What Were You Thinking? Medical Students’ Metacognition and Perceptions of Self-Regulated Learning

References

• Sandars J, Cleary TJ. Self-regulation theory: applications to medical education: AMEE Guide No. 58. Med Teach. 2011;33(11):875–886. doi:https://doi.org/10.3109/0142159X.2011.595434.
   PubMed Web of Science ®Google Scholar
• de Bruin AB, Dunlosky J, Cavalcanti RB. Monitoring and regulation of learning in medical education: the need for predictive cues. Med Educ. 2017;51(6):575–584. doi:https://doi.org/10.1111/medu.13267.
   PubMed Web of Science ®Google Scholar
• Lucieer SM, Jonker L, Visscher C, Rikers RM, Themmen AP. Self-regulated learning and academic performance in medical education. Med Teach. 2016;38(6):585–593. doi:https://doi.org/10.3109/0142159X.2015.1073240.
   PubMed Web of Science ®Google Scholar
• Zimmerman BJ. Becoming a self-regulated learner: an overview. Theor Pract. 2002;41(2):64–70. doi:https://doi.org/10.1207/s15430421tip4102_2.
   Web of Science ®Google Scholar
• Bjork RA, Dunlosky J, Kornell N. Self-regulated learning: beliefs, techniques, and illusions. Annu Rev Psychol. 2013;64:417–444. doi:https://doi.org/10.1146/annurev-psych-113011-143823.
   PubMed Web of Science ®Google Scholar
• Brydges R, Manzone J, Shanks D, et al. Self-regulated learning in simulation-based training: a systematic review and meta-analysis . Med Educ. 2015;49(4):368–378. doi:https://doi.org/10.1111/medu.12649.
   PubMed Web of Science ®Google Scholar
• Zimmerman BJ. Attaining self-regulation: a social cognitive perspective. Handbook of Self-Regulation. San Diego, CA: Elsevier; 2000:13–39.
   Google Scholar
• Sandars J. When I say… self-regulated learning. Med Educ. 2013;47(12):1162–1163. doi:https://doi.org/10.1111/medu.12244.
   PubMed Web of Science ®Google Scholar
• Smith R. Thoughts for new medical students at a new medical school. BMJ. 2003;327(7429):14301430–14301433. (doi:https://doi.org/10.1136/bmj.327.7429.1430.
   Google Scholar
• Zimmerman BJ, Schunk DH. Reflections on theories of self-regulated learning and academic achievement. Self-Regulated Learning and Academic Achievement. New York: Routledge; 2013:282–301.
   Google Scholar
• Langendyk V. Not knowing that they do not know: self-assessment accuracy of third-year medical students. Med Educ. 2006;40(2):173–179. doi:https://doi.org/10.1111/j.1365-2929.2005.02372.x.
   PubMed Web of Science ®Google Scholar
• Brydges R, Butler D. A reflective analysis of medical education research on self-regulation in learning and practice. Med Educ. 2012;46(1):71–79. doi:https://doi.org/10.1111/j.1365-2923.2011.04100.x.
   PubMed Web of Science ®Google Scholar
• Schraw G, Crippen KJ, Hartley K. Promoting self-regulation in science education: metacognition as part of a broader perspective on learning. Res Sci Educ. 2006;36(1–2):111–139. doi:https://doi.org/10.1007/s11165-005-3917-8.
   Web of Science ®Google Scholar
• Young JQ, Van Merrienboer J, Durning S, Ten Cate OTJ. Cognitive load theory: implications for medical education: AMEE Guide No. 86. Med Teach. 2014;36(5):371–384. doi:https://doi.org/10.3109/0142159X.2014.889290.
   PubMed Web of Science ®Google Scholar
• ten Cate OTJ, Kusurkar RA, Williams GCJ. How self-determination theory can assist our understanding of the teaching and learning processes in medical education. AMEE guide No. 59. Med Teach. 2011;33(12):961–973. doi:https://doi.org/10.3109/0142159X.2011.595435.
   PubMed Web of Science ®Google Scholar
• Hartman HJ. Developing students’ metacognitive knowledge and skills. Metacognition in Learning and Instruction. Dordrecht: Springer; 2001:33–68.
   Google Scholar
• Pintrich PR. The role of metacognitive knowledge in learning, teaching, and assessing. Theor Pract. 2002;41(4):219–225. doi:https://doi.org/10.1207/s15430421tip4104_3.
   Web of Science ®Google Scholar
• Zohar A, Barzilai S. A review of research on metacognition in science education: current and future directions. Stud Sci Educ. 2013;49(2):121–169. doi:https://doi.org/10.1080/03057267.2013.847261.
   Web of Science ®Google Scholar
• Flavell JH. Metacognition and cognitive monitoring: a new area of cognitive–developmental inquiry. Am Psychol. 1979;34(10):906–911. doi:https://doi.org/10.1037/0003-066X.34.10.906.
   Web of Science ®Google Scholar
• Koriat A. Monitoring one’s own knowledge during study: a cue-utilization approach to judgments of learning. J Exp Psychol Gen. 1997;126(4):349–370. doi:https://doi.org/10.1037/0096-3445.126.4.349.
   Web of Science ®Google Scholar
• Thiede KW, Griffin TD, Wiley J, Anderson MC. Poor metacomprehension accuracy as a result of inappropriate cue use. Discourse Process. 2010;47(4):331–362. doi:https://doi.org/10.1080/01638530902959927.
   Web of Science ®Google Scholar
• Cho KK, Marjadi B, Langendyk V, Hu W. Medical student changes in self-regulated learning during the transition to the clinical environment. BMC Med Educ. 2017;17(1):59. doi:https://doi.org/10.1186/s12909-017-0902-7.
   PubMed Web of Science ®Google Scholar
• Herwaarden CLA, Laan RFJM, Leunissen R. Raamplan artsopleiding. Nederlandse Federatie van Universitair Medische Centra (NFU. 2009). 2009.
   Google Scholar
• Versteeg M, van Blankenstein FM, Putter H, Steendijk P. Peer instruction improves comprehension and transfer of physiological concepts: a randomized comparison with self-explanation. Adv in Health Sci Educ. 2019;24(1):151–165. doi:https://doi.org/10.1007/s10459-018-9858-6.
   PubMed Web of Science ®Google Scholar
• Veenman MV, Bavelaar L, De WL, Van Haaren MG. The on-line assessment of metacognitive skills in a computerized learning environment. Learn Individ Differ. 2014;29:123–130. doi:https://doi.org/10.1016/j.lindif.2013.01.003.
   Web of Science ®Google Scholar
• Schraw G, Moshman D. Metacognitive theories. Educ Psychol Rev. 1995;7(4):351–371. doi:https://doi.org/10.1007/BF02212307.
   Web of Science ®Google Scholar
• Green J, Thorogood N. 2018. Qualitative Methods for Health Research. London, UK: Sage.
   Google Scholar
• Brooks J, McCluskey S, Turley E, King N. The utility of template analysis in qualitative psychology research. Qual Res Psychol. 2015;12(2):202–222. doi:https://doi.org/10.1080/14780887.2014.955224.
   PubMed Web of Science ®Google Scholar
• Artino ARJr, Cleary TJ, Dong T, Hemmer PA, Durning SJ. Exploring clinical reasoning in novices: a self‐regulated learning microanalytic assessment approach. Med Educ. 2014;48(3):280–291. doi:https://doi.org/10.1111/medu.12303.
   PubMed Web of Science ®Google Scholar
• Gandomkar R, Mirzazadeh A, Jalili M, Yazdani K, Fata L, Sandars J. Self-regulated learning processes of medical students during an academic learning task . Med Educ. 2016;50(10):1065–1074. doi:https://doi.org/10.1111/medu.12975.
   PubMed Web of Science ®Google Scholar
• Patel R, Tarrant C, Bonas S, Yates J, Sandars J. The struggling student: a thematic analysis from the self-regulated learning perspective . Med Educ. 2015;49(4):417–426. doi:https://doi.org/10.1111/medu.12651.
   PubMed Web of Science ®Google Scholar
• Murad MH, Coto‐Yglesias F, Varkey P, Prokop LJ, Murad AL. The effectiveness of self-directed learning in health professions education: a systematic review . Med Educ. 2010;44(11):1057–1068. doi:https://doi.org/10.1111/j.1365-2923.2010.03750.x.
   PubMed Web of Science ®Google Scholar
• Tanner KD. Promoting student metacognition. CBE Life Sci Educ. 2012;11(2):113–120. doi:https://doi.org/10.1187/cbe.12-03-0033.
   PubMed Web of Science ®Google Scholar
• Versteeg M, Wijnen-Meijer M, Steendijk P. Informing the uninformed: a multitier approach to uncover students’ misconceptions on cardiovascular physiology. Adv Physiol Educ. 2019;43(1):7–14. doi:https://doi.org/10.1152/advan.00130.2018.
   PubMed Web of Science ®Google Scholar
• Thiede KW, Anderson M, Therriault D. Accuracy of metacognitive monitoring affects learning of texts. J Educ Psychol. 2003;95(1):66–73. doi:https://doi.org/10.1037/0022-0663.95.1.66.
   Web of Science ®Google Scholar
• Begg I, Duft S, Lalonde P, Melnick R, Sanvito J. Memory predictions are based on ease of processing. J Mem Lang. 1989;28(5):610–632. doi:https://doi.org/10.1016/0749-596X(89)90016-8.
   Web of Science ®Google Scholar
• Thiede KW, Anderson MC. Summarizing can improve metacomprehension accuracy. Contemp Educ Psychol. 2003;28(2):129–160. doi:https://doi.org/10.1016/S0361-476X(02)00011-5.
   Web of Science ®Google Scholar
• van Loon MH, de Bruin AB, van Gog T, van Merriënboer JJ, Dunlosky J. Can students evaluate their understanding of cause-and-effect relations? The effects of diagram completion on monitoring accuracy. Acta Psychol (Amst). 2014;151:143–154. doi:https://doi.org/10.1016/j.actpsy.2014.06.007.
   PubMed Web of Science ®Google Scholar
• Wormald BW, Schoeman S, Somasunderam A, Penn M. Assessment drives learning: an unavoidable truth?Anat Sci Educ. 2009;2(5):199–204. doi:https://doi.org/10.1002/ase.102.
   PubMed Web of Science ®Google Scholar
• Boulet JR, Durning SJ. What we measure … and what we should measure in medical education. Med Educ. 2019;53(1):86–94. doi:https://doi.org/10.1111/medu.13652.
   PubMed Web of Science ®Google Scholar
• Cilliers FJ. Is assessment good for learning or learning good for assessment? A. Both? B. Neither? C. It depends?Perspect Med Educ. 2015;4(6):280–281. doi:https://doi.org/10.1007/s40037-015-0229-1.
   PubMed Web of Science ®Google Scholar
• Marton F, Säljö R. On qualitative differences in learning: I—Outcome and process. Br J Educ Psychol. 1976;46(1):4–11. doi:https://doi.org/10.1111/j.2044-8279.1976.tb02980.x.
   Web of Science ®Google Scholar
• Ramsden P. Learning to Teach in Higher Education. London: Routledge; 2003.
   Google Scholar
• Kulasegaram KM, Martimianakis MA, Mylopoulos M, Whitehead CR, Woods NN. Cognition before ­curriculum: rethinking the integration of basic science and clinical learning. Acad Med. 2013;88(10):1578–1585. doi:https://doi.org/10.1097/ACM.0b013e3182a45def.
   PubMed Web of Science ®Google Scholar
• Schuwirth LW, van der Vleuten CP. The use of progress testing. Perspect Med Educ. 2012;1(1):24–30. doi:https://doi.org/10.1007/s40037-012-0007-2.
   PubMedGoogle Scholar
• Cleary TJ, Durning SJ, Artino AR. Microanalytic assessment of self-regulated learning during clinical reasoning tasks: recent developments and next steps. Acad Med. 2016;91(11):1516–1521. doi:https://doi.org/10.1097/ACM.0000000000001228.
   PubMed Web of Science ®Google Scholar