Effective use of new technologies to support healthcare initiatives is important and current research is moving towards
implementing secure grid-enabled healthcare provision. In the UK, a large-scale collaborative research project (GIMI:
Generic Infrastructures for Medical Informatics), which is concerned with the development of a secure IT infrastructure
to support very widespread medical research across the country, is underway. In the UK, there are some 109 breast
screening centers and a growing number of individuals (circa 650) nationally performing approximately 1.5 million
screening examinations per year. At the same, there is a serious, and ongoing, national workforce issue in screening
which has seen a loss of consultant mammographers and a growth in specially trained technologists and other non-radiologists.
Thus there is a need to offer effective and efficient mammographic training so as to maintain high levels of
screening skills. Consequently, a grid based system has been proposed which has the benefit of offering very large
volumes of training cases that the mammographers can access anytime and anywhere. A database, spread geographically
across three university systems, of screening cases is used as a test set of known cases. The GIMI mammography
training system first audits these cases to ensure that they are appropriately described and annotated. Subsequently, the
cases are utilized for training in a grid-based system which has been developed. This paper briefly reviews the
background to the project and then details the ongoing research. In conclusion, we discuss the contributions, limitations,
and future plans of such a grid based approach.