This document discusses various methods for continuing education that medical librarians can pursue from their own desk, including distance learning, e-learning, satellite teleconferencing, videoconferencing, and online learning. It provides details on how each of these methods works and how libraries are using them, such as purchasing educational programming for staff or allowing public access to videoconferencing equipment. The document also addresses some challenges of continuing education like taking time off work and provides additional online resources for information.