diff --git a/CHANGES.rst b/CHANGES.rst
index 9286d81..a753c47 100644
--- a/CHANGES.rst
+++ b/CHANGES.rst
@@ -1,7 +1,8 @@
 1.6.0 (unreleased)
 ==================
 
-
+- Ensure that tests skipped with `__doctest_skip__` and `__doctest_requires__`
+  show up as skipped tests in Pytest's output. [#312]
 
 1.5.0 (2025-10-17)
 ==================
diff --git a/pytest_doctestplus/plugin.py b/pytest_doctestplus/plugin.py
index b94446b..8f74a09 100644
--- a/pytest_doctestplus/plugin.py
+++ b/pytest_doctestplus/plugin.py
@@ -879,14 +879,17 @@ def find(self, obj, name=None, module=None, globs=None, extraglobs=None):
 
         if hasattr(obj, '__doctest_skip__') or hasattr(obj, '__doctest_requires__'):
 
-            def test_filter(test):
+            def conditionally_insert_skip(test):
+                """
+                Insert skip statement if `test` matches `__doctest_(skip|requires)__`.
+                """
                 for pat in getattr(obj, '__doctest_skip__', []):
                     if pat == '*':
-                        return False
+                        self._prepend_skip(test)
                     elif pat == '.' and test.name == name:
-                        return False
+                        self._prepend_skip(test)
                     elif fnmatch.fnmatch(test.name, '.'.join((name, pat))):
-                        return False
+                        self._prepend_skip(test)
 
                 reqs = getattr(obj, '__doctest_requires__', {})
                 for pats, mods in reqs.items():
@@ -903,14 +906,38 @@ def test_filter(test):
                         else:
                             continue  # The pattern does not apply
 
-                        if not self.check_required_modules(mods):
-                            return False
+                        for mod in mods:
+                            self._prepend_importorskip(test, module=mod)
                 return True
 
-            tests = list(filter(test_filter, tests))
+            for _test in tests:
+                conditionally_insert_skip(_test)
 
         return tests
 
+    def _prepend_skip(self, test):
+        """Prepends `pytest.skip` before the doctest."""
+        source = (
+            "import pytest; "
+            "pytest.skip('listed in `__doctest_skip__`'); "
+            # Don't impact what's available in the namespace
+            "del pytest"
+        )
+        importorskip = doctest.Example(source=source, want="")
+        test.examples.insert(0, importorskip)
+
+    def _prepend_importorskip(self, test, *, module):
+        """Prepends `pytest.importorskip` before the doctest."""
+        source = (
+            "import pytest; "
+            # Hide output of this statement in `___`, otherwise doctests fail 
+            f"___ = pytest.importorskip({module!r}); "
+            # Don't impact what's available in the namespace
+            "del pytest; del ___"
+        )
+        importorskip = doctest.Example(source=source, want="")
+        test.examples.insert(0, importorskip)
+
 
 def write_modified_file(fname, new_fname, changes, encoding=None):
     # Sort in reversed order to edit the lines:
diff --git a/tests/test_doctestplus.py b/tests/test_doctestplus.py
index 932ec94..71d0380 100644
--- a/tests/test_doctestplus.py
+++ b/tests/test_doctestplus.py
@@ -1542,3 +1542,51 @@ def f():
 
     original_fixed = original.replace("1\n    2", "\n    ".join(["0", "1", "2", "3"]))
     assert result == original_fixed
+
+
+def test_skip_module_variable(testdir):
+    p = testdir.makepyfile("""
+        __doctest_skip__ = ["f"]
+    
+        def f():
+            '''
+            >>> 1 + 2
+            5
+            '''
+            pass
+        
+        def g():
+            '''
+            >>> 1 + 1
+            2
+            '''
+            pass
+        """)
+    testdir.inline_run(p, '--doctest-plus').assertoutcome(passed=1, skipped=1)
+
+
+def test_requires_module_variable(testdir):
+    p = testdir.makepyfile("""
+        __doctest_requires__ = {
+            ("f",): ["module_that_is_not_availabe"],
+            ("g",): ["pytest"],
+        }
+
+        def f():
+            '''
+            >>> import module_that_is_not_availabe
+            '''
+            pass
+        
+        def g():
+            '''
+            Test that call to `pytest.importorskip` is not visible
+
+            >>> assert "pytest" not in locals()
+            >>> assert "___" not in locals()
+            >>> 1 + 1
+            2
+            '''
+            pass
+        """)
+    testdir.inline_run(p, '--doctest-plus').assertoutcome(passed=1, skipped=1)