IMPACT has embraced the most recent web-based technology for online medical learning. Preparing for IMPACT involves working through an online e-learning package, an MCQ test and a state of the art “online” simulation package. The online simulation comprises 5 acute medical situations which participants can access and utilise for up to a year after the course to refresh and test their knowledge. The “Virtual Medical School” at Erasmus University has developed this e-learning with us. Ongoing evaluation of the programme is taking place to measure the effect of this approach when compared to previous “traditional” preparation involving paper based resources.