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Uji Kompetensi Mahasiswa Program Profesi Dokter (UKMPPD) is a national board that determines the recognition of a medical student as a doctor. In theory, passing a test is determined by intrinsic and extrinsic factors. Among them are the ability to think metacognitive, self-reflection and learning approaches. This study aims to determine the association between metacognitive thinking ability, self-reflection and learning approach to the graduation of Computerized Based Test (CBT) UKMPPD. Respondents in this study were 107 students of the medical education study program (PSPD) at the professional stage in one of the medical faculties in West Java who will undergo the UKMPPD in May 2019. Data collection was carried out by filling out a questionnaire contained questions about ability to think metacognitive, self-reflection and learning approaches through Googleform. The UKMPPD CBT results were collected in the May 2019 period. The design used in this study was a cohort study. Data analysis with Chi square test. The results showed that there was no significant association between metacognitive thinking ability, self-reflection and learning approach with UKMPPD CBT graduation. The ability to think metacognitive, self-reflection and learning approaches still needs to be improved to increase student learning abilities.