Introduces self
0
1

Confirms name and age/DOB of patient
0
1

Explains & gains consent. Asks if patient is in any pain.
0
1

Ask about the nature of the hearing loss (ear, duration, onset)
0
1

Characterises hearing loss (pitch, severity, impact)
0
1

Asks for associated symptoms (tinnitus, vertigo)
0
1

Asks about past medical history of ear infections, head trauma, surgery
0
1

Takes drug history specifically asking about strong antibiotics in hospital, diuretics, NSAIDs
0
1

Takes occupational history and asks about exposure to loud noises
0
1

Performs gross hearing assessment by whispering in one ear whilst distracting the other
0
1

Performs Weber's Test
0
1

Performs Rinne's Test
0
1

Inspect Pinna (scars, tags, sinuses and abcesses), the external canal (discharges and eczema) and behind the ear
0
1

Selects correctly sized speculum and attaches to auroscope
0
1

Inserts auroscope safely (right hand for right ear, ulnar border on cheek, fingers on head)
0
1

Pulls pinna upwards and backwards for adult
0
1

Warns patient before insertion
0
1

Inspects canal for inflammation, foreign bodies or debris
0
1

Examines tympanic membrane (visiblity, colour, shape, light reflex)
0
1

Identifies structures (malleus, pars tensa, pars flaccida, attic)
0
1

Repeats in other ear with new speculum
0
1

Thanks patient
0
1

Washes hands
0
1

Request to do a full neurological exam and tympanometry if appropriate
0
1

Summarises appropriately with only key findings
0
1

Offers appropriate differential diagnoses
0
1

Patient global score
0
1
2