厚生労働省は、2017年7月3日、2018年に実施予定の「第112回医師国家試験」において、出題数をこれまでの合計500題から100題減らし400題に、また、試験日程を3日間から2日間へ変更することなど、4つの変更点を公表した。

 The 112th National Examination for Medical Practitioners is scheduled to be conducted on February 2018th and 2th, 10, and will test "knowledge and skills that doctors should have" regarding clinically necessary medicine and public hygiene.
There are four changes, the first is the number of questions.The number of general questions other than the compulsory questions, which had been 4 questions so far, has been reduced by 1, and the total has been changed from 200 to 100.It is said that the content of the problem to be reduced is "medical theory" and "medical general theory" that overlap with the shared examination that medical students always take before clinical training at 500 to 400 years.

 The second is the number of exam days, which will be changed from 2 days to 3 days due to the revision of the number of questions.
The third is the allocation of points.For clinical practice questions other than compulsory questions, the score for each question will be changed from 3 points for 1 question.
The fourth is the acceptance criteria.For general questions and clinical practice questions other than compulsory questions, the pass criteria have been set for each of them, but the pass criteria will be set for the total score of general questions and clinical practice questions.

 Since June 2014, the National Examination for Medical Practitioners Subcommittee of the Medical Road Council of the Ministry of Health, Labor and Welfare has been discussing the evaluation and improvement of the National Examination for Medical Practitioners. In the report submitted on March 6, 2015, "Given the situation surrounding pre-graduate education and medical care in the future, the specific direction is not just a question of knowledge, but prioritization from symptoms, for example. In order to ask questions about clinical application ability in line with the clinician's thinking process of advancing differential diagnosis and treatment policy selection while taking into consideration, more emphasis is placed on "clinical practical problems" as a questioning tendency. I will leave it. "

Reference: [Ministry of Health, Labor and Welfare]
Changes in the 112th National Examination for Doctors
About the enforcement of the national examination for medical practitioners

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