An article examining the reliability and validity of remote scoring; a video assessment of myringotomy and grommet insertion. The primary outcome measures were to determine construct validity (differentiating between different grades of surgeons) and reliability of video scoring. Unfortunately, the study was underpowered with 10 procedures in each group (core trainee / specialist registrar and consultant) and therefore could not discern a statistical significance for construct validity on this occasion. The methodology shows promise and shouldn’t detract from further developments. There was a strong correlation between scores by the blinded raters and quite rightly this allows assessor bias to be avoided in the assessment. In the present climate it would appear video assessment is likely to become a useful adjunct for both the trainee and trainer.