Designing teleconference programs for the physician learner puts unique demands on the teleconferencing medium. Typically, physicians expect a 1-hour lecture presentation with high information density. To effectively present the medical content material in an audio medium, strategies which structure and organize the content material are necessary. When high information density programs are teleconferenced, modifications in the format of a typical educational teleconference are necessary. A format which previews, presents, and reviews the content material has proved effective in such programs on the South Dakota Medical Information Exchange (SDMIX) teleconferencing network. This format structures the presentation, making the organization of the content apparent to the physician learner. Visual techniques are employed in this organizational pattern to reinforce the structure and facilitate retention of the presentation content. The use of a stimulating title slide, a slide of the presenter, program outline, internal visual outlines, frequent changes in the visual elements, summary or transition visuals, color coding of visual and print materials, and humorous visuals have been found effective as means of presenting educational teleconference programs for physicians. (Author/LMM)