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Implementation of Virtual Interprofessional Observed Structured Clinical Encounters (OSCEs): A Pilot Study.

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This pilot study found that virtual Team Observed Structured Clinical Encounters (TOSCEs) are a feasible and effective method for interprofessional education (IPE), demonstrating value for assessing core competencies in health professional students.

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Area of Science:

  • Health Professions Education
  • Medical Simulation
  • Interprofessional Learning

Background:

  • Interprofessional education (IPE) is crucial for developing collaborative practice skills among health professionals.
  • Assessing core competencies in IPE programs can be challenging, especially in virtual settings.
  • Team Observed Structured Clinical Encounters (TOSCEs) offer a standardized method for behavioral assessment.

Purpose of the Study:

  • To evaluate the feasibility of using virtual McMaster-Ottawa TOSCEs within an interprofessional education program.
  • To assess the performance of health professional students on Interprofessional Education Collaborative (IPEC) core competencies using a telehealth approach.
  • To gather qualitative feedback on the virtual IPE OSCE experience.

Main Methods:

  • First- and second-year students from 11 health programs participated in three virtual TOSCE stations via Zoom.
  • Faculty observers used a validated scoring rubric to assess student performance on IPEC core competencies.
  • Kruskal Wallis tests analyzed performance differences by academic year and case type, supplemented by qualitative feedback.

Main Results:

  • No significant differences in performance were found across academic years (p > 0.05).
  • Performance differences were noted only on the collaborative patient item between pediatric and diabetes cases.
  • Qualitative feedback indicated the telehealth approach was timely and effective for the interprofessional OSCE event.

Conclusions:

  • Virtual IP OSCEs, utilizing TOSCEs via Zoom, are feasible for IPE.
  • This telehealth approach is a valuable and recommended initiative for assessing interprofessional competencies.
  • The virtual format effectively delivered the interprofessional OSCE event, meeting institutional needs.