TOSCE Assessment and Debriefing Guide

IntD 410 Team Objective Structured Clinical Examination (TOSCE) Assessment and Debriefing Guide Student Names

Debrief Questions Stems I noticed that you_____; how did you interpret that?

I’m curious about _____________ Can you tell me a bit more about _____________?

Initiator Advocate Recorder Participant Timekeeper Observer (Process) Energizer(Encourager)

X/√

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X/√

Observations, Behaviours instances where...

X/√ Communication Positive tone of voice,  Conflict open body language management Manages conflict  Clarification of meaning Communicates ideas,  Jargon/Acronym opinion, alternatives use X/√ Collaboration Team role performed  Other team roles supported Collab. decision Team roles making, with patient missing Patient concerns  Time/task solicited, addressed managed X/√ Role Clarification Speaks from  Prof. role prof. role confusion or Prof. role clarified conflict  Prof. role overlap Prof. role overlap recognized, recognized, used clarified

Behaviours + Eg. Initiator: re-focused on Pt. goals

Observed in Debriefing X/√

Reflection (in debriefing) Discusses whole team functioning Discusses patient participation Discusses contribution to team process Discusses prof. contribution Discusses future action/impact

Eg. Meeting ended abruptly, or with no follow-up

Team Objective Structured Clinical Evaluation (TOSCE): Global Rating After all 6 TOSCEs have been completed, the two facilitators who observed the TOSCE each grade the team, using their notes.

1. Each facilitator considers the number of X and √ marks in the scoring rubric to rank the 6 teams observed.

2. Each facilitator assigns a grade out of 4 for each competency, using the scales on the left hand side of the page. The average grade for any competency on the TOSCE is a 2. A 4 in any competency is reserved for exceptional work only; a 2 may be assigned where a team has struggled with a competency. Consider the balance of contributions across the team. No half points may be given.

3. Average the scores given by each facilitator for each competency. Add the averaged scores to generate a grade out of 16. This is the final TOSCE grade for each team. With an average score of 2 on each competency, your teams’ scores will average at 8/16. Sections with a higher or lower average will be reviewed by the course coordination team to ensure consistency.

Global Rating for Each Competency TOSCE Grade

Communication: communicated ideas/alternatives, managed conflict, positive tone of voice, body language 0 Unsatisfactory

1

2 Satisfactory

3

4 Superior

Competency (average score between 2 facilitators) Communication

Collaboration: team roles performed, collaborative decision-making, patient concerns addressed 0 Unsatisfactory

1

2 Satisfactory

3

4 Superior

Role Clarification: clarified professional role, speaks from prof. role, role overlap recognized and used 0 Unsatisfactory

1

2 Satisfactory

3

Collaboration

Role Clarification

4 Superior Reflection

Reflection: discussion of whole team functioning, patient participation, team member contributions to process, team member professional contributions 0 Unsatisfactory

1

2 Satisfactory

3

4 Superior

Total out of 16

Rating