Korean Medical Education Review (의학교육논단)

Yonsei university college of medicine (연세대학교 의과대학)
권호 표지
DOI QR코드

DOI QR Code

Analysis of Basic Medicine-Related Questions in the Korean Medical Licensing Examination (2016-2018)

우리나라 의사 국가시험 필기시험(2016-2018)의 기초의학 역량 평가 현황의 분석

  • Hyun Kook (Department of Pharmacology, Chonnam National University Medical School) ;
  • Sae-Ock Oh (Department of Anatomy, Pusan National University School of Medicine) ;
  • Duck-Joo Rhie (Department of Physiology, College of Medicine, The Catholic University of Korea) ;
  • Sun-Ho Kee (Department of Microbiology, Korea University College of Medicine) ;
  • Yong-Sung Juhnn (Department of Biochemistry and Molecular Biology, Seoul National University College of Medicine)
  • 국현 (전남대학교 의과대학 약리학교실) ;
  • 오세옥 (부산대학교 의과대학 해부학교실) ;
  • 이덕주 (가톨릭대학교 의과대학 생리학교실) ;
  • 기선호 (고려대학교 의과대학 미생물학교실) ;
  • 전용성 (서울대학교 의과대학 생화학교실)
  • Received : 2022.11.28
  • Accepted : 2023.02.07
  • Published : 2023.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Basic medical education is important for developing the competencies of medical doctors, and it includes basic biomedical sciences, preventive medicine, medical ethics, and clinical science. This study aimed to reveal the current status of the Korean Medical Licensing Examination (KMLE) regarding its evaluation of competencies in basic biomedical sciences. The basic medicine-related questions were screened and selected from the test forms of the KMLE (2016-2018) by personnel conducting basic biomedical science education, and the selected questions were analyzed by three independent groups of undergraduate students at Chonnam National University Medical School in terms of the learning outcomes of basic medical education. The study scope includes the proportion of basic medicine-related questions, which consist of basic medicine questions and basic medicine-related clinical medicine questions, its annual change, discipline distribution, and associated learning outcomes. The average proportions of basic biomedical sciences, preventive medicine and medical law, and clinical sciences were 2.3%, 5.8%, and 91.9% of all questions, respectively. The proportion of basic medicine-related questions, except those on preventive medicine and medical law, was 22.0% of the total, and questions on pharmacology and microbiology accounted for 83.0% of the basic medicine-related questions. The proportion of sub-enabling learning outcomes linked with basic medicine-related questions comprised 14.0% of the total outcomes for basic biomedical sciences and 30.4% for preventive medicine and medical law. It is concluded that the KMLE questions may not sufficiently cover the essential competencies of basic medical education for medical doctors, and the KMLE may need to be improved with regard to competencies in basic biomedical sciences.

Keywords

Acknowledgement

의사 국가시험 문항을 분석하여 기초의학관련 문항을 선별해 주신 강경훈 교수(서울대학교 의과대학), 김성준 교수(서울대학교 의과 대학), 김재우 교수(연세대학교 의과대학), 심서보 교수(건국대학교 의과대학), 이경화 교수(전남대학교 의과대학), 이민구 교수(고려대학교 의과대학), 조은경 교수(충남대학교 의과대학), 최용준 교수(한림대학교 의과대학)께 감사를 드린다. 기초의학 관련 문항에 연관된 학습성과를 분석한 전남대학교 의과대학생 이수민, 최수은, 김지윤, 백규선, 김신아, 박태호, 소일영, 안예은, 장예원께도 감사를 드리고, 연구결과 분석을 도와주신 김은미, 신세라 연구원(전남대학교 의과대학)께 감사를 드린다.

References

  1. Accreditation purpose [Internet]. Seoul: Korean Institute of Medical Education and Evaluation; [date unknown] [cited 2022 Sep 30]. Available from: http://www.kimee.or.kr/medical-education/purpose
  2. Lee YH, Kang YJ, Yoon TY, Lee YM, Chae SJ, Huh YB. A study for improvement of Korean Medical Licensing Examination [Internet]. Seoul: Korea Health Personnel Licensing Examination Institute; 2018 [cited 2022 Sep 30]. Available from: https://rnd.kuksiwon.or.kr/last/selectFileDown.do?attach_id=2019012300004
  3. Cha BS, Jang SJ. The change in Korean Medical Licensing Examination System [Internet]. Seoul: Korea Health Personnel Licensing Examination Institute; 1993 [cited 2022 Sep 30]. Available from: https://rnd.kuksiwon.or.kr/last/selectFileDown.do?attach_id=2015022600002
  4. Hwang IH, Kim MY, Yang EB, Han JJ, Yoo SH, Lim MS, et al. A proposed policy for educating and producing excellent medical doctors [Internet]. Seoul: Korea Health Personnel Licensing Examination Institute; 2016 [cited 2022 Sep 30]. Available from: https://rnd.kuksiwon.or.kr/last/selectFileDown.do?attach_id=2018011500002
  5. Korea Health Personnel Licensing Examination Institute. An implementation plan for the Health Personnel Licensing Examination: the second half of year of 2021 and the first half of the year 2022. Seoul: Korea Health Personnel Licensing Examination Institute; 2021.
  6. World Federation of Medical Education. Basic medical education WFME global standards for quality improvement: the 2020 revision [Internet]. Ferney-Voltaire: World Federation for Medical Education; 2020 [cited 2022 Nov 26]. Available from: https://wfme.org/wp-content/uploads/2020/12/WFME-BME-Standards-2020.pdf
  7. World Federation of Medical Education. Basic medical education WFME global standards for quality improvement: the 2015 revision [Internet]. Ferney-Voltaire: World Federation for Medical Education; 2015 [cited 2022 Nov 26]. Available from: https://wfme.org/download/wfme-global-standards-for-quality-improvement-bme/
  8. Korea Association of Medical Colleges. Learning outcomes of basic medical education: human and society-centered. Seoul: Korea Association of Medical Colleges; 2017.
  9. Korea Association of Medical Colleges. Learning outcomes of basic medical education: clinical competency-centered. 2nd ed. Seoul: Korea Association of Medical Colleges; 2016.
  10. Korea Association of Medical Colleges. Learning outcomes of basic medical education: scientific concept and principle-centered. Seoul: Korea Association of Medical Colleges;2014.
  11. Kim DG. An improvement plan for Korean Medical Licensing Examination: opinions of deans of Korea Medical Colleges to Korea Health Personnel Licensing Examination Institute. Korean J Med Educ 1993;5:57-65. https://doi.org/10.3946/kjme.1993.5.1.57
  12. Juhnn YS. Introduction of basic medicine examination in Korean Medical License Examination to improve physician's science competency. J Korean Med Assoc. 2020;63(1):56-65. https://doi.org/10.5124/jkma.2020.63.1.56
  13. United States Medical Licensing Examination. 2022 Bulletin of information. Philadelphia (PA): Federation of State Medical Boards, National Board of Medical Examiners; 2021.
  14. United States Medical Licensing Examination. Step 1 content outline and specifications [Internet]. Philadelphia (PA): Federation of State Medical Boards, National Board of Medical Examiners; 2022 [cited 2022 Sep 30]. Available from: https://www.usmle.org/prepare-your-exam/step-1-materials/step-1-content-outline-and-specifications
  15. Kumar V, Abbas AK, Aster JC, Perkins JA. Robbins basic pathology. 10th ed. Philadelphia (PA): Elsevier; 2018.
  16. Korea Health Personnel Licensing Examination Institute. Evaluation purpose book of Korean Medical License Examination [written test]. Seoul: Korea Health Personnel Licensing Examination Institute; 2014.
  17. Hwang IH. The changes of the Korea Health Personnel Licensing Examination [Internet]. Seoul: Korea Health Personnel Licensing Examination Institute; 2012 [cited 2022 Sep 30]. Available from: https://rnd.kuksiwon.or.kr/last/selectFileDown.do?attach_id=2015030500034
  18. Enforcement Regulation of the Patent Medical Act Rule, Ministry of Health and Welfare Ordinance No. 918 (Nov 22, 2022) [Internet]. Sejong: Korean Law Information Center; 2022 [cited 2022 Dec 10]. Available from: https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%9D%98%EB%A3%8C%EB%B2%95%20%EC%8B%9C%ED%96%89%EA%B7%9C%EC%B9%99
  19. Cho HJ, Nam HS, Lee SH, Choi YJ, Kim TH, Lee SC. The study on curriculums of advanced medical school and the national examination for medical practitioners. Seoul: Research Institute for Healthcare Policy, Korean Medical Association; 2012.
  20. Juhnn YS, Kee SH, Kim MH, Kim SS, Kim SY, Kim YH, et al. The strategy to improve the competency of medical doctors for basic biomedical sciences. Seoul: Korean Academy of Medical Sciences; 2019.
  21. Han HC. The concept of academic medicine and its potential establishment in Korea. Korean Med Educ Rev. 2019; 21(2):63-72. https://doi.org/10.17496/kmer.2019.21.2.63
  22. What are the controversial issues over introduction of basic medicine Korean Medical Licensing Examination. Proceedings of the National Assembly Policy Discussion; 2019 Jan 25; Seoul, Korea. Seoul: National Assembly; 2019.