Okay ~ I have found this to be SO successful! I teach advanced Respiraotry courses to adults. Things like Mechanical Ventilation and Advanced ER Care. One of the things I have done is out stickers on exams that earned an A or B When they first get to my class...they look at their returned exam with a stiker and say, "What the H**L is this?" I tell them.."you wait! You might think my tickers are foolish...but it won't be long until you don't care what grade you get. All you will want to know is whether you got a sticker or not." And EVERY class...EVERY student...EVERY semester behaves the same way. They cannot wait to take thier exams and they cannot wait to see if tey earned a sticker. It's wonderful. Just a little motivation...but it takes them a long way!