I know a few guys who are mega serious Medium/Large format shooters, who all use expensive handheld light meters and sun charts and various other stuff, to get their exposures absolutly perfect.
For me, I tend to use centre weighted evaluative metering most of the time, i've learnt it so well that I can predict exactly how it'll behave in a certain situation, this allows me to dial in exactly how I want it with exposure compensation.
With my wildlife portraits etc, its critical to get the correct exposure in one shot for the simple reason that 99% of the time it doesn't stay in a particular pose for long, sometimes I use manual mode and spot-metering with the metering locked to the focus point, so I can meter off the darkest area of the subject by moving the single focus point around, then guesstimate the correct exposure with the manual controls.
Another method to "fool" the meter into getting a more accurate exposure, is to set your lens to manual focus, twist it all the way to infinity to everything is a total blur, activate the metering then hit exposure lock, recompose focus and shoot.
The idea behind that method is that because your turning the scene into one big blur, the camera averages out the exposure more evenly, making it less likley to drastically under/over expose the picture.. I'd say this is useless for landscapes though, which would require good filters or multiple exposures.
As other people have said, I think the best way is to just go out and try as many methods as possible, certain things work well for certain people but not others..
