Background: Although there is increasing pressure on Universities to implement e-learning, this 'glorious revolution' has been met with disappointing results and universities have struggled to engage academic staff, who are major stakeholders, with its use. Although literature suggests online teaching adds to traditional faculty workload, information surrounding the actual 'cost' to individuals is sparse. For academics involved in postgraduate clinical education, it is even more incomplete. Involvement can be a risky undertaking for academics unfamiliar with the resources required. Aims: This study outlines staff resources required to create an e-module for busy, practicing clinicians. Method: Data (web analytics, email traffic, and work logs) was collected and statistical analysis performed outlining time involved, work patterns and responsibilities. Results: Data analysis revealed 75% of academic time occurred out of normal office hours. Sixteen total staff hours (12 planning and four delivery) were required to support one hour student online activity. Technical responsibilities were essential throughout, but unpredictable. Conclusions: Universities struggle to engage staff with e-learning due to its unrecognized and (many academics believe) unsustainable workload. Avoiding 'traditional' workload assumptions that are inaccurate, this study provides academics and managers involved in clinical education clear guidance and an increased understanding of workload with a goal to inform practice.