PMID- 19909034
OWN - NLM
STAT- MEDLINE
DCOM- 20100217
LR  - 20220409
IS  - 1466-187X (Electronic)
IS  - 0142-159X (Linking)
VI  - 31
IP  - 11
DP  - 2009 Nov
TI  - Predictive validity of measurements of clinical competence using the team 
      objective structured bedside assessment (TOSBA): assessing the clinical 
      competence of final year medical students.
PG  - e545-50
LID - 10.3109/01421590903095494 [doi]
AB  - 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.
FAU - Meagher, Frances M
AU  - Meagher FM
AD  - Department of Medicine, Royal College of Surgeons in Ireland, Beaumont Hospital, 
      Dublin, Ireland. fmeagher@rcsi.ie
FAU - Butler, Marcus W
AU  - Butler MW
FAU - Miller, Stanley D W
AU  - Miller SD
FAU - Costello, Richard W
AU  - Costello RW
FAU - Conroy, Ronan M
AU  - Conroy RM
FAU - McElvaney, Noel G
AU  - McElvaney NG
LA  - eng
PT  - Journal Article
PT  - Validation Study
PL  - England
TA  - Med Teach
JT  - Medical teacher
JID - 7909593
SB  - IM
MH  - Clinical Competence/*standards
MH  - Education, Medical, Undergraduate
MH  - Educational Measurement/*methods
MH  - *Group Processes
MH  - Hospitals, Teaching
MH  - Humans
MH  - *Students, Medical
EDAT- 2009/11/17 06:00
MHDA- 2010/02/18 06:00
CRDT- 2009/11/14 06:00
PHST- 2009/11/14 06:00 [entrez]
PHST- 2009/11/17 06:00 [pubmed]
PHST- 2010/02/18 06:00 [medline]
AID - 10.3109/01421590903095494 [pii]
AID - 10.3109/01421590903095494 [doi]
PST - ppublish
SO  - Med Teach. 2009 Nov;31(11):e545-50. doi: 10.3109/01421590903095494.