A two-day workshop exploring the benefits and drawbacks of open and distance learning for the health communities in developing countries was held October 26-27, 2010, at the London International Development Centre. Success stories shared by workshop presenters included programs for nurses in Kenya and India. Presenters identified common challenges such as low completion rates and inappropriate technologies for poorer settings. Ralf Graves, M.S., FAIMER’s Associate Director, Regional Institutes, was among the presenters at the DL4H workshop. Ms. Graves spoke about strengthening health professions education. Conference attendees explored various aspects of the theme, including the fact that competence does not necessarily equate to performance; the difficulties often faced in program evaluation and providing evidence of impact; and the dependence of health outcomes on factors such as politics, pay, and job satisfaction. For more information on the DL4H workshop, visit http://www.lidc.org.uk/news_detail.php?news_id=104.