The Mayerson Center has leveraged telemedicine technologies to extend its expertise by providing child abuse education and consultation to providers in rural Ohio, peer review of forensic interview skills to social workers evaluating allegations of child maltreatment, and collaborative learning to child abuse fellows. Using WebEx, an internet conferencing technology available at CCHMC, the Mayerson Center physicians and nurses meet with small groups of providers each month to review cases, provide didactic lectures, or conduct collaborative patient rounds. The Mayerson Center social workers, using video conferencing equipment, conduct a monthly multi-disciplinary peer review with other social workers and prosecutors in Ohio. Using secure email, the Mayerson Center physicians provide second opinions of examination findings based on forensic examinations photo documentation. The Mayerson provides second opinions to 16 remote sites and didactic lectures to sites in 5 different states. Remote sessions are typically attended by 30 participants from 12 different sites and currently 11 different Ohio communities participate in forensic interview peer review sessions.