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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

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.

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