RESUMEN
Otoscopy, a subjective clinical method, is used by many physicians and nurses to assess the condition of the ear canal, the tympanic membrane and the presence or absence of otitis media. To train doctors and nurses working in health centers to perform otoscopy and assess their ability to distinguish between normal and abnormal ears, when to treat or refer patients for further management. Materials and Twenty doctors and twenty nurses were given basic intensive courses in the ear and the use of otoscopy. They were given 10 patients to examine each, before and after the course.Results showed marked improvement in the average competence level of both doctors and nurses in using otoscopes. If these training courses were adopted for health-care workers the results would help to increase the overall quality of care, rationalize and minimize referral to ENT specialists and help in carrying out the proper treatment at an early stage