Calls for an increase in the element of community-based education in the undergraduate medical curriculum have been increasing in recent years following the publication of the GMC report "Tomorrow's Doctors". In 1994, the Department of Health provided a substantial grant to all the Medical Schools in the North Thames Region to develop a multi institute initiative to increase community-based medical education. The grant provided resources for the development and evaluation of clinical teaching combining hospital and community settings in all of the schools. The project has been in progress for nearly three years and has seen the development of a wide range of shared clinical firms, including clinical skills, dermatology, ENT, medicine, obstetrics and gynaecology, rheumatology and surgery. A detailed evaluation is being undertaken to determine the effect of the programme on the participating GPs, consultants and students. Initial indications are that the programme has proved to be both popular and successful. The presentation will detail the development of the project and highlight the key findings of the evaluation. It will discuss critically the implications for the development of community-based medical undergraduate education in the United Kingdom and the potential to establish university linked general practices undertaking a substantial teaching load.