The project aims to develop the practical use of tele-medical support within different disciplines of the health and medical services in sparsely populated and remote areas of the northern periphery. The purpose is to increase patient security, service quality and to protect patients legal rights within the area. An IT-based training programme at individual, group and organisational level will be developed, which will serve as a foundation for a European standard certification. Achievements: · The identification of the key factors that need to be included in a training programme has been completed and have been included in a flexible framework · Legal and ethical issues document and training manual for tele-teaching have been completed · A manual detailing the main components of the system and how to operate has been completed · The training programme has been delivered to members of the multidisciplinary health care team · Local informational and work meetings have been held that focus on the training for and planning of a clinical trial including patients and relatives/next-of-kin and with particular attention to the areas of ethical reflection and ethical decision-making.#