oriented, and would benefit from internet delivery including novel applications of emerging technology are identified by the business. Analysis of performance gaps, knowledge and competence, and patient outcomes, as well as national guidelines, process improvement reports, user surveys, literature reviews, and expert consultations, decide the content. The main focus is on developing clinical skills based training activities and evaluating each one using metrics that are relevant to the skills being taught. Competence, performance, and skills will all benefit from successful activities.