A Survey on Perceptions of the Direction of Korean Medicine Education and National Licensing Examination

Recent changes in medical education and assessment led to a focus on occupational competency, and this study investigated the perceptions of Korean medicine doctors (KMDs) on the national licensing examination for KMDs (NLE-KMD). The survey aimed to understand KMDs’ recognition of the current situation, items to improve, and items to emphasize in the future. We conducted the web-based survey from 22 February to 4 March 2022, and 1244 among 23,338 KMDs answered voluntarily. Through this study, we found the importance of competency-related clinical practice and Korean standard classification of disease (KCD), and the presence of a generation gap. KMDs considered clinical practice (clinical tasks and clinical work performance) and the item related to the KCD important. They valued (1) the focus on KCD diseases that are frequently seen in clinical practice and (2) the readjustment and introduction of the clinical skills test. They also emphasized KCD-related knowledge and skills for the assessment and diagnosis of KCD diseases, especially those frequently treated at primary healthcare institutes. We confirmed the generation gap in the subgroup analysis according to the license acquisition period, and the ≤5-year group emphasized clinical practice and the KCD, while the >5-year group stressed traditional KM theory and clinical practice guidelines. These findings could be used to develop the NLE-KMD by setting the direction of Korean medicine education and guiding further research from other perspectives.

[1]  Guixing Xu,et al.  Recent trends in acupuncture for chronic pain: A bibliometric analysis and review of the literature. , 2023, Complementary therapies in medicine.

[2]  I. Ha,et al.  A survey of the clinical practice followed by Korean medicine doctors for scoliosis: Preliminary data for clinical practice guidelines , 2022, Medicine.

[3]  Jun-Ah Song,et al.  Development of examination objectives based on nursing competency for the Korean Nursing Licensing Examination: a validity study , 2022, Journal of educational evaluation for health professions.

[4]  A. Chiu,et al.  Assessment and Feedback Methods in Competency-Based Medical Education. , 2021, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[5]  H. Hyodoh,et al.  Generation gaps in medical education: An exploratory qualitative study. , 2021, JPMA. The Journal of the Pakistan Medical Association.

[6]  H. Chu,et al.  Telemedicine Center of Korean Medicine for treating patients with COVID-19: a retrospective analysis , 2020, Integrative Medicine Research.

[7]  Myeong Soo Lee,et al.  Herbal medicine for the management of COVID-19 during the medical observation period: A review of guidelines , 2020, Integrative Medicine Research.

[8]  Dongsu Kim,et al.  Telemedicine and the Use of Korean Medicine for Patients With COVID-19 in South Korea: Observational Study , 2020, JMIR public health and surveillance.

[9]  L. Robins,et al.  Generational ‘othering’: The myth of the Millennial learner , 2020, Medical education.

[10]  Z. Bian,et al.  ICD-11: Impact on Traditional Chinese Medicine and World Healthcare Systems , 2019, Pharmaceutical Medicine.

[11]  B. Gansbacher,et al.  A comparison of medical education in Germany and the United States: from applying to medical school to the beginnings of residency , 2017, German medical science : GMS e-journal.

[12]  Youme Ko,et al.  Comparative Study on the Education System of Traditional Medicine in China, Japan, Korea, and Taiwan. , 2016, Explore.

[13]  Hyungwoo Kim,et al.  The past, present, and future of traditional medicine education in Korea , 2016, Integrative medicine research.

[14]  I. Oh,et al.  Translation of Korean Medicine Use to ICD-Codes Using National Health Insurance Service-National Sample Cohort , 2016, Evidence-based complementary and alternative medicine : eCAM.

[15]  G. Lewith,et al.  Is traditional Chinese medicine recommended in Western medicine clinical practice guidelines in China? A systematic analysis , 2015, BMJ Open.

[16]  Myeong Soo Lee,et al.  Conceptualization and utilization of blood stasis syndrome among doctors of Korean medicine: results of a web-based survey. , 2014, American journal of translational research.

[17]  C. Yin,et al.  Introduction to the History and Current Status of Evidence-Based Korean Medicine: A Unique Integrated System of Allopathic and Holistic Medicine , 2014, Evidence-based complementary and alternative medicine : eCAM.

[18]  B. Lim Korean medicine coverage in the National Health Insurance in Korea: present situation and critical issues , 2013, Integrative medicine research.

[19]  R. Bauer,et al.  The quest for modernisation of traditional Chinese medicine , 2013, BMC Complementary and Alternative Medicine.

[20]  A. Hayes,et al.  Reliability of Chinese medicine diagnostic variables in the examination of patients with osteoarthritis of the knee. , 2012, Journal of alternative and complementary medicine.

[21]  Jian-ping Liu,et al.  Traditional Medicine in China, Korea, and Japan: A Brief Introduction and Comparison , 2012, Evidence-based complementary and alternative medicine : eCAM.

[22]  D. M. Elnicki,et al.  Medical education in the United States of America , 2012, Medical teacher.

[23]  S. Im Strategies for Effective Teaching in Clinical Clerkship , 2012 .

[24]  Kenji Watanabe,et al.  Introduction of the World Health Organization project of the International Classification of Traditional Medicine. , 2011, Zhong xi yi jie he xue bao = Journal of Chinese integrative medicine.

[25]  Moon-Shik Kim Adoption of clinical skills examination: the challenge of national health personnel licensing examination board. , 2009, Korean Journal of Medical Education.

[26]  Junhee Lee,et al.  Perspective of the Human Body in Sasang Constitutional Medicine , 2009, Evidence-based complementary and alternative medicine : eCAM.

[27]  Olle Ten Cate,et al.  Peer teaching in medical education: twelve reasons to move from theory to practice , 2007, Medical teacher.

[28]  Patricia B. Strasser,et al.  Generations at Work , 2005, AAOHN journal : official journal of the American Association of Occupational Health Nurses.

[29]  Lawrence G. Smith Medical professionalism and the generation gap. , 2005, The American journal of medicine.

[30]  C. Enarson,et al.  Influence of curriculum type on student performance in the United States Medical Licensing Examination Step 1 and Step 2 exams: problem-based learning vs. lecture-based curriculum. , 2001 .

[31]  C. Enarson,et al.  Influence of curriculum type on student performance in the United States Medical Licensing Examination Step 1 and Step 2 exams: problem‐based learning vs. lecture‐based curriculum , 2001, Medical education.

[32]  M. Yim Reforms of the Korean Medical Licensing Examination regarding item development and performance evaluation. , 2015, Journal of Educational Evaluation for Health Professions.

[33]  C. D. Hong,et al.  Complementary and alternative medicine in Korea: current status and future prospects. , 2001, Journal of alternative and complementary medicine.

[34]  J. Dewey Democracy and education : an introduction to the philosophy of education , 1961 .