Although the use of virtual networks and doctors may provide solutions to share knowledge it creates other difficulties. The use of VDP as an educational tool clearly has downsides. First it is not designed for training; if it were why not use a tool specifically for training? As the VDP is not any educational benefits have to be considered secondary. Unlike with a specifically educational tool there is no way for the experts to test that the knowledge they are passing on is being learnt or that their advice is being followed.  Additionally, if the use of virtual doctors is educating medical officers on the ground does it ensure the newly trained professional will stay in Zambia? The bigger picture of what the officers do, and whether the government implement competitive labour policies, requires consideration.