%0 Journal Article %T Comparison of a Smartphone Otoscope and Conventional Otoscope in the Diagnosis and Management of Acute Otitis Media %A Andi L. Shane %A Anna Silverstein %A Courtney E. McCracken %A K. Ning Chan %A Leah N. Bryan %A Wendalyn K. Little %J Clinical Pediatrics %@ 1938-2707 %D 2019 %R 10.1177/0009922818812480 %X Acute otitis media (AOM) is a leading cause of health encounters and antimicrobial prescriptions in children worldwide. We assessed (1) the rates of antimicrobial prescribing by pediatric emergency department clinicians using a smartphone otoscope device as compared with a conventional otoscope and (2) clinician acceptability of the smartphone device. We conducted a randomized control study in childrenĄ¯s hospital emergency departments over 6 months. More than 1500 encounters were analyzed. The odds of prescribing antibiotics after being given a diagnosis of AOM by clinicians assigned to the smartphone group was 11% higher than the conventional group (18.8% vs 18.0%, odds ratio = 1.106, P = .600). Eight (73%) of the 11 physicians in the smartphone group preferred the smartphone device over the conventional otoscope. Use of a smartphone otoscope for detection of AOM in a pediatric emergency department setting did not lead to an increased likelihood of AOM diagnosis %K acute otitis media %K pediatrics %K emergency medicine %K otoscope %K medical technology %U https://journals.sagepub.com/doi/full/10.1177/0009922818812480