I'm not sure why so many are failing at your school,however, at my school, I can sum up the problem with one thought Care Plans. Yuck! It seems to me ,from a second semester frame of mind,that the way they are taught is a huge waste of time. I spend too much of my time typing instead of learning clinical skills either from the textbook or in the clinic. Unfortunately, I'm a very slow typist. I've learned much more from the book and clinic than I will ever learn from doing care plans.