{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T19:58:32Z","timestamp":1785355112642,"version":"3.55.0"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"45","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,11,7]]},"abstract":"<jats:p>Clinical skills assessment (CSA) has been implemented in the licensure examination of many healthcare professionals to ensure the required performance in clinical practice. Despite the high demand revealed in previous surveys, CSA has not yet been implemented in the national licensure examination (NLE) for Doctors of Korean Medicine (DKMs). Furthermore, discussions on expected outcomes and examination blueprints remain fragmented. Here, we present the perceptions of DKMs on CSA in the NLE: what should be assessed, when to implement, and the characteristics of DKMs who favor or oppose CSA. A voluntary and anonymous online nationwide cross-sectional survey was conducted in August 2022. The questionnaire included questions on demographic characteristics, whether CSA is required in the NLE for DKMs, priority of competencies to be assessed, appropriate time of introduction, and specific items to be included. Suggestions and concerns regarding the CSA were collected comprehensively through open-ended questions. Approximately 8.7% of DKMs (n\u2005=\u20052221 of 25,500) participated in the survey. Regarding the necessity of introducing CSA in the NLE for DKMs, 81.9% agreed, 10.8% were neutral, and 7.3% disagreed. The top prioritized competency for the CSA was \u201cpatient care,\u201d followed by \u201cclinical skills\u201d and \u201ccompletion of the medical record.\u201d Clinical presentations of various symptoms, such as headache, low back pain, chronic abdominal pain, dizziness, diarrhea, and dysmenorrhea, were prioritized items for the patient encounter test. For the procedural skills test, DKMs in primary clinics perceived tongue and pulse diagnoses as necessary, whereas those in public medical institutions and hospitals deemed most examinations necessary. CSA has been perceived as highly necessary for inclusion in the NLE for DKMs, particularly with regard to priorities that reflect DKMs\u2019 duties and actual clinical practice. While our survey cannot determine causality, it provides important preliminary evidence and serves as a foundational resource for future research and decision-making in competency-based Korean Medicine education and evaluation.<\/jats:p>","DOI":"10.1097\/md.0000000000045366","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T18:01:58Z","timestamp":1762538518000},"page":"e45366","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Nationwide cross-sectional survey on the necessity of including a clinical skills assessment in the national licensure examination for Doctors of Korean Medicine"],"prefix":"10.1097","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1584-2740","authenticated-orcid":false,"given":"Aram","family":"Jeong","sequence":"first","affiliation":[{"name":"Department of Korean Pediatrics, School of Korean Medicine, Gachon University, Seongnam, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eunbyul","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Diagnostics, College of Korean Medicine, Wonkwang University, Iksan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chan-Young","family":"Kwon","sequence":"additional","affiliation":[{"name":"Department of Oriental Neuropsychiatry, Dong-Eui University College of Korean Medicine, Busan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanghoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medical Education, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chungsik","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Korean Internal Medicine, Seoul Korean Medicine Hospital of Daejeon University, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangwoo","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Applied Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Hwangbo","sequence":"additional","affiliation":[{"name":"Department of Korean Medicine Ophthalmology & Otolaryngology & Dermatology, Daegu Hanny University, Gyeongsan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Hyeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, College of Korean Medicine, Daejeon University, Daejeon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9486-1703","authenticated-orcid":false,"given":"Hye-Yoon","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Humanities and Social Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20260729","doi-asserted-by":"crossref","first-page":"11","DOI":"10.3352\/jeehp.2025.22.11","article-title":"A nationwide survey on the curriculum and educational resources related to the clinical skills test of the korean medical licensure examination: a cross-sectional descriptive study.","volume":"22","author":"Chung","year":"2025","journal-title":"J Educ Eval Health Prof"},{"key":"R2-20260729","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1186\/s12909-024-05609-6","article-title":"Evaluating competency based medical education: a 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