The Nelson R Mandela School of Medicine’s Department of TeleHealth was formed in July of 2002. Its initial goals were to establish postgraduate training in medical informatics and telemedicine, to assist the National and Provincial Departments of Health with the development of service telemedicine in the province and to develop an IT based platform for undergraduate and postgraduate medical training to service a multicampus model. The department has worked towards meeting these goals by striving to develop an intergrated model service of teaching which is both scaleable and transportable and that can be used in other African countries to assist in overcoming the shortage of medical teachers and practitioners.