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Inter-Professional Team Objective Structured Clinical Examination (ITOSCE): Teaching and Assessment Strategies of the Inter Professional Approach

  • Fatemeh Keshmiri ,
  • Atena Rahmati Najarkolai ,
  • Maryam Karbasi Motlagh ,
  • Nazi Saljoughi ,


Background: In the recent decades, Inter-Professional Team Objective Structured Clinical Examination (ITOSCE) has been considered as an efficient tool in evaluating the teamwork and the Inter-professional competences. The aim of this study was to review the literature related ITOSCE as educational tool. Method: This narrative review study was conducted in 2015. Relevant literature was found by searching the databases such as: PubMed, Medline, CINAHL, Google Scholar, Science Direct, EBSCO, ProQuest. Title searching was performed in full English texts without time limitation using keywords including; Team, Inter professional Team, Group, Inter-disciplinary, Objective Structured Clinical Examination (TOSCE, ITOSCE, GOSCE). Results: 19 studies met the inclusion criteria and were included in the analyses. In 13 studies, ITOSCE was used as an assessment tool, and in 6 studies as a learning tool. ITOSCE had been used in several fields such as: obstetrics, gynecology, emergency, palliative care with participating of a variety of disciplines, including: medicine, pharmacy, several trends of nursing, physiotherapy, occupational therapy and Social working. Conclusion: Eventually, it can be noted that ITOSCE plays significant role as an educational and evaluation tool to improve inter-professional teamwork competences among the students. Further studies are needed to develop to examine the psychometric criteria of ITOSCE.


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How to Cite

Keshmiri, F., Najarkolai, A. R., Motlagh, M. K., & Saljoughi, N. (2016). Inter-Professional Team Objective Structured Clinical Examination (ITOSCE): Teaching and Assessment Strategies of the Inter Professional Approach. Bali Medical Journal, 5(3), 463–469.




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Fatemeh Keshmiri
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Atena Rahmati Najarkolai
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Maryam Karbasi Motlagh
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Nazi Saljoughi
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