ABSTRACT This paper describes the evaluation of an online training course in Neonatal Medicine, which involved medical practitioners from across Europe. The paper focuses on the findings from an analysis of the online discussion groups. The project aimed to develop an online course for practitioners and included the development of four modules. Delivery was achieved using hybrid technology via distribution of course materials on CD ROMs accompanied by an online learning environment and associated Web discussion boards. Twenty participants completed the programme over four months, supported by five tutors and one project manager. The main conclusion from the external evaluation was that the project had met its stated aims and objectives and that the project team had delivered a successful online course. Both tutors and tutees engaged enthusiastically with the course throughout. The most important element of the course was cited as being the opportunity the course afforded for the sharing of expertise and best practice with colleagues across Europe.