The study investigated the views of Pakistani medical school teachers on the factors that lead to underperforming students continuing their studies. The research was conducted using an anonymous online form to which 33 faculty members responded. The majority of educators (84.8%) confirmed that students with poor results were able to improve further. The main contributing factors were institutional uncertainty (39.4%), social pressure (27.3%) and regret (12.1%). Teachers' decisions were primarily based on academic performance (72.7%), with most respondents having little knowledge of institutional support systems (42.4%). The study revealed that teachers faced emotional and ethical dilemmas in making decisions about failing students, with concerns about patient safety and perceived institutional pressure.