The web based rheumatological training was designed to deliver training on basic skills in rheumatology among undergraduates and post graduates doctors, nurses and paramedical staffs so that they become skilled and confident enough to make a proper diagnosis and also do the initial treatment of such musculoskeletal conditions which in turn can provide rheumatologic access for the people on the remote areas. The training benefits individuals living in remote areas for increased access to care, improved efficiency and treatment affordability as well as better communication between patients, GPs and specialists thereby decreasing the burden of the rheumatic diseases

The main aim of this web based training was to advance the education and clinical practice of rheumatology by training the paramedical and medical personnel working at the peripheral regions of Nepal who will in turn train more people in their respective periphery. Few of the objectives of the training are:

• To enhance the skills of undergraduates and post graduates doctors, nurses and paramedical staffs
• To provide rheumatologic education to patient with rheumatic disease
• To enhance practice performance
• To increase awareness of rheumatological disease in community
• To empower patient with rheumatological disease to identify problems
• To identify early manifestation of diseases

Health professionals gathered to participate in web based Rheumatological training which has been conducted in different rural and urban areas of Nepal – Lamjung, Achham, Puythan, Dhading. Around 20 to 30 participants are benefited in each training session. The participants are also provided with a certificate for successful attendance.

The training starts with the brief pre and ends with a post test. During the training, trainer consultants and the participants shared their views and experiences about the topics discussed.

Each session lasts for three hours and is divided in to 3 parts. First part is dedicated to symptom analysis and approach to diagnosis. In the second part, investigations and monitoring of patients are discussed. Lastly, in third part, treatment of different rheumatological disorders are discussed in brief.