Experiences of the Learning Environment
Interim Stream Review · Prototype

Experiences of the Learning Environment

How do students experience teaching, assessment, and learning activities within this stream?

This workspace moves from student-experience ratings to student-described evidence and then to connections across those perspectives, helping reviewers understand the learning environment, inspect the evidence behind the summaries, and identify questions for curriculum review.

Evidence at a Glance

What evidence am I reviewing?

Longitudinal student experience

Student-experience ratings across recent academic cycles, with change indicators shown only when the measures can be compared directly.

Two student perspectives

Annual Cohort Survey and AFPC Graduating Student Survey are shown separately because they provide different perspectives on the learning environment.

Student-described context

Student comments are summarized to add context to the ratings. Annual Cohort Survey evidence can also be inspected by program year where the source supports it. These summaries do not indicate how common a view was.

Review Summary

What should I notice as I review this evidence?

Students explicitly endorse more low‑stakes, frequent practice and integrative scenario work

In the Keep/Fix/Sequencing frame students asked to keep frequent formative LF/peer interactions, scenario‑based integrative simulations (’Day in the Life’), and hands‑on device/product labs; cohort survey items show continued support for guided practice and facilitator effectiveness (sufficient guided practice 74.1%; lab facilitators used effectively 71.2; instructional alignment 71.5).

Inconsistent grading/feedback remains the single most persistent critique

Despite the instrument change, comments continue to call out subjective or mismatched LF marks, delayed or non‑transparent rubrics, and a desire for clearer individual feedback—this theme appears across years and across program levels in the 2025‑26 structured responses.

Seminar value and sequencing receive a different emphasis: students want clearer purpose and better alignment with lab practice

Students framed many seminars as redundant or poorly targeted and proposed alternatives (asynchronous prework, reallocated seminar time for hands‑on prep); sequencing complaints recur—labs sometimes precede relevant therapeutics—so alignment between didactic content, seminars, and lab activities remains salient.

Overall story is familiar but with shifted emphasis toward assessment design and explicit keep/fix priorities

The 2025‑26 evidence echoes earlier cycles (valued simulations/practice; persistent LF inconsistency and sequencing gaps) but foregrounds student preferences for assessment redesign (more small/low‑stakes assessments, summative interactions later in term), clearer rubrics, and seminar restructuring—the core issues persist, while the expression of priorities and solutions is more explicit under the new Keep/Fix/Sequencing prompt.

Learning Environment Evidence

What changed over time, and does the experience differ across program years?

How to read these ratings

Students rated each statement from 1 (Strongly Disagree) to 6 (Strongly Agree). Each cell shows how responses were distributed across all six ratings. The ordered colour scale moves from blue at Strongly Disagree to green at Strongly Agree. Point to or focus a cell for median, IQR, and Agree + Strongly Agree.

Use Overall for the combined Annual Cohort Survey view or select a program year for closer inspection. In a selected program-year view, items with no evidence in any visible cycle are omitted; a dash means that the retained item is unavailable for that statement and cycle. The survey-measure detail explains changes in wording or measurement.

Annual Cohort Survey

Ratings from students in Years 1–3. Each cell shows the full six-point response distribution; point to or focus a cell for median, IQR, and Agree + Strongly Agree.

Aspect of the learning environment2023-20242024-20252025-2026
Learning outcomes were communicated clearly
Teaching methods supported achievement of learning outcomes
Assessment methods were fair
Seminars supported and extended learning
Timely and specific feedback supported learning
Sufficient opportunities for guided practice of skills
Simulated patient interactions supported the development of patient care skills
Lab facilitators were effective guides in teaching and learning
Lab facilitators were effective guides for your learning in labs
Lab facilitators were used effectively to support learning
Seminars provided effective preparation for lab sessions
Instructional approaches, learning activities, and assessments worked together
Strongly DisagreeDisagreeSomewhat DisagreeSomewhat AgreeAgreeStrongly Agree

Each cell shows the full six-point response distribution. The ordered colour scale moves from blue at Strongly Disagree to green at Strongly Agree. Point to or focus a cell for median, IQR, and Agree + Strongly Agree. In a selected program-year view, items with no data in any visible cycle are omitted. A † marks a statement or measurement change within the visible window.

What stands out in the Annual Cohort Survey?

Finding: The 2025–26 Overall profile shows solid endorsement for instructional alignment and guided practice (instructional alignment AGG ~71.5; guided practice AGG ~74.1). Program-year profiles reveal a persistent split: Year 1 again reports very strong endorsement across many items (instructional alignment, lab facilitators, feedback, guided practice), while Year 2 remains comparatively low and mixed (lower AGG and more disagreement on seminars, instructional alignment and feedback), with Year 3 generally intermediate but positive. In other words, the Overall distributions hide a recurring Year 1/Year 2 divergence in 2025–26.

About these Annual Cohort Survey measures

Use this section to check the exact statement wording and where the survey changed across academic cycles.

Aspect of the learning environment2023-20242024-20252025-2026
Learning outcomes were communicated clearlyLearning outcomes were communicated clearly.Learning outcomes were communicated clearly.
Teaching methods supported achievement of learning outcomesTeaching methods (e.g. lectures, problem based learning, active learning) supported achievement of learning outcomes.Teaching methods (e.g. lectures, problem based learning, active learning) supported achievement of learning outcomes.
Assessment methods were fairAssessment methods used to evaluate achievement of learning outcomes were fair.Assessment methods used to evaluate achievement of learning outcomes were fair.
Seminars supported and extended learningSeminars supported and extended learning.Seminars supported and extended learning.
Timely and specific feedback supported learningI received timely and specific feedback that was useful to support my learning.I received timely and specific feedback that was useful to support my learning.I received timely and specific feedback that was useful to support my learning.
Sufficient opportunities for guided practice of skillsThere were sufficient opportunities for guided practice of skills (which may have included some of the following: patient and professional communication, dispensing and prescription processing, evidenced based decision making, drug information provision, physical assessment).There were sufficient opportunities for guided practice of skills (which may have included some of the following: patient and professional communication, dispensing and prescription processing, evidence based decision making, drug information provision, physical assessment).Lab sessions provided sufficient opportunities for guided practice through group and patient interaction activities.
Simulated patient interactions supported the development of patient care skillsSimulated patient interactions supported the development of patient care skills.Simulated patient interactions supported the development of patient care skills.
Lab facilitators were effective guides in teaching and learningLab facilitators were effective guides in teaching and learning.
Lab facilitators were effective guides for your learning in labsLab facilitators were effective guides for your learning in labs.
Lab facilitators were used effectively to support learningLab facilitators were used effectively to support learning.
Seminars provided effective preparation for lab sessionsSeminars provided effective preparation for lab sessions.
Instructional approaches, learning activities, and assessments worked togetherInstructional approaches, learning activities, and assessments worked together to help me achieve stated learning outcomes.
Measurement changes
  • No immediately prior result shares this governed canonical item identity; treat this statement as new or changed in this cycle.

AFPC Graduating Student Survey

Graduating students provide an Overall perspective only. Stream-specific evidence membership is preserved rather than pooled across source areas.

Aspect of the learning environment2023-20242024-20252025-2026
Learning experiences supported achievement of learning outcomes
Learning outcomes were communicated clearly
Assessment methods evaluated achievement of learning outcomes
Patient simulation experiences supported the development of practice skills
Instruction, learning activities, assessment and feedback worked together
Strongly DisagreeDisagreeSomewhat DisagreeSomewhat AgreeAgreeStrongly Agree

Each cell shows the full six-point response distribution. The ordered colour scale moves from blue at Strongly Disagree to green at Strongly Agree. Point to or focus a cell for median, IQR, and Agree + Strongly Agree. In a selected program-year view, items with no data in any visible cycle are omitted. A † marks a statement or measurement change within the visible window.

What stands out in the graduating-student survey?

Finding: Graduating students in 2025–26 report strong, concentrated endorsement that instruction, learning activities, assessment and feedback worked together (AGG ~85) and that simulation supported learning (AGG ~87.3). Across the available cycles graduating-student ratings remain tightly clustered at agreement/strong agreement for these core practice-skills items.

About these AFPC survey measures

Use this section to check the exact statement wording and where the survey changed across academic cycles.

Aspect of the learning environment2023-20242024-20252025-2026
Learning experiences supported achievement of learning outcomesLearning experiences (e.g. lectures, problem based learning, active learning, patient simulations) supported achievement of stated learning outcomes.Learning experiences (e.g. lectures, problem based learning, active learning, patient simulations) supported achievement of stated learning outcomes.
Learning outcomes were communicated clearlyLearning outcomes were communicated clearly (e.g. in course documents, during learning experiences).Learning outcomes were communicated clearly (e.g. in course documents, during learning experiences).
Assessment methods evaluated achievement of learning outcomesAssessment methods (e.g. assignments, labs, and/or exams) evaluated achievement of stated learning outcomes.Assessment methods (e.g. assignments, labs, and/or exams) evaluated achievement of stated learning outcomes.
Patient simulation experiences supported the development of practice skillsPatient simulation experiences supported the development of my practice skills.Patient simulation experiences supported the development of my practice skills.Patient simulation experiences supported the development of my practice skills.
Instruction, learning activities, assessment and feedback worked togetherInstructional approaches, learning activities, and assessment/feedback worked well together to help me achieve the intended learning outcomes.
Measurement changes
  • No immediately prior result shares this governed canonical item identity; treat this statement as new or changed in this cycle.

Annual Cohort Survey and AFPC Graduating Student Survey remain separate perspectives. Program-year comparison is available only where Annual Cohort Survey records for the selected cycle support it. Missing current-cycle evidence is shown as unavailable rather than reconstructed in the renderer.

What Students Described

What are students telling us about their experience of this stream?

2025–26 Annual Cohort Survey · student feedback from Years 1–3. Themes are organized around what students said to keep, improve, and revisit in curriculum sequencing, gaps, or redundancy.

Overall qualitative picture

Students described value in Frequent low-stakes formative interactions with lab facilitators and peers, Scenario-based, integrative simulations, and Hands-on product and device labs, along with an Assessment design preference for many small/low-stakes assessments. These strengths coexist with tensions: Inconsistent grading and feedback from lab facilitators for LF interactions; Insufficient and uneven opportunities for practice; Seminars perceived as low value or poorly aligned with lab activities; and Misalignment of lab/skills activities with foundational or concurrent therapeutic teaching.

What is working well

Students were asked for an example of an instructional, learning activity, or assessment practice to keep.

  • Frequent low-stakes formative interactions with lab facilitators and peersMany comments praised routine, formative LF and peer interactions (including ungraded practice interactions) as essential to building confidence and preparing for summative assessments and placements. Students valued multiple opportunities to practice patient counselling and case work with timely feedback, and noted that increasing the number and spacing of these interactions reduced stress and improved learning.
    About this theme
    Prompt
    Practice to keep
    Responses
    Students across Years 1–3
    Support for this theme
    very_frequent (appears in a large portion of comments) — High confidence — repeated, explicit endorsements and descriptions of LF/peer interaction formats appear across many comments.
  • Scenario-based, integrative simulations (e.g., 'Day in the Life' hospital labs)Students repeatedly identified full-scenario activities that combine multiple tasks (documentation, use of resources, parenteral guides, case sequencing) as highly engaging and realistic preparation for rotations. These labs were described as chaotic but valuable for integrating pieces of hospital practice and applying classroom content.
    About this theme
    Prompt
    Practice to keep
    Responses
    Students across Years 1–3
    Support for this theme
    frequent (multiple comments) — High confidence — several distinct comments describe this specific lab format and its perceived realism and usefulness.
  • Hands-on product and device labs (diabetes devices, OTCs, injection practice)Hands-on stations for products and devices (continuous glucose monitors, insulin devices, OTC product counselling, strep swab practice, injection training) were consistently called out as highly valuable. Students appreciated tactile familiarity with equipment and the chance to practise counselling tied to real products.
    About this theme
    Prompt
    Practice to keep
    Responses
    Students across Years 1–3
    Support for this theme
    frequent (multiple comments) — High confidence — many examples across comments reference specific product labs and device practice.
  • Assessment design preference: many small/low-stakes assessments and summative interactions near term end (no midterms)Students repeatedly stated a preference for replacing midterms with multiple smaller formative assessments and summative interactions later in the term. Several comments framed this approach as less stressful and more supportive of skill development (e.g., best 2 of 3 interaction grades, ungraded practice before graded interactions).
    About this theme
    Prompt
    Practice to keep
    Responses
    Students across Years 1–3
    Support for this theme
    frequent (multiple comments) — High confidence — explicit mentions of no midterms and appreciation for small, spread-out assessments are recurrent.
  • Interprofessional activities and encounters with standardized or community-sourced patientsStudents valued labs that involved PT students and standardized or community-sourced patients (including indigenous-care interactions). Encounters with ’realistic’ patients or community members were described as particularly useful for bridging lab practice to placements; students recommended maintaining this approach especially in early years.
    About this theme
    Prompt
    Practice to keep
    Responses
    Students across Years 1–3
    Support for this theme
    moderate to frequent (several comments) — Medium-high confidence — multiple comments reference PT labs and varied patient sources, including comments on the value of community-sourced actors.
  • Seminars, pre-lab guides, and organized lab structureStudents appreciated clear pre-lab guides, seminars that explain expectations and feedback, and overall lab organization/scheduling. Seminars were noted as especially helpful early in the program, though some students reported timing issues (seminars immediately before labs don’t provide enough time to adjust).
    About this theme
    Prompt
    Practice to keep
    Responses
    Students across Years 1–3
    Support for this theme
    frequent (multiple comments) — High confidence — many comments explicitly praise the organization and pre-lab resources, with specific timing concerns raised.
  • Documentation practice and e-records (preparation for hospital rotations)Several students requested more practice with documentation (e.g., documentation notes, eHFR-format cases) and suggested this be sequenced earlier or increased in later years to prepare for hospital placements. Some contrasted this desire with a perception that reflective assignments are less useful at later stages.
    About this theme
    Prompt
    Practice to keep
    Responses
    Students across Years 1–3
    Support for this theme
    moderate (several comments) — Medium confidence — multiple targeted comments on documentation appear, though less numerous than LF interaction/product lab mentions.

What could be improved

Students were asked for an instructional, learning activity, or assessment practice to improve.

  • Inconsistent grading and feedback from lab facilitators for LF interactionsMany students reported that marks and feedback from lab facilitators for live interactions were inconsistent, subjective, or not aligned (e.g., verbal feedback praising performance but grades not reflecting that). Students want clearer, standardized marking and more meaningful individual feedback rather than only large-group comments.
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    frequent — High confidence — this concern appears repeatedly and across multiple comments referencing different Skills offerings and graded interactions.
  • Insufficient and uneven opportunities for practice and hands-on interactionsStudents asked for more practice: more frequent interactions, more low-stakes graded opportunities, additional practice before high-stakes assessments, and more hands-on counseling and prescription-checking practice. Several comments contrasted different Skills terms (e.g., Skills 2 described as short on practice; Skills 4 praised for more interaction opportunities; Skills 5 criticized for misaligned activities).
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    frequent — High confidence — numerous comments explicitly request more/prioritized practice and lower-stakes assessments.
  • Seminars perceived as low value or poorly aligned with lab activitiesMany students characterized seminars as repetitive, redundant, or not well targeted to the immediate lab. Suggestions included making some seminars asynchronous pre-recorded material, using seminar time for hands-on practice, or focusing seminars on examples/role-plays and direct preparation for that day's lab.
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    frequent — High confidence — consistent comments across terms about seminar utility and alignment with lab needs.
  • Lack of clear expectations, exemplars, rubrics, and timely feedbackStudents repeatedly asked for earlier access to rubrics and exemplar care plans/DAP notes, clearer instructions on assignments, and more timely feedback on graded work to support improvement before subsequent tasks or finals.
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    frequent — High confidence — multiple comments point to missing exemplars/rubrics and delayed feedback as barriers to learning.
  • Group assessments and group feedback viewed as insufficient for individual learningStudents noted that group care plans and large-group feedback often obscure individual performance and that group reflections are sometimes perceived as perfunctory. Several comments asked for more individual-marked products or at least clearer individual feedback within group tasks.
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    common — Moderate to high confidence — recurring concern though some students also valued group collaboration where well-managed.
  • Perceived unfairness in graded interaction logistics and case difficulty variabilityStudents reported weeks where one group's graded case was notably harder than another's, inconsistent hints given by different facilitators, and requests to moderate weighting of interactions (e.g., more, lower-stakes interactions rather than few heavily weighted ones).
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    common — Moderate confidence — several comments describe variability in case difficulty and facilitator conduct affecting fairness.
  • Concerns about technology, AI patients, and specific lab tools (MedAssist, OASIS)Multiple students were dissatisfied with certain technologies used in labs: some found AI patient simulations and MedAssist unhelpful or poor quality; others reported technical failures (e.g., headphone/tech issues on finals). A few students objected to replacing peer role-plays with AI interactions.
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    moderate — Moderate confidence — recurring but not dominant; comments include both negative experiences and suggestions about appropriate AI use.
  • Timeliness and logistics of assessment delivery and preparation timeStudents reported late release of seminar information relative to graded tasks, too little or too much in-class time for activities, last-minute equipment requirements for finals, and insufficient open-lab access prior to high-stakes assessments.
    About this theme
    Prompt
    Practice to improve
    Responses
    Students across Years 1–3
    Support for this theme
    common — Moderate confidence — multiple comments cite specific timing and logistical problems affecting preparation and fairness.

Curriculum sequencing, gaps & redundancy

Students were asked to identify an issue with sequencing, gaps, or redundancies.

  • Misalignment of lab/skills activities with foundational or concurrent therapeutic teachingStudents frequently described labs or assessed interactions occurring before they had received the relevant therapeutic or clinical instruction, or occurring immediately after instruction with insufficient time to process material. This made cases feel rushed, reduced learning yield from interactions, and created uneven preparedness across cohorts. Multiple specific course/skill transitions were cited (e.g., Skills 1→2, Skills 4 timing, Pharm 420 activities).
    About this theme
    Prompt
    Sequencing, gaps or redundancy
    Responses
    Students across Years 1–3
    Support for this theme
    High (many comments across multiple lab sessions and skills courses) — Multiple independent comments reference timing misalignment; some explicitly name course modules or skill levels, increasing confidence that this is a recurring stream-level sequencing issue.
  • Inconsistent, delayed, and non-transparent feedback and grading from lab facilitatorsStudents reported variability in LF feedback and marking (different students receiving different guidance or inconsistent rubric application), long delays in receiving graded work (months), and inability to view rubrics or graded criteria after interactions. This limited their ability to know expectations and to improve on subsequent interactions.
    About this theme
    Prompt
    Sequencing, gaps or redundancy
    Responses
    Students across Years 1–3
    Support for this theme
    High (numerous comments about variability, delay, and lack of rubric visibility) — Consistent reports of variability and delayed feedback across comments; some note specific desirable artifacts (graded rubrics) not being provided.
  • Perceived redundancy and poor alignment/utility of seminarsMany students described seminars as duplicative of prior training or not effectively linked to upcoming lab activities (e.g., seminars reiterating prelab guides or reviewing after assignments). Seminars sometimes felt longer than necessary and covered topics students had already encountered, reducing perceived instructional value.
    About this theme
    Prompt
    Sequencing, gaps or redundancy
    Responses
    Students across Years 1–3
    Support for this theme
    Moderate to high (multiple references to seminar redundancy and poor timing) — Repeated descriptions of seminars that overlap previous material and poor timing relative to labs indicate a stream-level redundancy issue; some students still find brief seminars useful.
  • Overloaded or fragmented laboratory sessions (too many transitions/activities)Students reported that lab sessions often include many short transitions and activities which feel overwhelming and reduce focus. They suggested that multiple rapid transitions make it difficult to practice deeply during lab time and to consolidate skills.
    About this theme
    Prompt
    Sequencing, gaps or redundancy
    Responses
    Students across Years 1–3
    Support for this theme
    Moderate (several comments across lab sessions) — Multiple mentions of excessive transitions and desire to reduce the number of distinct activities per lab support this as a recurring operational sequencing/structure issue.
How to read this qualitative evidence

For each structured stream-feedback question, de-identified comments from students in Years 1-3 were analyzed together. The existing qualitative analysis grouped related observations into named themes and wrote a bounded paraphrase for each theme. These themes are the reviewer-facing qualitative evidence shown above.

The analysis was instructed to preserve disagreement, exceptions, and program-year differences when evident, but the structured theme output did not include a theme-level program-year attribution field. For that reason, C05 reports that Years 1-3 contributed to the analysis and does not infer that a theme belongs primarily to a specific year.

Theme order, the number of themes, and qualitative analysis-support notes are not estimates of prevalence. Raw student comments are not rendered.

Questions for Review

What questions does this evidence warrant further consideration?

  • Students repeatedly asked to keep frequent low‑stakes formative interactions and integrative scenario labs — what elements of those practices should we consider sustaining to support transfer of skills to placements and summative assessments?
  • Despite generally positive ratings for lab facilitators overall, students again report inconsistent grading and subjective marks — what evidence about facilitator training, rubric use, and moderation processes do reviewers need to judge whether facilitator variability remains a problem?
  • Students describe seminars as sometimes redundant or poorly aligned and report overloaded labs with many short transitions — how should reviewers evaluate seminar purpose, timing (pre-lab vs asynchronous), and lab design sequencing to reduce redundancy and increase deep practice time?
About this Evidence

Where did this information come from, and how was it prepared?

What information is included

This workspace brings together student ratings and student-described experience for the selected pharmacy stream. The Annual Cohort Survey represents students in Years 1–3, while the AFPC Graduating Student Survey provides a graduating-student perspective. Student comments from the Annual Cohort Survey provide additional context about teaching, learning activities, assessment, feedback, organization, and curriculum sequencing.

The sources are kept separate because they represent different groups of students and do not always ask the same questions. Evidence is shown for the academic cycles in which it is available rather than filling gaps or treating different sources as interchangeable.

How the student ratings are shown

Students rated the learning-environment statements on a six-point scale from Strongly Disagree to Strongly Agree. The coloured bars show the full distribution of responses rather than reducing the result to one score. Reviewers can inspect the median, the middle 50% of responses, and the percentage who selected Agree or Strongly Agree for additional context.

Annual Cohort Survey
Shows the combined Years 1–3 view and, when available, separate Year 1, Year 2, and Year 3 perspectives.
AFPC Graduating Student Survey
Shows the graduating-student perspective. It is not treated as another program-year view of the Annual Cohort Survey.

Survey statements changed in some years. Results are compared across academic cycles only when the available questions support that comparison. When a result is unavailable or a question changed substantially, the report leaves that limitation visible rather than reconstructing a value or uninterrupted trend.

How student comments are summarized

For 2023–24 and 2024–25, students were asked to explain reasons for their high and low ratings, with particular encouragement to describe lower ratings that could help improve the program. De-identified comments were grouped into named themes through the established structured OpenAI-assisted qualitative analysis, and concise paraphrased summaries were retained for reporting.

In 2025–26, the qualitative questions became more specific. Students were asked about practices worth keeping, things that could be improved, and issues involving curriculum sequencing, gaps, or redundancy. Those responses were analyzed into the three corresponding theme groups shown in the workspace.

Because students were asked different kinds of questions across these years, the qualitative evidence is presented in a way that reflects the questions students actually answered. The older and newer themes are not treated as one directly comparable thematic trend.

How the written summaries and review questions are created

The report first organizes the survey ratings and disclosure-safe student-comment themes for each stream and academic cycle. AI-assisted writing is then used to create concise reviewer-facing orientation and review questions from that prepared evidence. The current Review Summary can also compare the overall story with the immediately preceding academic cycle when both are available.

AI-assisted writing does not calculate the survey distributions, decide whether the stream is effective, determine why a pattern occurred, set priorities, or recommend changes. Those judgments remain with the educators reviewing the evidence.

The written summaries and questions are prepared before the report is displayed. Opening or browsing this report does not send a new request to an AI service.

How to interpret differences, themes, and missing information

The ratings describe students’ experiences of the learning environment; they are not direct measures of learning-outcome achievement. A visible difference between academic cycles or program years does not, by itself, establish that an educationally important improvement or decline occurred.

Qualitative themes show the ideas identified in the analyzed comments. The number of themes, their order on the page, and their visual position should not be interpreted as how common or important an opinion was unless that information is explicitly reported.

The Annual Cohort Survey and AFPC survey are separate perspectives and are not pooled into one score. When evidence is missing, was not asked, or cannot reasonably be compared with another year, the report shows that limitation rather than filling it in.