This pilot was considered to be program evaluation rather than human subject research by the Colorado Multiple Institutional Review Board, and therefore, informed consent was not required. The CHNs were aware of the evaluation process during the program. The program evaluation took place between February and May 2016. Child health lectures were organized into two blocks of five topics each and were selected based on CHN preferences and instructor ability. Lectures covered the following topics: anemia, ear infections, zinc, urinary tract infections, antibiotics, vaccines, obesity, vitamin A, injury prevention, and burns. We used the videoconferencing software program Vidyo© (22), licensed by the Telehealth Department at our institution and available free of charge to our program. Vidyo© is a high-definition videoconferencing platform with an encrypted signal between several computers or mobile devices. The system has smoothing capabilities due to an iterative signal to allow for more natural communication. The platform runs on our institution’s secure network. One of the team members acted as lead instructor by using the Vidyo© platform and sharing the screen with supplementary documents or slides on the topic. Other team members joined lectures as assistant instructors or observers. The lectures consisted of approximately 30 min of didactic teaching with an additional 15 min for questions, case presentations, and discussions of current cases and experiences in the community, providing a total time of approximately 45 min connected via telehealth. Learners viewed the shared supplementary teaching materials and the instructors simultaneously on their screen. The lead instructor viewed the learners as well as the instructor’s home screen with supplementary teaching materials (Figure 1). Lectures were given in Spanish, the native language of the learners, but there was intermittent discussion among instructors in English for clarification. Learners were able to access the teaching documents after the lecture. The educational sessions were not recorded due to the need to maximize bandwidth availability at the Guatemala location.