This writing assignment, titled Metacognitive Analysis, prompts awareness of metacognition in learners early in their medical disciplines as they critically evaluate their process for making medical decisions. The Metacognitive Analysis assignment is completed by first-year graduate health profession students in a master’s level physician assistant (PA) course focused on the development of critical thinking and clinical decision-making. Throughout the semester, patient teaching cases are discussed and dissected by the students in small-group, problem-based learning sessions. In the Metacognitive Analysis assignment, students extend this learning by evaluating their own individual decision-making process in relation to concepts of intuitive and analytic reasoning.