One of the things we do to help stem Academic Erosion stress is to constantly provide reinforcement for the student on a personal level. One way is to create projects (it could be a quiz or a crossword puzzle or photographs of a clinical lab with the student as the center of attraction in the photo.) which are designed specifically to be taken home and placed on the refrigerator door. This helps them to show off a bit for their family and becomes a conversation starter about how well they are doing. It is especially fun for students with children at home to move some of the kids' stuff out of the way to put mom or dad's 'A' on that door. I would love to have some additional ideas that others use to bolster the students' self-esteem.