Background:
Peer to peer learning is a well established learning modality which has been shown to improve learning outcomes. We have previously demonstrated the effectiveness of such an approach within a university setting. The purpose of this pilot study was to explore the feasibility of linking students from North America and Europe with a peer to peer learning approach.

Material and Methods:
Face and content validity studies were completed on the previously designed and validated online repository www.pilgrimshospital.com. Four medical students from the University of Toronto Canada were paired with four students from University College Cork, Ireland. Each student was invited to upload 2 pieces of information learned from a senior colleague that day. Each student was asked to review the information uploaded by their partner, editing with references if needed. Quantitative and qualitative evaluations of the e-peer system were conducted.

Result:
During the study the system recorded a total of 10,079 individual page views. Questionnaires completed by participants demonstrated that 6/8 found the system either ‘very easy’ or ‘easy’ to use, while all found the system promoted evidenced based, reflective and self-directed learning. Structured interviews revealed three main themes; ‘The Peer Connection’, ‘Trust in Data Veracity’ and ‘Aid to Clinical Learning’

Conclusion:
This study shows it is feasible to link students from separate continents in a community of peer to peer learning. This is viewed positively by students and enhances evidenced based learning. Such an approach encourages peer cooperation and has the potential to disseminate key clinical learning experiences widely.