While distance learning has become a widespread phenomenon, organizations predominantly use it to transfer knowledge. Few distance learning opportunities focus on technical and vocational training and skill acquisition. For the past decade, the practice of distance learning has grown steadily in the healthcare sector; however, its use varies greatly among medical education programs, and organizations have predominantly restricted it to basic clinical sciences. The prevailing belief is that medical education is a hands-on activity and, therefore, instructors can't comprehensively teach much of clinical education via distance learning. As such, programs that embraced it largely limited activities to case discussions, seminars, and lectures.