1. Intelligent Agent Multimedia Group,

The Virtual Orthopaedic European University provides an infrastructure for clinicians to manage the administrative, research and educational workload of a university within the digital domain. An aim of the project is to maximise the relationship between different pedagogical approaches, tools and resources in a novel learning environment, while providing support for decision-making using a toolkit approach. This paper focuses on a specific framework, the Dynamic Review Journal, which supports the development and dissemination of documents by assisting authors in collating and analysing experimental results, organising internal project discussions, and in producing papers. The system has been deployed in a local hospital and is presently being deployed to support a regional training service.