• Azhar Rashid, Rahila Yasmeen, Rehan Ahmed, and Khaulah Jawed.
• Prof. Dr. Azhar Rashid, MBBS, FCPS, OJT, MSc (Defense & Strategic Studies), CHPE, MHPE. Dean FHMS/Principal, Islamic International Medical College, Riphah International University, Islamabad Pakistan.
• Pak J Med Sci. 2022 Nov 1; 38 (8): 207120752071-2075.

ObjectivesThe main objective of the study was to explore the factors to predict academic failure before the first major assessment.MethodsAn exploratory qualitative study was conducted from March 2021 to August 2021 at Riphah International University. Using the purposive sampling technique, 16 students and seven teachers were included in the study. Eight online interviews were conducted with students who were academic failures and two focus group discussions were held with eight high achievers and seven teachers. The data was analyzed and thematic analysis was done.ResultsThematic analyses deduced relevant themes which were: Educational Journey Does past matter? Essential for learning, Personality and psychological make-up, and assessment of behaviour. The factors identified were performance record, learning difficulty, educational dislocation, missionless and purposeless, against free will, tuition, poor self-regulation, low effort, procrastination, non-reflective practice, cognitive load mismanagement, limited remediation, hesitant help-seeking, low self-efficacy, introvert behaviour, demotivation, emotional imbalance, observation of student behaviour, assessment of assigned task.ConclusionAcademic failure can be predicted early and salvaged.Copyright: © Pakistan Journal of Medical Sciences.

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