The Otago Master of Occupational Medicine degree (MOccMed) is part of an internationally accredited programme that will enable part-time registered medical practitioners to develop competencies for professional occupational medicine practice at a registered or board certified specialist level in any country in the world. The master's degree (normally taken part-time by students continuing their usual work) extends the existing Postgraduate Diploma in Occupational Medicine (PGDipOccMed), and students will normally have completed the diploma prior to being accepted into the master's papers. The programme builds on the fundamental principles and clinical practice leading to management and research evaluation of occupational medicine, and ensuring that staff are fit to engage in safe work. The goal of the programme is to prepare the registered medical practitioner for admission to Fellowship of the appropriate Faculty or College of Occupational and Aviation Medicine in their home country by covering a range of professional development and knowledge areas to an advanced academic level, and inculcating professional behaviours and activities consistent with working at a consultant level. The Occupational and Aviation Medicine international distance learning programme is based on an interactive learning management system employing Moodle to share tutorials, multimedia materials, online workshops and webinars that are in part student-led, blogs and forums, as well as an annual residential school in a suitable international venue. Second Life exercises where students participate in case studies in a virtual reality environment created in 2014 for group learning activities, examining medical issues on major industrial site scenarios will promote presence and participation.