Identifying group metacognition associated with medical students' teamwork satisfaction in an online small group tutorial context

BMC Med Educ. 2024 Oct 9;24(1):1114. doi: 10.1186/s12909-024-06116-4.

Abstract

Background: Collaborative learning is an essential pedagogy in medical education, within which small group learning constitutes an integral component. Online small group teaching has been widely applied and blended with in-person sessions in the aftermath of the Covid-19 pandemic. This study examined whether group metacognition was associated with teamwork satisfaction in an online small group teaching curriculum for medical students.

Methods: We enrolled medical students of the 2nd and 4th years during the 2021 fall semester after they participated in 3 consecutive sessions of online small group tutorials (SGTs), which have been implemented in our medical school for more than 20 years. The students completed a group metacognitive scale (GMS) and a teamwork satisfaction scale (TSS) after the sessions. We analyzed whether group metacognition in 4 dimensions (knowledge of cognition, planning, evaluating, and monitoring) could be connected with medical students' teamwork satisfaction using partial least squares-structural equation modeling (PLS-SEM).

Results: A total of 263 medical students participated in this study. Both GMS and TSS exhibited good reliability and validity. Three of the 4 dimensions of group metacognition (cognition, planning, and evaluating) positively correlated with teamwork satisfaction (path coefficients 0.311, 0.279, and 0.21; p = 0.002, 0.002, and 0.043, respectively) following the online SGT curriculum, whereas the monitoring dimension did not (path coefficient 0.087; p = 0.357). The model achieved an adjusted R square of 0.683.

Conclusion: We discovered that group metacognition correlated positively with better teamwork satisfaction, supporting the importance of group metacognitive competency for online collaborative learning.

Keywords: Medical education; Metacognition; Online collaborative learning; Regulation skills, small group tutorial.

MeSH terms

  • COVID-19
  • Cooperative Behavior
  • Curriculum
  • Education, Distance*
  • Education, Medical, Undergraduate / methods
  • Female
  • Group Processes
  • Humans
  • Male
  • Metacognition*
  • Personal Satisfaction
  • SARS-CoV-2
  • Students, Medical* / psychology
  • Young Adult