The St John Ambulance organization in Alberta issues over 100,000 first aid
certificates each year (an 80% market share). The success of the organizat
ion is attributed to a province-wide infrastructure of volunteer public fir
st aid providers and over 2000 volunteer instructors in industry and other
spheres. In 1998 St John Ambulance piloted the use of CD-ROMs for teaching,
producing two courses. One was a first aid course and the other was a baby
sitter course. The experience of the pilot programmes will allow the digita
l material to be transferred to our Website. Once this is done people aroun
d the world will be able to receive the self-paced learning components. Han
ds-on evaluation of skills, however, is mandatory to certification. Mass tr
aining where certification is required therefore requires a mixture of dist
ance learning and hands-on testing, reinforcing the need for trained evalua
tors to be available to the population.