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AbstractThe Virtual Orthopaedic University (VOU) provides an infrastructure for clinicians to manage the administrative, research and educational workload of the university within the digital domain. Using a toolkit approach, underpinned by the use of ontological hypertext, the Virtual Orthopaedic University architecture can be used in a variety of different ways to support each user uniquely, offering then a personalised set of learning materials and guidelines to promote their effective learning. This paper describes the rationale behind the development of the system, and the overall architecture. The system has been deployed in a local hospital and is shortly to be deployed within a national heath service region.