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Our findings highlight the need for enhancing medical students' competencies regarding mental health issues, particularly when providing services to at risk populations such as PWH within primary care settings. Copyright © 2020 Rivera-Segarra, Carminelli-Corretjer, Varas-Díaz, Neilands, Yang and Bernal.Background Previous studies have revealed the efficacy of metacognitive training for schizophrenia. However, the underlying mechanisms of metacognitive training on brain function alterations, including the default-mode netwo