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The smartphone-group (n = 2 had higher overall rates of correct diagnosis compared to control (n = 22) (84% vs. 39%, p = 0.001). Only the grommet station did not show a significant improvement between the two groups (100% vs. 91%, p = 0.49). 90% (n = 2 of participants felt the smartphone otoscope was preferential for their learning. The same number expressed that they want to use it in future learning. The remainder were indifferent. The smartphoneotoscope enabled learners to better observe and recognise middle ear pathology. Th