I recently attended an advanced laparoscopic surgery skills course. Few weeks prior to the course I was asked to sign up to the course organiser's web site. I was able access part of the course material. This enabled me to practise some of the skills prior to attending the course. This has certainly enhanced my learning more than I would have acquired without the access to the e-learning material. There were 20 participants form 8 countries and most found the e-learning very useful.E-learning has made it possible for practicing clinicians from a remote part of the world to contact their peers through video conferencing in the management of difficult clinical situations and this facilitates on-the-job learning. When I was a resident in 1989 I had to wait for over two weeks to find out about an important adverse effect of a drug which now I could find out in a couple of minutes using online electronic databases. In medical education there can be no doubt that opportunities for learning occur all the time and not confined to the class room and e-learning has a lot to offer in this regard.