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There is a need for validated and easy-to-apply behavior-based tools for assessing interprofessional team competencies in clinical settings. The 7-item observer-based Modified McMaster-Ottawa scale was developed for the Team Objective Structured Clinical Encounter (TOSCE) to assess individual and team performance in interprofessional patient encounters. We aimed to improve scale usability for clinical settings by reducing item number while maintaining generalizability; and to explore the minimum number of observed cases required to achieve modest generalizability for giving feedback.