A method to enhance student teams in palliative care: piloting the McMaster-Ottawa Team Observed Structured Clinical Encounter.

https://arctichealth.org/en/permalink/ahliterature134947
Source
J Palliat Med. 2011 Jun;14(6):744-50
Publication Type
Article
Date
Jun-2011
Author
Pippa Hall
Denise Marshall
Lynda Weaver
Anne Boyle
Alan Taniguchi
Author Affiliation
Division of Palliative Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada. phall@bruyere.org
Source
J Palliat Med. 2011 Jun;14(6):744-50
Date
Jun-2011
Language
English
Publication Type
Article
Keywords
Health Personnel - education
Humans
Ontario
Palliative Care
Patient Care Team - standards
Patient-Centered Care
Psychometrics
Questionnaires
Abstract
The need for palliative and end-of-life care (PEOLC) education in prelicensure education has been identified. PEOLC requires effective collaborative teamwork. The competencies required for effective collaborative teamwork are only now emerging and methods to evaluate them must be developed.
The adaptation of the traditional Objective Structured Clinical Examination (OSCE) for assessment of a student team addressing palliative care issues was undertaken. The McMaster-Ottawa Team Observed Structured Clinical Encounter (TOSCE) is intended as a formative evaluation tool for both competencies in interprofessional collaboration for patient-centered practice and PEOLC.
Three stations based on palliative care scenarios were developed. From January 2007 to January 2008, a total of 141 students and 38 observers participated in the evaluation of three stations, with 6-7 students per group and two observers per station. Observers completed checklists for both PEOLC and interprofessional collaborative competencies and, after completing the TOSCEs, students and observers completed questionnaires on their feasibility and acceptability.
Eighty-nine percent of the students and 44% of the observers were from medicine. Students and observers found the TOSCE to be an acceptable and feasible assessment tool for both sets of competencies. Reliability and validity data show that the items in both the clinical and interprofessional checklists fit well together, and interrater reliability is readily achieved.
The new formative evaluation TOSCE tool, adapted from the traditional OSCE, was acceptable and feasible to students and observers.
PubMed ID
21524192 View in PubMed
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