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Using rule-based classification aligned to guideline perspectives (level, content, and taxonomy) and data-driven topic modeling (BERTopic-based), the analysis evaluates temporal trends with statistical tests and regression-based topic frequency tracking. Results show major shifts toward clinical and practical competencies.",{"@graph":14,"@context":72},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/trends-in-the-japanese-national-medical-licensing-examination-cross-sectional-study/455698/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/trends-in-the-japanese-national-medical-licensing-examination-cross-sectional-study/455698.png","ImageObject",300,407,{"name":42,"@type":43},"River Wang","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-06","2026-09-30",true,{"@type":52,"interactionType":53,"userInteractionCount":30},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58,64,68],{"name":59,"@type":60,"acceptedAnswer":61},"What was the objective of this study on the NMLE?","Question",{"text":62,"@type":63},"To provide a holistic view of long-term trends in the actual NMLE, classifying examination items according to the NMLE Content Guidelines and identifying latent topics using topic modeling.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"How were the examination items analyzed?",{"text":67,"@type":63},"Public NMLE data from 2001–2024 were collected; items across six iterations were manually classified using rules derived from the guidelines, and topic modeling was applied to all 24 iterations using a transformer-based framework to track topic prominence over time.",{"name":69,"@type":60,"acceptedAnswer":70},"What major changes were observed in the exam content?",{"text":71,"@type":63},"The proportion focused on common or emergent diseases increased, pathophysiology-focused knowledge decreased, and practical primary emergency care items increased. Higher-order analytical skills also became more prominent, while simple recall-only question types declined.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},455698,1791214321,{"code":4,"msg":81,"data":82},"success",[83,87,91,95,100,105,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":84,"show_sort_weight":85,"slug":86},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":88,"show_sort_weight":89,"slug":90},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":92,"show_sort_weight":93,"slug":94},"Exam",70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":112,"slug":113},8,30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":81,"data":131},{"doc_id":78,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":111,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":30,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":127,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","JMIR MEDICAL EDUCATION Morimoto et al  \nOriginal Paper  \nTrends in the Japanese National Medical Licensing Examination: Cross-Sectional Study  \n\n| Yuki Morimoto1*, MD; Kiyoshi Shikino2*, MD, MHPE, PhD; Yukihiro Nomura3, PhD; Shoichi Ito2,4, MD, PhD |\n| --- |\n| 1Department of Medical Engineering, Faculty of Engineering, Chiba University, Chiba, Japan\u003Cbr>2Department of Community-Oriented Medical Education, Graduate School of Medicine, Chiba University, Chiba, Japan 3Center for Frontier Medical Engineering, Chiba University, Chiba, Japan\u003Cbr>4Department of Medical Education, Graduate School of Medicine, Chiba University, Chiba, Japan\u003Cbr>*these authors contributed equally\u003Cbr>Corresponding Author:\u003Cbr>Kiyoshi Shikino, MD, MHPE, PhD\u003Cbr>Department of Community-Oriented Medical Education Graduate School of Medicine\u003Cbr>Chiba University 1-8-1, Inohana Chu-ou-ku\u003Cbr>Chiba, 260-8670 Japan\u003Cbr>Phone: 1 43 222 7171\u003Cbr>[Email:](Email: kshikino@gmail.com)[ ](Email: kshikino@gmail.com)[kshikino@gmail.com](Email: kshikino@gmail.com)\u003Cbr>Abstract |\n\nBackground: The Japanese National Medical Licensing Examination (NMLE) is mandatory for all medical graduates seeking to become licensed physicians in Japan. Given the cultural emphasis on summative assessment, the NMLE has had a significant impact on Japanese medical education. Although the NMLE Content Guidelines have been revised approximately every five years over the last 2 decades, objective literature analyzing how the examination itself has evolved is absent.  \nObjective: To provide a holistic view of the trends ofthe actual examination over time, this study used a combined rule-based and data-driven approach. We primarily focused on classifying the items according to the perspectives outlined in the NMLE Content Guidelines, complementing this approach with a natural language processing technique called topic modeling to identify latent topics.  \nMethods: We collected publicly available NMLE data for 2001-2024. Six examination iterations (2880 items) were manually classified from 3 perspectives (level, content, and taxonomy) based on pre-established rules derived from the guidelines. Temporal trends within each classification were evaluated using the Cochran-Armitage test. Additionally, we conducted topic modeling for all 24 examination iterations (11,540 items) using the bidirectional encoder representations from transformers–based topic modeling framework. Temporal trends were traced using linear regression models of topic frequencies to identify topics growing in prominence.  \nResults: In the level classification, the proportion of items addressing common or emergent diseases increased from 60%(115/193) to 76%(111/147;P\u003C.001). In the content classification, the proportion of items assessing knowledge of pathophysiology decreased from 52%(237/459) to 33%(98/293; P\u003C.001), whereas the proportion assessing practical knowledge of primary emergency care increased from 21%(95/459) to 29%(84/293; P\u003C.001) . In the taxonomy classification, the proportion of items that could be answered solely through simple recall of knowledge decreased from 51%(279/550) to 30%(118/400; P\u003C.001), while the proportion assessing advanced analytical skills, such as interpreting and evaluating the meaning of each answer choice according to the given context, increased from 4%(21/550) to 19%(75/400; P\u003C.001) . Topic modeling identified 25 distinct topics, of which 10 exhibited an increasing trend. Non–organ-specific topics with notable increases included “comprehensive clinical items,” “accountability in medical practice and patients’rights,” “care, daily living support, and community health care,”and “infection control and safety management in basic clinical procedures.”  \nConclusions: This study identified significant shifts in the Japanese NMLE over the past 2 decades, suggesting that Japanese undergraduate medical education is evolving to place greater importance on practical problem-solving abilities than on rote  \n[https:","cbCaieCvg2FISxQs","https://ap.wps.com/l/cbCaieCvg2FISxQs","pdf",1029119,"English","# Abstract\n## Background\n## Objective\n## Methods\n## Results\n## Conclusions\n# Introduction\n## Background","[{\"question\":\"What was the objective of this study on the NMLE?\",\"answer\":\"To provide a holistic view of long-term trends in the actual NMLE, classifying examination items according to the NMLE Content Guidelines and identifying latent topics using topic modeling.\"},{\"question\":\"How were the examination items analyzed?\",\"answer\":\"Public NMLE data from 2001–2024 were collected; items across six iterations were manually classified using rules derived from the guidelines, and topic modeling was applied to all 24 iterations using a transformer-based framework to track topic prominence over time.\"},{\"question\":\"What major changes were observed in the exam content?\",\"answer\":\"The proportion focused on common or emergent diseases increased, pathophysiology-focused knowledge decreased, and practical primary emergency care items increased. Higher-order analytical skills also became more prominent, while simple recall-only question types declined.\"}]","Trends in the Japanese National Medical Licensing Examination - Cross-Sectional Study | PDF",1790743899,48]