The students of UNSW rural clinical schools are taught Phase 2 integrated clinico-pathological correlations of disease classes online by staff at UNSW Sydney since 2019 as these schools cannot always secure local teachers. The same classes are offered to Sydney campus students face-to-face. To ensure that online teaching does not disadvantage rural clinical students I conducted a research project under UNSW ethics approval by offering a same end of module formative assessment to both groups of students over 2 years, and compared their performance. There was no statistically significant difference in performance between those who were taught online vs. those taught face-to-face.