Cho Han-Byul, Sung Won-Suk, Hong Jiseong, Kang Yeonseok, Kim Eun-Jung
Department of Neuropsychiatry, Graduate School, College of Korean Medicine, Dongguk University, Seoul 04620, Republic of Korea.
Department of Acupuncture & Moxibustion, Dongguk University Bundang Oriental Hospital, Seongnam-si 13601, Republic of Korea.
Healthcare (Basel). 2023 Jun 8;11(12):1685. doi: 10.3390/healthcare11121685.
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.
医学教育与评估方面的近期变化促使人们关注职业能力，本研究调查了韩医医生对韩医国家执业资格考试（NLE-KMD）的看法。该调查旨在了解韩医医生对当前情况的认识、有待改进的项目以及未来需要强调的项目。我们于2022年2月22日至3月4日进行了基于网络的调查，在23338名韩医医生中有1244人自愿作答。通过本研究，我们发现了与能力相关的临床实践和韩国疾病标准分类（KCD）的重要性，以及代沟的存在。韩医医生认为临床实践（临床任务和临床工作表现）以及与KCD相关的项目很重要。他们重视（1）关注临床实践中常见的KCD疾病，以及（2）重新调整和引入临床技能测试。他们还强调了与KCD相关的知识和技能对于KCD疾病评估和诊断的重要性，尤其是在基层医疗机构经常治疗的疾病。我们在根据执照获取时间进行的亚组分析中证实了代沟的存在，执照获取时间≤5年的组强调临床实践和KCD，而执照获取时间>5年的组则强调传统韩医理论和临床实践指南。这些发现可用于通过确定韩医教育方向并从其他角度指导进一步研究来开发NLE-KMD。
