During the past decade teleconferencing systems have gained a substantial role in continuing medical education in Canada through maintenance of contact between physicians in remote and urban areas, medical education, group consultation, and administration. A group of Canadian physicians at Memorial University of Newfoundland and their Kenyan and Ugandan counterparts have undertaken the development of a similar satellite link between Canada and East Africa with ground transmission between Nairobi and Kampala. This program has been accepted for participation in SHARE, a project which makes satellite circuits available to agencies to organize health education programs between developed and developing countries. Since inauguration of the system in January 1986, there have been formal weekly conferences and informal teaching sessions covering such topics as nutritional status and immune response, hepatitis in pregnancy and the newborn, emergency pediatric medicine, and rickets. The system is also a cost effective means of maintaining communication between North American researchers based in East Africa and their home laboratories. It is hoped that the teleconference system will enable the libraries at the University of Nairobi and Makerere University to make online literature searching available to the medical community. Satellite links such as the one described here are currently the most realistic means of providing contact between the medical faculties in Nairobi and Kampala and a broad spectrum of academic physicians in Canada. (MES)