The new Ear Examination Simulator II is renovated to acquire safe and reliable skills in the examination of the external acoustic meatus and tympanic membrane with a direct otoscope. As new features, the model warns against painful insertion. The warning has two modes: self-learning mode (with a beep) and instructor mode (silent). The instructor mode is useful for OSCE or skills examination. Skills to be learned include safe use of an otoscope, differentiation of typical ear problems, and earwax/foreign body removal.