I discussed with many Foundation Year one doctors who have graduated from different medical schools across the country. I have observed that the usage of e-learning is variable between medical schools. They felt that e-learning enhanced their learning in basic medical science like anatomy. Multimedia graphics helped them as they felt that the laboratory demonstration in it self was not sufficient for learning. In clinical medicine they felt that e-learning was beneficial in problem based case discussions and case presentations.E-learning has the potential to enhance the learning instead of simply presenting the information. Examples of beneficial multimedia may include a video clip, computer animation for explaining the underlying patho physiology and images of investigations like chest x ray or endoscopy pictures. I have observed that some e-learning using multimedia technology detract the learner from the key message that the teacher wanted to convey and this should be avoided. Physical skills are best learnt by performing them under direct supervision. E-learning, however, can be used to augment the teaching of practical skills. A video showing the technique will be helpful in priming the learner prior to attending a teaching session.