Rural hospitals, unlike many other business/industries, lack the resources to educate/upgrade health cam technicians without outside assistance. This paper describes how a university, with an innovative, customized delivery system, was able to provide college level instruction at small, rural hospitals with minimal costs. Using this competency-based programme, all instruction was provided through video, slides/tapes, and programmed learning materials. Daily student supervision/assistance was provided by hospital training supervisors, who usually were full-time departmental supervisors with appropriate licensure. The educational institution provided instructors called Education Specialists who had appropriate healthcare licensure. They provided learning materials on a regular basis, and assessed student progress and program development at each cooperating rural hospital. Successes were measured by (a) the number of hospital employees who were upgraded to new skill levels and their job satisfaction; and (b) the number of semester hours generated for the educational institution.



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