**7. Summary**

In summary, the 21st century medical student is less likely to conform to the norms of a typical medical student that institutions have observed in the past. Supporting the academic success of a 21st century medical student will require a paradigm shift in how we envision the curriculum, learning environment and support services. A one size fits all approach with a reactive response to remediation may not cater to the unique needs of a diverse student group.

Solutions might include curriculums that are competency-based, individualized, and time-flexible. Additionally, scaffolding self-regulated learning strategies into regular teaching can enhance student learning and retention. Formative assessments and feedback help student monitor their performance and progression. Feedback should compare their performance to a standard which can be set using competencybased curriculum. Additionally, creating a learning environment that provides longitudinal coaching support increases student self-awareness and empowerment.
