This partnership developed an emergency medicine teaching program at the University of Transkei (UNITRA) using a combination of telemedicine and the Internet. The partners designed and produced the Emergency Medicine Internet Teaching Tool (EMITT), an Internet-based education program to teach emergency medicine practice and principles to physicians and nurses in South African health care facilities. The partners quadrupled UNITRA’s Internet bandwidth, and UNITRA established its own Telemedicine and Computer Center to link remote Eastern Cape clinics, hospitals, and other campuses to health care provider education, research, and consultation.

Lectures videotaped at Howard University’s Emergency Medicine Department can be uploaded to the EMITT web site and viewed by medical officers, students at UNITRA, and community physicians—enabling them to manage health care in rural areas without requiring patients or practitioners to travel to major facilities.