Formative and summative use of the TOSCE
There are very few reliable and validated tools available to assess knowledge & skills in effective collaborative health care teamwork(Brown & Waite, 2002) . In particular, there is no validated tool that evaluates observable team and IPC competencies. The McMaster-Ottawa TOSCE has the potential to be a useful assessment and evaluation tool. Our validation work has demonstrated the utility of the TOSCE as a formative evaluation tool, which offers constructive feedback on a team’s performance. Other studies have demonstrated the OSCE’s utility as both an education and evaluation tool (Morrison & Stewart, 2005; Varkey et al, 2008).
The McMaster-Ottawa TOSCE can also be used for ongoing assessment, allowing each team to receive feedback and develop learning plans to address specific competencies. This potential use as a summative evaluation tool may have a variety of applications such as in pre-licensure, academic settings and in licensing exams. The development and evaluation of TOSCEs as a formative feedback tool and an assessment tool for teams is innovative and has the potential for wide spread use in other health care and education settings.