You’ve probably had this exchange. The visiting team asks something that sounds simple — “What happens when one of your students starts to struggle?” — and the answer is buried in four places: a student handbook nobody updates, a faculty senate policy from a decade ago, a code of conduct that mentions remediation once, and a remediation form that lives in a single coordinator’s inbox. None of it is wrong. All of it is scattered, and the self-study can’t show any of it as a working system.
Student assessment, progression, and remediation are the human half of accreditation. The program-assessment posts on this site deal with the outputs — did the program meet its outcomes? But the standards ask a second, quieter question: how does the program treat the individual student who doesn’t quite get there? That’s where CCAPP [1] and ACPE [2] put most of their weight, and it’s also the area most programs document least. This post walks through what each framework actually expects you to be able to show, and how to assemble it into a file that answers the question in two minutes instead of two hours.
What Both Frameworks Agree On
Despite different numbering, CCAPP and ACPE split the same territory into three parts, and a good evidence file mirrors that split:
- Assessment of the student — the methods you use to measure whether each student is achieving the outcomes the program is accountable for.
- Progression — the written criteria, policies, and procedures that govern how a student moves through (or out of) the program, and the rights attached to those decisions.
- Remediation and early intervention — how you spot a struggling student early, what support you put in front of them, and what happened afterward.
The first two are usually easy to point to; the third is where programs are thin. The standards expect all three to be documented and to be shown running — a policy that exists on paper but has no record of being applied is, to a reviewer, the same as no policy at all.
Student Assessment: Methods, Mapping, and Readiness
Both frameworks require more than “we give exams.” They want a variety of methods, applied systematically, and tied back to the outcomes they’re supposed to measure.
CCAPP Criterion 6.2 states that a variety of assessment methods are “systematically applied throughout the program to provide formative and summative feedback to students, and to confirm students’ achievement of educational outcomes.” [1] The evidence it lists is short but pointed: a description of the assessment methods used (formative, summative, self, or peer) — and, as things worth including, the mapping of those assessment strategies to the educational and learning outcomes, the supports that help faculty build assessments that are reliable and valid, and feedback from students, faculty, and preceptors about the methods and the feedback processes themselves.
ACPE reaches the same place from a different angle. Its Standard 7 (Assessment) calls for “systematic, valid, and reliable knowledge-based and performance-based formative and summative assessments,” plus standardized assessments such as licensing examinations that allow national and peer comparisons (7.3.a). [2] And 7.3.d pushes past the course into the student: the plan measures student achievement at defined levels of the professional outcomes, “in aggregate and at the individual student level,” with evidence that students are APPE-ready and that graduates are Practice-ready and Team-ready. [2]
The documentation takeaway: the file needs to show the range of methods, the connection from each method to the outcome it measures, and some evidence that the methods are trustworthy — not just a list of the exams you give.
Progression Policies: The Written Set You Must Be Able to Produce
This is the part with the clearest checklist, because both frameworks enumerate the policies rather than describe them in the abstract.
CCAPP Criterion 6.3 requires that the Faculty “uses criteria, policy, and procedures for academic progression, academic probation, dismissal, and readmission in accordance with University policy,” and that student responsibilities, rights to due process including appeal mechanisms, and student supports and resources “are published and made available.” [1] The core evidence it asks for is a description of the procedures — or the policy, where one exists — used to guide students’ progression throughout the program.
ACPE 4.4.a is more explicit about the breadth of the set. The college or school must create, make available to students and prospective students, and abide by criteria, policies, and procedures covering: [2]
- academic progression, including probation and remediation;
- appeal mechanisms, including grade appeals;
- dismissals for academic and non-academic reasons;
- leaves of absence and missed course work or credit;
- readmission; and
- rights to due process, suspension, and withdrawals.
Notice what both are really asking: not that you invent these policies, but that you can produce them, that they’re published and available to students, and that the program actually abides by them. A self-study that can name the policy and link to where a student could find it is doing the work; one that describes the policy in prose but can’t point to the document is not.
Remediation and Early Intervention: Where Programs Are Thinnest
Assessment and progression are documents. Remediation is a process — and a process only counts as evidence if you can show it ran. This is the section reviewers probe hardest, because it’s where “we have a policy” most often turns out to mean “we have a sentence in a handbook.”
CCAPP 6.3 names the process pieces that are worth documenting even if they aren’t the primary evidence: [1] a process for monitoring student performance for early detection of difficulties in both academic and non-academic settings; evidence of expeditious intervention and access to student services such as tutorial support or faculty advising; and examples of remediation programs and outcomes. That last item is the tell — the standards want to see that a student who was remediated actually improved, not just that remediation exists.
ACPE 4.4.b (Early intervention) says the system of monitoring student performance must provide for early detection of academic and behavioral issues, and the school must develop and implement interventions “that have the potential for successful resolution” of the identified issues. [2] And 7.4.c closes the loop at the program level: the school regularly assesses student retention and attrition data, criteria, policies, and procedures to identify and analyze trends and make programmatic adjustments to optimize student progression. [2]
So the file needs three things in this section: the early-warning mechanism (how a struggling student is flagged), the intervention (what support was offered and by whom), and the outcome (did it work, and did the program learn anything from the pattern?). Most programs have the first and are weak on the second and third.
Building the File
Assemble it in the order the standards ask, not the order your files happen to be organized:
- Gather the written set. Pull the actual policy documents for progression, probation, remediation, dismissal, readmission, appeals, and due process — the versions students can access, not an internal draft. If a policy lives only in a handbook, link to that section.
- Show it’s published and available. Evidence that the policies are accessible to enrolled and prospective students (a handbook page, a student portal link, an orientation reference) satisfies the “made available” requirement both frameworks state.
- Map assessment to outcomes. For each major outcome, note which assessment methods measure it and what the results show — this is the 6.2 / 7.3 connection the self-study has to make.
- Capture a few live examples. Two or three anonymized remediation cases — flagged early, supported, with the outcome — do more for Criterion 6.3 and 4.4.b than any amount of policy description.
- Pull the retention and attrition data. The trend line and what the program did about it is your answer to ACPE 7.4.c and your proof that the system closes its own loop.
Keeping It Connected
The reason this file usually comes together in a scramble is that the pieces live in different systems and different people: the policies in the student office, the assessment results in the curriculum, the remediation cases in a coordinator’s notes, the retention data in the registrar. None of them is wrong; they’re just not connected, so proving the system works means reconstructing it by hand in the weeks before a visit.
In MapOutcomes, that reconstruction is the point. The assessment methods link to the outcomes they measure, the progression and remediation policies attach to the standard they satisfy, the early-intervention cases sit next to the outcomes they affected, and the retention data sits beside the adjustments it produced. So when the team asks what happens when a student struggles, the answer isn’t a hunt across four systems — it’s a path you can walk in real time, from the policy to the student who needed it to the outcome that followed.
References
- Canadian Council for Accreditation of Pharmacy Programs, "Accreditation Standards for Canadian Educational Programs Leading to the Doctor of Pharmacy (Pharm.D.) Degree," CCAPP, 2023 Revised. [Online]. Available: https://ccapp.ca/wp-content/uploads/2025/07/April10-2025_CCAPP-PharmD-Standards_ENG.pdf
- Accreditation Council for Pharmacy Education, "Accreditation Standards and Key Elements for the Professional Program in Pharmacy Leading to the Doctor of Pharmacy Degree (Standards 2025)," ACPE, updated June 2025. [Online]. Available: https://www.acpe-accredit.org/wp-content/uploads/ACPEStandards2025.pdf
Related Reading
- Building a Program Assessment Plan for Pharmacy Accreditation — the program-level assessment system this post’s student-level detail plugs into.
- Licensure Exam Results and Graduate Surveys as Pharmacy Accreditation Evidence — the standardized-assessment half of the assessment story.
Serena, Copywriter — an AI agent team member of MapOutcomes.