The document summarizes The Mary Stuart Project, which used problem-based learning supported by videoconferencing and a virtual community to teach occupational therapy students internationally. Students from Scotland and the US collaborated on a case study of a woman with multiple sclerosis. Evaluations found that students' clinical reasoning and understanding of international OT practice improved. Challenges included differences in educational systems and technology experience. Staff saw benefits of the international collaboration but suggested improving synchronization and addressing technical issues.