Team Observed Structured Clinical Encounter (TOSCE)

Format(s): Assessment Tool, Standardized Patient

The Team Observed Structured Clinical Encounter (TOSCE) is a useful tool for both healthcare teams that wish to assess their interprofessional competencies in a primary healthcare setting and for clinical educators that wish to assess students’ interprofessional competencies during their clinical placement. In practice, the TOSCE has teams work in mock clinical settings to develop a care plan for a common clinical presentation. The resources provided with the TOSCE consists of an Observer Checklist, Observer Checklist Instructions, Observer Debriefing Guide, Assessment & Debriefing Guide, and patient-specific documents for ten different clinical presentations.

The Observer Checklist and its Instructions allow for assessment of students based on their demonstration of: communication, collaboration, roles & responsibilities, collaborative patient-family centered approach, conflict management/resolution, and team functioning. The Observer Debriefing Guide includes reflection questions for the team, patient, and observer. The Assessment & Debriefing Guide provides a global rating for a team and provides an assessment for responses and reflections in the team debrief.

  • Link: https://fhs.mcmaster.ca/tosce/en/index.html
  • Author(s): The McMaster-Ottawa Team Observed Structured Clinical Encounter (2010)
  • Copyright: McMaster University, 2010
  • Access:
  • Competencies: Interprofessional Communication, Patient/Client/Family/Community-Centered Care, Team Functioning, Interprofessional Conflict Resolution
  • Assessment Methods: Clinical Performance Rating or Checklist, Peer Assessment, Self Assessment
  • Instructional Methods: Case-based Instruction / Learning, Problem-based Learning (PBL), Team-based Learning (TBL)