ABSTRACT
Blended learning (BL) refers to the combination of approaches to learning and teaching using a variety of delivery modes. It is playing an increasingly prominent role in medical education. Its strategy includes the combination of traditional face to face learning with e-learning, multimedia videos, online discussions and computer-based assessments. This paper discusses the steps undertaken in implementing an e-learning model through the utilization of a Blackboard system. The phases involved in the implementation include: 1) Training and Familiarisation: introductory learning session with hands-on trial and explanation of the system and its capabilities; 2) Deepening Understanding: formal training with real time trials and demonstration, as well as more complex problem handling; 3) Feedback: trainees and supervisors present and share experience of using the system and how to improve/ enhance it; 4) Assimilation and integration: final stage where knowledge and skills learnt are blended into clinical applications in daily practice. In combining e-learning with other forms of learning under the umbrella of BL, there could be a notable shift from a teacher-oriented model to an active learner- centred one. The whole process emphasizes active learning, with collaboration between learners and supervisors, for the eventual delivery of best clinical care to patients.