Dear Dr. Meers, I teach a five hour class, five days a week (12:00 to 17:00). The students get a ten minute break every 50 min and one 30 minute break. I think it takes too long for the students to get back in focus after their breaks. I notice some of them fading off later in the day. One thing I have learned is to not shut off all the lights during a PowerPoint; this is when they really fall off. I need to grab their attention more effectively! I feel that I am enthusiastic. More student interaction will probably help. Two weeks ago, I announced the day before a quiz that the quiz will be a credit / no credit situation, involving standing in front of the class for three minutes or less to describe a disease process. Half of the class was a no show. On Monday I am going to ask if not wanting to get in front of the class is the reason for their absence. Do you have any other suggestions? Thank you, Keith