Supplemental instruction (SI) is an academic support model that uses peer learning to improve university student retention and student success in high-attrition courses. Supplemental Instruction is used worldwide by institutions of higher learning. SI is also called "Peer-Assisted Study Sessions," "PASS" or "SI-PASS" in parts of the Africa, Europe, North America, and Oceania. According to an article in the peer-reviewed journal, Research and Teaching in Developmental Education, "Since its introduction in 1974 at the University of Missouri-Kansas City by Deanna C. Martin, Supplemental Instruction (SI) has been implemented, studied, and evaluated for its effectiveness across a variety of disciplines and institutional levels." The article further noted that for some students,
"SI is a program that works. Since SI is an enrichment program designed to target high risk courses, it takes the emphasis off the individual student's projected performance. A high risk course, as defined repeatedly in the literature, is any course (usually entry-level) in which unsuccessful enrollment (percentages of D's and F's as final grades and rates of withdrawal from the course and/or institution) exceeds 30%."