want them to graduate and go out into the world and then lead there.”

“If we only helped students to see themselves as leaders, but we had actually turned them into narcissists, then that would not be a good outcome.” 

The common set of measures Doerr Institute uses in its coaching program includes leader identity—the extent to which you see yourself as a leader, feel capable of leading, competent to lead, and willing to lead. “We also include sense of purpose, self-awareness, a couple of measures of psychological wellbeing, and an intellectual humility measure, which I really like,” Brown said. Contrary to what some might think, leadership is not about decisiveness and persuasion. “If we only helped students to see themselves as leaders, but we had actually turned them into narcissists, then that would not be a good outcome.”

Intellectual humility is a concept and measurement coined by Mark Leary at Duke University, and references the degree to which people are willing to admit that they’re wrong when they’re presented with good evidence, being open to new ideas, and finding out things that they don’t already believe are, in fact, true.

“That has a lot of application just in life and leaders that seems so important today. It’s intricately combined with active listening skills and empathy and all these kinds of things, so it makes for a healthy combination of outcomes,” he says. “We measure those things before and after students go through that coaching program, and we see consistently significant increases in leader identity and self-awareness, sense of purpose, intellectual humility and reductions in psychological distress. So we have this boost in wellbeing that is kind of a good secondary effect.”

Gavin Daves is a junior at Rice, and when he joined his first program at the Doerr Institute, he was fairly certain about what he was looking for. As someone who studies operations research and statistics, he functions in the world of applied mathematics. And he is aware of the social shortcomings within STEM.

“I’d say there is a little bit more of a vacuum or like a hole in leadership within STEM. They certainly have the leadership titles available, but not as much like the soft skills, emotional intelligence skills,” he said. “Some things that we don’t get taught in our classes are areas like how to work with the group, or how to deal with conflicts, you know, issues that are dealing with people. But I think those things are also really important when we talk about STEM jobs and careers.”

In high school, Gavin actively considered what he needed to improve on as he transitioned into college. He held some leadership positions in the band and as head of the music honor society, and belonged to a small team of students engaged in an AI competition for MIT. But he suspected that he needed to better develop elements of his personality to shine in order to have impact in his roles.

“I struggled with seeming maybe a little bit robotic to some people, unrelatable, because I came across as someone who was only focusing on the job they had to do. I wanted to work on finding ways to show a little bit more personality and even more passion for the stuff I’m doing, and about to showcase a different side of me and ultimately make me a better leader,” he said.

Gavin was trying to find ways not just to tell people what to do, but also help them grow, and if they couldn’t relate to him and trust him, it was turning into a roadblock. Through the Doerr programs, particularly the one-on-one coaching, he found himself able to immediately apply work on his skills to his part-time job as a data scientist at a tax analytics company.

“I’d say I’m a natural introvert, but I find I’m able to come out of my shell when I’m talking about something I’m excited about, or encouraging people to partake in something I’ve found really beneficial. These qualities transcend leadership, listening well and dealing with conflict, and make you a more complete and better person, overall.”

Like Rice, Washington University in St. Louis has a new initiative dedicated to developing leaders, and like Rice, it came through the generosity of a visionary alum. The $20 million George and Carol Bauer Leaders Academy places values-based leadership development at the center of the university for all students, building on the philanthropy of previous gifts supporting pockets of leadership—for Danforth Scholars, and the business school.

The Academy, still in its first year, will support research and oversee student leadership programs across schools and all ages of students in co-curricular programs, imbuing them with the best practices in leadership development and personal character formation. It also benefits the campus community with workshops, faculty grants, professional coaching, and a campus-wide Leadership Week.

“We look at leadership through what we call the 70-20-10 model, with 70% of your leadership development coming through experiences, 20% through mentoring and coaches, and 10% through academic coursework,” said Julia Macias, director of student leader development for the Academy. “This might be a little shocking, coming out of an academic institution, but we really think there are a lot of different ways to exercise what you’re learning and try things out and innovate what’s ultimately going to solidify their leadership development. Everyone, regardless of formal status, has the potential to influence and energize others to achieve a common goal. And so we really think about ourselves as developing people to become purpose-driven leaders of character and capability.”

Those character skills, and their wide-ranging benefits in both work and life, are a critical part of what so many students find binds disparate parts of their lives into a cohesive, values-based whole.

“Before, I didn’t think about how much being a good leader has to do with being a good person. Like, you have to work on yourself, first. And when I did my first program, they told me I should really work on my optimism and my empathy. And I was like, What does that even have to do with being a leader?” says Thara Venkateswaran, a Rice senior in ROTC headed to commission as a Naval officer in May. “But I realized that it really does, and emotional intelligence plays a huge role.”

As an executive officer, the second in command of the entire unit, she is responsible for managing 45 people, including all the freshmen. “Honestly, it’s a constant process of reflection and working on yourself. Because there is a lot of overlap between personal struggles and leadership struggles, professional and personal life. Really, everything is applicable to everything.”

Healthier Campuses

Dr. Sarah Lipson waited all year to get the report she hoped would confirm that last year’s data was not an outlier. 

“Each year over the past decade had been the worst we’ve seen in terms of prevalence rates until the 2022-2023 survey indicated things got a little better in terms of anxiety, depression and flourishing,” she said. “With the 2023-2024 data now in, it looks like we may be turning the corner.” 

Dr. Lipson is a principal investigator of the national Healthy Minds Study, one of the largest data sets used to determine the mental health and wellbeing of the college student population.  The data she awaited indeed showed that the prevalence of depression, anxiety, and suicidality among college students has decreased for two consecutive years for the first time in a decade. Meanwhile, flourishing (positive mental health) among students has increased during this same time frame, having been in decline for ten straight years. 

The latest data were collected between September 2023 and May 2024 from over 104,000 undergraduate and graduate students at 196 institutions, including community colleges, technical colleges, HBCUs and other minority-serving institutions. The variances were small – a 5% drop in anxiety, a 6% drop in depression and a 6% increase in flourishing — but the change itself is significant. 

“Because it’s a population-based survey, Healthy Minds is often a starting point where we can say ‘here’s what we see at a population level in terms of trends,’” said Lipson, who is also an associate professor at the Boston University School of Public Health.  “The levels are still very high, but we are hopeful we have the start of a positive trend.” 

Asked what might be driving the shift, Lipson said, “There’s a broader context for sure, but I’d like to think that a lot of it has to do with what’s happening on campus in terms of increased awareness and support and more schools taking a public health approach to addressing student mental health.  I hope so.”

The latest healthy Minds survey report is a glimmer of hope for colleges and universities yearning for some form of good news related to the mounting mental health problems their students have reported over the years. Yet despite the progress, this year’s data still produced last year’s headline: too many students are emotionally unwell.  According to the survey, a third of students screened positive for some form of anxiety and almost four in 10 met the criteria for moderate or severe depression. 

Furthermore, the 2023-2024 changes in anxiety, depression and flourishing were a return to what students were reporting before the spikes caused by the pandemic.  And while cautiously optimistic, Lipson points to data in the report that reveals one of the most tenacious problems in college student mental health – the unmet need for services among students who need them. According to the 2023-2024 report, almost 40% of students who screened positive for anxiety or depression are not receiving any kind of mental health services.

“The levels are still very high, but we are hopeful we have the start of a positive trend.” 

“Even though the rates of treatment seeking have gone up, there’s still a significant unmet need that exists, with a lot of inequities in it,” she said.  “From a public health perspective, this is a missed opportunity during a really epidemiologically vulnerable, psychosocially significant time between 18 and 25.”

The Long and Winding Road

According to the Healthy Minds study, rates of depression and anxiety among college students doubled from 2010 to 2021 (from 20% to 44% for depression; and 20% to 37% for anxiety).  An early sign of the looming crisis was the increase in demand for campus counseling services which often went unmet.

According to the Center for Collegiate Mental Health at Penn State University, between fall 2009 and spring 2015, counseling center utilization increased by an average of 30-40%, while enrollment increased by only 5%. More serious consequences ranged from significant stop-out rates due to mental health problems to tragic deaths by suicide on campuses throughout the country. The pandemic fueled what was already a burning fire, adding isolation and lack of connection to the myriad of potential drivers.  In a 2021 survey by the American Council on Education, college presidents rated student mental health their number one concern.

Since then, most colleges and universities have put in place a range of responses, from service improvements to preventative strategies aimed at improving overall wellbeing. By the time the US Surgeon General came out with his young adult mental health advisory in 2021, it was hard to find an institution in the country that wasn’t working hard on mental health, or at least talking about doing so. Most schools have increased capacity for services through a number of strategies including utilizing a triage approach that prioritizes services by acuity, digital mental health interventions like apps and teletherapy and increasing staff when feasible. 

Cultural changes on campus have included prioritizing mental health through chief wellness officer positions and ongoing student-driven initiatives like awareness campaigns that reduce stigma and peer counseling which many students, particularly those of marginalized identities, find accessible and effective. The focus on student mental health and wellbeing on campus has encouraged other student-centered initiatives involving equity and basic needs and has raised questions about faculty’s role in student mental health and what academic policies or pedagogical changes may be needed to improve wellbeing. 

The question, which the recent Healthy Minds data raises, but does not fully answer, is, has all this activity had an impact?

“I agree with the Healthy Minds team that increased attention to mental health since the pandemic and additional resources for mental health are likely contributing factors to the slightly declining trend in anxiety and depression and slight increase in flourishing,” said Nance Roy, Chief Clinical Officer at the Jed Foundation, the country’s leading non-profit dedicated to protecting emotional health and preventing suicide in young people.

Roy also theorized that students have gotten better at distinguishing between “normal” feelings of anxiety and depression and clinical anxiety and depression. She believes the change in the way we talk about mental health – away from “crisis” and toward positive mental health – has been helpful.

The Jed Foundation itself may have had a role to play in the potential turnaround by providing schools a response to mental health issues, including suicides on campus, with mental health strategic planning support.  Launched in 2013 and now in 500+ campuses, the JED Campus Program engages colleges and universities in collaborative work over the course of four years. After conducting an initial needs assessment, a JED advisor draws on the data to create a strategic plan that, when implemented seriously by leadership on down, has led to impressive outcomes. Its recent impact report suggests that the students on campuses who engaged with JED reported lower rates of anxiety, depression and suicidality and increased flourishing, GPA and retention rates.

Another major player that emerged during the consecutive years of escalating prevalence rates is telehealth or teletherapy, most often provided by a third party.  First introduced as a potential way to expand capacity within counseling centers, telehealth became a permanent fixture during the pandemic and is now widely used.  These services range significantly in scope but the most popular provide components such as a clinically-staffed, 24/7 crisis line; online therapy appointments with a remote clinician one can choose, and apps or access to wellbeing supports such as mindfulness.  There are a number of advantages to these services, staring with convenience in time and place, a prerequisite for flexibility-focused Gen Z.

Uwill is a leading mental health and wellness company serving 3 million students at 400+ institutions in all 50 states and 40 countries.  Students begin their Uwill experience by indicating  how quickly they want to see a licensed therapist, with the option to choose a same-day appointment as well as preferences such as race, ethnicity, gender and clinical need.  Amaura Kemmerer, LICSW ,is Uwill’s Director of Clinical Affairs and the former Associate Dean for Wellness at Northeastern University. She says that teletherapy options solve a number of problems that had always existed for mental health providers on campus. 

“Traditionally, students embraced in-person therapy over teletherapy.  However, in-person creates a barrier in trying to serve students after hours, off campus, or out of the state or country” she said. “During the pandemic, there was no choice but to move online and what has happened since is that students and counselors have realized the advantages – students can access therapy wherever they are and whenever they need it, or if they are uncomfortable going to a center, and they can choose the type of therapist they want to see, which is really important for students of certain identities.”

Kemmerer says over 60% of students engaged with Uwill report never having gone to therapy before, underscoring its benefit as a new onramp to care for students who might not otherwise seek help.  Ironically, while introduced as a salve for the capacity problem, digital therapy may be providing access to care for a new population of students who have not been seeking help on campus. But most college health professionals would agree that’s a good thing and are comfortable with its place among their care continuum.

According to the Healthy Minds study, rates of depression and anxiety among college students doubled from 2010 to 2021 (from 20% to 44% for depression; and 20% to 37% for anxiety).

“Even though the restrictions around the pandemic have eased, our students are still preferring digital therapy due to convenience,” said Dr. Zoe Ragouzeos, the Executive Director of Counseling and Wellness Services at New York University.  “And the data still reflect that the efficacy of remote treatment compares to that of in-person care.” 

It is clear that technology-based mental health support is here to stay but the lack of data on the full range of digital mental health tools – including apps that are self-directed or only include partial coaching — is a concern of Dr. Lipson’s.  She and her colleague, Dr. Daniel Eisenberg recently published a paper sponsored by the Ruderman Family Foundation concluding “although research has demonstrated that DMHI (Digital Mental Health Interventions) can be effective at improving mental health, the majority of widely used DMHIs in college settings have limited direct evidence of effectiveness in student populations.”

While they are supportive of the adoption of DMHI’s, Lipson and Eisenberg recommend colleges consider how these tools fit into campus mental health and wellbeing plans that take a preventative, population-based approach.  They call for rigorous evaluation of commonly used programs and more information about user engagement, particularly regarding whether or not these services are being accessed by students of color or groups that may be needing help but not seeking it.  In a separate effort, the researchers are working to create a comprehensive student mental health repository where easy access to evidence-based best practices will help campus professionals understand which interventions are best for which students. 

As campuses continue to work at improving student mental health in a variety of ways, Lipson believes we will need several more years of prioritizing mental health at a population level to truly understand how far the needle has moved.  In the meantime, the Healthy Minds team will continue to produce the indicators. 

The “College Presidents for Civic Preparedness” have an Agenda 

This election season, there has been a lot of talk about defending Democracy. What that means to young people, and how they will act upon it in their lifetimes, is the question and the focus of College Presidents for Civic Preparedness. Growing out of The Institute for Citizens and Scholars in 2023, the coalition of diverse leaders coalesced around a concern that the lack of civil discourse—indeed, the dismissal of civics as an integral part of higher education—may be contributing to the polarization of America and the inability of young people to engage in meaningful debate. As the protests over the war in Gaza roiled campuses last spring, they frequently gave way to vitriol, misinformation, and obstinate behavior. And these leaders find themselves fighting what has been a simmering fire on campuses across the country: the urgent need to educate students in the practice of becoming productive, well-informed citizens.

“In my conversations with college presidents, they emphasized the need for higher education to rebalance its responsibilities between private and public good. They see an opportunity to strengthen our democracy through promoting healthy civil discourse,”  says Rajiv Vinnakota, President of The Institute for Citizens and Scholars, a nonprofit organization focused on cultivating talent, ideas, and networks to develop young people as empowered, lifelong citizens.

Cultivating good citizenship may once have been an expected goal of higher education. But some presidents express frustration with the difficulty of getting institutions to embrace this as a priority, says Vinnakota. Pushback from a broad range of stakeholders—including students, faculty, trustees, alumni, and policymakers—reflects a decades-long trend in public opinion, where college is viewed more as a personal gain than a public good. This can lead institutions to burrow down on career development, while ignoring civic engagement.

There may be more at stake here than a healthy Democracy. Gallup surveys in 130 countries show people with higher personal well-being are more likely to say they give something— time, money, or help to a stranger— back to their communities. Civic Engagement Index scores, which measure people’s likelihood to do all three, are twice as high among those who are “thriving” compared with those who are “suffering.”

The Institute for Citizens and Scholars took the lead in connecting these administrators to create what Vinnakota envisioned as “a coalition of the willing where the collective power of presidents working together might move this common cause forward.” The Institute began by initiating a series of virtual conversations among presidents in early 2023, and officially launched the coalition with 15 leaders in August of last year. The group has since grown to 92 presidents and counting—particularly critical in a year where questions and confusion over fundamental principles such as free speech, and the right to protest vs. the protection of individual rights, dominated the public zeitgeist.  

The roster is a diverse and impressive array of schools. Participants range from elite institutions like Dartmouth, Vassar and Amherst to large public universities like Cal State San Marcos and Indiana University, including minority-serving institutions like Claflin College and Howard University. Vinnakota says presidents join for different reasons, but are united by the shared understanding that civic preparedness must be at the heart of the academic experience and campus life. 

“Some college presidents are already making this a central focus within their institutions. These are the true believers. Others are earlier in their journey and are eager to learn from leaders and utilize the tools we provide,” he says “Many have faced significant challenges since October 7th [the start of the Israeli-Hamas war] and are relying on our support to help guide their institutions through this period as effectively as possible.”

Rutgers University President Jonathan Holloway was an early member of the group, and says connecting with other leaders who shared his concerns and experiences was one of the first benefits of coming together.

“It was obvious in meeting Raj that I wasn’t alone in being concerned about the quality of the discourse in civic spaces or on civic topics. I wasn’t alone at being dismayed at the poor level of awareness in a college-going population about the basic building blocks of our democracy,” he says “Joining a group of leaders who shared this feeling of deep concern about the quality of civil discourse became a means for me to put into action a lot of what we’ve been thinking about here.”

Holloway, who defended his institution before Congress in the antisemitism hearings in May, believes the dismissal of civics education only serves to further erode a discipline that has been in decline. According to the Carnegie Corporation of New York, the US invests just 5 cents in civic education for every 50 dollars allocated to STEM subjects.

Joining a group of leaders who shared this feeling of deep concern about the quality of civil discourse became a means for me to put into action a lot of what we’ve been thinking about here.

“The defunding of civics education is a major part of the problems we are seeing today,” he says. Holloway lays the blame, in part, on the quality of the education itself. “One of the reasons for the pushback [on civics] is that, frankly, it was being done poorly. It was antiquated and writing people out of history,” he says. “Civics should be about speaking to the complexity of our nation and all the different strengths that come with it, but we didn’t evolve our government civics courses to meet that need in K-12.”

Holloway teaches a first-year semester course at Rutgers on civil discourse and is a staunch defender of free speech, in all its discomfort. He believes the decline in civic preparedness education came at a time when the country may have needed it the most. “The ways education has been totally unprepared for the addictive power and influence of social media has added to the problem,” he says. “The complete freedom for people to say whatever they want may look like free speech but there is no accountability and no civility and that’s a really toxic combination.”

Building a Good Citizen

College Presidents for Civic Preparedness is taking all of this on with three Civic Commitments that each member institution adopts: “Educating for democracy is central to our mission. We will prepare our students for a vibrant, diverse, and contentious society. We will protect and defend free inquiry.”

In interpreting this, Vinnakota believes we need to ensure that young people are civically well-informed. “This means understanding how their government functions, the historical context of our current situation, and having the ability to distinguish fact from opinion,” he says. “Secondly, they should be productively engaged for the common good, which includes voting and having respectful conversations about public issues—even when there are disagreements. Finally, a commitment to democracy involves building trust in institutions, government, and fellow citizens.”

According to their materials, the presidents develop programming on their campuses to advance these civic commitments in keeping with their unique institutional missions. These include: hosting speaker series that promote diverse viewpoints; expanding course offerings centered on civic preparedness; utilizing orientations for student debates and free expression skills; designing student programming around constructive dialogue and civic engagement and learning; promoting voter engagement initiatives; and highlighting the themes of democracy and civic life through speeches and seminars.

In its recent report, “From Polarization to Progress,” the coalition describes the ways in which the schools are working toward these goals, both collectively and individually. The group continues its confidential presidential forums, and held its annual meeting at Howard University in January. Its blueprint, built off of the three major goals, includes launching initiatives and learning opportunities in several domains, reflecting a theory of change that spans policy and practice. They are:

  • Administrative, led by presidents and provosts and involving campus-wide initiatives like Campus Call for Free Expression, a series of activities designed to spotlight the principles of critical inquiry and civil discourse;
  • Classroom, involving curricula, first-year learning and certification programs, as well as faculty development through the Faculty Institute, which held its first convening in June at Rutgers;
  • Centers and Institutes, such as Wellesley College’s Hilary Rodham Clinton Center for Citizenship, Leadership and Democracy;
  • Auditorium, encompassing speakers, public events and lectures. 

Many of the myriad initiatives were already well-established, but bringing them together under one umbrella is part of the learning. The report notes strong activity in the past year: 88% of members offered courses or seminars that centered on civil discourse; 98% generated new civic research, fellowships, or initiatives; 98% hosted speaker series, dialogue dinners, or debates; and 94% held community, civic, or political engagement events. In 2025, 20% of current consortium members will offer programs that reach every student.

Bennington College President Laura Walker would be considered a “true believer.” The former president of New York Public Radio was drawn to the small liberal arts college in Vermont largely because of its mission “to work towards a world more beautiful, sustainable, democratic and just.” She has launched programs that support this mission including the Free Expression Task Force, which brings together a diverse group of students, faculty, staff, and Board of Trustees members to craft long-term policies that ensure these fundamental rights are preserved and nurtured within the institution. This fall, Bennington’s Center for the Advancement of Public Action is launching a seven-week course called “Saving Democracy Together,” open to Bennington students, alumni and the public.   

Like Holloway, she believes we dismiss civics preparedness in higher education at our peril. “I believe we are witnessing the effects of this lack of prioritization, compounded by the fractured media landscape and other factors, in today’s political climate,” she says. But Walker, like the other leaders in the group, is in it to change it. “Despite the sometimes grim appearance of our political landscape, it is not too late to effect change. I remain hopeful that we can make a concerted effort to reconnect education and democracy in ways that secure our future.” 

Vinnakota says the organization’s blueprint will lead to a number of changes on today’s college campuses: a decrease in polarization; comfort speaking up, especially if you feel you have a minority viewpoint; and a willingness to engage with people whose views are different than yours. In prioritizing constructive conversations, it is clear that this group of leaders, many battle-worn from drowned-out assemblies and political intervention on free speech, have civil discourse as top of mind going into this school year ahead of a contentious election.

“The presidents know that the protests are not going away. The students have been very clear about that,” says Vinnakota. “The question is how can administrators address this in a productive manner?  How can we engage students in an effective way where they feel as though they are making an impact on the direction of this country?”

Holloway sees this as the opportunity. “College is a great moment of re-articulation where a young person comes in and can have a set of experiences that either affirm their views or radically change them,” he says. “To me, this is the perfect breeding ground for wrestling with ideas.”

Learning and Flourishing in America’s City for Health

Rochester, Minnesota has one of the highest per capita physician to population ratios in the country. Home to the Mayo Clinic, it benefits from the prosperity and diversity of its anchor institution, consistently rated the best hospital in the world. In 2009, the city strengthened its distinction as “America’s City for Health” when it launched a research university that would complement Mayo Clinic’s medical research enterprise and meet its ongoing workforce needs. The community appears to be getting all that and more with the University of Minnesota Rochester (UMR) – an innovative learning environment that centers equity and wellbeing as it takes on healthcare’s grand challenges. 

“Building a major university here, particularly one focused on health care, has been so important to the fabric of this city,” said Mayor Kim Norton. “I am so proud of the work that they do and the success they have had with their students.” 

UMR opened its doors to its first 57 students in 2009 after a multi-year effort among community leaders brought a regional branch of the University of Minnesota to town. It has grown to nearly 1,000 students who prepare to enter a variety of health-related fields, clinical, technical, and administrative. Two-thirds of the students are in at least one category that would be considered historically underrepresented. This fall, nearly 50% of the student population will be BIPOC (Black, Indigenous, people of color). 

Bringing more students of color into the medical professions is one of the goals of the UMR/Mayo Clinic partnership which hopes to provide a stronger pathway to medical careers as it diversifies a health care workforce that serves patients from around the world. “We have a strong focus on diversity, equity and inclusion here to make sure we represent all of society and that our patients can see themselves in their caregivers,” said Karen Helfinstine, Mayo Clinic’s Vice Chair of Education Administration. “Our partnership with UMR is critical to cultivating the workforce of the future.”

From the university side of the partnership, Mayo Clinic provides the promise of a good career for its students as well as an opportunity to foster an educational environment leading to flourishing in life and work. The teaching hospital adjacent to the university has built-in opportunities for experiential learning, research and mentorships — educational experiences that have proven to lead to improved wellbeing — and all part of UMR’s innovative, student-centered learning environment. 

The university’s motto is simple and forthcoming, aptly describing the building blocks that have led to its early success. “Students are at the center. Research informs practice. Partners make it possible.” Lori Carrell is UMR’s Chancellor and its passionate champion. It is clear she views the world through an asset-based lens, believing starting from scratch is an opportunity for innovation, just as students who have struggled possess valuable qualities. 

The teaching hospital adjacent to the university has built-in opportunities for experiential learning, research and mentorships

“One of the things that our students have in common is that they have persevered through major challenges in childhood or and adolescence,” she said. “There’s a resilience element we have the privilege of seeing in admissions. If a student can describe how their perseverance has been a catalyst for their passion to make a difference in the world through a career in health, we believe them to be well equipped for the rigor and compassion of this work.” 

A communications scholar who has published books on the need for change in higher education, Carrell says the methods they were experimenting with at UMR are what attracted her to it in 2014, when she first became Vice Chancellor. One of the university’s founding principles is a unique research mission where every faculty member does their primary research on student learning and student development regardless of their own subject matter expertise. 

“One of the great misses in higher education is we do not apply educational research or neuroscience about learning to how we structure college degrees or college life,” she said. “At UMR, we had a blank canvas to do that. Our faculty are in one interdisciplinary department called the Center for Learning Innovation. They demonstrate teaching excellence by providing evidence of learning and they progress in their careers by doing research on student learning and student development.” 

Andrew Petzold is a biology professor at UMR and, like Carrell, was drawn to the school because of its innovative teaching environment. “We are really in the trenches collecting data on the educational process and what students are actually learning and we use that to better inform our teaching in the future,” he said. “The interest is in student success rather than just publishing anything we possibly can.” 

Petzold says that the interdisciplinary focus on educational research leads to joint scholarship as well as active, student-centered classrooms. “We all have our own disciplinary focus, but I can talk and collaborate with other faculty in a much easier way because we all have a background in educational research.” 

UMR’s unique teaching environment has been highly recognized within the system and beyond. In its short history, seven UMR faculty members received the Horace T. Morse-University of Minnesota Alumni Association Award for Outstanding Contribution to Undergraduate Education. But fans of UMR’s research-embedded learning are quick to acknowledge the importance of pairing great teaching with proven student success strategies, many included in AAC&U’s high impact practices. Every student at UMR has a student success coach. With a ratio of one to 80, “success coaches” help with everything from flagging academic struggles to connecting people to internships to making sure students are focusing on their wellbeing. Graduating students joke that their student success coaches are what they most want to take with them when they go. 

“These kinds of personal connections are where the sense of belonging comes from,” Carrell said. “‘I am connected to somebody and I matter here, so I can be ok even on really hard days.’” 

UMR’s health majors are academically rigorous and can be challenging for some students. For this reason, the campus launched with a “JustASK” program which is important to active learning and made possible by the openness and collaborative nature of the faculty. “There are no lectures here,” said Carrell. “Our instruction is active and experiential so students have to be prepared to do project work in the classroom and they have to have access to faculty if they need help,” she said. Instead of office hours, which many students don’t utilize, UMR faculty sit out in open spaces as an interdisciplinary team at JustASK so someone is available to help with a question or concern. 

“These kinds of personal connections are where the sense of belonging comes from. I am connected to somebody and I matter here, so I can be ok even on really hard days.”

Perhaps the most notable outcome of UMR’s evidence-based learning practices is the fact that the university has all but eliminated the achievement gap between underrepresented students and other students. . This outcome is something the campus community is very proud of but does not take for granted. She says building on UMR’s early success with students will take vigilance and a comprehensive approach which includes addressing one of the biggest barriers to a college degree for underrepresented students – affordability. Here, UMR and Mayo Clinic are leading the way with an innovative partnership called “NXT GEN MED.” 

In December of 2024, the first class of NXT GEN MED students will graduate with a degree from the University of Minnesota within 2.5 years. The accelerated degree program for students interested in non-patient care careers has taken the traditional eight semester bachelors degree and applied it to a yearly calendar, lessening overall costs for students who are also given scholarship money if they are eligible. The partnership with Mayo Clinic includes a paid, credit-bearing internship, a Mayo Clinic mentor as well as a student success coach and research experience. As a result, UMR students are well positioned for employment upon graduation, either at the Mayo Clinic or in other institutions.

“What has been so beautiful about this partnership is hearing from the students how meaningful these experiences have been for them,” said Mayo Clinic’s Karen Helfinstine.

The program is an early example of a movement to create undergraduate degree options that increase student success while decreasing student cost known as “College-in-3.” Chancellor Carrell is a national leader in this area and views her advocacy as an extension of her work to revitalize the sector. When it comes to higher education challenges, Carrell says there are two for which there is little disagreement: college costs too much and many students who start do not complete. “College-in-3” programs are meant to address both of these problems at once, with evidence-based curricular designs. 

“These programs are not about lopping something off, they’re about crafting something better. You’ve got three years. How do you design research-embedded, experiential, transformative learning that leads to human flourishing? That’s the opportunity.”

Public Opinion

A new report released last week from public policy think tank New America underscores the nation’s complicated relationship with higher education and provides instructive insights for a sector struggling to define its place in the country. While the survey gives more evidence of the public’s waning trust in higher education, it reaffirms Americans’ belief in its economic value and their desire to personally benefit from it. The consistency with which people of both parties view the good and the bad of higher education is also an indication that when it comes to going to college, Americans may be more alike than they are different.  

Trends within the “Varying Degrees” survey, now in its eighth year, show that the public’s opinion of higher education continues to decline, with only 36% of all respondents saying the current state of higher education is fine as-is. The share of Americans who think that higher education is having a positive impact on the country today has dropped by 16 percentage points since 2019, to just 54 percent, in the latest report. Yet the survey also shows that despite its disillusionment with college, 70% of Americans want their children or family members to earn at least some kind of post-secondary degree and more than 75 percent think that the value of an associate and a bachelor’s degree is worth it even if students need to take out debt.

“The decline in public confidence for college is certainly concerning. But a decline in the public confidence of colleges and universities in general doesn’t necessarily mean that Americans no longer see colleges as worth it. Just as the higher education system is complex, so too are the opinions of Americans,” said Sophie Nguyen, a senior analyst at New America and one of the authors of the report.  

Indeed, the love/hate relationship that Americans appear to have with higher ed gives a glimmer of hope for the sector in a hostile political climate where conservative politicians, frustrated with the dominance of academia’s left-leaning factions, have been battling with the academy on a wide range of topics at both the federal and state levels. (In the survey, only 39 percent of Republicans think colleges and universities are having a positive impact.) Yet, despite comments like the one made recently by vice presidential candidate JD Vance, who vowed to “aggressively attack the universities,” not all Republicans view higher education as the enemy.  

On this score, data on economic mobility may be more influential than rhetoric. Research shows that those with a bachelor’s degree earn significantly more than those with only a high school diploma.  Just last week,Georgetown University’s Center on Education and the Workforce predicted that a bachelor’s degree will significantly increase the chances of getting a “good job” in the future. (The report defines a “good job” as one that pays a national minimum salary of $43,000 to workers aged 25 to 44 and $55,000 to workers aged 45 to 64.)  

“The love/hate relationship that Americans appear to have with higher ed gives a glimmer of hope for the sector in a hostile political climate.”

In the New America survey, Democrats and Republicans agreed at similar rates (two-thirds) that those with at least some higher education will have better access to good jobs, better earnings, and greater financial well-being. When it comes to the benefits that those with higher education might bring to their communities, more than 80 percent of survey respondents agreed that they increase tax revenues, contribute to a skilled workforce, and create more jobs. Three in four believed that those with postsecondary credentials vote and volunteer more often and offer greater support for local businesses. Despite some variance, these beliefs were primarily party-neutral. 

The one area that shows the strongest alignment is the perception that college costs too much.  In the New America survey, nine in 10 respondents believe that people are choosing not to enroll in higher education because they cannot afford it. Eight in 10 think that this lack of affordability is the biggest barrier to enrollment for low income and first-generation students.  One of the most important findings in the survey is the fact that more than 70 percent of respondents (85 percent of Democrats and 66 percent of Republicans) said the presidential candidates’ stances on higher education affordability will be important to their votes. While it is yet unclear how the candidates will address affordability from an education policy perspective, it is worth noting that voters will be watching. 

On the question of who should pay for college, the survey shows a predictable gap between party affiliation, reflecting divergent philosophies on whether higher education is meant for public good or private gain. The authors write, “This question has seen a decline, since we started asking, in those believing the government should be responsible, particularly since 2020. This year just over half of Americans—56 percent— believe the government has the primary responsibility for funding higher education, with 43 percent believing individuals should fund higher education because they personally benefit. There has always been a sharp partisan divide in the response to this question, and this year was no exception. Nearly eight out of ten Democrats believe that the government should fund higher education because it is good for society, whereas nearly seven out of ten Republicans believe that students should fund higher education because they personally benefit.” 

“Nine in 10 respondents believe that people are choosing not to enroll in higher education because they cannot afford it.”

Yet here the survey delivers another reason to check one’s assumptions. Despite philosophical differences, about seven out of 10 of all respondents agree that states should spend more tax dollars on public two- and four-year colleges and universities with Democrats and Republicans both agreeing, though at different rates. Additionally, the vast majority of Americans (80 percent) agree that the federal government should increase the maximum award for Pell grants so that students with the greatest financial need receive more grant-based assistance.

Another point of consistency which emerged from the survey is the view that higher education, as an industry, does not spend money wisely or run efficiently. Given tuition rates that are unattainable for many Americans, this perception may be contributing to the waning public trust. The call for more transparency in higher education is also widely held.  Approximately 65 to 75 percent of respondents agreed that institutions should lose access to taxpayer dollars if students have poor outcomes which raises questions about whether institutions are providing sufficient information to students and families. “Over the years,” the authors write, “Americans have made clear that data transparency is important, with near universal agreement across party lines.”

Making a Living, Making a Life

The college years are a crucial time for young adults to cultivate the skills of leadership and character, which significantly influence not just students’ personal and professional development, but shape the values of the next generation of leaders. Mastering values-based leadership helps students effectively guide and inspire teams, fostering collaboration and problem-solving abilities that are vital in today’s dynamic work environments. Moreover, developing strong character traits such as integrity, empathy, and resilience lays the foundation for ethical decision-making and builds trust with peers and colleagues. Together, these skills not only enhance academic and career success but also contribute to creating purposeful change within oneself, one’s community, and beyond. The educators entrusted and charged with imparting these skills must translate abstract ideas into practical frameworks. What does it mean to teach character? To nurture leaders of integrity and purpose? Steve Sosland, vice chancellor for Leader & Culture Development for the Texas Tech University System, has spent his career finding answers to these questions across different organizations and sectors.

Higher education is Sosland’s fifth industry. After graduating from West Point, he began his career in the U.S. military, where he spent 11 years as an infantry soldier. He later worked in corporate America, first in the restaurant industry and later helping other junior military officers find jobs in the business world with companies that sought to hire veterans for their leadership and character skills. In 2010, Sosland became the chief operating officer of Hill Country Memorial hospital in Fredericksburg, Texas, where he and a team of leaders transformed the then-failing hospital into a pillar of excellent healthcare and leader development, for which President Obama awarded the hospital the Malcolm Baldrige National Quality Award in 2014. 

Sosland’s first role in higher education was as the executive vice president and chief people and performance officer at the University of North Texas Health Sciences Center at Fort Worth. Today, in his role at Texas Tech, Sosland reflects on this unlikely trajectory and highlights the thread that connects each disparate sector and organization: in every dimension, his career has been dedicated to “working with organizations to incorporate a values-based approach to leadership,” which, he says, “advances personal development, quality of life, and wellbeing by helping individuals live in alignment with their own core values.” 

Sosland’s own life is an example of this dynamic process. Today, he says his purpose is “to influence those who will transform the lives of others,” but that mission wasn’t apparent to him at the outset. “When I was in my twenties, looking ahead at my career, I could not have predicted the path,” he explains. “When I was in my fifties, looking back at it, I wanted to find the common thread, and what I found was that I had worked in environments with a strong sense of core values and a culture built around those values. That culture was either there when I arrived, or I used leadership development as an opportunity to create it.”

Leader & Culture Development at Texas Tech takes a comprehensive, bird’s-eye view approach to bringing values-based leadership and purposeful work to the university system’s five campuses. “If we are going to help students, it is fundamentally important for us to first focus on faculty, staff, and administration,” Sosland says. “If we work with the students by directing them to leader development programs and helping them become leaders of character, but they don’t see role models around them, then it brings into question all of our work.” 

The Path to Purpose

To ensure that students have those role models, Sosland works directly with university leadership, shaping the tone and character of the institution. Part of that work involves  exploring purpose, both personally and institutionally. “The way that I work with senior leaders — college and university presidents, deans, department chairs — is by helping them to identify their purpose, both personally and for their entity,” he says. “We then identify their challenges — be them challenges of morale, wellbeing, efficiency, inter- and intrapersonal issues — and we address those challenges within the cultural environment, taking a people-first approach. I call this concept generational leadership. I might very rarely interact with students, but I interact with deans to help them lead their department chairs, who then help the faculty members, who help the students.”

“Our work reminds them of what was already inside of them.”

Purposeful work is often described as “aligning who you are with what you do.” Sosland describes this alignment as “a sense of oneness in a person’s values at home and at work, which is one way to define integrity: from the root integris, meaning oneness or unity.” Though research suggests that purposeful work can promote wellbeing and fulfillment throughout life, a 2022 Harvard University study found that 58 percent of teens and young adults reported having little to no sense of purpose in life. It is a remarkable figure, but not an entirely surprising one. In a 2021 study of more than 10,000 young people across 10 countries, 56 percent of 16- to 25-year-olds surveyed said they believed humanity was doomed due to the climate crisis. The study, published in Lancet Planetary Health, also found that 60 percent of respondents blamed their national governments for this bleak state of affairs. 

Amid a youth mental health national emergency, growing sentiments of dread and nihilism plaguing young people, and Gen Z taking to the internet to voice their existentialist views in the form of political memes and parody videos, the idea of finding purpose could seem almost quaint. But initiatives focused on character and values-based leadership have material impact and the potential to change lives—particularly the lives of college students, who are on the lookout for purpose and in the process of creating and sustaining their core values.

To make the case for purpose, leaders in higher education must not overlook the fact that high tuition costs and poor financial wellbeing lead students to increasingly seeking pay over purpose. In addressing this concern, Sosland cites James Truslow Adams, who coined the phrase “the American Dream” in his 1931 book The Epic of America. “Adams said that our college education largely focuses on how to make a living, but perhaps it should be how to make a life,” he explains. “How to make a living is important, but I think that as universities, we’ve lost our way. We are so hyper-focused on teaching how to make a living that we lose sight of teaching how to make a life. What we are doing at the Texas Tech University System is raising these as equally important matters. We are focused just as much on building the character of the students as we are on helping them get a job, because it is their character that will help them survive in challenging times. We are preparing them to find work that aligns with their core values.”

Grit is one value that comes up in Sosland’s conversations with higher education leadership, faculty, and students. “When it comes to purpose, we are asking, Why do I exist? We ask it on a personal level, and we ask it on an organizational level. Why does this organization exist? How do we create an environment that is rich and allows people to grow and develop to their full potential? And how do we do it so that, along the way, they gain the skills of resilience and grit that will get them through life’s challenging times and help them when they face failure?” Dr. Angela Duckworth, a professor of psychology at the University of Pennsylvania and renowned scholar of grit and self-control, defines grit as the combination of passion and perseverance toward a long-term goal. Sosland cites Duckworth’s philosophy of grit as influential to his work in character and leadership development. “Our universities are in West Texas,” he explains. “Most of the population of Texas is in the eastern third of the state, but West Texas is largely rural. Our universities primarily serve rural areas with harsh weather conditions — sand storms, harsh winds, harsh temperatures. In these conditions where a lot of our students grow up, they have to be resilient. They have to navigate tough environmental conditions just to survive. Their grandparents and great-grandparents lived through the Dust Bowl. In their backgrounds, grit and resilience are imprinted deep within them. But, as with anyone, this gets lost. They get caught up in the what-ifs of life, and they sometimes forget what was imprinted from parents and teachers and coaches early on. Our work reminds them of what was already inside of them. That is what identifying and living in alignment with core values does for both individuals and organizations.”

Shifting Gears

Students at the University of Southern California’s Viterbi School of Engineering enter their studies with a sense of hope and purpose. They are often young people with an interest in public welfare and socially conscious work, setting out to design auspicious futures for an ever-changing, ever-complicated world. But what happens when four years of stress, hustle culture, and careerism obscure the sense of purpose that brought them to engineering in the first place? When students lose sight of their purpose, the effect is not only demoralizing in the short term — it can have lifelong implications for wellbeing, work engagement, and fulfillment.

Dr. Harly Ramsey observed firsthand how an engineering education culture can obscure purpose and impair wellbeing in students as a professor at the Viterbi School of Engineering at USC. She has been dedicated to offsetting this trend for several years, teaching in the Viterbi School’s Engineering in Society program (formerly the Engineering Writing Program), a unique program designed to integrate humanities topics such as ethics and communication into the engineering curriculum. It is from this intersection of thought that Ramsey, a professor of technical communication practice whose PhD is in English, approaches her role as an engineering educator. In 2021, The Coalition for Transformational Education gave USC a grant to launch the Vision Venture video series, an interview project that connects engineering students to recent alumni as a way of helping students reconnect to their sense of purpose, agency, and direction. 

When, in response to the Vision Venture project, Ramsey’s students participated in a series of anonymous surveys related to wellbeing, she was surprised by the troubling results. “These students sit in front of me twice a week. I feel like I know them.” Yet, she recalls, “I had no idea how stressed and isolated many of them felt.” She was also struck by her students’ warped perception of time, noting that many had lost sight of the future — and forgotten the reasons they wanted to be engineers in the first place. 

That lost sense of purpose is now central to Ramsey’s research, as well as to her approach to teaching. “The process of education that we put engineering students through in the course of four years has been found to decrease their interest in public welfare,” Ramsey says. Indeed, a 2014 article by sociologist Erin A. Cech, which Ramsey cites as influential to her work, reveals that despite widespread discourse on “the importance of training ethical, socially conscious engineers,” longitudinal data suggest that “students’ interest in public welfare concerns may actually decline over the course of their engineering education.”

“As a moral agent and a person who cares about my students,” Ramsey says she feels obligated to use the classroom to promote purpose and agency, laying the foundation for wellbeing after graduation. “Enough of them need help; let’s bring it to them,” she said.

It was with this mission in mind that Ramsey joined forces with Dr. Julie Loppacher, the director of USC’s Kortschak Center for Learning and Creativity, to bring 5-minute self-regulation exercises into the classroom. Loppacher and Ramsey designed the accessible, co-curricular model for improving student wellbeing, learning, and sense of purpose based on self-determination theory and presented the results at the 2023 Frontiers in Education Conference.

The culture of “pride in the grind culture” among engineering students adds to the collective stigma around mental health.

Triage Time

Stress and its impact on mental health are pervasive issues among college students across all disciplines, but for engineering students, the problem may be especially pronounced. A demanding academic workload, pressure to perform well in exams, and “a culture of normalized stress” among engineering students all contribute to the phenomenon of lost time (and loss of purpose) that Ramsey identified among her students and for which she coined the term “triage time” in 2022. Hustle culture, grind culture, careerism — by any name, normalized stress can be detrimental to students’ sense of agency and meaning, as the pressure to succeed obscures the pursuit of passion and purpose. For some, a social environment that rewards stress and encourages burnout for bragging points compounds the pressure. As 2024 Viterbi School graduate Jesse Tennant put it, “There is an environment where many are struggling and few want to admit it. Students seem to ‘out-stress’ each other. Many students stack their schedules to the max and constantly talk about how busy they are.” This, Tennant adds, culminates in “a cycle of escalating stress, where interacting with classmates can make one feel inadequate for not being stressed enough.” 

The sentiment echoes the findings of a 2023 report from the Harvard Graduate School of Education that rates of anxiety and depression among 18- to 25-year-olds, which are twice as high as rates among teens, are exacerbated by a pre-professional hustle culture that favors employability and income over purpose. That careerist approach to education may pose financial and social barriers to leading a meaningful life, causing some students to neglect the pursuit of joy and purposeful work.

While the culture of stress is not unique to the field of engineering, Tennant says, “I believe that engineering students have a unique learning experience. Many engineering classes routinely have low exam and project scores. I took a class last semester where the average for every exam was below 50%. While the class was curved at the end of the semester, scoring in the traditional F range is demoralizing and can make you question your intelligence and whether you ‘belong’ in the program.” Moreover, research suggests that engineering students, many of whom operate in a climate of normalized — and, at times, celebrated — stress, may be especially reluctant to seek help. The culture of “pride in the grind culture” among engineering students adds to the collective stigma around mental health, Ramsey says, compounding the barriers to getting help. 

Taking five

Self-determination theory identifies three basic psychological needs: autonomy, competence, and relatedness. Loppacher and Ramsey wanted to test whether dedicating 5 minutes of class time to self-regulation techniques, such as goal-setting, journaling, and cognitive reframing, could help students meet these needs. “Emotions have an impact on our cognitive state and ability to learn,” Loppacher explains. “They can be profoundly positive, and they can be profoundly limiting.” Self-regulation techniques are academic and emotional tools that improve a person’s cognitive state, preparing them to learn, feel, and be better. Each technique is grounded in data, which Loppacher shares with students to provide a basis for every prompt. Rather than simply telling students that goal-setting increases self-efficacy and achievement, for example, Loppacher presents research that students who set SMART (specific, measurable, achievable, relevant, and time-bound) goals are more likely to attain them. Participation is optional, and exercises are capped at 5 minutes at the start of class. 

At a time when youth mental health is considered a national emergency and experts fret over a seemingly irremediable generational divide, fostering open, intergenerational dialogue can dispel panic and misunderstanding.

While some professors may be reluctant to yield valuable class time to student wellbeing, restricting the exercises to 5 minutes and conducting research on their efficacy ensure that the process is accessible and productive. Ramsey and Loppacher emphasize that professors are not expected to be mental health professionals, nor should they be obligated to go beyond their scope of expertise or deduct learning time from their classes. In fact, Ramsey says, “Whether or not professors care about student wellbeing, self-determination theory is a learning tool that helps students perform better in class.” By fostering holistic learners, this approach can also increase professors’ self-efficacy by improving classroom engagement and performance. 

The student response

Ramsey and Loppacher will expand the program beyond the Viterbi School of Engineering in the 2024-2025 academic year, as they recognize a ubiquitous need for co-curricular supports. Loppacher conducts optional interviews with students who have participated in courses that implemented self-regulation techniques and concludes that there are many benefits to the program, both obvious and subtle. Many have noted the importance of intergenerational understanding as it relates to stress, hustle culture, and wellbeing. At a time when youth mental health is considered a national emergency and experts fret over a seemingly irremediable generational divide, fostering open, intergenerational dialogue can dispel panic and misunderstanding. “Intergenerational relationships are extremely important in our lives, especially as learners,” Loppacher says. In one interview, a student stated, “The intergenerational recognition of my stress levels was incredibly powerful.” When asked about the role faculty and staff play in student mental health, Tennant echoed this idea of recognition and care. “While many professors and staff genuinely care about students, this should be the standard, rather than an exceptional attribute,” he says. “Students should feel confident each semester that their mental health will be prioritized by the entire institution, rather than hoping they have a caring professor.”

The idea of care — for others, for oneself, and for the future — reverberates throughout many students’ reflections on the 5-minute self-regulation exercises. “The demonstration of care from my professor was the most important thing,” one student reflected. “This isn’t just a writing class,” said another, “you actually care.” Research underscores the importance of care: in the 2018 Gallup Alumni Survey, alumni who reported having “someone who cared about me as a person” during their undergraduate years were more than twice as likely to report high levels of well-being and work engagement later in life — but fewer than 5 percent of alumni said they had. Some students have reported that a mere acknowledgement of their “human-ness” by a professor was novel: “We’re all people…engineering is a very work-heavy major…so it’s helpful to have a reminder that you are not a machine…you need to do these things [self-regulation strategies] for the human part of yourself.”

This Is Us

It is a cold, rainy day in March, but Vassar’s campus still holds its appearance as the beautiful, contemplative place of learning for which it is famous. Its lush green quads and remarkable architecture reflect a traditional liberal arts experience. But like any community, Vassar is more than it appears to visitors. Over the past two decades, its landscape has significantly changed in many ways, both positive and challenging. 

Among its many distinctions, including its outsized number of famous alumni, Vassar’s President Elizabeth Bradley hopes the school will be known as a place of good health and wellbeing. To make this vision a reality, she recognizes that the college must establish a universal sense of belonging amid a new, more diverse student body where students of various identities express different expectations and needs. Like their Gen Z peers everywhere, many Vassar students struggle with their mental health.  

Since becoming President in 2017, Bradley has worked with faculty and the college’s senior leadership team to foster a campus of wellbeing as a key part of her administration’s agenda, with a focus on belonging in the classroom and in the community. “When I think of wellbeing, I think about our students’ ability to thrive, and to grow, and to learn to become confident young adults who will go out and do the things that are in their hearts to do,” she said. “You can’t thrive if you feel like you don’t belong — in or out of the classroom.”

A noted public health expert, Bradley believes success in this area requires all campus stakeholders to work on improving wellbeing within their respective realms and across departments when necessary. This means professors being attuned to the personal and emotional aspects of their students’ lives and practicing inclusive pedagogy along with their areas of expertise. Student affairs roles, such as the office of Student Growth and Engagement, steer students toward co-curricular activities that help them “thrive, not just survive.” 

Mental health services are highly utilized and, like many college counseling centers, the office is experimenting with new strategies like bringing community partners onto campus for students with acute needs. But even mental health is not confined to any one service, partly due to capacity and partly due to philosophy. Early in his tenure, Dean of the College Carlos Alamo-Pastrana asked, “Can we, as a community, shift our perspective on whose responsibility it is to think about wellness?” 

One inter-departmental effort that is central to wellbeing and belonging is the Office of Engaged Pluralism (EP). Like the term implies, EP seeks to engage all community members in acknowledging differences through an asset-lens where unique perspectives and norms are respected, if not universally agreed upon. It is both a program (offering workshops, trainings and events) and a pledge. The concept evolved from tensions on campus shortly after Vassar moved to need-blind admissions and the student body make-up changed significantly. 

All of these efforts, taken together, are demonstrations of the college’s commitment to building a campus of wellbeing, and one can’t help but wonder what role initiatives such as Engaged Pluralism may have played in more recent controversies, including the voluntary, and atypical, removal of the pro-Palestinian encampment at the school. But to better understand how Vassar’s intentionality on wellbeing and belonging has affected its students overall, LW discussed the topic with four students in various stages of their education. In this enlightening interview, the students talked honestly and graciously about their aspirations, their challenges, and what wellbeing means to them. Here is an edited transcript of some of what they had to say. 

Editor’s note: It is unclear whether any of the interviewees participated in the Vassar protest encampment which occurred after this conversation, but it is worth noting that each of them expressed support for the right to protest on this and other issues, though it is not reflected in this transcript. 

LW: Let’s start with mental health and wellbeing. What kinds of supports or strategies help you thrive here at Vassar?

Marissa is a junior majoring in Science, Technology and Society (STS) with a minor in prison studies.

Marissa: For me – I’m a student leader here on campus alongside a whole bunch of other amazing students. I’m the vice president of the Black Student Union. I’m the co-head of a small concert throwing organization that we have on campus. My friends are always saying, “Marissa, you’re so busy. How do you do it?” But I think the thing that allows me to do all these different things and be in all these different places but still be flourishing is the fact that I’m consistently working with people who all love it. We come together and we support each other and I think for me, thriving is being in these spaces where you are able to laugh but then cry about assignments and experience this whole breadth of emotions. The school has a counseling center, and there’s been times where I went there – some were good and some were not.But I feel like, overall, the thing that really allows me to continue going and not burn myself out is being in these spaces with these people. 

Prisha is a senior psychology major and international student from Bangalore, India.

Prisha: Can I add on to that? I think something that might go unnoticed, but that I feel has a big impact, is the fact that we acknowledge that mental health, your mental health, changes every day and that it does impact your work and your interpersonal relationships. Coming from an international standpoint, I think a lot of students come here as first-generation students arriving in a new country with all of these aspirations and goals for themselves and also expectations that I feel like they don’t give themselves enough grace around. They’re doing a lot here and their wellbeing is a part of something they need to take care of, not just their futures. 

For me, it’s in the really little things that I find solace; just having check-ins at the start of class or meetings like the “rose, thorn and bud question” — a rose is what went well this week. A thorn is something that didn’t go as well and a bud is something you’re looking forward to. Before I was asked those questions, I didn’t even think in that frame of mind of, “Oh, what went well this week?” I actually began to think about myself and what I’m putting out in the world, more than just going through the motions.

“My peers are a significant source of support for me. Another is my professors.”

Maya is a senior biochemistry and psychology double major.

Maya: I think I approach wellbeing from three avenues. My peers are a significant source of support for me. Another is my professors. I know that there are professors on campus who push you and want you to do your best, and sometimes it can feel very overwhelming. But there are other professors who are very, very understanding. I remember two years ago, I was going through a very difficult situation in my personal life and I was able to reach out to my professors and they immediately said, “I can be that avenue for you to make sure that you’re advocating for yourself and advocating for what you need during this time, extensions, whatever.” In general, professors will work with you, which is so nice on this campus. And that definitely helps a lot because things can get very overwhelming very quickly, especially during this time of year when you have burnout from papers and finals. 

But then the third avenue for me is all the work that I do as a leader on campus. I work at the women’s center. I’m a women’s center intern, and we do a lot of events that are centered around wellbeing, but I also lead a women of faith group. Religion is very important to me and has become even increasingly important to me as my years at Vassar have gone on. Which is interesting because a lot of people look at Vassar and they’re like, “Oh, it’s a liberal arts school. You could do so many other things. Why talk about religion?” I am a Christian and my beliefs have developed throughout my time here. And that’s because I’ve been able to ground myself in these groups and in these places where other people also believe. And the women of faith group, I mean we have people who are Jewish, we have people who are Muslim, we have people who are Christians and they’re coming from all different perspectives, but we’re able to unite about our experiences on this campus as well in life. And that has been so centering for me.

Mia is a first year, first-generation college student.

Mia: I would say a lot of the same things. Community is huge. I don’t think I would’ve made it through the year if I didn’t have people to rely on or people to have conversations with. And just to know that you’re not alone. People are having the same experiences, especially when you’re transitioning from high school to college. For me that included feeling like you don’t necessarily belong in the classroom just based on everyone else’s background. I am a first-generation, low- income student and I look at other people in the classroom and sometimes I think, “Do I really belong here?” Then I’ll talk to other people and it’s a very common experience to feel like that — it’s very normal. Knowing that you’re not alone makes it a lot better and helps you find ways to feel comfortable in this space.  The role of professors is huge. Before I came here, I’d never heard of a mental health day. I had a professor who said, “If you need a mental health day, you can just take it. You don’t have to email me or anything.” And I realized, wow, there’s a really big emphasis on who you are as a person outside of your academics. That is something that is sometimes really hard for me to separate because I’m a goal-oriented person. I will get through this task no matter what because I’m looking at a bigger picture. And sometimes that also can harm me because it can lead to burnout. Sometimes I have moments where I realize, “Wow, I’m definitely struggling.”

LW: What are some of the challenges to wellbeing and belonging here? How can things be improved? 

Prisha: I think I can give this a go. All of us need to better understand our different cultures and perspectives. I work at the Office of International Services and we do a bunch of these events throughout the year, some big, some small, all celebrating the different cultures that are present on our campus and give students, especially international students, a platform to celebrate their own cultures as well as to spread awareness. And something we always face is how can we get more students to come engage with us? I think a lot of international students feel the need to just disappear into the crowd of white Americans here on campus, and they feel a really strong need to conform.

“Considering how fast college goes by, you have to create your belonging quickly in four years.”

I think another way to cultivate a larger sense of belonging is how can we get white Americans or locals to also look at what we do? It’s like you see the email and right away, it’s not for me. And it’s just such a missed opportunity. If it was the other way around, if instead of putting the pressure on international students to fit in, we got all students to learn about all the different kinds of cultures we have here, it would benefit everyone. You would learn to be more tolerant, be more open. “Hey, this is what exists outside of this campus, outside of this state, this country, and this is what’s going on, and you should look at it.” That is something I’d like to change. 

Marissa: It can be tough here sometimes. Vassar is a PWI, predominantly white institution, and I think statistically the numbers of students of color are going up, but you could look out into the college center, into the dining hall, and it doesn’t feel that way. Oftentimes I hear people say, “This is a really small school. I feel like I know everybody.” And I think, “I don’t know everybody.” And I think that’s because even as extroverted as I am, there are different pools here, you have your cliques. Vassar is still just like any other school that way. And sometimes it can be hard to mesh those, even when we are all taught to be very multidisciplinary and interconnected. That’s why I rely on my peers to uphold one another. But sometimes it feels like if we don’t do it, nobody else is going to. And then we could fall through the cracks. Considering how fast college goes by, you have to create your belonging quickly in four years. And then you want to be able to not just make your own belonging, but to make spaces for other people like you to belong that are consistent, that are long lasting, that don’t disappear. 

Mia: I knew coming here it was going to be humbling. I knew the workload, the difference in material and curriculum was going to be huge for me. I came from a Title 1 school. It was not going to be the same. There’s always going to be something you don’t know. I think my biggest fear was also not having a community here. I was so scared I wasn’t going to make friends. I thought, “I’m going to be all alone. This is going to be so hard.” But I came in and I made friends the very first week, and they’re still my friends now. We’re eight months down the line and we have dinner every single night. You don’t realize how much people will impact you as you spend time here. So, I think you expect certain things and you just don’t know what it’s really going to be like until you get here. 

LW: You are all so inspiring and accomplished. I wonder, have you thought much about your purpose in life, which is different from just what you want to do. 

Maya: For me, personally, the desire to go into research, and specifically researching disorders like ALS, is because my dad was diagnosed with ALS and he passed away two years ago. (That’s the personal thing that I was struggling with.) So that was very embedded in me since his diagnosis. I understand the person suffering as well as how much suffering their family is going through and how much support they need during this time. And the fact that we have so many unanswered questions remaining despite all of the technological advancements that we have, seems like we need to really focus on certain aspects of these diseases to further our understanding and to further treatment and cures to these problems. I do think my experiences on campus, specifically talking with other people who are in my majors, who are also close friends, has further solidified my interest in research. I see the research that they’re doing with other professors on campus, or I see what they’re learning about and I’m like, oh, that’s really interesting. I want to learn about that, too. I would definitely say that finding my purpose in life has been facilitated throughout my time at Vassar. 

Marissa: I think, at least for me, my purpose — the thing that drives me — is to be happy. Because there was a period where I really wasn’t. And I look back at my younger self and I just want to give her a hug. But I look at her with grace and I look at the journey and I’m so grateful that I was able to go on it. And when I’m here, I think I also believe in the power of storytelling. And telling the stories, whether it be how it was back then or where I’m at now, it’s just being able to do that. And I think what college gave me was a toolbox for all that.

What’s Your Why?

For college students getting ready to embark on their post-graduate lives, a sense of purpose can be a North Star, illuminating the path toward personal development, fulfillment, and success. Having a clear sense of purpose provides students with direction and resilience, brings meaning to their endeavors, improves their mental health, and empowers them to make informed decisions about their futures. When students can identify and live according to their purpose, they can cultivate a deep sense of belonging within themselves and their communities. The pursuit of purpose shapes the college experience and lays the foundation for meaningful living beyond graduation — but how do students find something as elusive and individual as purpose? At Belmont University, they are finding it through alumni in the Purpose Mentorship Program.

“We are trying to help students know who they are, who they were made to be, what makes them unique — and how they can capitalize on that for the sake of communal flourishing,” said Joe Mankowski, the Transformational Project Strategist at Belmont University, where he heads the Purpose Mentorship Program. 

Belmont is a private Christian university in the heart of Nashville, Tennessee. It attracts students with dreams of making it on Music Row, young entrepreneurs, aspiring medical professionals, and — like most college students — young adults who are still trying to find their passion and understand how to pursue it. A 2019 study conducted by Gallup in partnership with Bates College explored that pursuit, defining and measuring purposeful work experiences among college graduates. The study found that 80 percent of college graduates say that it is extremely important (43 percent) or very important (37 percent) to find purpose in their work — yet, less than half of those graduates reported finding it. Graduates who report a strong sense of purpose in work are almost ten times more likely to meet the criteria of overall well-being, which encompasses mental, emotional, physical, and financial health. This research reiterated previous findings that deriving purpose from one’s work is correlated with “having someone who encourages students’ goals and dreams.” 

“We aren’t just training students for a job; we are forming whole people.”

In Belmont’s Purpose Mentorship Program, that “someone” is a university alum — a person who has been in the student’s position, often within the last several years, and made the transition from commencement day to purposeful work. Launched in the 2021-2022 academic year with funding from the Coalition for Transformational Education and the Arthur Vining Davis Foundation, the initiative is emblematic of a broader mission that President Greg Jones and Reverend Susan Pendleton Jones brought with them to Belmont. Making it a focal point of his administration, President Jones’s Discovering Purpose course asks students, “What’s your why?” This question, which is also the driving concept behind the Purpose Mentorship Program, prompts students to reflect on the process of meaning-making both as individuals and as members of a vibrant community. 

Originally piloted by the Curb College of Entertainment and Music Business and the Massey College of Business, the Purpose Mentorship Program fosters meaningful connection between alumni and students, helping students to envision their futures and articulate their goals. Alumni are recommended by faculty and staff based on character, humility, and leadership skills in addition to professional success. Each mentor circle is composed of one alumni mentor and a cohort of 2-5 students. Mentors are prepared with curriculum-based discussion points and encouraged to engage in their own self-reflection on purpose and identity. The groups meet monthly to walk through how one’s purpose develops over the course of the college years and manifests in life beyond graduation.

As a Belmont alumnus himself, Mankowski views the Purpose Mentorship Program as a reflection of Belmont’s mission to cultivate “whole-person development,” educating leaders of character and wisdom. “Being part of a community that has so consistently and fully invested in its students has motivated me to find ways to invest back into the community,” he says. 

Mankowski understands just how vital the relationships formed through the program are for students making decisions about their futures. Equally significant, he says, are the questions it asks. As he explains, “If you know why you’re here, it gives you so much latitude and freedom.” The program begins by asking students who they are in the context of their communities — college students, interns, roommates, daughters, sons, partners. While understanding those identities can begin to help students locate their goals, Mankowski says, it also is imperative that they “take a step back and ask, ‘Why do I think humans exist? Why do I think we work? Why do I think we love?’”

“In an achievement-based culture, it’s so easy for students to prioritize work at the expense of self-reflection, self-awareness and introspection. We are holding space for that exploration.”

In a climate of careerism, immense student debt, and hustle culture, students may fall into the trap of basing their identities entirely on work in an effort to secure high-income jobs. When students pursue these bestowed metrics of status and worth —  job titles, grade-point averages, salaries — at the expense of finding their purpose, their overall well-being can suffer. That’s why, according to Dr. Amy Crook, Vice President for Transformative Innovation, Character and Purpose, the search for purpose is more than work. It is a lifelong quest for identity and understanding — not just within oneself, but in service to others. “We want students to realize they are more than their job,” Crook said. “Their ultimate happiness, fulfillment, joy and ability to make the world a better place is much larger than their job titles. We aren’t just training students for a job; we are forming whole people, and we want them to feel confident in exploring these bigger questions. And we are doing so through supportive, caring contacts who can be honest about the obstacles they faced and the opportunities where they were able to make choices to have a more fulfilling life.”

Mankowski echoed this sentiment, noting that “in an achievement-based culture, it’s so easy for students to prioritize work at the expense of self-reflection, self-awareness and introspection. We are holding space for that exploration.” 

What better guides for their North Star journey than those who paved the way before them? Mankowski views alumni relationships as crucial to the purpose initiative. The program pairs students with alumni mentors based on 5 distinct areas of purpose designed to gauge motivations and values, rather than organizing them by career or major. These 5 personalities — the creative visionary, the compassionate guide, the sincere storyteller, the thoughtful investigator, and the organizational innovator — act as a litmus test for students and alumni to connect across professional disciplines, forming what Mankowski calls “unlikely partnerships” that reinforce the belief that purpose is not a professional identity, but an ideological one. The program also directs students to courses that may be best suited to their style of purpose — the sincere storyteller might enjoy a creative writing workshop, while the organizational innovator may gravitate toward the biology lab — bringing meaning and individuality into the classroom. This approach helps students connect their curriculum to real-world experiences, building the relationship between purpose and academic or professional life.

The transformative potential of the Purpose Mentorship Program lies in these relationships — between students and alumni mentors, and between academic life and self-reflection. Mankowski notes that the program gives students “a sense of unconditional mattering — that is how we connect with ourselves, with our life’s purpose, and with each other.”

Physician, Heal Thyself

In his book Languishing, psychologist Corey Keyes describes burnout as “finding it hard to bring joy or meaning to activities that you once found greatly fulfilling.” This flattening out of your emotions takes many forms: the parent struggling to read a bedtime story to his child; the graphic artist unable to remember the thrill of creation; or the mid-career physician who wonders, “How did I get so removed from the work I once loved?” In the medical profession, burnout is particularly insidious. Its hold is both personal and systemic, moving from institution to practitioner to patients, families, and communities. 

Fortunately, that same causality can work in the reverse. The Kern National Network for Flourishing in Medicine (KNN) has started a movement to bring connection and fulfillment back to the medical profession in the hope of transforming a system that, in many ways, is putting the health of its stakeholders at risk. The KNN is infusing a framework for flourishing into medical schools and academic medicine so that what is taught, learned and practiced is not just skill and competency, but also models of character, ethics and purpose. Recognizing the interconnectedness of medicine, and its relationship to public health, the KNN is also working with health systems and within health professions to rethread medicine’s frayed social compact. 

“With the ever-changing demands in healthcare, physicians are met with complex challenges testing their ability to make the best decisions for their patients, communities and their own flourishing as practitioners, said Dr. Cheryl Maurana, the Founding Director of KNN and professor and senior vice president at the Medical College of Wisconsin (MCW). “KNN places an intentional focus on character, caring and practical wisdom to ensure that physicians are best positioned to successfully navigate these demands.”

The theory is that centering these values and behaviors within individual students, faculty, residents, and practitioners will have a cascading effect on the profession and health systems overall. It’s not about payment reform, though market dynamics are a consideration. And it’s not about individual wellbeing, though that, too, is a part. The KNN’s framework for flourishing in medicine is inherently relational and rooted in connection with others. Though it addresses deficits in the system, it adopts an asset-based approach that involves drawing from one’s own strengths and values when making some of the most ethically challenging decisions any professional can make. 

The movement, which began several years ago, may just now be reaching its tipping point, thanks to a number of factors including two large grants from the Kern Family Foundation and the global pandemic which exposed long simmering issues within the healthcare system. As early as 2012, Foundation leaders were meeting with a group of medical educators, including Maurana, who were struggling to address growing problems within medical schools and academic medicine. These included burnout characterized by the deterioration of hopefulness and vigor in medical students and faculty. Studies have demonstrated that high rates of burnout correspond with lower levels of physician empathy and altruism in caring for patients. “We were looking for an antidote to that,” said Maurana.

By the mid 20-teens, in addition to MCW, the group included six other medical heavyweights: Dell Medical School at The University of Texas at Austin, Geisel School of Medicine at Dartmouth, Mayo Clinic Alix School of Medicine, University of California San Francisco School of Medicine, University of Wisconsin School of Medicine and Public Health and Vanderbilt University School of Medicine; along with passionate leaders like Dr. John Raymond who was early in his presidency of MCW and dedicated to helping transform medical education towards these goals. 

Many within the profession felt as though the pendulum had swung so far in medical education that it was concerned only about competence, and it had lost the idea of the whole person formation. The schools’ believed what the medical profession needed was a foundation for flourishing and they set about establishing the pillars that would lead to that outcome by working together and examining the literature. They eventually arrived at: character, based on the elements of the Jubilee Centre’s framework of moral, civic, intellectual and performance virtues; caring, described as “emphasizing an ongoing practice and approach that recognizes human interdependence and works toward a stronger democracy”; and practical wisdom, as noted in the work of Kenneth Sharpe and Barry Schwartz, which is continually developed through experience and critical reflection toward action, something Maurana calls “doing the right thing, at the right time, for the right reason.”

“What flourishing in medicine means is reflected in the solid framework the KNN has developed so It’s not just a nice word to hear – who doesn’t want to flourish? – it provides a research base to consider flourishing in individuals and systems and to understand practices and conditions conducive to flourishing,” said Christopher Stawski, senior program director and senior fellow of the Kern Family Foundation, which formally established the consortium as the KNN with their first investment in 2017. Another grant, approved in 2022, is helping to fuel its growth. 

Kimara Ellefson is KNN’s National Director of Strategy and Partnership, a position that reflects the expansion of the organization’s targeted impact. She says the focus of the KNN, and the Foundation, has grown from medical education, to all medical professions, to health systems overall, in an acknowledgement of the interdependency of these domains, once again laid bare by the pandemic. She points to work KNN is now doing with hospital systems, including large, for-profits which are concerned about the wellbeing of their residents and the effect it can have on patient care. While the systems work is nascent, individuals representing over 50 organizations within the health care ecosystems are now engaged with the KNN in a variety of ways through student chapters, organizational members, and project partners. 

“We hope that the lens of flourishing is adopted by the majority of medical schools and healthcare systems in this country so that policy decisions, education decisions, staffing decisions, and leadership decisions are made through a flourishing lens,” she said. 

Living the Movement

When asked what “flourishing in medicine,” means to him, med student Vincent Busque said “to me, flourishing in medicine means taking pride in the authentic ways in which we take care of our patients, both through medical care and especially as fellow humans, while contributing to and being supported by the broader medical community.” 

Busque is a third year student at the Geisel School of Medicine at Dartmouth and has been involved with the KNN since he arrived in both formal and informal ways. He attends KNN student conferences and has led student workshops but he also incorporates the KNN principles into everyday actions like sending congratulatory notes to his classmates at the end of the year. A natural optimist with a gift for coaching, Brusque tries hard not to let negativity, like attitudes between battle-worn educators and anxious students, get him down. But Brusque is also the first to say, “med school is no joke.” As he begins his clinical rotation when the challenges of his chosen profession become very real, he will lean heavily on the KNN framework which he says gave him a unique kind of mental toughness. 

“I try to do something caring every day – even if it’s little things like getting someone a blanket or popping back in on a patient,” he said. “I think that is what is going to make me a better physician because when the going gets tough, you need to connect back to why you went to medical school in the first place and for most of us that’s about caring for people in really difficult and emotional situations.” 

“Flourishing in medicine means taking pride in the authentic ways in which we take care of our patients, both through medical care and especially as fellow humans.”

As a KNN student leader, Busque helps his classmates understand what words like flourishing, caring and practical wisdom mean in a clinical scenario, particularly a challenging one. He says use of love languages like affirmation, physical touch and acts of service can help illuminate caring. Relevant questions like how best to support a struggling colleague provide relatable examples for practical wisdom. 

“KNN has allowed me to say that it is actually OK in medical school to care about your values, your character, and your community. With time, we will all come to understand the science (of medicine), but it is these things that are going to allow us to be truly great physicians,” he said.

One of Busque’s models for professional excellence is Dr. Roshini Pinto-Powell, an educator and administrator who is co-leading the KNN curriculum development at Geisel. She is also the school’s associate dean of admissions and only partly jokes that she is personally responsible for dedicated learners like Vincent Busque. A physician for forty years, Pinto-Powell is a KNN devotee who sees the framework not so much as programming, but as a mindset shift and a pledge that permeates everything that goes into medical education. She is currently completing a masters degree, funded by the Kern Family Foundation, from the University of Birmingham at the Jubilee Centre for Character and Virtues. 

Pinto-Powell will be using the KNN framework in her “On Doctoring” class, and this coming year will include a new seven-session pilot class called “Professional Values Formation.” This is a re-envisioning of Geisel’s Coaching Program which was created in 2019 to connect all incoming medical students with a faculty coach for the duration of their studies, to maintain consistent academic & professional support throughout training. In this program, students connected with their coaches in small group coaching sessions, focusing on broad topics like the medical school roadmap, professional identity formation, professional enculturation, and self-regulated learning. Students also met with their coach to receive individualized support in building and reflecting on their goals, challenges, and experiences.

As Geisel dives into developing the new “Professional Values Formation” pilot, leaning deeply into the KNN framework, Pinto-Powell is particularly focused on bringing the appropriate vocabulary to this pilot program, which will be introduced with both students and faculty, in order to have a common vernacular she believes was lost with the secularization of education. She says that while biomedical ethics has an important role in medicine, a practical wisdom framework of thinking allows for nuance and particulars, critical to wise decision-making.

“The separation of church and state has sort of muddled the idea of morality and virtue in medicine into thinking its religiosity and it’s not,” she said. “I think our young people really lack moral vocabulary as a framework and we need to bring that back for them.” 

Pinto-Powell has a strong advocate in Dr. Sonia Chimienti, the school’s Dean of Educational Affairs. In an indication of the school’s broad perspective on health care, she also oversees the masters in public health and masters of science programs as well as the MD program at Geisel. “What we are trying to do is create opportunities to do more learning together earlier in education. This will help us to understand each other better, and ultimately improve how we work together,” she said. 

Chimienti believes Pinto-Powell’s work with faculty, as well as students, is a critical part of the KNN framework. “A focus of our work in creating our learning collaboratives is to help with the development, the nurturing, the appreciation, and the ongoing respect of our educators so they can role model and be those physicians that the students aspire to be,” she said. 

In many ways, Busque, Pinto-Powell and Chimienti are the embodiment of the KNN movement. While they acknowledge the challenges inherent in health care, they all hope to change the conversation from burnout and blame to a renewed sense of joy within the profession itself. 

“When I think about this as a movement, I think about reclaiming the narrative of what it means to be a professional, a physician, a public health specialist, a nurse in this era, in this time,” said Chimienti. “It’s about showing up every day and bringing the character and caring that you grew up with and developed to the moment that you are in; to the person who is front of you – whether it’s a student, a patient, or a colleague – and upholding the standards of the profession we all hold so dear.”