The metacognition process during a clinical simulation olympiad

Abstract

Objective: To investigate the presence of metacognition in clinical simulation in competitive environments and describe the thought process of a care team through the use of metacognitive tools. Methods: Qualitative case study, oriented to the description of the use of metacognition in the winning team of a clinical simulation Olympiad. Data collection occurred at a Congress of Medical Education. Metacognition was used as a theoretical reference, using the theoretical categories of Efklides A (2008) for the analytical process of data collected by semi-structured group interviews, analyzed by Bardin's content analysis technique of Bardin L (2016). Results: In the team discourse, 77 episodes of metacognition expression were observed, distributed among Knowledge (28), Experience (22) and Skill (27). These were also classified in their subcategories to know respectively; Knowledge about the person, task and strategy; Experience of feeling difficult, confidence, familiarity and knowledge; and Ability to predict, plan, monitor and evaluate. Conclusion: It was possible to perceive the correspondence between the actions and performance of the team during the Olympics and the thought processes, as described by the metacognitive theory. We point out arguments in defense of the educational role of metacognition.