Abstract
Physicians play a central role in the fields of medical service, research, and industry, so it is imperative to produce well-qualified doctors. Medicine is composed of science and arts, both necessary for its practice, and thus, the education outcomes in basic medical education in a medical school include basic biomedical sciences, social sciences and clinical sciences. Adequate science competencies create a deeper and better understanding of scientific knowledge, concepts, and methods fundamental to clinical science, and contribute to the scientific, technological, and clinical developments. The science competencies are primarily obtained by studying basic medicine in basic medical education, which has been criticized for failing to do so sufficiently in Korea. The failure is attributed to insufficient education time, teachers, and budgets, but the most critical factor is the lack of awareness regarding the importance of the science competencies of the physicians. Such ignorance also affects the Korean Medical Licensing Examination (KMLE). The KMLE tests competency in clinical sciences, preventive medicine, and medical laws, but not in basic biomedical sciences, which might result in insufficient science competency of the physicians and a decrease in the overall quality of the medical health service. Tests must be urgently introduced in KMLE on the competencies of basic biomedical sciences to improve the science competency of the physicians. The representative organizations of the medical society should take vigorous actions for the introduction of the basic medicine examination in KMLE.
References
1. World Federation of Medical Education. Basic medical education WFME global standards for quality improvement. Ferney-Voltaire: World Federation for Medical Education;2015.
2. Korea Health Personnel Licensing Examination Institute. Evaluation goals of written test of the National Medical Licensing Examination. Seoul: Korea Health Personnel Licensing Examination Institute;2014.
3. Juhnn YS, Kee SH, Kim MH, Kim SS, Kim SY, Kim YH, Moon AR, Jeong DC, Choi JY, Huh YB. The strategy to improve the competency of medical doctors for basic biomedical sciences. Seoul: Korean Academy of Medical Sciences;2019.
4. Merriam-Webster dictionary. Medicine [Internet]. Springfield: Merriam-Webster Inc;c2019. cited 2019 Dec 2. Available from: https://www.merriam-webster.com/dictionary/medicine.
5. Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J. The practice of medicine. In : Jameson JL, Fauci AS, Kasper DL, Hauser SL, Longo DL, Loscalzo J, editors. Harrison's principles of internal medicine. 20th ed. New York: McGraw-Hill;2018.
6. Korean Medical Association. Korean doctor's role. Seoul: Korean Medical Association;2014.
7. Educational Commission for Foreign Medical Graduates. ECFMG information booklet: 2020 information booklet [Internet]. Philadelphia: Educational Commission for Foreign Medical Graduates;c2019. cited 2019 Dec 2. Available from: https://www.ecfmg.org/resources/publications.html#ib.
8. Korean Institute of Medical Education and Evaluation. Accreditation standards of KIMEE 2019. Seoul: Korean Institute of Medical Education and Evaluation;2018.
9. Korean Association of Medical Colleges. Learning outcomes of basic medical education: clinical competency-centered. 2nd ed. Seoul: Korea Association of Medical Colleges;2016.
10. Korean Association of Medical Colleges. Learning outcomes of basic medical education: scientific concept- and principle-centered. Seoul: Korea Association of Medical Colleges;2014.
11. Korean Association of Medical Colleges. Learning outcomes of basic medical education: human- and society-centered. Seoul: Korea Association of Medical Colleges;2017.
12. Lee YH, Kang YJ, Yoon TY, Lee YM, Chae SJ, Huh YB. Improvement of Korean Medical License Examination. Seoul: Korea Health Personnel Licensing Examination Institute;2018.
13. Juhnn YS, Kook H, Lee MG, Kim SJ, Kim JW, Oh SO, Lee DJ, Cho EK. Action plans for activation of basic medicine. Seoul: Korea Association of Medical Colleges;2016.
14. Korean Institute of Medical Education and Evaluation. Post-second cycle accreditation standards. Seoul: Korean Institute of Medical Education and Evaluation;2019.
15. Suh DJ, Lee YS, Yang EB. Action plans for improvement of subjects in Korean Medical License Examination. Seoul: Korea Health Personnel Licensing Examination Institute;2005.
16. Kim DK. Improvement of medical license examination: opinions of deans of medical colleges to national medical licensing examination board. Korean J Med Educ. 1993; 5:57–65.
17. Korean Association of Basic Medical Scientists. The activities of Korean association of basic scientists and federation meetings of basic medical scientists. Korean Association of Basic Medical Scientists. History of Korean basic medical science. Seoul: Korean Association of Basic Medical Scientists;2008. p. 605–618.
18. 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;2012.
19. Federation of State Medical Boards of the United States. National Board of Medical Examiners. 2020 Bulletin of information [Internet]. Philadelphia: Federation of State Medical Boards of United States;c2019. cited 2019 Dec 2. Available from: https://www.usmle.org/pdfs/bulletin/2020bulletin.pdf.
20. Kim KH, Park RK, Park YM, Ahn DS, Lee DJ, Lee HY, Juhnn YS, Chae JI, Choi MS. A proposal for development of the basic medical science and physician training system of the basic medical scientist for advancement of Korean medical science. Seoul: Korean Academy of Medical Sciences;2014.
21. Lee DJ, Juhnn YS. Introduction of Korean Medical License Examination in basic medicine. In : Proceedings of the 23rd Federation Meeting of Korean Basic Medical Scientists 2015; 2015 May 21–22; Gyeongju, Korea. Seoul: Korean Association of Basic Medical Scientists;2015. p. 9.
22. Bang HW, Juhnn YS. Reinforcing education for basic biomedical sciences and introduction of basic biomedical sciences in Medical License Examination. In : Proceedings of the 24th Federation Meeting of Korean Basic Medical Scientists; 2016 Jun 24; Incheon, Korea. Seoul: Korean Association of Basic Medical Scientists;2016. p. 37–39.
23. Juhnn YS, Lee DJ, Kim JW. Session 10. Plans for strengthening competency for basic biomedical sciences. In : Proceedings of the 18th Executives Academy of Member Societies of Korean Medical Science; 2019 Oct 10–11; Seoul, Korea. Seoul: Korean Academy of Medical Sciences;2019. p. 1–44.
24. Jang SI, Lee YH, Roh HR, Juhnn YS, Kim YC, Ahn DS, Kim KS, Lee KM, Eun BL. Revamping medical education in continuum. In : Proceedings of the 36th Korean Medical Association Conference; 2019 Nov 1–3; Seoul, Korea. Seoul: Korean Medical Association;2019. p. 1–14.
25. Kim JW, Oh SO. Evaluation of science competency by multistage medical license examination. In : Proceedings of the 25th Federation Meeting of Korean Basic Medical Scientists; 2017 Jun 30–Jul 2; Seoul, Korea. Seoul: Korean Medical Association;2017. p. 127–129.
26. Lee MG, Huh YB, Song HW. Evaluation of competency for basic biomedical sciences. In : Proceedings of the 35th Medical Education Conference; 2019 May 30–Jun 1; Gyeongju, Korea. Seoul: Korean Society of Medical Education;2019. p. 97–108.
27. Jeong DC, Kim SY, Huh YB. How to improve the education of basic biomedical sciences. In : Proceedings of the 2019 World Federation for Medical Education World Conference; 2019 Apr 7–10; Seoul, Korea. Seoul: World Federation for Medical Education;2019. Available from: http://www.wfme2019.org/program/index4.php?tab=2.
28. Juhnn YS, et al. The congress petition for introduction of Korean Medical License Examination in basic medicine (No. 2000143). Seoul: National Assembly of the Republic of Korea;2018.
29. Park IS. What are the issues in introduction of Korean Medical License Examination in basic medicine? In : WA Policy Seminar in the National Assembly of the Republic of Korea; 2019 Jan 25; Seoul, Korea. Seoul: Korean Association of Basic Scientists;2019.