{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:03:51Z","timestamp":1780319031598,"version":"3.54.1"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background\/Objectives:<\/jats:title>\n                    <jats:p>Otoscopy is a fundamental yet challenging skill for pediatric trainees. Otoscopy can be uncomfortable for children, particularly if repeat examinations are required. Digital otoscopy (DO) allows clinicians to record and review otoscopic images. This study evaluated whether trainees\u2019 use of DO could reduce repeat examinations by supervisors, and its perceived educational value to trainees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a prospective observational study in a pediatric emergency department in New York City. Pediatric, emergency medicine, and pediatric nurse practitioner trainees used DO to record ear exams in children presenting with fever, upper respiratory symptoms, or otalgia. Trainees presented all cases to a pediatric emergency medicine attendings or fellows who served as supervisors. Trainees completed pre- and postrotation surveys assessing confidence in otoscopy, ability to diagnose acute otitis media (AOM), and satisfaction with otoscopy education. The primary outcome was \u201cfirst examine success\u201d defined as the supervisor not needing to repeat the examination of the patient\u2019s tympanic membranes (TM). Logistic regression was used to identify factors associated with first-exam success. Ratings of DO\u2019s value as a diagnostic and teaching tool were also collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixty-seven trainees and 368 patients were included. In 276 (75%) encounters, no repeat exam by the supervisor was needed. First-exam success was independently associated with age \u22652 years, higher training level, and &gt;50% TM visualization. Trainee confidence in performing otoscopy, diagnosing AOM, and educational satisfaction increased significantly postrotation. Of all trainees, 66 (97%) and 57 (85%) agreed that DO was a superior teaching and diagnostic tool, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>DO eliminated the need for repeated exams in the majority of patients. Trainees considered it a superior teaching and diagnostic tool compared with conventional otoscopy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/pec.0000000000003575","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T05:00:06Z","timestamp":1771304406000},"page":"469-474","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Digital Otoscopy in the Pediatric Emergency Department"],"prefix":"10.1097","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2593-6352","authenticated-orcid":false,"given":"Caitlin","family":"Keane-Bisconti","sequence":"first","affiliation":[{"name":"Albert Einstein College of Medicine"},{"name":"Department of Pediatric Emergency, Jacobi Medical Center, Bronx"},{"name":"Renaissance School of Medicine at Stony Brook University"},{"name":"Department of Pediatric Emergency, Stony Brook Children\u2019s, Stony Brook"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leor","family":"Akabas","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine"},{"name":"Pediatric Intensive Care Unit, Mount Sinai Kravis Children\u2019s Hospital, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Meltzer","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine Bronx, NY"},{"name":"Department of Pediatric Emergency, Jacobi Medical Center, Bronx, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haamid","family":"Chamdawala","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine Bronx, NY"},{"name":"Department of Pediatric Emergency, Jacobi Medical Center, Bronx, 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(Phila)"},{"key":"R4-20260601","doi-asserted-by":"crossref","first-page":"2392","DOI":"10.3390\/diagnostics11122392","article-title":"New approaches and technologies to improve accuracy of acute otitis media diagnosis","volume":"11","author":"Esposito","year":"2021","journal-title":"Diagnostics (Basel)"},{"key":"R5-20260601","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1016\/j.otc.2017.05.005","article-title":"Otologic skills training","volume":"50","author":"Wiet","year":"2017","journal-title":"Otolaryngol Clin North Am"},{"key":"R6-20260601","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.jsurg.2015.07.011","article-title":"Objective evaluation of otoscopy skills among family and community medicine, pediatric, and otolaryngology residents","volume":"73","author":"Oyewumi","year":"2016","journal-title":"J Surg Educ"},{"key":"R7-20260601","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.acap.2018.02.009","article-title":"Teaching pediatric otoscopy skills to pediatric and emergency medicine residents: a cross-institutional study","volume":"18","author":"Paul","year":"2018","journal-title":"Acad Pediatr"},{"key":"R8-20260601","doi-asserted-by":"crossref","first-page":"2286","DOI":"10.1016\/j.ijporl.2015.10.026","article-title":"Video-otoscopy in children and patient-centered care: a randomized, controlled study","volume":"79","author":"Rimon","year":"2015","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R9-20260601","doi-asserted-by":"crossref","first-page":"1875","DOI":"10.1016\/j.ijporl.2006.06.014","article-title":"Video otoscopy: bringing otoscopy out of the \u201cblack box","volume":"70","author":"Jones","year":"2006","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R10-20260601","doi-asserted-by":"crossref","first-page":"2953","DOI":"10.1007\/s00405-019-05559-6","article-title":"Utility of a smartphone-enabled otoscope in the instruction of otoscopy and middle ear 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Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003575","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T12:01:40Z","timestamp":1780315300000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003575"}},"subtitle":["Can It Limit Repeat Ear Exams?"],"short-title":[],"issued":{"date-parts":[[2026,2,17]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003575","relation":{},"ISSN":["0749-5161","1535-1815"],"issn-type":[{"value":"0749-5161","type":"print"},{"value":"1535-1815","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,17]]},"assertion":[{"value":"2025-11-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-22","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}