Development of a nation depends upon its capability of tapping the human resources. Availability of need based education and training facilitates the unfurlment of human potential. Open learning approach coupled with the technology based distance education system today is capable of providing this important ingredient of development process. Achievement of Health for all was envisaged through primary health care approach based on four principles i.e. equitable distribution, community participation, intersectoral coordination and appropriate technology. Since the decision of World Health Assembly in 1977, a lot of investments are made for training the target groups i.e. Doctors, Nurses, Allied Health professionals and lay public. But the success is far from satisfaction. The main limiting factor has been the hands-on-training. This paper deals with the approach that could be integrated in the distance learning system so that new surgical skills could be provided at post-graduate level of medical education. The methodology takes into consideration of contraints of developing nations and provides the alternative strategies that could be followed to make 'surgical care at doorsteps' a reality. Since surgical skill at post-graduate level of medical education
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