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.”

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.”

“The Real World of College,” Continued

In their book The Real World of College: What Higher Education Is and What It Can Be, Howard Gardner and Wendy Fischman explore what stakeholders, on and off campus, believe to be the purpose of higher education and assess the degree to which these views are consistent.  Their research began in 2012 when “return on investment” was emerging as the catchphrase for pragmatic families choosing a post-secondary path amid rapidly rising tuition rates. The authors hoped the effort would help validate a sector they believed to be second to none in terms of encouraging personal growth and understanding the world in all its complexity. After studying 10 campuses of diverse profiles and conducting over two thousand interviews, the researchers concluded that their views were not widely held and that higher education “had lost its way.”

Among their key findings was an uncertainty among students regarding their reason for attending college; a strong turn toward vocationalism (what they call “earning over learning”); and misalignment — between families and students on one hand and between faculty and administrators on the other — about what college is all about. In their exploration, one dominant element emerged: the consistent reporting that student mental health was the biggest problem in higher education today. Gardner and Fischman make plausible connections among these findings — including providing context for the mental health phenomenon — and deliver a series of recommendations for how higher education can reclaim its meritorious role in individuals’ lives and in society. 

“We conclude that if higher education in the United States is to be successful in the twenty-first century, it needs to be sharply reframed,” they write in the book’s introduction.

This proposition is meticulously unpacked throughout the book, each chapter building a staircase of knowledge indicative of the authors’ unique contributions: Gardner, the famous developmental psychologist and giant in the academic theory space whose synthesis and sequencing reveal his decades as a professor; and Fischman, whose pure and artful approach to qualitative research succeeds in leading to authentic and, at times, vexing findings. In fact, The Real World of College raises as many questions as it answers, which led the authors to continue today their exploration of American higher education and the dynamics they believe have caused it to flounder. 

Since publishing the book in 2022, Fischman, Gardner, and their research team have been working on another major initiative to help colleges and universities center ethics and character development, encouraging students to think not just about themselves, but about others around them. The Beyond the Self project is testing the probability that, with sensitive guidance and ample practice, today’s young people can move from “I” to “we,” an effort the researchers see as critical to the fate of higher education, as well as the country’s future. In their office in Cambridge, Gardner and Fischman are joined by their graduate assistant, Kate Abramowitz, in discussing their findings and the new work those have led them to. Together, the trio represent three generations of scholars hoping to steer higher education in a new direction to fit a rapidly changing world.

Real Findings 

As is often the case with good research, The Real World of College evolved from previous work the authors had done at the Harvard Graduate School of Education’s Project Zero, from which Gardner launched the Good Work Project. For decades, the research center has explored various scenarios of ethics and character including the decline in the professional sense of responsibility for “good work.” The effort has produced ten books of various themes, including morality and ethics in high school students and young adults. Fischman, then just out of college, has now been working with Gardner for nearly 30 years and has co-authored a number of books and articles with him. The Real World of College is their most ambitious to date, and, while the research has a clear start and end, it is informed by and interwoven with their many years of working with students. 

“In reflection sessions with college students for our Good Work Project, we would ask them about why they were in college and what they wanted to get out of it,” said Fischman. “We were struck by how many students really didn’t know why they were there, and we were really curious about that. This was around the time the value of a college experience was being called into question, and we began to wonder how other higher education stakeholders responded to the question, ‘Why go?’”

The Real World of College establishes four ways of thinking about going to college. These mental mindsets are: Inertial: one goes to college and thinks little about being there, does not participate significantly; Transactional: one goes to college and does what (and only what) is required to get a degree and then (hopefully) secure placement in graduate school or a job; Exploratory: one goes to college intentionally to take time to learn about diverse fields of study and try out new activities; and Transformational: one goes to college to question and reflect about one’s own values and beliefs with the possibility that they will be changed, hopefully in constructive ways. 

“We were struck by how many students really didn’t know why they were in college.”

Their research showed that while few held an inertial mindset, nearly half of all students had a transactional view of college; these young persons were most concerned with grade-point averages and building their résumés and less concerned about personal and intellectual growth or expanding their understanding of the world around them.

“Students talked about academic rigor in terms of wanting to do well, getting As, not more challenging work,” said Fischman. “It was about performing well, being successful, and having those external markers of success.” 

In their transactional view of college, students were joined by parents, alumni, and trustees, but were out of synch with on-campus stakeholders like faculty, administrators and staff; the latter informants tended to view the college experience through the exploratory and transformational lenses, what one might think of as the more traditional stance. This misalignment may account for the declining rates of confidence the public has in higher education. For the authors, it was another indication that the sector was losing its grip on its reason for existence — after all, they thought, if stakeholders just want jobs, they should go directly into job-training (and résumé-building) programs.

“Nearly 80% of faculty and administrators in our sample viewed college as an opportunity for transformation, so the difference between families and campus adults was really striking and really significant,” said Abramowitz. “If students are there for one reason, which likely reflects why their parents are sending them, and faculty and administrators are designing their courses with a completely different approach in mind, everybody’s going to be unhappy.” 

Starting in 2012, Gardner and Fischman said they did not anticipate many of their findings, including what was far and away the most dominant: the prevalence of mental health issues among college students and the consistency with which all stakeholders believed this to be the number one problem in higher education today. “At the start, we didn’t ask them to rate problems,” said Fischman. “But simply to name what they thought was the biggest, and from there, mental health quickly became the number one area. It was one of the only topics that every stakeholder agreed on.” 

As rates of mental health problems among college students soared in the 2010s, Gardner and Fischman became less surprised and more curious about the origins of the problem as well as how it might relate to their other findings. They found that students not only personally experienced mental health issues but believed them to be pervasive throughout higher education. Among the distress – mainly feelings of anxiety — was a deep sense of alienation. The authors were also compelled to understand what “mental health issues” really meant to college students. 

“What does it take to say there’s a mental health problem?” asked Gardner. “I think if you did research across different societies and diverse cultures, you would find that there are very different answers to that question.” 

The most common explanation for why mental health was considered the biggest problem on campus was academic stress. In a section in the book called “What keeps you up at night: the 3 a.m. worries,” Abramowitz writes that more than half of the students interviewed reported that academic stress was the reason. More than a fifth (17%) of students raise mental health issues in relation to these academic concerns. Again, the responses revealed a fixation on performance. 

“For the most part, students talked about mental health problems relating to doing well in school, so the stress is focused again on these external markers,” said Fishman. 

The authors do not purport to have any specific training or background in mental health and lean heavily on the literature to describe its prevalence among college students. But they do posit that their prescription for reframing the purpose of higher education may have a positive impact.

“If you think that college is just about getting straight A’s, developing your own profile and getting a job, you of course are going to have stress and anxiety about meeting those milestones. But if colleges were to encourage more of an exploratory or transformational mindset, they may also address some level of the mental health issues we are seeing.”

The Work of Reframing 

In reflecting on their findings, Fishman, Gardner and Abramowitz discuss what they feel needs to be done for higher education to find its way, with an eagerness that underscores their own formative undergraduate experiences. While they discuss some concerns about Gen Z students’ preparedness to embrace the hard work of learning (one of the most frequently-used words in the responses was “mom”), the authors avoid judging the students. Instead, their analysis and recommendations are focused on the academy and its failure to adhere to, and communicate, its primary mission, indeed its primary reason for existing: effective learning. 

“We would rather students be less concerned about their grades and more transformational and exploratory in their thinking about college, but it’s hard for them when they don’t understand what the mission of their institution is – or of the sector of higher education overall for that matter,” said Gardner. 

The authors call this “mission sprawl,” which gives way to “projectitis” — the proliferation of offices and programs that, however well-intentioned, can serve to further distract and confuse students. 

The most common explanation for why mental health was considered the biggest problem on campus was academic stress. 

“In the late 19th century, when we minimized the religious missions of our traditional institutions — which people like me might have applauded at the time — we did not replace them with being a good citizen or having a well-trained mind,” said Gardner. “We replaced them with a grab-bag of these other things—most of which do not have explicit learning aspirations.” 

Fischman concurs. “Colleges have become all things to all people and in doing so, they have lost their sense of purpose. Institutions need to remind themselves and their students what they stand for.” 

The authors conclude that schools should establish a well-defined, easily understood mission that is introduced with explicit onboarding and reinforced by ensuring that any additional priority is intertwined into that overarching academic mission. In confronting the tenuous notion that college is simply a means to an end, the authors offer a new measure for what they believe is a far more lasting and valuable asset: higher education capital (HEDCAP). HEDCAP’s five constituents are the abilities to “Attend, Analyze, Reflect, Connect and Communicate.” HEDCAP encompasses key components of becoming a well-educated person – what Gardner terms higher ed’s “raison d’etre.”

The authors’ promotion of the learning mission includes a sense of thinking “outside of oneself,” a component that could obviate some of the ambiguity students have about college and might dial back the obsession with personal milestones. “You should know, as a student, that ‘I’m here because I can learn about the rest of the world, understand other people’s perspectives, and contribute something when I get into the world that will not only benefit me but benefit others as well,” said Fischman. 

Gardner is even more emphatic. “If colleges don’t increase higher education capital – being able to think and understand better — we really should close them down. Given where we are with the world, if we don’t do something to get students beyond themselves, then we have also failed, because college is the last chance to think about these things—who we are and who we might become, what the world is like, how to think better about it and act more effectively and most compassionately—in the precious years before you go full-time into the world of work.” 

Moving from “I” to “We” 

In today’s internally focused world, getting stakeholders to think more broadly is a formidable challenge, particularly for young people who are relentlessly besieged with messages to the contrary. With a team of colleagues, Fischman, Gardner and Abramowitz are now working on a new project that they hope will nudge the sector toward recognizing the collective benefits of outward thinking.

“After the book was published, we were concerned about this transactional mindset and this preoccupation with self, so we piloted our own approach to try to get students to move from ‘I’ to ‘we,’ as we call it,” said Fischman. 

For two years the researchers worked with over 150 students at four different colleges, instructing them to keep journals about difficult dilemmas. Fischman says they did not explicitly use the word “ethics” but prompted students to think about the ethical complexities of the dilemmas they described. 

“Among the thousands of students we interviewed for The Real World of College, very few talked about decisions or dilemmas that affected other people,” she said. “We wanted to increase sensitivity to the fact that there are decisions you make and behaviors you have that affect others and there are things going on in the world that may not relate to you but may need your sense of agency.” 

Another red flag raised in the book was the fact that while students reported cheating to be widespread on campus, they rated it as far less important to them than mental health and dismissed it as something they needn’t deal with or, indeed, even think about. This tracked to previous work the researchers had done with high school students (see her co-authored 2004 book, Making Good). 

“We got the sense that teenagers believed that ethics were for later. ‘As a young person, I don’t need to worry about that. And actually, when I decide to cut corners and may not do the right thing, its justified because I’m moving forward and getting to where I need to be.’” 

The notion that “ethics are for later” may seem detrimental, but Fischman believes it is an understandable response given the pressures placed on high school students to do all they can to get into the right college. In their work with college students, particularly first year students, the researchers found the reflection exercises, where students considered other people, constituted a welcome respite. 

“We found the students really appreciated having that time to reflect on the world, as it was something they would not have done otherwise,” said Abramowitz. “Many of them expressed benefits for their mental health, though that was not our primary focus.”

The journaling effort has shown promising results, and the researchers are now looking to expand their impact by working with select colleges and universities to embed their “Beyond the Self” approach within existing curriculum like first year programs or capstone experiences. The work is funded by the Kern Family Foundation, a national nonprofit dedicated to empowering young people to build flourishing lives anchored in strong character and inspired by quality education. The work includes interviewing alumni who participated in Beyond the Self programs and other initiatives focused on building sensitivity to ethics and character, in order to understand how it may have affected how they see the world, their lives and their careers. The research with alumni is part of what Fischman describes as a whole-institution approach to paving the “I” to “we”’ pathway.

“We are looking at institutions that are taking on this approach and trying to understand: Do students come to these schools prepared for this mission? What do they take away? How do they leave and what have they gained? And, ideally, what might society gain?”

A Collective Endeavor

In the liberal arts, small student populations, intimate learning environments, and dedicated faculty and staff create pathways for students to develop a sense of purpose, belonging, and identity on campus — pillars of wellbeing that will sustain them long after commencement day. Amid a youth mental health crisis with young adults reporting that their lives lack purpose, the liberal arts mission of whole-person development has never been more vital. For twelve small colleges across the United States, that mission has become a collective venture thanks to a $3.275 million grant from the Endeavor Foundation. “Collective challenges require collective solutions,” says Warren Wilson College President Damián Fernández. “The Endeavor Foundation’s collaborative approach to addressing student mental health and wellness—one of the pervasive issues of our times—promises broader and deeper impact.” 

The Endeavor Lab Colleges (ELCs) are a consortium of 12 small liberal arts colleges across the United States who share a commitment to student mental health, experiential learning, civic engagement, and purposeful work. Working across their campuses as a cohesive ecosystem, the collaborative has been supported by the Endeavor Foundation in New York City since 2016. In 2023, the ELCs — Antioch College in Yellow Springs, OH; Bennington College in Bennington, VT; Blackburn College in Carlinville, IL; College of the Atlantic in Bar Harbor, ME; Northland College in Ashland, WI; Prescott College in Prescott, AZ; Randolph College in Lynchburg, VA; St. John’s College in Annapolis, MD; St. John’s College in Santa Fe, NM; Sterling College in Craftsbury, VT; Unity Environmental University in New Gloucester, ME; and Warren Wilson College in Asheville, NC — received the $3.275 million grant to fund the first phase of their collaborative project, “Enhancing Student Learning and Experience through Campus Wellness, Student Well-Being, and Mental Health Initiatives.”

Capacity to care

Phase I of the Endeavor Mental Health Initiative, which will continue to unfold over the course of the 2024-2025 academic year, focuses on building capacity — on the individual ELC campuses and across the “collaborative school” — for shared pilot projects within four categories: curricular initiatives to promote mental health and wellbeing in the classroom; purposeful life and work; place-based experiential learning; and expanded services, which include clinical and non-clinical mental health interventions such as peer mentoring, faculty and staff trainings, and bringing 24/7 counseling services to campus.

The colleges each received $100,000 for capacity-building in the 2023-2024 academic year and will receive an additional $75,000 to continue their efforts in the upcoming academic year. Also during Phase I, the Endeavor Lab Colleges will convene on progress and implementation, share expertise, and deepen their inter-institutional collaboration. With successful completion of this phase, the colleges will earn access to an additional $5.225 million over three years. Together, they will design and implement mental health and wellbeing that can be shared and adapted across the collective and become self-sustaining.

Dr. Lori Collins-Hall is the project manager for the Endeavor Foundation Mental Health Initiative. She also serves as vice president and chief operating officer of Sterling College, a liberal arts college in rural Craftsbury, Vermont and member of the Endeavor Lab Colleges. Prior to her work with the Endeavor initiative, Collins-Hall spent 20 years as a professor of sociology at Hartwick College in upstate New York, where her teaching and scholarship focused on criminal justice reform, alternatives to incarceration, and victim advocacy. She then served for five years as the provost and vice president of academic affairs at Antioch College in Ohio (also a member of the Endeavor Lab), before coming to Sterling in 2021. 

“Collective challenges require collective solutions. The Endeavor Foundation’s collaborative approach to addressing student mental health and wellness—one of the pervasive issues of our times—promises broader and deeper impact.”

From the first leg of her career at Hartwick College to her work with the Endeavor Foundation nearly 30 years later, Collins-Hall has been dedicated to community-based service work, exploring the transformative potential of the liberal arts model and place-based learning at institutions that value experiential education.  Both Antioch and Sterling (as well as Blackburn College and Warren Wilson College, also Endeavor Lab institutions), are among the ten federally-recognized work colleges that compose the Work College Consortium. These small colleges share a commitment to place-based education, community engagement and service, integrating work into the learning experience. 

Collins-Hall describes the Mental Health Project as a “capstone” to a career dedicated to cultivating pathways for student success in the liberal arts. For her, mental health care and the liberal arts share a common goal of whole-person development: “Within the liberal arts framework,” Collins-Hall says, “health and wellness becomes another avenue for being a whole person.” Whole-person development encompasses critical thinking, social engagement, and a sense of community —ideas we often associate with higher education and, more broadly, with the experience of “becoming” oneself — but it also includes self-care, self-reflection, and understanding one’s own behaviors within a larger social context. At their core, Collins-Hall explains, the Endeavor Lab Colleges have joined as a united front to develop methods “to integrate mental health and wellness as an acceptable and central piece of the liberal arts’ mission toward becoming a holistic person.”

The big impact of a small college

While the Endeavor Lab Colleges vary somewhat in size — most have fewer than 1,000 students; Sterling College has fewer than 100 — they all fit within the “small liberal arts college” or “micro college” designations. Institutions of their size and scope provide intimate learning environments, community engagement, and social belonging. For students, this kind of college environment can be an opportunity to establish a strong sense of self and place. As Collins-Hall describes, “These small colleges are community-oriented. They are student-focused,” and, importantly, she says, “they tend to be very relational, so people feel the impact when their communities are healthy — and they feel the impact when they’re not, perhaps more immensely, more directly.”

Among the most significant offerings of a small college environment is the development of students’ sense of purpose. Though purposeful work and learning have been shown to promote wellbeing and life satisfaction throughout a person’s lifetime, a 2022 Harvard University study of teens and young adults found that a striking 58 percent of respondents reported feeling little to no purpose or meaning. By prioritizing purpose, one of the four project areas of the Endeavor Lab Colleges, a liberal arts education can set students up for wellbeing in their post-graduate lives.

But these small institutions are not without challenges. As undergraduate enrollment falls, Americans’ trust in higher education continues to falter, and colleges now close at a rate of one per week, higher education has reached an inflection point — and perhaps no institution feels the weight of change as acutely as the small liberal arts college. While the endowments of larger universities may insulate them somewhat from cultural and financial pressures, those same pressures can be lethal for small colleges. Wells College in Aurora, NY was originally the thirteenth member of the Endeavor Lab Colleges; in April, it abruptly announced its closure after 156 years. (The shutdown and its fallout were the subject of a deep-dive by The Hechinger Report.)

Through a consortial approach, the Endeavor Mental Health Initiative preserves the immense value that the small liberal arts colleges provide their students while mitigating the budgetary challenges to creating and sustaining new programs. These are, as Collins-Hall describes, “some of the smallest, leanest, least financially resourced institutions.” 

Joining forces on mental health and wellbeing amplifies what each institution is able to accomplish on its own. “The support of the Endeavor Foundation and participation in the collaborative is vital to our small, private school as we strive to provide the best possible educational experiences to our students,” says Randolph College President Sue Ott Rowlands. “Our Endeavor Foundation grant funding has made it possible for us to enhance services to our students.”

While the endowments of larger universities may insulate them somewhat from cultural and financial pressures, those same pressures can be lethal for small liberal arts colleges.

Dr. Matt Vosler is a professor of outdoor leadership at Warren Wilson College. Vosler grew up in rural Western Ohio, where the outdoors were an integral part of his life — so integral, in fact, that he did not realize their impact until college, when his priorities shifted and experiences in nature became scarce. During his undergraduate studies at Ohio University, Vosler found himself spending less time outside— and feeling less fulfilled — than ever before. 

“Growing up in a rural area, being outdoors had always been a part of my daily routine. Then, suddenly, it wasn’t, and I was suffering.” At this realization, Vosler abandoned the pre-medical track he was on and went on to earn a degree in recreation, or, as he affectionately put it, “the study of play.” While pursuing a master’s degree in experiential education at Minnesota State University Mankato, he studied the traditional K-12 schooling system and the history of education reform in the U.S., leading to a revelation about the structure of education and the kinds of learners it is designed to serve. “When I left my K-12 education, I thought I wasn’t a good learner,” Vosler reflects. He experienced hyperactivity and ADHD as a child, and the traditional educational model was at odds with his style of learning. Upon discovering experiential education as an adult, Vosler thought of the many learners, including himself, who could benefit from the hands-on approach. He earned his PhD in curriculum and instruction, specializing in the transformative potential of outdoor education. 

Today, Vosler points out, students entering college had their middle school and high school years interrupted by the pandemic, spending formative developmental years online. Connection with nature supports attention restoration and stress reduction, but for a generation of college students that is less social and spends less time outdoors than its predecessors, the power of nature as a space for holistic wellbeing has eluded many. In his role at Warren Wilson, Vosler is devoted to exploring the connection between mental health and experiential learning in non-traditional classroom spaces. Nature Rx is a program that joins traditional mental health supports, such as counseling and clinical services, with the use of nature as a powerful supplementary tool for wellbeing. The mission, Vosler says, is to “empower students to cultivate relationships to nature, to others, and to themselves, creating sanctuary within the chaos of the modern college experience.” In a time when “hustle culture,” careerism, and pursuit of high-paying jobs are a proven detriment to college students’ sense of purpose, that sanctuary is worth protecting.

“At a small college, our capacity gets stretched. With the Endeavor grant, we were able to hit the ground running,” Vosler says. “We can grow and sustain our outdoor programs, ensuring that mental health and wellbeing remain an institutional priority.”

At Randolph College in Lynchburg, VA, Dean of Students Chris Lemasters is spearheading the Endeavor Lab’s expanded services initiative. With a background in residential life, Lemasters embodies the community-oriented approach to wellbeing that the liberal arts model encourages. “In the 2024-2025 academic year and beyond,” Lemasters says, “we have an opportunity to bring new and comprehensive mental health resources to expand the scope of our services and consistently keep mental health on the radar.” This expansion will go beyond acute care, such as mental health first aid, by prioritizing wellbeing across all areas of student life.

With an undergraduate population of just under 500 students, Randolph’s faculty promotes experiential and student-centered learning opportunities. Last year, Professor of Religious Studies Suzanne Bessenger and her colleagues built a contemplative studies minor into the Randolph curriculum, after a course taught by Bessenger proved meaningful for students. The contemplative studies field illuminates the human psychological experience through philosophical inquiry, deepening students’ exploration of self while encouraging intercultural exchange of ideas.

At Bennington College, Italian studies professor and First-Year Forum Director Dr. Barbara Alfano is exploring curricular opportunities such as trauma-informed learning to integrate wellbeing into the classroom within the first year of college. The First-Year Forum is a year-long advising course designed to help first-year students navigate campus resources, engage with their community, explore their interests, and develop their writing and critical thinking skills. As director of the First-Year Forum, Alfano thinks a lot about how the first year shapes the college experience. Her work within the Endeavor Lab focuses on integrating wellbeing into the liberal arts curriculum through developing shared curricular and co-curricular learning modules. 

Meanwhile in the Midwest, Blackburn College in Carlinville, IL conducted a Mental Health Needs Assessment to identify the status of student wellbeing on campus and helped college leaders locate areas for improvement. Now, the survey will expand from Blackburn into a multi-institution survey that will help all twelve Endeavor Lab institutions collect data on life experience, mental health, sense of belonging, and self-care behaviors among their students, creating a collective database for tracking and supporting mental health and wellness across the ELCs. 

In Bar Harbor, ME, College of the Atlantic Community Engagement Coordinator Nick Jenei is constructing campus maps to foster a sense of place and deepen students’ connections to their campus, local communities, and the cultural and natural history in their midst. Using interactive digital maps, the initiative leverages mobile phone technology to promote real-world engagement and will be adapted to create a sense of place and connection on other Endeavor campuses. Being connected to one’s physical place — its people, history, and environment — has shown positive effects on human health, improving both emotional wellbeing and academic performance in college. 

Together, the Endeavor Lab Colleges are not only enacting change on their own campuses, but tapping into the growing pool of knowledge they have built together. Their models for mental health and wellness are scaled and adapted to reach across the collaborative school of the Endeavor campuses. “These initiatives will support thousands of students on the members’ campuses but reach far beyond,” President Fernández says. “The work will have a multiplier effect through the creation of a model for all colleges and universities to implement refined best practices for student mental health and wellness.”

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.”

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.”

A Joyful Enterprise

Professor Tarek Masoud found his work the object of dissent across the political aisle earlier this year when he organized a Middle East Dialogues series featuring voices on both sides of the Israel-Palestine debate. In six one-on-one conversations, Masoud, the Director of the Middle East Initiative at the Harvard Kennedy School, invited figures with opposing but similarly divisive politics to explain and defend their stances. 

None of Masoud’s guests may be strangers to controversy, and neither is he. Reproving posts and concerned colleagues didn’t dissuade Masoud, whose choice to examine unpopular opinions on stage mirrors his teaching philosophy in the classroom. His experience leading students in intense, often tense debate and his belief they appreciate it nonetheless led him to write an op-ed in the Wall Street Journal titled “Students Aren’t the Obstacle to Open Debate at Harvard.” He goes on: “It is us: faculty and administrators who are too afraid—of random people on social media, hard-core activists, irritable alumni, assorted ‘friends’ of Harvard—to allow a culture of open debate and dialogue to flourish.”

So how does the expert on democracy and governance in the Middle East approach concerns about student safety and belonging in the classroom, while encouraging pupils to confront topics and opinions they disapprove, even despise? Unease about pervasive mental health challenges on college campuses has fed debate over whether exposing students to objectionable content facilitates wellbeing by cultivating resilience, or puts them in harm’s way by leaving them feeling unsupported and disrespected. With LearningWell, Masoud discusses challenging students through argument, empowering them the same way, and his overriding conviction that learning, in all its discomfort, poses “some of the most joyful activities in the human experience.”

On LinkedIn, you posted about how the classroom should feel more like the gym than like home — that universities should be encouraging student discomfort, as opposed to a commonly talked about value, which is belonging. Can school be a gym where you also belong? 

I think school can absolutely be a gym where you belong. It can be a place of very rigorous inquiry that you nonetheless feel a very deep attachment to and feel deeply connected to. But the connection of the student to the community should be based on the right foundation. It should be based on the fact that we are here as a community of learners and teachers, who are engaged in this very difficult but very fruitful task of expanding the limits of human knowledge, testing what it is we think we know against what it is that others think they know. I want people to belong to Harvard. I want people to feel that they are home at Harvard, but not because we’re part of something called “Club Harvard,” not just because we’re the random people who happen to get lucky to be chosen by admissions officers, but because we are people who have this very deep commitment to this very important value of dedicating all of our energies to the task of open and honest inquiry.

In your own classroom, are there ways you try to foster both of those things, discomfort and belonging, with student mental health in mind? 

I think I have a high degree of confidence in my students. And I think student mental health is extremely important. And we as instructors obviously need to be very careful that what we’re doing is strengthening our students and not weakening them. I’m constantly thinking and rethinking about how I’m teaching to make sure that I’m not putting students in situations where their mental health is at risk. I strive not to put things in the conversation that are gratuitous and that aren’t going to serve any educational purpose except to shock and cause people to feel uncomfortable in ways that don’t advance the learning mission. So for me, the kind of uncomfortable position I might put my students in would be to read somebody whose views they don’t agree with. 

I teach in graduate school, which is also a little bit different. The teaching environment I’m in is one where sometimes I wish my students would think about my mental health because I will get very vigorous and rigorous pushback. I might say something that I think is completely anodyne, and some student will, in a very sharp way, show me all of the ways in which it reflects some less than noble aspect of my positionality. But in all of these places, we need to remind everybody that this is an institution of learning. And if I, Harvard, am prioritizing your comfort and I am making it possible for you to avoid discomfort and not strengthening you so that you can face discomfort and defeat it, then I’m not doing my job for you. You’re paying me an inordinate amount of money, and my job is to make sure that you come out of this place much stronger and much smarter. And I guess what I’m saying is there’s no way of avoiding, then, the discomfort. And what I think the institution needs to do is really help our students learn to manage discomfort, to transcend discomfort, and even to seek it out in the rest of their lives because they know that’s how they get stronger.

You touched on this in terms of graduate school versus undergraduate, but do you think that this approach would be effective, or come with different risks, at a school that isn’t Harvard and struggles more with things like retention and completion? 

First of all, in any institution, we as faculty need to be in touch with our students as persons and not just as disembodied brains into which we’re pouring information and with which we are having arguments. We always have to be attuned to our students as persons. And I probably have, in many cases I know I have, over the course of my career gone too far and had students say, “I felt that you were pushing too hard on me or not respecting me as a person.” So we should never allow the situation to get to that point. I would be distressed if somebody interpreted my call to center learning and debate and argumentation as somehow being a call to ignore the fact that we’re teaching human beings, and human beings have emotional reactions to things. 

The point is I want our students to come away with a feeling that they have a great deal of power. And there are arguments out there that they might deem to be harmful, that have caused them to conclude that they don’t have a lot of respect for the holders of those arguments. But you have a lot of power and a lot of strength to confront those arguments. And so I just want our students to develop a powerful sense of their own efficacy that is born fundamentally from the fact that these are super highflying and bright people.

And in terms of empowering students intellectually and otherwise, is that coming back to the idea that instead of being something that turns people away, this kind of debate could actually boost people’s interest in their own education?

So that’s the theory. I’ll also just tell you some empirics. A few years ago, I had some undergraduates take my class and ask to meet me. And I was fairly certain that what I was going to be told was that there was a feeling of a lack of safety in my classroom because I really do try to engage in rigorous argument and get people to argue with each other. And these students never agreed with anything I said. So I met with them. “So how are you finding the class?” And the ringleader said, “Oh, this is our favorite class. You are the only professor we’ve had at Harvard who is not afraid of us.” And I said, “Well, actually, I’m quite afraid of you. I just am not very smart, and I have low impulse control.” 

“I want our students to come away with a feeling that they have a great deal of power.”

I really do feel that our students want to be treated as adults and that means disagreeing with them sometimes. I really do have that belief, as long as they understand that the professor’s goal—this is very important— as long as they understand the professor’s goal is not to preach some gospel, rather to teach them and to make them stronger. So I think one thing students definitely get out of my classes is they’re like, “Tarek Massoud is not trying to convince me of anything. He is not trying to convince me of what he thinks.” In fact, I would be horrified if my students came out of my class as little copies of Tarek Masoud, spouting Tarek Masoud-isms. What the students, I think, come away from my class believing, and I do say this always, is that “What Tarek wants me to do is really know why I think what I think and to be able to defend my position.” And so I’m trying to make you the best version of yourself. I’m not trying to make you a version of me. And it doesn’t come out of any kind of strategy. None of this is terribly theorized in advance. It’s just kind of who I am. It’s why I got into academia. I got into academia in part because I’m not sure of what I know, in part because I love to argue, in part because everything I’ve ever learned, I learned by first arguing with it. 

Your comment about students enjoying this kind of debate more than people might expect reminds me of the article that you wrote for The Wall Street Journal. In that article, you place the responsibility more on faculty and administration, rather than students, for not cultivating these debates. I wonder, for other faculty who are interested but maybe hesitant, do you have advice for how they can establish these kinds of dialogues in their classrooms?

Look, I think it’s not easy. And I would certainly not say that every faculty member needs to do that. But my view is that those of us who do want to foster this space for open debate and inquiry should not find the administration of the university to be an obstacle to that. What I don’t want the administration of the university to do is tell us to do anything. I would not like the email from the administration of the university that says, “You must now foster debate on this.” I think we’re a heterodox enough institution that there are those of us who want to do that. And there are others who would prefer to have more comity in their classrooms in order to maximize the possibility that people learn. We teach different classes, different things, et cetera. So my plea is really for administrators to help those of us who want to expand the space for debate and discourse on campus, but not to say that everybody needs to be like me. I think that would not be a recipe for a healthy institution.

“I’m trying to make you the best version of yourself. I’m not trying to make you a version of me.”

And for faculty who are interested in leaning more into this kind of debate or dialogue, you mentioned taking a personal approach to it. What do you mean by that? 

I think, again, about the things that I mentioned earlier, number one being you can’t just foster this culture of debate without being attentive to your students as persons. And so you have to have that front of mind. The other point I would make is that one must also have a sense of humor. And I do think that one of the ways in which I am lucky is that I don’t take myself too seriously. Somebody wrote about me that I had a Midwestern sense of humor. It’s actually an Egyptian sense of humor. And I do think that helps, as well, because it reminds students that we are actually engaged in a very joyful enterprise. And we are among — “we” being people attached to universities, not just people attached to Harvard University — we are some of the most fortunate people in the world, engaged in what should be some of the most joyful activities in the human experience. And just reminding ourselves of that, from time to time, with smiles on our faces, with periodic reflections on how lucky we are to be in communion with each other, I think, is also helpful. 

Have you also encountered students who don’t like this culture of dialogue or have negative feedback about it? How do you help them through that discomfort?

Without question. Typically, it will express itself in the following way, this discomfort with dialogue. It will express itself with students being aggrieved that I platformed a certain position that they believe is unworthy of being even discussed at Harvard. It comes from actually quite a noble place that our students have very deep commitments to conceptions of what is just and what is right. And it grieves them when they see a professor who’s a figure that they should respect at a place like Harvard, no less, who is platforming these views or who is making people read these views that they believe should be consigned to the ash heap of history. 

And what I try to convince my students of is that I’m not platforming the views so much as I’m platforming them. I’m trying to give the student the opportunity to develop the most powerful arsenal against these arguments that they find to be unworthy. I’m starting from the premise that I believe you, the student, have valid reasons for thinking that this is unworthy. I want you to bring them to my class because there are other people, by the way, who don’t know, and you may convince them. Or, in the process of trying to convince them, you may detect where there are some gaps in your knowledge or argumentation. You either fill them, or you’ll change your mind. There isn’t a way in which this is bad for us, if our goal is to expand our knowledge, to become smarter, to know why it is we hold certain views.

What do you think about the perception that so-called “Wokeism” has radicalized this generation of students more than those before it?

I really don’t like the term “Wokeism” because it doesn’t take seriously the constellation of very deeply held values that I think animate a lot of our students and indeed our colleagues. And I think these values have been quite a constant presence throughout the academy. I saw a whole front page of The Crimson from the 1960s, and it literally could have been written today. I mean, did they use the term “structural racism”? I don’t think so. But they talked about the phenomenon, and the students were very angry and wanted the curriculum to be revised in ways that our students today say. So I don’t feel that this is a new phenomenon that has emerged out of the inundation of the students with a particular set of newfangled ideas. These are very deeply held ideas that emerge from, frankly, a kind of liberal belief in the primacy and value of humans and individuals. And I think it’s part of what makes students such a joy to interact with because they’re motivated by these ideas that are quite valorous. 

What has changed, probably, is there is more of a sense of the university and the classroom as a place for the playing out of public conflict and the classroom as a kind of public space in which people are taking stances and positions that will be or are public, as opposed to part of a private learning experience. Part of it is the move in our culture where everybody thinks of themselves now as a brand, as a social media presence, as an influencer. And so consequently, if all of this is happening in public, it’s much harder to change my view. I have always argued, “Look, the very best technology for increasing the quality of our pedagogy is not using clickers in the classroom or some newfangled program that tracks students doing this or that. It’s having a small class size.” And that is the original safe space. Because a small class size is where we can first develop the relationships to each other as persons that make it possible for people to venture with difficult and maybe even sometimes heterodox arguments. And it’s also small enough that the feeling of embarrassment and the imperative of winning and defeating one’s opponents is minimized.

Adopting Education For Life as a Guiding Principle for Health Professional Education

The COVID-19 pandemic catalyzed seismic transformation in education, particularly for Health Professional Education (HPE). Following a decade of imaginative innovations, the pandemic disrupted education systems everywhere, accelerated adoption of online technologies, forced major institutional rearrangements to accommodate hybrid instructional models, and laid bare pre-existing inequalities in access to educational resources within and among countries.

In the report “Challenges and Opportunities for Health Professional Education in the Post-Pandemic Era”, recently published by The Lancet, my co-authors and I evaluated how transformative developments have emerged, including in competency-based education, interprofessional education, and especially the large-scale application of information technology to education.

By tracking institutional and instructional reforms, we pose two crucial questions: What has happened to Health Professional Education over the past decade, and how has the Covid-19 pandemic altered the education process?

While the pandemic did not initiate such transformations, it greatly accelerated them, and they are likely to have a long-term impact on HPE. These educational developments converge with broader societal shifts exposed and fostered by the pandemic. 

The challenge is not merely to adapt to a new normal, but to proactively build a better normal. The first step in this endeavor is to develop novel ways of conceptualizing the models that could shape Health Professionals Education in the post-pandemic era.

Two main forces are driving this transformation. First, advances in educational technologies rooted in cognitive sciences are revolutionizing how we teach and learn. Second, the rapid evolution of health systems, marked by technological and organizational complexities, demands a more dynamic approach to education. The traditional notion of completing education before entering the workforce is no longer viable, as new jobs emerge and existing ones evolve faster than educational programs can keep pace.

This means that initial instruction is not sufficient to assure successful performance, either in terms of professional proficiency or of personal well-being. At the same time, new educational technologies make it possible to extend competency development beyond the traditional confines of formal full-time instruction, thus blurring the borders between the previously separate life stages of learning and work. 

Taken together, the two drivers of change demand a strategic shift in higher education towards a model that could be called Education for Life, with profound implications for both instructional and institutional design.

Based on our assessment, we offer three core recommendations, the first of which highlights the importance of adopting Education for Life as a guiding principle for health professional education. The concept of Education for Life encompasses three dimensions—learning throughout life, learning to promote and restore healthy lives, and learning to live one’s own life.

The challenge is not merely to adapt to a new normal, but to proactively build a better normal.

Learning throughout life refers to education that lasts a person’s entire lifetime, rather than merely during a defined period. Traditional educational models divide the life course into separate stages for learning, work, and retirement. Closed educational systems that front-load the content and cost of education before learners enter the labor market should be complemented and eventually superseded by open systems designed to meet the evolving needs for new competencies along the entire career trajectories of health professionals.

Learning to promote and restore healthy lives is at the heart of the substantive content of HPE, which centers on developing the competencies to preserve and improve the lives and well-being of individuals, families, and communities. In other words, this is education to help the lives of others through the technical expertise and service ethic of health professionals.

The final dimension, learning to live one’s own life, highlights that part of the educational experience should enable learners to preserve their sense of purpose and mental well-being. This involves learning to balance work life and family life. It also means learning to cope with stress and adversity. Preventing burnout, however, is not only a matter of developing these individual capabilities but also of learning how to transform the organization of work in ways that promote the well-being of all team members, while promoting equity among the different categories of the health workforce.  In the face of increasing workloads, adequate staffing is essential for freeing up time to manage the stress and pressures that compromise wellbeing. 

If institutions providing HPE are to effectively implement the three dimensions of Education for Life, they must face the challenges and leverage the opportunities presented by technological innovations and health system disruptions, which were already present before the pandemic but have since become even more crucial drivers of change.

Health Professional Education will continue to be challenged to respond to societal concerns over health equity and to strengthen a new professionalism that incorporates concern for the individual and the community. Meeting these challenges while nurturing the core values of the healing professions should remain a vital goal for health educators.

Julio Frenk is a global public health expert and president of the University of Miami.

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.”

What’s Your Story?

When Kylie Martin was studying abroad in Gdansk, Poland, she visited the Stutthof concentration camp with classmates. They walked the paths where victims took their last steps, and somberly regarded the piles of shoes. But the quiet detail Martin found most arresting was one that few others even noticed: In the women’s housing, wooden support beams were covered with old graffiti, messages etched in languages she couldn’t read.

“I couldn’t stop thinking about it. Here were these women experiencing genocide first-hand, yet something had moved them to carve messages on the columns. Was it an act of rebellion? A source of motivation to keep going? Or was it just a form of preservation, to nick up a beam with writing that could endure after death?” wrote Martin in the pages of her journal. As an aspiring journalist, she found herself naturally attuned to finding meaning in small details. “To me, that represented something so magnificently human — leaving behind something that’s proof to ourselves and the world, ‘I was here’.” 

When she returned for her senior year at the University of Michigan-Dearborn, she was invited to share her reflections as part of the school’s new Digital Storytelling Program. The program had been launched with a grant from the Coalition for Transformational Education, designed to encourage Dearborn students to craft personal narratives in a multimedia format. It also allocated funds to hire the students to become digital storytelling mentors to other students, in turn teaching them the skills they’d learned. 

Martin’s five-minute digital story included curated images of Stutthof, paired with the audio recording of her script. In its conclusion, she wondered if this was to be her role in the world — amplifying the voices of others unable to share their stories.

Using the storytelling format in an academic setting was new for her. “Digital storytelling was a method of portraying what you’ve learned that’s so much more meaningful than an academic paper. It says something very unique about the person who created it. You’re seeing a whole other side to them that you wouldn’t see if you were just reading a paper,” says Martin, who has since graduated and is working as an intern at the Detroit Free Press. “Storytelling might not come naturally or easily to some students, but it’s a strong way of getting across a message or experience. Creativity can be like a muscle — the more you work at it, the better it gets.”

The University of Michigan-Dearborn is one of a growing number of campuses recognizing the power of storytelling as a life skill worth teaching. This isn’t news for students in the arts, media, or communications, and the ability to build a compelling narrative has obvious applications and benefits across all kinds of industries — sales and marketing, law and politics, conservation and urban planning, and so on. This is what happened. This is what we need to solve. This is why it matters. In recent years, the job title “Chief Storyteller” has infiltrated the org chart in companies like Nike, Microsoft, and IBM, and narrative techniques are becoming more widely applied in STEM fields like engineering and medicine. Storytelling combines the “hard” skills of problem-solving with the “soft” skills of communication and empathy, bridging the personal and the professional. Little surprise then that campus leaders find storytelling a good tool to approach a range of important conversations including equity, career development, wellbeing, and more.

More Than a Single Story

Dr. Domenico Grasso, Chancellor of the University of Michigan-Dearborn, was first intrigued by how storytelling might influence identity formation in students when he watched, and was deeply moved by, the “The Danger of a Single Story,” the TEDGlobal talk by Nigerian novelist Chimamanda Adichie. Adichie recalls arriving on campus in the U.S. and meeting her roommate, who was surprised to learn Nigerian people spoke English and listened to more than tribal music. In her talk, Adichie warns about the risk of widespread cultural misunderstanding that occurs when people make assumptions about a group of people, thinking one version of the way they live represents the narrative of an entire place.  

The message made an impact on Grasso, who saw the beneficial applications for breaking down cultural misperceptions on his suburban Detroit campus. “Storytelling is the act of considering the things we take as a given and articulating them, so that they’re out in the open,” he says. “When we put into words what we assume or presume, we put it on the table to be able to talk about it.”

Dr. Grasso worked with Dr. Maureen Linker, Associate Provost and Professor of Philosophy, to create a digital storytelling project that would solicit, hire, and train students in the art of multimedia technology. After two successful cohorts of the digital storytelling project, he had an idea: What if the skills of storytelling, and the benefits of learned empathy, could be harnessed in the service of more authentic Diversity, Equity And Inclusion (DEI) initiatives? 

Just last month, he revolutionized the school’s DEI process, and re-established it as the Office of Holistic Excellence. An important part of the new office’s outreach takes the form of learning about other people’s perspectives through storytelling, with a model that takes inspiration from NPR’s StoryCorps. 

“The initial concept of DEI was to bring onto campus people with diverse ideas and views and origin stories,” he said. “But in our traditional DEI approach, we never asked people to tell their stories. It was enough that they checked the box, which was African-American or Hispanic or LGBTQ or veteran, and so on. And then that was it. That was where the DEI ended. We have a very diverse and heterogeneous community, but we never asked them to enrich the campus by engaging with their stories.” 

In the initial digital storytelling project, as in as her philosophy classes, Linker worked with the students in the storytelling cohorts—which often began with overcoming their default mode of assuming their lives weren’t “storyworthy.”

“We have students who say, ‘Those aren’t my skills. I can’t do that.’ And we say, ‘Are you human? Then you’re a storyteller.’”

“They could look at philosophical writing from the lived experience of people on the margins, but still say their own life was not particularly interesting. And once they started working on assignments and had to share aspects of their lives, they were fascinating and complex and full of insight,” says Linker. “It has a lot to do with our demographics as a regional campus, a commuter campus. There are so many stories and perceptions of the Detroit metropolitan area. So I used Adichie’s work as a springboard for the digital storytelling project, and I was interested in having the students address and lean into the myths and stereotypes about the area and tell stories from their point of view.”

Storytelling is as old as humanity, traced back to our earliest ancestors’ campfires and cave paintings. Narratives have always been used to pass down knowledge, traditions, and culture; they make sense of the world, foster shared identities, and ensure survival. Evolutionary biologist Stephen J. Gould calls humans “primates who tell stories.”

And yet we aren’t born with the ability to tell a story; we have to acquire language to communicate, and function in social circles so we have others to communicate with. It’s a basic but critical life skill to live in community with others: persuasive storytelling compels others to partner with you, listen to your vision, and avoid the dangerous path, follow your plan. Storytelling as a genre is a broad umbrella, encompassing the skills of telling a story — the rollout and pacing of critical details, sometimes incorporating humor, culminating in a relatable larger message. But it can also mean knowing how to understand and tell your story, with the self-awareness of the personal narrative.

“We have students who say, ‘Those aren’t my skills. I can’t do that.’ And we say, ‘Are you human? Then you’re a storyteller,’” says Jonathan Adler, a psychology professor at Olin College of Engineering. Adler is also co-founder of The Story Lab at Olin, designing and coaching storytelling experiences grounded in literary practice, the performing arts, and psychological science. Beyond Olin, he also works with doctors in the Health Story Collaborative, a non-profit organization aimed at elevating personal stories in the healthcare ecosystem. 

Medicine, engineering, STEM — they all rely on stories, he stresses, as much as the so-called arts. “The narrative is sort of the default mode of human cognition. Even if you’re going to spend your life writing computer code, you’ve got to be able to explain what you’re doing and why you did it that way and why it matters to the people around you. ‘Well, my goal was X, so then I did Y.’ That’s a story,” he says. “Effective communication depends on narrative fluency. And there is no profession about which you don’t have to communicate the work you’re doing.” 

The narrative ecology we live in starts young. High schoolers need to tell their stories to get into college, and are asked in job interviews, Why do you want to work here? Why are you the best person for the job? Students might have spent their school years crafting persuasive academic essays. But the careers they’re entering require narrative powers of expression to put their goals in context. And sometimes they call for the self-awareness and insight to fit themselves into the story, making the case for their vision, and why they’re the person to make it happen. 

“Storytelling has the potential to do something much deeper and more transformational, which is to help people articulate why they care about the things that they care about, and what they’re trying to do with their lives,” he says. 

For Olin’s Story Lab, one of the key forums for students to perform their narratives is a story slam held during Candidates’ Weekend, when accepted undergraduates visit to decide whether this is the place they want to matriculate. It’s a bold move and an act of faith for the college to display these authentic voices at the same time the college admissions office is spinning its own persuasive narrative. In this context, student storytelling does more than entertain and inform with candor and empathy. It lets the listener in on the secret that it’s okay not to be perfect — to experience academic stress, social anxiety, identity confusion — which might just make Olin the perfect place to feel at home.

Adler recalls one impactful story — “a tell-without-telling story” — in which a student shares an episode of taking care of her little sister. In the course of the narrative, it becomes clear that the experience took place in the context of poverty, darker than expected, and that she was in fact only three years old trying to microwave a hot dog for a baby. 

“Working with students on their stories, we’ve developed a really good attunement for what’s the right amount of vulnerability to share in a story. When it became clear that we were dealing with trauma here, it took us all by surprise, and we decided, ‘Let’s just tell the story of making the hot dog in the microwave,’” recalls Adler. “Then the story can be infused with little moments where you as the listener are like, Oh, there’s more here, it goes a lot deeper, while keeping things on this subtler level in a way that was manageable, and resulted in a really captivating story. And partly what was captivating was that you knew there were layers beneath that you weren’t getting access to.”

In this way, he helps students master this technique of understatement, telling-without-telling, to help them process the story and keep it from becoming too raw. 

“And that’s what makes these experiences brilliant and beautiful. It’s a metaphoric way of thinking that I take for granted, because that’s the way I live in the world, but the students experience it for the first time as a superpower. Once they do that, it’s a skill that’s going to serve them for life, because they’re not going to need you sitting on their shoulder telling them where their metaphorical moments are like epiphanies.”​

Students who gain a well-developed sense of their own story benefit from the combined biological maturity and cognitive perspective to weave together the past, present, and future —and if they’re fortunate, with humor and grace. This is particularly true of young people who dealt with trauma, or shame. The act of processing the experience — and then sharing it and being received with support and understanding — helps them better appreciate variables that were beyond their control. 

“When we share our story with others, it reorganizes our experiences, makes them more categorized, and makes sense of it,” says Laura McKowen, founder of the recovery community The Luckiest Club dedicated to substance-use disorder. McKowen is a fan of storytelling because cognitively linking our life experiences — and seeing others identify with our experience — helps de-fang the otherness and humiliation. “We are meaning-making machines, and what we can’t put into a story and don’t have words for stays disorganized and festering and causes suffering and shame.”

Stories Are Pathways to Wellbeing

Will Schwalbe is a writer whose thoughtful insights into relationships characterized his 2012 memoir, The End of your Life Book Club. Last year he published a second memoir, We Should Not Be Friends, about an unlikely and lifelong relationship between him (gay theater kid) and Maxey (ebullient jock-Navy Seal) forged in a secret society at Yale in the early 1980s. This small society’s members, hand-selected for their vastly different paths in life, share awkward meals twice weekly until a capstone storytelling experience called the “audit.” Each member is given an entire evening to tell their life story — uninterrupted, for hour upon hour. 

“Each drew the group closer. Most of us admitted to suffering from imposter syndrome; there was relief in that admission. Inadequacy loves company,” he wrote. “It wasn’t the stories that bound us; it was the way we framed them for one another and the fact that we shared them in the first place.”

Advocates believe students who are making this cognitive leap in understanding their own stories are far better equipped to be making new connections with others — their peers, their professors, their coaches, their future bosses, and partners. They gain insight into which of their narratives land well — humility versus grandiosity. And they become far better listeners, better able to see the meaning behind the words and stories others share and respond in a way that means more than awkward small talk. The self-aware storyteller understands that the purpose of the story is connection, not painting himself as impressive.

“If you’ve got the floor in front of a group of people and go on about how great you are, or the greatest thing you did, you would really have to find some way to couch that to make it socially acceptable. For most people who have normal situational awareness, it’s going to tamp down the urge for self-aggrandizement or to boast, because it keeps you from connecting and getting anywhere,” says Matthew Dicks, a nine-time winner of The Moth GrandSLAM (the championship round of the country’s premier live storytelling competition) and author of Storyworthy: Engage, Teach, Persuade, and Change Your Life Through the Power of Storytelling. “The need to show yourself like a perfectly curated story or Instagram post is dishonest, when you’d be better off telling a story that’s funny, with a certain amount of deprecation, or a small disaster that led to moments of realization. Better knowledge of storytelling encourages people not to share their glorified moments, because those aren’t the ones that are going to connect.”

The therapeutic value of storytelling, among emerging adults, remains one of the craft’s most important benefits. The chronic loneliness that exists for young adults today isn’t made any easier by time spent reading their phones instead of reading the room. “Storytelling forces you to make eye contact with another human being. And then they say things that make you remember things from your own life, and connect to that person,” says Dicks. “I think the value in that is enormous for people trapped on their screens all the time. It used to be pretty normal in the world for that to happen, but I think now it actually sort of has to be coached and encouraged.”

This time in late adolescence is when young adults are laying down the first version of what scientists call their narrative identity, Adler says. So for traditionally aged college students, the college experience is happening while they are in the process of laying down the first draft of their story. “And we know that draft is going to stick around and influence their wellbeing over the course of their lives.”