title: Reforms of the Korean Medical Licensing Examination regarding item development and performance evaluation.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors: National Health Personnel Licensing Examination Board, Seoul, Korea.
authors: Mi Kyoung
authors: MK
authors: Yim
keywords: Clinical competence; Licensure; Medical education; Medical schools; Republic of Korea