Clinical skills have traditionally been taught with didactic lectures, clinical skills laboratories and at the patients' bedside. Under the supervision of a senior clinician this so called "apprenticeship" model allows students to observe and then practice a clinical skill . In a perfect world, the medical student would learn clinical skills on the ward with real patients. However this is not always possible or practical, given the volume of medical students, the patients' physical health and the availability of senior clinicians.
When teaching clinical skills, Peyton et al emphasizes the importance of demonstrating the clinical skill fully in a normal sequence and also demonstrating the skill with explanations of the steps involved. This is possible in an e-learning environment by using videos and also using a software package such as Articulate to create a blended learning environment where the user can watch the skill augmented with PowerPoint explanation slides and MCQs. Gormley et al reported that students found that the e-learning environment for clinical skills learning compared very favorably to other learning methods, with students performing better in clinical exams. This suggests that e-learning techniques can help students acquire clinical skills and augment their knowledge and confidence before they approach real patients in the hospital ward. Therefore the goal of the project was to develop a selection of high quality open access HD clinical skills videos and Articulate files which can be used to learn the correct assessment of a patient.