The document discusses using MOOCs for strategic collaboration between universities. It outlines a proposed Erasmus+ project with 4 intellectual outputs including a bioethics MOOC led by Karolinska Institutet. The MOOC would undergo peer review across the consortium and be used strategically. Key decisions around policy, running courses synchronously/asynchronously, and grading would need to be addressed for effective integration into the educational collaboration. MOOCs could offer opportunities for mass education and exposure if used strategically between partner institutions.