Aims: To determine user-reported accuracy of diagnosis of images from a traditional otoscope compared to a pen-sized rigid endoscope with wireless video and smartphone display. Methodology: A cohort study of 100 clinicians using a rigid endoscope (N30 Pro), cost ($15) compared tothe traditional otoscope (Welch Allyn MacroView). Outcome measures (Likelihood ratios, diagnostic accuracy, sensitivity, specificity, inter-rater reliability, clinician preference, etc.) Conclusion: The digital otoscope is more reliable access to the tympanic membrane, improved patient comfort, medical documentation and sharing of the image with the patient, learners, parents, and colleagues. Conflicts of interest: nil