A high level of academic performance may not always be associated with a high intelligence quotient or hard work. Most often, it may be related to effective learning and cognitive strategies. 1 A few of these strategies include proper time management, improved study strategies, better competency in taking examinations, and overall competency in academic course work. 2,3 Academic competency, test competency, time management, and study strategies are variables that are significantly associated with academic performance. 1 As students progress through each year of the pharmacy curriculum, their ability to manage time and their study strategies may change. 4 This raises an important question: does academic progression affect academic performance? The objective of this study was to characterize the role of academic progression on factors that may affect academic performance. These factors include academic competency, test competency, time management, and study strategies.Academic competency, in general, measures how a student copes with the academic course load and whether the student understands what was taught in the course. It also reflects whether the student was interested in and enjoyed the classes that were offered in the curriculum. [1][2][3] Thus, it can be argued that a student with better academic competency will probably demonstrate better academic performance. 1 Test competency was operationally defined as how students manage the amount of study material for examinations and/or tests. 1-3 It also reflects how individuals cope with examination-related stress and how they prepare for examinations in general.Time management is defined as clusters of behavioral skill sets that are deemed to facilitate efficiency and assuage stress. 5 Effective time-management strategies increase academic performance. 6 Basic time management skills begin with prioritizing, placing greater emphasis on more important matters, being able to say "no," and being able to start and stop specific activities at preset schedules. 7 To successfully implement such a strategy, one must engage in a "to do" list and have the discipline to stay focused and not stray from the original list. Time management also requires one to make conscious decisions actively in order to better manage available time. 5 Time is a commodity that cannot be stored and lost time cannot be regained. However, for every task, time is a requirement. Consequently, constructive Objectives. The objective of this study was to evaluate factors that may affect the academic performance of pharmacy students at 2 universities with different student enrollments. Methods. Previously validated questionnaires were administered to students enrolled in the first 3 years of the PharmD curricula at the University of Houston and Howard University. The survey instrument measured constructs such as academic competency, test competency, time management, and study strategies. Demographic variables such as age, gender, race, marital status, and year of enrollment were also collected. Resul...