Relationship between Metacognitive Awareness and Reflective Learning of Medical Students at the Faculty of Medicine, Suez Canal University

Main Article Content

Tahany Ahmed Mesbah
Rabab Abdel Raoof Abed
Amira Salem Al-Sagheer
Mona Sayed Ghaly


Aim: To examine the relationship between reflective thinking and metacognitive awareness to help medical students to be independent learners who can control their learning and improve their professional performance.

Study Design: It is a cross-sectional correlational study.

Place and Duration of the Study: This study was conducted at the Faculty of Medicine-Suez Canal University in August 2018.

Methodology: This is a cross-sectional correlational study; the study population included the undergraduate medical students in all study years at the Faculty of Medicine, Suez Canal University. The sample was 264 randomly selected students by using a cluster sampling technique. The instruments that were used for data collection were the Metacognitive Awareness Inventory (MAI) to measure students’ metacognitive awareness levels, Reflection-in-Learning Scale (RLS) to measure the students’ reflective learning levels.

Results: The descriptive statistics of both MAI and RLS total scores of students in the six study years revealed that students have mean total MAI total scores = 178 ± 26 and have mean total RLS total scores = 60 ± 13.

The Spearman's correlation between the metacognitive awareness and the reflective learning skills of medical students revealed that there was a statistically significant high positive correlation between the metacognitive awareness and the reflection in the learning of FOM-SCU students         (p= 0.699, p-value<0.0001).

Multiple regression analysis revealed that the weighted combination of the predictor variables explained approximately 50% of the variance of reflection in learning.

Conclusion: It is concluded from this study that the students at the Faculty of Medicine, Suez Canal University have fair to good metacognitive awareness and partial to ample reflective abilities. There is a significantly high positive relationship between metacognitive awareness and the reflective learning skills of medical students.

Metacognition, reflection, self-directed learning, self-regulated learning.

Article Details

How to Cite
Ahmed Mesbah, T., Abdel Raoof Abed, R., Salem Al-Sagheer, A., & Sayed Ghaly, M. (2020). Relationship between Metacognitive Awareness and Reflective Learning of Medical Students at the Faculty of Medicine, Suez Canal University. Journal of Education, Society and Behavioural Science, 32(4), 1-9.
Original Research Article


ubukcu F. Learner autonomy, self-regulation and metacognition. Int Electron J Elem Educ. 2009;2(1):53–64.

Flavell JH. Metacognition and cognitive monitoring: A new area of cognitive–developmental inquiry. Am Psychol. 1979; 34(10):906–911.

Schneider EF, Castleberry AN, Vuk J, Stowe CD. Pharmacy students ’ ability to think about thinking. Am J Pharm Educ. 2014;78(8):148–155.

Veenman VJ, Bernadette HAM, Van Hout-Wolters, Afflerbach P. Metacognition and learning : Conceptual and methodological considerations. Metacognition Learning. 2006;1:3–14.

Mahdavi M. An overview : Metacognition in education. Int J Multidiscip Curr Res. 2014;529–535.

Arslan S, Akin A. Metacognition: As a predictor of one’s academic locus of control. Educational Sciences. 2014;14(1): 33–39

Coutinho SA. The relationship between goals, metacognition, and academic success. Educate. 2007;7(1):39–47.

Çetin B. Metacognition and self-regulated learning in predicting University Students’ Academic Achievement in Turkey. J Educ Train Stud. 2017;5(4):132-138.

Tosun C, Senocak E. The effects of problem-based learning on metacognitive awareness and attitudes toward chemistry of prospective teachers with different academic backgrounds. Aust J Teach Educ. 2013;38(3):61–73.

Bayındır D, Dağal AB. The investigation of the relationship between the level of metacognitive awareness, self-directed learning readiness and academic achievement of preschool teacher candidates. Univers J Educ Res. 2016; 4(11):2533–2540.

Sandars J. The use of reflection in medical education: AMEE guide no. 44. Med Teach. 2009;31(8):685–695.

Chaffey LJ, Johanna E, Leeuw J De, Finnigan GA. Facilitating students’ reflective practice in a medical course : Literature review. Education for Health. 2017;25(3):189-203.

Moore DE, Green JS, Gallis HA. Achieving desired results and improved outcomes: Integrating planning and assessment throughout learning activities. J Contin Edu Heal Prof. 2003;161(137):1.

Rogers RR. Reflection in higher education : A concept analysis. Innovative Higher Educaton. 2001;26(1):37–57.

Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: A systematic review. Adv Heal Sci Educ. 2009;14 (4):595–621.

Mair C. Helping students succeed through using reflective practice to enhance metacognition and create realistic predictions. Psychol Teach Rev. 2012; 18(2):42–46.

Reiser BJ. Scaffolding complex learning: The mechanisms of structuring and problematizing student work. J Learn Sci. 2004;13(3):273–304.

Wilson T, Perry M, Anderson CJ, Grosshandler D. Engaging young students in scientific investigations : Prompting for meaningful reflection. British Journal of Nursing. 2012;19–46.

Jorwekar GJ. Reflective practice as a method of learning in medical education : History and review of literature. International Journal of Research in Medical Sciences. 2017;5(4):1188–1192.

Aronson L. Twelve tips for teaching reflection at all levels of medical education. Medical Teacher. 2011;200–205.

Schraw G, Dennison RS. Assessing metacognitive awareness. Contemp Educ Psychol. 1994;19(4):460–475.

Pantiwati Y. Self and peer assessments in active learning model to increase metacognitive awareness and cognitive abilities. Int J Instr. 2017;10(104):185– 202.

Sobral DT. An appraisal of medical students’ reflection-in-learning. Med Educ. 2000;34(3):182–187.

Khan NF, Saeed M, Yasmin R, Butt AK, Khan AA. Age and gender based differences in self-assessed reflection- in-learning scale. Journal of the Pakistan Dintal Association. 2018;27(3):133–139.

Karmen Kalk, Piret Luik, Merle Taimalu, Karin Täht. Validity and reliability of two instruments to measure reflection: A confirmatory study, trames. 2014;18 (68/63):2:121–134.

Kuiper RA. Promoting metacognition by reflecting with self regulated learning prompts 1. California Academic Press. 2002;33:1–7.

Mohamed Abdullah Turkey. enhancing metacognition skills by using reflective e-portfolio. Digital Design and publish Research Unit (DDPRU); 2017.