I’ve run an English school delivering face-to-face courses. I’ve run an online teaching operation. I’ve tried to combine the 2 many times – for Business English, Technical English and Exam Prep courses. My company has released 3 online Medical English courses this year, for nurses, healthcare workers and doctors. Most agree that the trend is towards online, but is the pedagogy any good? Can it replicate face-to-face, or will it always be the poor relation? This presentation looks at the best of face-to-face and online self-study, as well as the challenges facing both. It looks at how they can be combined in truly effective blended English language learning courses. This is a Medical English conference, so the examples and case studies will look at courses directly related to the concerns of delegates.