A 96-hour course was created to instruct prosthetic and orthotic clinicians on computer-aided design!computer-aided manufacturing (CAD/CAM) principles and techniques. This course was presented using distance education technology to link the instruction site (Toronto, Canada) with the student site (Ottawa, Canada). Through interactive computer graphics and standard telecommunications, course participants studied the CASDaM, CAN FIT-PLUS, Shapemaker and University of Texas CAD I CAM systems. A qualitative evaluation of each software package was submitted by each participant during course evaluation. This education method was endorsed by course participants and instructors as a viable technique for clinical CAD/CAM instruction.