摘要:Background: The Massive Open Online Course (MOOC) is an emerging method of online teaching whose application in education, especially medical education, is largely uncharted territory. The successful implementation of MOOCs requires conceptual changes in understanding by instructors and students.Aims: The author presents a brief guide to assist teaching staff in understanding the conceptual changes required by instructors to implement a MOOC successfully.Conclusion: The potential impact on medical education is unknown, but MOOCs cannot be ignored if we wish the impact to be positive.