The document discusses using virtual human resource development (VHRD) technologies to help address international healthcare workforce shortages and training needs. It defines VHRD as media-rich, culturally relevant online learning environments. Technologies like telemedicine, videoconferencing, and virtual worlds can be used for continuing medical education, expert collaboration, and disaster response training across cultures. However, differences in technology infrastructure and culture between countries may present barriers or conflicts that require an ethnographic approach to enhance technology acceptance and drive cultural change.