Videoconferencing teaching methods are commonly used in medical education to deliver multi-site teaching. However, many studies have shown problems relating to this type of teaching [1-9]. In the South East region of Scotland, videoconferencing teaching for foundation doctors is conducted between three hospital sites. Poor feedback about the quality of this teaching prompted the investigators to perform a quality improvement study to explore problems with videoconferencing in this setting, and if applicable, apply interventions to improve this teaching. After a literature review, a data collection tool was created and distributed to doctors participating in this teaching. Thirteen questionnaires were completed which highlighted problems mainly relating to technology and poor interaction between sites. As a result of these findings, the investigators have implemented interventions to rectify these issues and ultimately improve the teaching that this region delivers.