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Predictive validity of measurements of clinical competence using the team objective structured bedside assessment (TOSBA): assessing the clinical competence of final year medical students.
Med Teach. 2009 Nov; 31(11):e545-50.MT

Abstract

BACKGROUND

The importance of valid and reliable assessment of student competence and performance is gaining increased recognition. Provision of valid patient-based formative assessment is an increasing challenge for clinical teachers in a busy hospital setting. A formative assessment tool that reliably predicts performance in the summative setting would be of value to both students and teachers.

AIM

This study explores the utility of the team objective structured bedside assessment (TOSBA), a novel ward-based formative assessment tool, in predicting student performance in the final clinical examination.

METHODS

The performance of a cohort of final year students (n = 191) in the TOSBA was compared with their subsequent performance in the final examination. A comparison was also made between student performance in the existing formative assessment tool, the objective structured long examination record (OSLER) and the final examination. We also examined the relationship between the TOSBA and the components of the final examination using clustering around latent variables analysis.

RESULTS

There was a clear relationship between student performance in the TOSBA and performance in the final examination (r(2) = 0.35). Student performance in the OSLER showed a poor relationship with performance in the final examination (r(2) = 0.15) compared with the TOSBA. The TOSBA results showed particular correlation with specific components of the final examination which were clinically based.

CONCLUSION

TOSBA performance is a strong predictor of subsequent performance in the final examination. The clustering of the TOSBA with other assessments of clinical skills underlines its utility. Further research is required to determine whether performance in the TOSBA is predictive of subsequent performance during internship.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Meagher FM
Department of Medicine, Royal College of Surgeons in Ireland, Beaumont Hospital, Dublin, Ireland. fmeagher@rcsi.ie
Butler MW
No affiliation info available
Miller SD
No affiliation info available
Costello RW
No affiliation info available
Conroy RM
No affiliation info available
McElvaney NG
No affiliation info available

MeSH

Clinical CompetenceEducation, Medical, UndergraduateEducational MeasurementGroup ProcessesHospitals, TeachingHumansStudents, Medical

Pub Type(s)

Journal Article
Validation Study

Language

eng

PubMed ID

19909034

Citation

Meagher, Frances M., et al. "Predictive Validity of Measurements of Clinical Competence Using the Team Objective Structured Bedside Assessment (TOSBA): Assessing the Clinical Competence of Final Year Medical Students." Medical Teacher, vol. 31, no. 11, 2009, pp. e545-50.
Meagher FM, Butler MW, Miller SD, et al. Predictive validity of measurements of clinical competence using the team objective structured bedside assessment (TOSBA): assessing the clinical competence of final year medical students. Med Teach. 2009;31(11):e545-50.
Meagher, F. M., Butler, M. W., Miller, S. D., Costello, R. W., Conroy, R. M., & McElvaney, N. G. (2009). Predictive validity of measurements of clinical competence using the team objective structured bedside assessment (TOSBA): assessing the clinical competence of final year medical students. Medical Teacher, 31(11), e545-50. https://doi.org/10.3109/01421590903095494
Meagher FM, et al. Predictive Validity of Measurements of Clinical Competence Using the Team Objective Structured Bedside Assessment (TOSBA): Assessing the Clinical Competence of Final Year Medical Students. Med Teach. 2009;31(11):e545-50. PubMed PMID: 19909034.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictive validity of measurements of clinical competence using the team objective structured bedside assessment (TOSBA): assessing the clinical competence of final year medical students. AU - Meagher,Frances M, AU - Butler,Marcus W, AU - Miller,Stanley D W, AU - Costello,Richard W, AU - Conroy,Ronan M, AU - McElvaney,Noel G, PY - 2009/11/14/entrez PY - 2009/11/17/pubmed PY - 2010/2/18/medline SP - e545 EP - 50 JF - Medical teacher JO - Med Teach VL - 31 IS - 11 N2 - BACKGROUND: The importance of valid and reliable assessment of student competence and performance is gaining increased recognition. Provision of valid patient-based formative assessment is an increasing challenge for clinical teachers in a busy hospital setting. A formative assessment tool that reliably predicts performance in the summative setting would be of value to both students and teachers. AIM: This study explores the utility of the team objective structured bedside assessment (TOSBA), a novel ward-based formative assessment tool, in predicting student performance in the final clinical examination. METHODS: The performance of a cohort of final year students (n = 191) in the TOSBA was compared with their subsequent performance in the final examination. A comparison was also made between student performance in the existing formative assessment tool, the objective structured long examination record (OSLER) and the final examination. We also examined the relationship between the TOSBA and the components of the final examination using clustering around latent variables analysis. RESULTS: There was a clear relationship between student performance in the TOSBA and performance in the final examination (r(2) = 0.35). Student performance in the OSLER showed a poor relationship with performance in the final examination (r(2) = 0.15) compared with the TOSBA. The TOSBA results showed particular correlation with specific components of the final examination which were clinically based. CONCLUSION: TOSBA performance is a strong predictor of subsequent performance in the final examination. The clustering of the TOSBA with other assessments of clinical skills underlines its utility. Further research is required to determine whether performance in the TOSBA is predictive of subsequent performance during internship. SN - 1466-187X UR - https://www.unboundmedicine.com/medline/citation/19909034/Predictive_validity_of_measurements_of_clinical_competence_using_the_team_objective_structured_bedside_assessment__TOSBA_:_assessing_the_clinical_competence_of_final_year_medical_students_ DB - PRIME DP - Unbound Medicine ER -