This document summarizes a study which found that neurons in the orbitofrontal cortex (OFC) represent decision confidence in an abstract, modality-general manner. Researchers recorded neural activity in the OFC of rats performing sensory decisions and found that a subset of neurons encoded the confidence of choices, independently of outcome. Activity of these "confidence neurons" could predict choice and was consistent with computational models of decision confidence. Manipulating the activity of confidence neurons altered choice behavior in a way that depended on decision confidence. The findings suggest the OFC plays a key role in metacognition by representing abstract decision confidence.