I realize it is key to be prepared for the first class meeting (and all following meetings) but the first one leaves the importance first impression. Being fully prepared is so essential. Studies on peer review instruction notes the essential element of preparedness (Seymour et al., 2013), Reference Seymour, J.E., Almack, K., Kennedy, S., & Froggatt, K. Peer education for advance care planning: volunteers’ perspectives on training and community engagement activitiesHealth Expect. 2013 March; 16(1): 43–55. doi: 10.1111/j.1369-7625.2011.00688.x PMCID: PMC3607415 J