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Updated: Feb 10, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Melanie Brady1, Christopher P Forest
1Melanie Brady, EdD, is an adjunct assistant professor of Clinical Education at the University of Southern California, Los Angeles, California. Christopher P. Forest, MSHS, PA-C, is a professor and founding program director of the Master of Science Physician Assistant Program at California State University, Monterey Bay. He conducted this research while an assistant professor of family medicine at the University of Southern California Keck School of Medicine in Alhambra, California.
Student response systems (SRS), or clickers, significantly improve physician assistant (PA) students' metacognition and learning compared to low-technology response systems (LTRS). Clickers enhance self-monitoring and understanding during lectures.
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