ABSTRACT
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.
ABSTRACT
Internationally, Dundee Ready Education Environment Measure (DREEM) is being used to evaluate and compare students' awareness regarding medical education environment. This study aimed to adapt DREEM into Korean, to evaluate the reliability and validity, and to compare its structure to the original DREEM structure. The DREEM was translated using 6 steps which were suggested in cross-cultural adaptation protocols: translation, synthesis, back translation, expert committee review, pilot test, and psychometric study (N = 451). We performed confirmatory factor analysis including basic analysis. For evaluating the original model's goodness of fit with the acquired dataset, model fit indices and construct validity were discussed. The Korean version was completed upon through cross-cultural adaptation protocols. Statistical analysis with 451 data sets showed that the root mean square error of approximation = 0.06, goodness-of-fit index = 0.75, and Tucker-Lewis index = 0.73. Almost construct reliabilities were all over 0.707. Except for just one pair, all squares of correlation coefficients were greater than the corresponding average variance extracted. In conclusion, we developed the Korean version of DREEM. Although the original 5-factor structure was acceptable, low convergent and discriminant validity indices suggested that further studies for the Korean environment are necessary for the respecified or modified factor structures.
