1) Demonstrate use and addition of cases to the teaching file including differential and images
2) Create conferences utilizing cases within the teaching file
3) Create modules of instructional examinations utilizing the cases within the TF system
4) Understand the administrative capabilities to monitor test results and track teaching cases

To demonstrate the use of an effective CAI tool for residents utilizing a web-based program that catalogs teaching files, interactive conferences, & question and answer modules utilizing a large file of images that are shared over the country. A standard browser is used. Program provides thousands of cases shared among registered users. Users add cases that include images, differentials, & discussions. Conferences are created by linking images to discussions present in the TF. Question based modules are produced by linking images to questions & answers. A database keeps student’s test scores. Ability to share these functions greatly decreases the burden on any one residency. Users appreciate 24-hour availability, while staff appreciate access to scores and shared information. A shared, internet based, multi-institution electronic TF can meet the RRC requirements and offer many aspects of teaching. Conferences, exam modules, and thousands of TF images can be shared over the internet