The virtual university.
Surgeons will soon be able to acquire, test and validate new skills from a distance. We have developed the concept of the 'virtual university' for surgeons in the field of laparoscopy and minimally invasive surgery. This concept permits surgeons to update their education at their own pace, from a remote location. Operating techniques follow a standard format, and illustrations have been prepared in cooperation with authors and editors. Using new technologies we have been able to rethink anatomical artwork; software has made it possible to add animation. Unlike paper journals, the Internet can accept colour illustrations with no limits, either in terms of size or number. Two types of videos have been developed: films of 15-30 min describing a surgical procedure and experts' opinions. The contents of www.websurg.com are written entirely by surgeons, under the control and seal of approval of national and international societies. All partners (authors, reviewers, editors, sponsors, owners) need to be satisfied and accept editorial independence. Some factors can compromise the reputation of a website (publication without a rigorous peer review process, product placement in reports of a supposedly independent study, promotion of sectarian interests disguised as independent commentary, etc.). Transgression in any of these areas leads to a rapid diminution of trust and thus a diminishing reputation -- a downward spiral to mediocrity and scientific marginalisation.