All technology requires training. Simply installing videoconferencing equip
ment in a hospital or health centre, and leaving the manufacturer's manual
nearby, is not sufficient to encourage or maintain its use for telemedicine
. Presenting clinicians and other users with thick policy and procedure doc
uments to be read and understood is also not helpful. Following initial awa
reness raising about telemedicine and its potential, staff must be properly
trained: not just in how to turn on the equipment but in how to use it eff
ectively for consultation, education and administrative purposes. Training
needs to be continual, especially where staff turnover is high. It should b
e practical, pitched at different levels, incorporated into mainstream acti
vities such as orientation courses and staff development days wherever poss
ible, and supplemented with clear, straightforward protocols and user-frien
dly instruction manuals.