Development of the Ambulatory Team Observed Structured Clinical Evaluation (ATOSCE)

Abstract

In response to the call for tools to measure collaboration in interprofessional settings, an Ambulatory Team Observed Structured Clinical Evaluation (ATOSCE) was developed to measure collaboration/teamwork behaviors and skills in a realistic simulation for graduate students in the healthcare professions. Participants rated the ATOSCE a realistic and valuable learning experience.

Interrater Reliability of Standardized Actors Versus Nonactors in a Simulation Based Assessment of Interprofessional Collaboration

“…The outpatient scenario challenged learners to place the patient at the center of the health care team, to include the caregiver on that team, and to work collaboratively with other health care providers while employing conflict management skills. 13 After the simulation, the SP and standardized family member debriefed the learner, and learners then met together for a group debriefing.…”

“…Feedback has indicated that learners participating in this simulation find it to be realistic and conducive to using their collaboration skills. 13 Learners were provided with a written overview of the purpose of the simulation (see Text Document, Supplemental Digital Content 2, http://links.lww.com/SIH/A218, brief overview of the ATOSCE methods), and a simulation staff member provided general verbal instructions (see Text Document, Supplemental Digital Content 3, http://links.lww.com/SIH/A219, procedures and time durations for the simulation). Learners did not know the particulars of the case or assessment instrument until beginning the simulation, when they picked up the information hanging on the doorway, consisting of a written description of the SPs who would be entering the room (see Text Document, Supplemental Digital Content 4, http://links.lww.com/SIH/A220, setting, presenting situation and patient's hospital discharge summary).…”

“…This study used the Ambulatory Team Objective Structured Clinical Examination (ATOSCE), 13 which was developed to broaden simulation scenarios from the predominantly emergent and hospital settings found in the extant literature, instead of incorporating outpatient scenarios. The scenario was developed as part of a grant to assess interprofessional collaboration in a geriatric setting among students and practicing health care providers.…”

“…The scenario was both interprofessional and a realistic depiction of ambulatory care in that learners interacted with providers from multiple professions from a distance (telephone consultations) to form or modify treatment plans requiring collaborative care (eg, referring the patient to other providers, discussing concerns with other providers about medications or treatment plans). 13 Specific content for the scenario was drawn from experiences of clinicians on an advisory panel at the university. The scenario was designed to allow learners to practice and demonstrate continuity of care, conflict management, safety, and patient advocacy.…”

The Future of Interprofessional Education and Practice for Dentists and Dental Education

“…Students receive similar cases in a standardized patient (SP) setting for the next level of IPE/IPCP application. IPCP simulations with SPs help bridge the gap for students who have not yet had a rigorous level of patient care in their curriculum 15 . These SP experiences would include providing written referrals and oral communication with the chosen team member(s) based on the patient scenario.…”