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Team Objective Structured Bedside Assessment (TOSBA) in Paediatric Undergraduate Students.

Heena Rais1, Azam Saeed Afzal2, Amber Shamim Sultan3

  • 1Department of Paediatrics, Ziauddin Medical University Hospital, Karachi, Pakistan.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|July 3, 2025
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Summary
This summary is machine-generated.

A new Team Objective Structured Bedside Assessment (TOSBA) tool demonstrates good reliability and moderate validity for assessing paediatric undergraduate students' clinical skills. This formative assessment method supports student development at the bedside.

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Area of Science:

  • Medical Education
  • Paediatric Clinical Skills Assessment

Background:

  • Objective Structured Clinical Evaluation (OSCE) is a standard for assessing clinical skills.
  • There is a need for reliable and valid bedside assessment tools for paediatric undergraduate students.
  • Team Objective Structured Bedside Assessment (TOSBA) was developed to address this need.

Purpose of the Study:

  • To develop and validate a Team Objective Structured Bedside Assessment (TOSBA) tool.
  • To assess the clinical skills of paediatric undergraduate students at the bedside.
  • To evaluate the reliability and validity of the TOSBA tool.

Main Methods:

  • A validation, cross-sectional study was conducted.
  • 61 fourth-year students participated in the TOSBA process 4-5 times during a 4-week paediatric rotation.
  • Psychometric analysis included internal consistency, item-total correlation, and correlation with end-of-rotation OSCE scores.

Main Results:

  • The TOSBA tool showed good overall reliability (Cronbach's alpha >0.7) for all assessed clinical skills.
  • Strong correlations (r² >0.4, p <0.001) were found for history taking and clinical reasoning.
  • The tool demonstrated divergent validity, with minimal correlations between different constructs within the same method.

Conclusions:

  • The developed TOSBA tool is a reliable and moderately valid instrument for the formative assessment of undergraduate paediatric students.
  • TOSBA provides a valuable bedside assessment method to enhance clinical skills development in paediatrics.
  • Further refinement may be needed for specific stations based on item-total correlation results.