Medical Student Progress Examination Performance and Its Relationship With Metacognition, Critical Thinking, and Self-Regulated Learning Strategies
Abstract
Purpose Metacognition and critical thinking are essential for academic success. The relationship between these components and medical student learning, as assessed with progress examinations, informs curriculum development and efforts to ensure learning progression of all students. This study assessed learning mechanisms by modeling medical students' progress test performance longitudinally at Michigan State University College of Human Medicine. Method Medical students' (n = 184) medical knowledge was assessed 5 times from fall 2017 through spring 2019 using the Comprehensive Basic Science Examination (CBSE). Structural equation modeling was conducted to investigate associations between 3 latent structures-metacognitive awareness, critical thinking, and self-regulation-and their relationship with students' initial CBSE scores and growth in such scores. The authors measured metacognitive knowledge and regulation by the Metacognitive Awareness Inventory, critical thinking skills by the Watson-Glaser Critical Thinking Appraisal, and self-regulation by the Learning and Study Strategies Inventory. Results Students' aggregate performance on 5 CBSE scores grew 31.0% the first semester, 16.5% the second semester, 30.1% the third semester, and 22.4% the last semester. Critical thinking had a significant positive relationship with initial performance (JOURNAL/acmed/04.03/00001888-202102000-00048/inline-graphic1/v/2021-01-22T214722Z/r/image-tiff1.956, P Conclusions This structural equat…
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An increase in students' metacognitive skills is linked to improved performance on standardized progress assessments.
“An increase in students' metacognitive skills has also been linked to improved performance on standardized progress assessments (Chang et al.,2021).”
From Promoting metacognition in an allied health anatomy course (2023) · cites this paper as Chang et al., 2021
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Sharma, S., Mukherjee, S., Kumar, A., & Dillon, W. R. (2005) · Journal of Business Research · doi:10.1016/j.jbusres.2003.10.007 · Cited by 906 · see citing works
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Harnessing the potential of large language models in medical education: promise and pitfalls
Benítez, T. M., Xu, Y., Boudreau, J. D., Kow, A. W. C., Bello, F., Van Phuoc, L., Wang, X., Sun, X., Leung, G. K.-K., Lan, Y., et al. (2024) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocad252 · Cited by 100 · see citing works
Promoting metacognition in an allied health anatomy course
Cale, A. S., Hoffman, L. A., & McNulty, M. A. (2023) · Anatomical Sciences Education · doi:10.1002/ase.2218 · Cited by 35 · see citing works
“An increase in students' metacognitive skills has also been linked to improved performance on standardized progress assessments (Chang et al., 2021).”
Background
- Authors
- Chang, C., Colón-Berlingeri, M., Mavis, B., Laird-Fick, H. S., Parker, C., & Solomon, D.
- Affiliations
- Michigan State University (US)
- Corresponding author
- Chang, Chi
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-09-29
- Volume
- 96
- Issue
- 2
- Pages
- 278-284
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W3089458035
- Cited by
- 49
- References
- 1
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 11 · 2023: 12 · 2022: 11 · 2021: 2
- FWCI
- 4.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Social Sciences › Psychology › Developmental and Educational Psychology › Innovative Teaching and Learning Methods
- Social Sciences › Education › Education and Critical Thinking Development
- Keywords
- medical students, metacognition, metacognitive awareness, critical thinking, student self-regulation, learning strategies, medical knowledge assessment, learning progression, medical education, Watson-Glaser Critical Thinking Appraisal, Metacognitive Awareness Inventory, Learning and Study Strategies Inventory, curriculum development
- MeSH terms
- Metacognition, Self-Control, Academic Success, Achievement, Curriculum, Educational Measurement, Female, Humans, Learning, Male, Michigan, Students, Medical, Thinking, Universities, Knowledge
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