Reforms of the Korean Medical Licensing Examination regarding item development and performance evaluation.

Mi Kyoung Yim

doi:10.3352/jeehp.2015.12.6

Abstract

Purpose:The Korean Medical Licensing Examination (KMLE) has undergone a variety of innovative reforms implemented by the National Health Personnel Licensing Examination Board (NHPLEB) in order to make it a competency-based test. The purpose of this article is to describe the ways in which the KMLE has been reformed and the effect of those innovations on medical education in Korea.Methods:Changes in the KMLE were traced from 1994 to 2014 by reviewing the adoption of new policies by the NHPLEB and the relevant literature.Results:The most important reforms that turned the examination into a competency-based test were the following: First, the subjects tested on the exam were revised; second, R-type items were introduced; third, the proportion of items involving problem-solving skills was increased; and fourth, a clinical skills test was introduced in addition to the written test. The literature shows that the above reforms have resulted in more rigorous licensure standards and have improved the educational environment of medical schools in Korea.Conclusion:The reforms of the KMLE have led to improvements in how the competency of examinees is evaluated, as well as improvements in the educational system in medical schools in Korea.

Highlights

The purpose of the Korean Medical Licensing Examination (KMLE) is to determine if examinees have sufficient knowledge and skills to be a primary care physician, as well as a proper clinical demeanor; its items must draw on these three domains
The KMLE currently consists of a written test and a clinical skills test
Before 1994, the subjects were based on the curricula of medical schools

Summary

Introduction

The purpose of the Korean Medical Licensing Examination (KMLE) is to determine if examinees have sufficient knowledge and skills to be a primary care physician, as well as a proper clinical demeanor; its items must draw on these three domains. Before 1994, the KMLE was a written test with an abundance of items evaluating factual knowledge. The National Health Personnel Licensing Examination Board (NHPLEB) reformed the written test and incorporated a clinical skills test, in order to make the KMLE a competency-based test. Medical school graduates must pass both components of the test to receive medical licenses in Korea.

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Conclusion