Metacognitive strategies empower university students to think about their own thinking during any learning process. Awareness of the learning process amplifies control over their own learning. It also endures individual capacity for self-regulation and managing one's own motivation for learning. Metacognitive activities are planning how to approach learning tasks, identifying appropriate strategies to complete a task, evaluating progress, and monitoring comprehension. Teaching metacognitive strategies can greatly enhance learning for all students in all courses of a university .This practice book provides professional advice to support university leaders and teachers in the integration of metacognitive strategies in daily teaching. This also, includes examples of how medical schools can implement metacognitive strategies to assist medical students to build self-regulation and develop a strong sense of agency in their learning. Explicit attention to and application of clinical/critical thinking skills enables students to develop an increasingly sophisticated understanding of the application processes. Of course this needs academic tenacity and autodidactic practices.